Studebaker Healthcare Center: Fall Care Plan Failures - CA
The resident, identified in inspection records only as Resident 2, was readmitted to Studebaker Healthcare Center with baseline confusion....
Latest reports, citations, and penalties from CMS data
The resident, identified in inspection records only as Resident 2, was readmitted to Studebaker Healthcare Center with baseline confusion....
The inspection was a complaint investigation, meaning it was triggered by a specific concern raised about the facility, not a routine survey....
The inspection, conducted April 24, 2026, stemmed from a complaint....
He fell at the facility on March 26, 2026....
Federal inspectors arrived at the facility on April 28, 2026, following a complaint....
His cognition was rated severely impaired....
He had been prescribed fidaxomicin, taken by mouth twice a day for five days....
The inspection was conducted April 28, 2026, following a complaint....
Inspectors visiting Staunton Post Acute & Rehabilitation on April 28, 2026, documented that Resident 107 was observed actively smoking at 2:40 p.m....
The incident involved Resident 1, whose name was withheld in the inspection report....
The resident, identified in inspection records only as Resident 4, fell on January 11, 2026, at 1:05 in the afternoon....
He told an inspector he had waited anywhere from 30 minutes to two or three hours on other occasions....
He then pointed to the privacy curtain between his bed and his roommate's....
There was no way to confirm the checks happened, no way to confirm the right dose was given, no way to confirm anything at all....
The inspection, conducted April 27, 2026, was triggered by a complaint....
with new psychiatric medication orders, his wife at his side....
The resident had been readmitted to Garden Park, transferred to an acute care hospital on April 15, and returned the same day....
The two residents had been on the smoking patio....
The April inspection of Independence House, triggered by a complaint, documented what happened after staff found Resident 13 on the evening of April 13....
The inspection, completed April 28, stemmed from a complaint....