Gardens at Millville: Medication Record Failures - PA
Staff signed out Ativan doses from the facility's controlled substance accounting system but left the corresponding medication administration records blank....
Latest reports, citations, and penalties from CMS data
Staff signed out Ativan doses from the facility's controlled substance accounting system but left the corresponding medication administration records blank....
Heritage Park Rehabilitation and Skilled Nursing Center's error triggered an immediate jeopardy citation from federal inspectors on October 14, 2025....
When a certified nursing assistant tried to push the resident's wheelchair, he grabbed her hand and ripped off her fingernail....
The October inspection revealed that particles of dirt had also settled on top of the bed linens where the cognitively intact resident rested....
The July 23 altercation at Storybrook Care & Rehabilitation involved two residents with severe cognitive impairments....
Allison Care Center never investigated the allegation....
The theft occurred between 6:00 AM and 7:00 AM on October 9th at Cedar Ridge Center....
The resident should have received only the 80-milligram dose....
while trying to reach the bathroom....
He was discovered in Resident 1's room, where blood had splattered across the bed sheets, floor, and wall....
The September 24th incident at Agawam West Rehab and Nursing occurred during routine personal care....
Federal inspectors found staff failed to follow the facility's own policies for evaluating residents experiencing changes in condition....
The incident began August 28 when the resident's representative reported to facility staff that money was missing....
The resident had answered yes to every question on an abuse interview form during the earlier investigation....
Resident #7 fell sometime before staff found her on the floor....
The incident occurred on September 16 at Frederick Crossing of Journey, where Resident #1 alleged that geriatric nursing assistant #5 slapped him in the face....
On October 7, 2025, Resident 1 told Licensed Vocational Nurse 1 that Resident 2 had struck her with a water bottle....
The September 8 incident at Linn Manor Care Center began when two certified nursing assistants found Resident #1 in his bathroom during their 6 a.m....
The facility houses 143 residents....
One resident was moved four times during their stay at the facility....