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Smithfield Manor: Wheelchair Transport Jeopardy - NC
It is not a finding reserved for close calls....
Latest reports, citations, and penalties from CMS data
It is not a finding reserved for close calls....
The deficiency, cited at the "actual harm" level, means inspectors determined that real injury occurred, not merely a risk of it....
And they had come from inside a nursing home that, at the time of the inspection, was caring for 77 residents....
The incident at Mulder Health Care Facility happened on the night of September 9, 2025....
The facility sits on Village Drive in Canonsburg, a borough about 20 miles south of Pittsburgh....
One of them, identified in inspection records only as Resident 10, was moving in a way that alarmed a federal inspector watching the scene unfold....
Both described her the same way....
The licensed practical nurse was hired January 8, 2025....
The facility, Axiom Healthcare of West Frankfort, had 52 residents at the time inspectors arrived....
When a nurse opened his electronic health record to find his wife's phone number after calling his time of death, she saw it plainly: Full Code....
That is what federal inspectors documented at Axiom Healthcare of West Frankfort after a complaint inspection completed September 16, 2025....
The facility's own written policy described exactly what should happen in those moments....
The nurse, identified in inspection records only as V4, was the one giving the medications....
Let it go, the assistant director of nursing and the assistant administrator told her....
Together they reflect a gap between what staff said the rules were and what inspectors found when they walked the halls....
The administrator said she couldn't verify whether the check had ever been run....
That is what inspectors found when they investigated a complaint at Axiom Healthcare of West Frankfort, a nursing facility at 601 North Columbia....
Dust had built up on all baseboards on all units....
That was one of the smaller problems inspectors found at Optalis Health & Rehabilitation of Bloomfield Hills during a September 17, 2025 complaint inspection....
The warning on September 5 was not a subtle one....