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Gardnerville Health & Rehab: Assessment Failures - NV
The resident had been prescribed Eliquis since August 2024 to prevent blood clots....
Latest reports, citations, and penalties from CMS data
The resident had been prescribed Eliquis since August 2024 to prevent blood clots....
Resident #3 entered hospice care at Amarillo Center for Skilled Care on Friday, March 28th....
Federal inspectors found the 1900 S Longwood Ave facility failed to follow its own policies for psychotropic medication management during a March inspection....
Certified Nursing Assistant 5 put on gloves but skipped the required isolation gown when Resident 8 complained of abdominal and buttock pain on March 11....
The patient's family member had no training in transfers or mobility assistance and couldn't lift the resident from bed or provide shower care....
The resident's care plan, initiated in April 2024, specifically warned staff to watch for "abnormal bleeding" and "easy skin bruising" daily....
QMA 3 and LPN 6 were still observed working on the floor at 3:35 p.m....
A small plastic cup of water sat next to it....
A certified medication aide had asked Staff E, a licensed practical nurse, to check on the resident after finding the bathroom door closed....
Federal inspectors found the 99-bed facility's Quality Assessment and Assurance Committee operated without basic oversight mechanisms....
The facility's written policy from December 2011 requires specific safety steps for administering medications through feeding tubes....
The June inspection at Treasure Isle Care Center found multiple infection control breakdowns that put the facility's 136 residents at risk....
Federal inspectors found that staff administered oxycodone to two residents well before the required four-hour intervals between doses....
Resident 19 punched, grabbed, kicked, and scratched other residents from October 2024 through May 2025 at Colville Health and Rehabilitation of Cascadia....
The incident began around 2:38 a.m....
The outbreak on Resident #25's unit had already begun on June 1....
The medications were scheduled for 9 a.m....
Federal inspectors documented widespread medication safety failures at Windsor Convalescent Center of North Long Beach during a June 28 inspection....
Resident #27 developed Extended-Spectrum Beta-Lactamase E....
The insulin error happened during morning medication rounds on July 8....