Latest reports, citations, and penalties from CMS data
The resident, identified in inspection documents as Resident 1, had been flagged for elopement risk and wandering behavior....
But the facility never entered the tube feeding orders into the resident's medical record....
The lapse in life-saving training stretched back more than a year in the worst case....
The registered nurse stood by her medication cart on September 19, a few rooms away from Resident 3, when inspectors found her at 1:12 p.m....
Resident #3 fell on August 16 at Mayfair Village Nursing Care Center and was taken to the emergency room with left hip pain....
The facility's own policies require written notification and consent before any room changes....
The resident, identified as Resident 6, developed an unstageable pressure ulcer measuring 5.7 by 5.5 centimeters on her tailbone area....
One resident fell on August 26 and was sent to the hospital for evaluation and treatment....
The nursing assistant, identified in inspection records as CNA 1, immediately recognized what he was seeing....
The incident at Fleshers Fairview Health Care went unreported for hours....
The neglect left residents at risk for poor hygiene, diminished self-worth, and other negative health outcomes....
The violations affected patients whose medical conditions made independent eating impossible....
Resident 108 required the enhanced precautions due to a urinary catheter and pressure wounds, according to physician orders dated August 26....
The resident, identified in inspection records as Resident 2, had dementia and a physician's order requiring one-on-one supervision to prevent wandering....
Two days after the hallway crawling incident, the facility's interdisciplinary team met to discuss what they classified as a fall....
Federal inspectors observed the violation on September 9 at 2:12 p.m....
The extended-release morphine medication is typically prescribed for chronic severe pain requiring around-the-clock treatment....
The resident had been admitted to the nursing home just hours earlier on June 7th at 5 PM, arriving directly from the hospital....
The resident was supposed to begin a restorative nursing program for walking on July 21, 2025, immediately after her physical therapy treatment concluded....
Despite being cognitively intact, the resident depends on substantial help with eating and all personal care....