Latest reports, citations, and penalties from CMS data
This testing was essential to identify whether alternative, less costly antibiotics might effectively treat the infection....
The findings revealed a pattern of medication management deficiencies that could have serious consequences for residents with diabetes....
This pattern contradicted the facility's own policy requiring thorough investigation of all abuse allegations....
The Administrator, when interviewed the same day, agreed that staff should have updated the PASRR documentation following the new psychiatric diagnoses....
The incident occurred when a Certified Nursing Assistant (CNA) was turning and repositioning the resident, who grabbed onto the facility's bed remote control....
Within days of admission, staff documented that the resident had an unsteady gait, poor balance, and was at risk for falls....
The equipment remained improperly stored despite not being in active use....
The Director of Nursing acknowledged during the inspection that staffing shortages were visible on the schedule and represented an ongoing challenge....
The inspection revealed deficiencies first documented in November 2018, with subsequent citations in November 2019, October 2022, and January 2024....
On July 8, 2024, at 3:07 p.m., surveyors observed the memory care dining room carpet littered with food debris....
The inspection focused on medication security procedures required under federal regulations....
Additionally, the oxygen flow was set at 3 liters—50 percent higher than the prescribed dose....
The incident occurred as staff members were transferring the resident back to her bedroom to provide care....
A second resident with a history of heart disease, ischemic cardiomyopathy, and previous myocardial infarction received only partial pneumococcal vaccination....
One resident reported lying in a urine-soaked brief for hours while waiting for staff assistance....
One resident recovering from COVID-19 in isolation received breakfast in a foam tray containing fried eggs, toast, and cream of wheat....
This designation indicates that while no actual harm may have occurred, inspectors documented conditions or practices that posed genuine risk....
The Administrator acknowledged that the facility would "start a QAPI" and planned to reevaluate after three months....
The inability to provide documentation represented more than an administrative oversight....
No emergency supplies were found in any location....