Latest reports, citations, and penalties from CMS data
Federal inspectors examining the facility's Treatment Administration Records found systematic gaps in documentation spanning July and August 2025....
The facility's own assessment classified the resident as high risk for wandering, with a score of 14 on their Wandering Risk Scale....
The medication error came to light only after Resident #2 fell and staff discovered two rivastigmine patches on his body during examination....
The MOLST documents guide critical decisions about cardiopulmonary resuscitation and other emergency interventions....
CNA #20 admitted multiple safety violations during her interview with inspectors....
The October 23 complaint investigation centered on Resident #3, who developed blisters on both hips during their stay....
Yet the family remained unaware until they happened to be present when the wound care provider came to the resident's room....
The incident at CareOne at Livingston reveals a breakdown in basic wound care protocols that left a facility-acquired injury undocumented for 10 days....
The facility's computer system was designed to prompt nurses to enter a blood sugar reading when they signed off on administering the insulin....
The finding triggered an emergency state survey that confirmed the facility had implemented corrective measures by October 15....
The contradiction emerged during an October complaint investigation that revealed systemic failures in the facility's elopement prevention program....
Federal inspectors found that both the charge nurse and assistant director of nursing assumed the other would make the required family notification call....
The inspection revealed a broader pattern of call bell failures throughout the facility....
The facility's own staff described a system where single certified nursing assistants were expected to handle dozens of residents through 11 p.m....
The resident's cognitive skills for daily decisions were rated as severely impaired in an August assessment....
Inspectors found four separate medication carts that failed to lock properly during their October investigation....
Nobody at the nursing home noticed Resident #127 was missing until nearly two hours after the 8:55 PM escape on May 11, 2025....
The resident, identified in inspection records as CR #1, left the facility during an afternoon shift change without staff knowledge....
Staff had been serving meals without proper verification that food matched physician-ordered diet restrictions....
The resident also had suffered a stroke with right-sided weakness and malnutrition....