Latest reports, citations, and penalties from CMS data
LPN #150 crushed Resident #105's MS Contin on September 30, delivering 15 milligrams of morphine instantly instead of slowly over 12 hours as designed....
She also stated there was no evidence in the resident's medical record that the facility took any actions to provide the monthly injection....
Resident 60, who has been at the facility since November 2021, carries Extended Spectrum Beta Lactamase (ESBL) â bacteria resistant to common antibiotics....
The incident occurred on September 13 at 2:30 pm in the dining room during bingo activities....
Electronic health records showed no documented refusals during that time....
The facility's own Director of Nursing admitted she was unaware of the missing documentation until inspectors pointed it out....
Federal inspectors cited the facility for immediate jeopardy to resident health and safety after the October 20 incident....
Staff B, a registered nurse, committed multiple infection control breaches during an 11:30 AM wound care session on October 19....
Resident 2 fell from his wheelchair on September 30, 2025, sliding slowly to the floor despite having his brakes locked....
Video from June 6 shows the aide at Jennings Hall using a ceiling lift by herself to move Resident #74 from a recliner to her bed....
The resident would plead "please don't drop me" during these interactions....
This technique violates manufacturer guidelines for safe operation....
Federal inspectors found the facility violated safety standards for mechanical lifts and wheelchair transport, causing actual harm to the resident....
The resident's indwelling catheter became occluded frequently, and sediment in the urine was common, the nurse told federal inspectors....
The resident was eating a breakfast sandwich and drinking coffee when the nursing assistant left to help a colleague with another resident transfer....
The complaint that triggered the October inspection centered on what should have been a straightforward records request....
The incident occurred during what inspectors described as a documented change in the resident's condition....
Call lights serve as the primary safety mechanism for nursing home residents to summon help....
She said facility staff never informed her about a urinalysis or antibiotic treatment....
Resident #120 at Teays Valley Center scored 15 on his fall risk evaluation upon admission in September 2024....