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Green Lea Senior Living: Unlicensed Aides - MN
She then said she was not responsible for ensuring that staff held current credentials....
Latest reports, citations, and penalties from CMS data
She then said she was not responsible for ensuring that staff held current credentials....
The incident at Taylorville Care Center was reported to state regulators and triggered a federal inspection completed October 9, 2025....
The bathroom door on her side was secured with a padlock....
She died approximately one week later....
The incident happened on September 29, 2025, at Rennes Health and Rehab Center-Rhinelander, a facility on Navajo Street in Rhinelander, Wisconsin....
The citation at Buena Vida Nursing and Rehab, located at 5027 Pecan Grove, is among the most serious a nursing home can receive....
Central venous catheters are among the most consequential pieces of equipment in a nursing facility....
Nobody put protections in place....
"Sometimes I pee the chair, recliner, and bed," she told inspectors on the morning of October 17....
EMS had been called at 1:53 PM....
Not after the second fall, or the fifth, or the seventh....
Nearly an hour later, the resident council group had a different answer....
The resident, identified in inspection records as Resident P, told inspectors there was no nurse specifically assigned to his unit....
What inspectors documented during the October 14 complaint inspection suggested that commitment existed more on paper than in practice....
For residents with indwelling urinary catheters, the insertion site is a direct pathway into the body....
The error surfaced during a complaint inspection on October 8, 2025....
The inspection, completed October 9, 2025, stemmed from two separate complaints filed against the facility at 2222 Margaret Ave....
The aide, identified in inspection records as CNA #97, told inspectors the resident had grown agitated and was yelling at her because he didn't want to wait....
The incident unfolded on the morning of October 7, 2025, at Fair Oaks Health & Rehabilitation on Lee Jackson Memorial Highway....
The resident, referred to as R1, ended up in the emergency room....