Latest reports, citations, and penalties from CMS data
An order formalizing those precautions had been placed just one day before inspectors observed the lapse....
The sequence of events began on the evening of May 26....
The inspection that captured this was a complaint survey at The Madison Health and Rehab, conducted May 27, 2026....
The order called for the drug to be given every six hours....
Federal inspectors documented the case during a complaint inspection at the facility on May 27, 2026....
The resident, identified in inspection records as R161, was a known diabetic....
The inspection, completed May 27, identified a failure in the facility's infection prevention and control program....
Resident 43 also had chronic obstructive pulmonary disease....
The resident, identified in inspection records only as R7, has end-stage renal disease and depends on dialysis to survive....
The violation was cited at a level of minimal harm or potential for actual harm, affecting a few residents....
The May 27, 2026 inspection was a complaint investigation....
Resident 161 arrived at Life Care Center of South Las Vegas with Type 1 diabetes and a freshly amputated right third toe, removed because of gangrene....
R7 told staff they were okay, just needed to sleep, and declined to go to the hospital....
She changed gloves without performing hand hygiene before or after any glove change, and she left the room without washing her hands when she was done....
That is what federal inspectors found at Capri Gardens nursing home during a May 2026 inspection....
The insulin, drawn from a vial opened on April 11, carried a yellow sticker warning it expires 28 days after opening....
The finding was not a surprise to anyone who has followed the facility's inspection history....
The facility submitted a plan of correction, the standard response nursing homes provide when inspectors find problems....
On paper, it was a reasonable system....
The facility responded with a plan of correction, the standard mechanism by which nursing homes acknowledge a problem and commit, in writing, to solving it....