Latest reports, citations, and penalties from CMS data
The maintenance department told kitchen staff the steam table couldn't be repaired and would need replacement, but no timeline was provided....
Resident 2 had been admitted to Cedarwood Rehabilitation & Healthcare Center on April 4, just days after hip fracture surgery from a fall at home....
The resident, identified as Resident 97, had been ordered continuous one-to-one supervision since October 7, 2024....
The most alarming incident occurred during lunch on March 17....
She immediately followed by administering eye drops to the same resident, again without performing hand hygiene....
Resident 83 complained repeatedly about bilateral lower extremity edema starting February 24, telling staff they weren't receiving medication for the swelling....
Federal inspectors found the facility failed to ensure staff called for help when residents showed signs of distress....
Federal inspectors documented response times that stretched far beyond what the facility's own administrator considered acceptable....
The crisis began when water samples taken in late 2024 revealed Legionella bacteria in seven of 10 locations throughout the building....
Federal inspectors documented the violations during a February 28 inspection of the 62-bed facility on West 6th Street....
## Medical Significance of Assessment Failures Accurate resident assessments form the foundation of nursing home care quality and safety....
The compression system is designed for venous leg ulcers and lymphedema, not diabetic wounds....
This violation was classified as having potential for more than minimal harm to residents, though no actual harm was documented during the inspection....
The nurse later admitted she called out the roommate's name and gave the medications to the wrong woman when she responded....
Psychotropic medications include antipsychotics, antidepressants, anti-anxiety drugs, and mood stabilizers....
## Widespread Food Safety Deficiencies Documented The January 29, 2026 inspection revealed systematic problems with the facility's food handling operations....
This violation was classified as having potential for more than minimal harm to residents, despite no documented actual harm occurring....
The resident, identified as R107 in inspection documents, was found on the floor in front of their wheelchair on January 24....
The resident, identified as R107, was found lying in bed with their feet hanging off the side when inspectors arrived at Regency at Westland on January 27....
The resident, identified as R107 in inspection records, was admitted January 13 with muscle wasting and atrophy....