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Oakwood Care and Rehabilitation: Aide Oversight Failures - CO
The inspection was triggered by a complaint....
Latest reports, citations, and penalties from CMS data
The inspection was triggered by a complaint....
That is what federal health inspectors found when they visited Grand Avenue Rest Home in Minneapolis this past September....
The dental care citation, issued under the regulatory tag governing oral health services, covered both scheduled care and around-the-clock emergency access....
The resident, identified in inspection records as Resident 3, carried a cognitive score of zero on a standardized assessment scale, meaning total impairment....
Inspectors classified the problem as a pattern, not an isolated incident....
Among those citations was a finding that the facility failed to properly procure, store, prepare, distribute, or serve food to residents....
Federal health inspectors visited the Minneapolis facility on September 11, 2025, responding to a complaint....
The resident, identified in inspection records as Resident 8, weighed 188 pounds as of her most recent quarterly assessment in August 2025....
The violation was classified as isolated, meaning inspectors identified a specific instance rather than a pattern running through the facility....
The resident was not in a crisis that demanded immediate transfer....
The finding, one of 12 deficiencies cited at the facility during that visit, touches something fundamental about nursing home life....
The facility is Laguna Hills Health and Rehabilitation Center, a 24452 Health Center Drive nursing and rehabilitation center in Orange County....
The inspection, conducted September 11, 2025, flagged the drug storage failure under a category covering pharmacy service deficiencies....
The inspection, conducted on September 12, 2025, was triggered by a complaint....
The citation, issued September 11, 2025, involves what regulators call PASARR, the Preadmission Screening and Resident Review program....
No actual injury was documented....
In both locations, the substance appeared in areas where caulking was missing....
The federal inspection, completed September 11, 2025, cited the facility for causing actual harm to at least one resident....
Federal inspectors arrived on September 3, 2025, and found a kitchen that hadn't been formally cleaned, by its own records, since late April....
The citation, recorded under a category covering resident assessment and care planning, did not document actual harm to any resident....