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Meadow Creek Post-Acute: Maggots in Trach Site - CA
The therapist later confirmed the objects were maggots....
Latest reports, citations, and penalties from CMS data
The therapist later confirmed the objects were maggots....
Federal inspectors found the facility failed to complete the required care plan for Resident #2 within 21 days of her October 6 admission....
On October 22, inspectors observed Resident 43 sitting in dining room B at 12:15 PM, waiting for lunch trays that didn't arrive until 1:10 PM....
At least six residents developed severe itching rashes consistent with scabies infestation by mid-October....
The resident had called her son on September 1st asking him to bring a fly swatter because there were so many flies in her room....
On the day of inspection, 24 residents displayed "falling star" nameplates marking them as fall risks....
A January assessment showed the resident scored just 3 out of 15 on a standard cognitive test, indicating severely impaired mental status....
The theft occurred between August 9 and September 10, 2025, at Senatobia Healthcare & Rehab....
A certified nursing assistant on break spotted the resident near the driveway and parking lot....
The facility's own nurses and aides described feeling helpless to stop the attacks....
The resident, assessed as cognitively intact in quarterly evaluations, described the precarious system during an October 10 interview with inspectors....
The incident at Pavilion Of Waukegan occurred about two weeks before federal inspectors arrived for a complaint investigation in late October....
She had scheduled the visit specifically to address his healing progress after his left toe amputation....
The resident, identified in inspection records as Resident 1, had fallen at the facility on June 2 at 11:10 p.m....
Multiple staff members told inspectors during interviews that afternoon that they had just received emergency training on door security protocols....
But administrators later told inspectors they couldn't tell from their own paperwork where the man actually went....
The resident, identified only as Resident #3, was admitted with shortness of breath and congestive heart failure....
Federal inspectors found Green Hill failed to honor dietary preferences for Resident #4 during a complaint investigation in late October....
LPN #1 was covering medication duties for another nurse who had gone on break when Resident #2 complained of a headache around 2:30 PM....
"This has been going on for over three months." She had finally threatened to report the facility if conditions didn't improve....