Latest reports, citations, and penalties from CMS data
This dual reporting system serves as a critical safeguard for vulnerable residents who may be unable to advocate for themselves....
The right to dignity encompasses respectful treatment, privacy protection, and maintenance of personal autonomy despite requiring care assistance....
The incident began December 28 when Resident B asked Licensed Practical Nurse 9 for more Adderall during afternoon medication rounds....
The nurse told her the medication wasn't due yet....
Licensed Practical Nurse 9 was completing her afternoon medication pass when Resident B asked for more Adderall, a central nervous system stimulant....
When questioned, the Social Service Director acknowledged they should have worn hairnets before entering the kitchen workspace....
The violation received a scope and severity rating of Level G, indicating isolated incidents that resulted in actual harm to residents....
Stage 4 pressure ulcers represent the most severe category, extending through skin and tissue to expose underlying muscle or bone....
The dressings were dated January 26, indicating no wound care had been provided for at least two days....
"I am just wondering why the nurses don't change the wounds," the resident said....
"I didn't call to remind the nurse on duty because they can come anytime of the day and I just kept waiting....
The resident, identified as R3 in the inspection report, told investigators on January 27 that wound care treatments had been skipped on several days....
"I didn't call to remind the nurse on duty because they can come anytime of the day and I just kept waiting....
"There have been several days when the wound care treatment was not done," the resident told inspectors on January 27....
This includes ensuring residents receive proper treatment and supports for daily living activities in a secure setting....
The violation received a Scope/Severity Level E rating, indicating inspectors found a pattern of deficiencies affecting multiple residents or situations....
The violation was classified as causing actual harm to residents, though not rising to the level of immediate jeopardy....
This deficiency, classified under regulatory tag F0656, represents a fundamental breakdown in individualized resident care coordination....
This regulation forms the foundation of personalized care in long-term care settings....
Additionally, the facility did not properly report investigation results to the appropriate authorities as mandated by federal regulations....