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Colonial Rehab: Wrong Fentanyl Patch Hospitalized Patient - KY
R58 had no order for fentanyl but received her roommate's 75-microgram patch on May 2, 2022....
Latest reports, citations, and penalties from CMS data
R58 had no order for fentanyl but received her roommate's 75-microgram patch on May 2, 2022....
Resident 12 arrived at Parkway Health & Rehab in December 2024 weighing 115.3 pounds....
Staff had promised to keep him supervised whenever vulnerable women were present....
The June 11 incident at Skyline Healthcare Center involved Resident 295, who receives medications through a surgically-placed stomach tube....
On April 8, inspectors watched as two certified nursing assistants performed the procedure....
Hospice registered nurse H had brought foam dressings to the facility on June 7 after being notified there was no wound care supplies available....
Resident 339 was admitted on June 13, 2024, at 11:45 AM with a left femur fracture....
Resident 137 at Brier Oak on Sunset had been admitted with altered mental status, muscle weakness, lack of coordination, and unsteadiness on his feet....
The January inspection at Harrison Nursing and Rehabilitation Center revealed multiple infection control breakdowns that put all 49 residents at risk....
The violation occurred at Culver West Health Center on Grandview Boulevard during a federal inspection on April 28....
The assistant walked him to the nursing station and informed Registered Nurse 1 about the threat....
Resident #53 had been at the facility for six days when she disappeared on May 2, 2025....
The failures left nursing staff unaware of basic safety measures while caring for vulnerable residents....
The resident, identified as R46 in inspection records, had been prescribed insulin since November 2024 at Polaris Healthcare and Rehabilitation Center....
The resident's falls occurred on March 25, March 28, April 25, and May 7....
Federal inspectors found Resident #252's oxygen concentrator had been taken from his room on March 26....
The violations posed immediate risk to resident health and safety....
His doctor had ordered podiatry visits every two months starting in February 2024....
The resident filed the complaint on May 23, 2024, saying they didn't want the two CNAs caring for them anymore....
The facility-acquired pressure injury became one of the most severe classifications possible....