Latest reports, citations, and penalties from CMS data
The resident required immediate emergency transportation and received two units of blood at the hospital after being diagnosed with iron deficiency anemia....
The nursing assistant told her to wait because breakfast trays were arriving....
The 89-year-old resident with severe cognitive impairment lay sleeping nearby while the prescription medications remained easily accessible....
When questioned, LVN 6 was unsure if there was an order for the oxygen therapy....
According to the visitor's account, a staff member responded by yelling at the resident: "We hear you....
## Pattern of Narcotic Tracking Discrepancies Federal inspectors uncovered a concerning pattern of medication tracking failures spanning several months....
The specific nature of the medication violations was documented as part of complaint investigation AL00050173....
The facility obtained the X-ray on July 11, 2024, and results showed "calcaneus erosion consistent with osteomyelitis" - a serious bone infection of the heel....
The most severe case involved a resident who missed 21 doses of gabapentin over six days without any physician notification....
The violations occurred despite facility policies requiring staff to report suspected theft or misappropriation to the State Survey Agency....
The male resident involved in the incident had been diagnosed with metabolic encephalopathy, cognitive communication deficits, and blood cancer....
The breakdown extended to nursing assistants who provide direct resident care....
On January 22, residents were scheduled to receive baked chicken breast, seasoned green beans, mashed potatoes with gravy, wheat roll, and fresh fruit....
Bank statements showed the resident's account balance plummeted from $9,539.98 in July 2024 to just $496.46 by October 2024....
One resident with spinal stenosis and muscle weakness reported waiting **up to 2 hours** during nighttime shifts for staff to respond to calls for help....
## Food Contamination Incident Raises Infection Control Concerns The most alarming violation occurred during breakfast service in the secure dementia unit....
The facility's director of nursing approached and questioned why the door remained open during such intimate care....
The affected resident presented with multiple serious medical conditions including chronic heart failure, kidney disease, and severe cognitive impairment....
On November 28-29, 2024, a nursing assistant discovered the resident "bright red and shaking with fresh blood on his right forearm" from a skin tear....
The facility failed to establish required time limits for lorazepam, an anxiety medication prescribed on an as-needed basis....