Latest reports, citations, and penalties from CMS data
CNA #3, who was operating the van, told inspectors she had not received training for the safe use of the securement system....
The resident at Hartley Nursing and Rehab was sent to an apartment on December 3rd....
The licensed practical nurse, identified as LPN #5 in inspection records, pulled 0.25ml doses from a morphine solution between August 15 and August 24....
Inspectors found the annunciator alarm on C wing had been muted, potentially allowing residents to leave without staff awareness....
She said she thought the resident had discharged to his family member's house as planned....
The citation centered on problems with a concrete ramp in the facility's 200 hall that residents use to enter and exit the building for smoking breaks....
The incident occurred during the CNA's final rounds on October 23, when he found the resident had soiled herself with a large bowel movement....
CNA A had moved the resident at 10:15 AM but failed to reposition the drainage bag properly....
The resident hit her head and tore skin on her right elbow during the January 7 fall at Village at Victory Lakes....
His September cognitive assessment showed a score of 8 out of 15, indicating moderately impaired mental function....
The specialist prescribed gabapentin, a seizure medication commonly used to treat nerve pain, at 100 milligrams daily....
The facility never issued the mandatory written discharge notice to the resident, their representative, or the state long-term care ombudsman....
Medical records told a different story....
The first incident occurred in October 2024....
The smell greeted surveyors on October 27 during their initial entrance and tours of the facility....
Only when she looked in the medication cup and asked "where her Bumex and aspirin were" did the nurse return to his cart....
Federal inspectors found the medication errors at Aventura at Carriage Inn during an October 30 complaint investigation....
The October 9th fall at Kingston of Ashland happened at approximately 5:57 P.M....
The discovery occurred during routine cleaning of Resident 82's room at Embassy of Newark....
Resident #2 lay in a recliner in the activities room when inspectors arrived in October....