Latest reports, citations, and penalties from CMS data
The April 10, 2025 incident at Wesley Pines Retirement Community involved Resident #5, who had a history of becoming combative during personal care....
The information must be readily accessible to authorized healthcare providers while remaining secure from unauthorized personnel....
Federal inspectors found that staff ignored orders for urine analysis tests and failed to send a CT scan order to the hospital for days after it was written....
The resident, identified as Resident #32 in inspection records, had filed an anonymous complaint saying they felt bored at the facility....
The December 24, 2025 assault at Azria Health Prairie Ridge prompted a federal complaint investigation that concluded January 30, 2026....
The certified nurse aide who was present told inspectors she wasn't sure whether the report should be placed on top of the cart where others could see it....
The buildup was so severe it made filters completely opaque in six resident rooms across five different halls....
"She was saying she was abused, but I did not think it was abuse," the administrator told inspectors during a January complaint investigation....
The incident occurred August 22, 2025, when resident 103 was awakened by tugging at his hip....
The problems began around 4:15 PM on January 16 when Resident #1 complained of pain with movement in her left leg and knee....
The incident came to light during the facility's own investigation after Resident 1 reported being "roughed up" by staff....
But nobody had followed this procedure....
Staff logged serious concerns about resident care as routine grievances rather than potential abuse cases....
The violation was classified as **Scope/Severity Level E**, indicating a pattern of deficiency with potential for more than minimal harm to residents....
The Terrace at Crystal LLC violated federal requirements for at least two residents in January 2026, according to inspection records....
This immediate jeopardy finding indicates inspectors determined the facility's deficiencies posed an immediate threat to resident health and safety....
Federal regulators classified this as a Level D violation, indicating isolated incidents with potential for more than minimal harm to residents....
The Timbers of Jasper sent Resident B home on September 19 with medications belonging to a different patient, according to federal inspection records....
State inspectors found the supply shortages violated residents' right to dignity during a January complaint investigation at the facility....
Immediate jeopardy violations are reserved for the most egregious circumstances where regulatory failures create situations requiring emergency intervention....