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Willowbrook Manor: Septic Shock After Catheter Neglect - MI
He arrived at the hospital fatigued, lethargic, and warm to the touch....
Latest reports, citations, and penalties from CMS data
He arrived at the hospital fatigued, lethargic, and warm to the touch....
The admission came during a complaint inspection on November 16, 2025....
The next morning at 3:20 a.m., a registered nurse found the same resident face down on the floor, barely breathing, foaming at the mouth, unresponsive....
The plan was supposed to include measurable objectives, timetables, and specific goals tied to each resident's physical, psychosocial, and functional needs....
The previous Immediate Jeopardy citation had begun on December 21, 2024....
The resident is identified in inspection records only as R1....
Inspectors determined the violation affected a few residents and assigned it the lowest level of harm, noting minimal harm or potential for actual harm....
Federal inspectors cited Evergreen Crossing and The Lofts following a complaint investigation completed November 14, 2025....
The facility's own administrator and director of nursing confirmed it during an interview on November 15, 2025, at approximately 12:30 in the afternoon....
The resident, identified in inspection records only as Resident B, did not receive his own scheduled morning medications that day....
For some units, staff recorded a morning temperature reading just two or three times out of 28 or 30 required opportunities in September....
Inspectors declared an Immediate Jeopardy at The Lev at Town Park, an 8820 Town Park Drive nursing and rehabilitation facility, on November 13, 2025....
Federal inspectors were standing in the kitchen when it happened....
Immediate Jeopardy is not a warning....
The resident told an inspector he had been waiting an hour....
The left had a small skin tear on top....
She said she had instructed a registered nurse to assess both residents and monitor the one who had done the hitting....
They searched inside the building and outside....
That's what inspectors found when they visited the facility on November 17, 2025, following a complaint....
When inspectors reviewed the facility's paper report sheets in November 2025, they found a document that had drifted badly from reality....