Community Hospital SNF: Hoyer Lift Failure Injures - CA
When the connection failed during the transfer, the resident fell....
Latest reports, citations, and penalties from CMS data
When the connection failed during the transfer, the resident fell....
The resident, identified only as Resident #1, told staff on multiple occasions that an overnight worker was rough when turning her during care....
Resident #4 eventually turned off her own call light and asked a visiting family member for help....
V5, the family member, signed a formal request for the medical records in May....
Aperion Care Arbors Michigan City failed to notify the family of Resident C when her gastrostomy tube dislodged on September 1, federal inspectors found....
The resident experienced uncontrolled pain and fever on September 23, prompting his transfer to the emergency room....
The resident had been admitted with osteopenia, a femur fracture, and gait abnormalities....
The incident involved Resident #7, who had a documented allergy but was prescribed methylprednisolone anyway....
Staff only discovered the wound after the resident fell on September 27, initially misidentifying it as a skin tear from the fall....
Federal inspectors found the facility in immediate jeopardy on October 14, 2025, after discovering the nursing home failed to protect residents from abuse....
Neither the resident nor any staff member was present....
Federal inspectors observed the breach on December 10, 2025, at 10:53 a.m....
Federal inspectors found Staff A had removed narcotic pills on multiple occasions while failing to record the medications as administered to residents....
Federal inspectors found the facility failed to immediately report the abuse allegation to state authorities....
The mix-up left the actual decision-maker uninformed about multiple falls and the resident's declining health....
The security breach occurred between 7:20 p.m....
The resident had barricaded his door with his bed that morning, forcing staff to crawl through an adjoining bathroom to offer him breakfast....
The violation came to light during a federal complaint inspection completed October 14....
On May 30, 2025, the aide was changing the resident's brief when they positioned the patient on their left side and noticed a stain on the draw sheet....
CNA #4 had been assigned to watch the resident during the evening shift and knew he needed constant supervision....