Golden Years Center: Suicide Risk Ignored Overnight - MO
The second note, written at 8:25 a.m., recorded that the behaviors had continued throughout the entire night....
Latest reports, citations, and penalties from CMS data
The second note, written at 8:25 a.m., recorded that the behaviors had continued throughout the entire night....
The problem ran in multiple directions at once....
The facility's staff development coordinator couldn't find the records....
The nurse who assessed her that evening documented the wound in the wrong location....
Federal inspectors flagged the violation on October 22, 2025, following a complaint inspection....
He couldn't take care of her from there, and he said so....
The deficiency was tagged F0744, covering the standard for dementia care and behavior management....
The facility is located at 435 East Henrietta Road in Rochester....
She had already eaten part of her meal....
She had noticed the redness shortly after admission....
The outbreak began October 8, 2025....
The resident had not been allowed to keep any of her medications in her room during her stay at the facility....
Federal inspectors cited the facility following complaints, documenting a pattern that stretched back to December 2024....
The resident, identified in inspection records as R801, was on hospice care and largely immobile....
The facility had admitted her knowing she required hemodialysis to survive....
That's what inspectors found when they visited Belltower Health & Rehabilitation Center on October 29, 2025, following a complaint....
The resident, identified in inspection records only as R1, had been sent to the hospital after a fall....
He was wrong about almost all of it....
Inspectors flagged the lapse during a complaint inspection on October 29, 2025....
The specialist noted the abrasion could develop into a pressure injury....