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Pinnacle Nursing: Infection Control Failures - UT
Federal inspectors observed the contamination sequence over three days in January....
Latest reports, citations, and penalties from CMS data
Federal inspectors observed the contamination sequence over three days in January....
The doctor's practice of skipping documentation left nursing home staff scrambling to piece together what happened during patient visits....
The device remained in place even though her medical record contained no order for it and her care plan made no mention of catheter use....
She told the inspector that gnats bothered her and had become a regular topic of conversation with anyone entering her room....
The incident at Interlochen Health and Rehabilitation Center involved a newly admitted resident who required total assistance for all transfers....
The violation came to light when inspectors examined records for Resident #1 and found no care plans in the system....
CNA A performed solo transfers despite completing facility training on safe lifting and mechanical lift operation on May 7, 2025....
The facility's own policy, revised in May 2025, requires comprehensive person-centered care plans within seven days of completing resident assessments....
Dead insects lined the dining room windows....
The incident at The Laurels of Heath came to light only when Resident 42 received a call from his father asking why he wouldn't let staff take care of him....
Resident #42 only discovered the violation when his father called asking why he wouldn't let staff care for him....
The resident discovered the violation only after his father called asking why he wouldn't let staff take care of him....
The December 28 attack at Laurel Health & Rehabilitation Center occurred around 2:20 a.m....
Resident 18 reported being soaked with urine....
Every category designed to help determine adequate staffing levels was empty....
Licensed Practical Nurse FFF was in the hallway with another staff member when they heard a bang from Resident 93's room on January 22....
Resident 123 suffered the skin tear to their left lower leg on January 22 when CNA ZZ was helping transfer them alongside Physical Therapist AA....
Federal inspectors who visited the facility in late January documented basic hygiene failures affecting multiple residents....
The Grove at Kirkwood sent the resident home on January 28 despite multiple staff members expressing safety concerns about the discharge plan....
When questioned by inspectors, RN C acknowledged her violation of infection control protocols....