Latest reports, citations, and penalties from CMS data
An eight-page vendor aging report showed outstanding debts totaling millions of dollars, with some bills unpaid for over 151 days....
Inspectors determined there was **insufficient auditing and oversight** of the earlier citation, indicating the facility's corrective measures were inadequate....
**The nurse was unable to administer morning medications or required water flushes** due to the equipment malfunction....
## Missing Critical Assessments The facility failed to complete mandatory nursing assessments for three residents during crucial care transitions....
The 76-year-old patient, who had been diagnosed with Alzheimer's disease and severe cognitive impairment, was unable to explain how the injury occurred....
The contaminated cup was then placed on the nursing station desk, further spreading potential infectious agents throughout the care environment....
## Missing Physician Orders Create Safety Risks The lack of organized medical records extended to critical physician orders....
The previous DON had departed several months earlier, leaving other staff members to assume portions of the critical leadership role's responsibilities....
The agreement waives the resident's right to pursue legal action through the court system....
Pureed diets are prescribed for residents with dysphagia or swallowing disorders, conditions common in nursing home populations....
However, inspection records reveal these critical interventions were not consistently implemented....
Additionally, the position requires one year of supervised social work experience in a healthcare setting working directly with individuals....
The remaining 105 residents received nutrition through feeding tubes....
The inspection resulted in documented violations of federal nursing home regulations....
## Critical Communication Failures Investigation revealed concerning gaps in staff knowledge regarding the resident's care preferences....
The violations affected three of five residents reviewed during the investigation, identified as Residents #1, #206, and #9....
One resident lost 14.29% of their body weight over six months and 7.9% in approximately three months, meeting the criteria for significant weight loss....
## Medical Significance of Insulin Dating Requirements Insulin dating serves critical safety functions in healthcare settings....
According to the facility's physician, this oxygen level should have triggered an immediate transfer to the emergency room....
The documented violations stem from repeated quality of care deficiencies that were previously identified during surveys ending June 4, 2024 and July 22, 2024....