Latest reports, citations, and penalties from CMS data
The resident was subsequently hospitalized and diagnosed with cerebral infarction, hemiparesis affecting the right dominant side, and slurred speech....
The facility's physician had specifically ordered a 16 French Foley catheter with a 10cc balloon for the resident's urinary retention condition....
One of the most concerning incidents involved insulin administration for a diabetic resident....
During the inspection, the family member stated they were "tired of buying new clothing every week" for the resident....
Activities of daily living include essential tasks such as bathing, dressing, transferring from bed to wheelchair, and toileting....
The resident, who has been receiving dialysis for many years due to end-stage renal disease, reported concerning gaps in post-treatment monitoring....
In nursing station refrigerators, inspectors discovered numerous unlabeled and undated food items that posed potential health risks to residents....
On October 7, 2024, the resident's blood sugar reached 465 mg/dL at 3:14 p.m., followed by readings of 453 mg/dL at both 5:46 p.m....
Inspectors found that none of the six residents reviewed had proper documentation supporting their antibiotic treatments....
When these committees fail to function effectively, it creates a cascade of problems that can directly impact resident care and safety....
When inspectors arrived on March 20, they discovered the tube site had **thick, mucous drainage with dried dark red discharge** around it....
The investigation focused on three specific cases where residents experienced uncontrolled pain due to medication administration failures....
During the March 11-13 inspection period, surveyors documented persistent contamination despite multiple visits....
These protocols require staff to wear gowns and gloves during high-contact care activities including wound treatment, bathing, and device care....
For diabetic residents, this pattern of errors creates significant health risks....
The situation became critical when the resident's condition deteriorated dramatically....
Despite multiple medical evaluations confirming her inability to make healthcare decisions, the facility failed to implement appropriate protective measures....
The first incident occurred in August 2020 when a resident with an above-knee amputation was being transported in a wheelchair without proper foot support....
Federal regulations require nursing homes to maintain active QAPI programs that systematically identify, analyze, and correct deficient care practices....
Multiple staff members, including three nurses and two nursing aides, responded to the scene....