Latest reports, citations, and penalties from CMS data
The fracture was first noticed on August 17 when a licensed practical nurse spotted discoloration on the resident's left collar bone....
The woman said "okay," and the man proceeded to touch her breast....
Federal inspectors arrived two days later to investigate the incident that put the resident's health and safety at immediate risk....
The resident, identified as R1 in the inspection report, was admitted with dehydration, Parkinson's disease, anxiety and weakness....
Resident #159 arrived at the emergency room at 4:23 a.m....
The incident occurred during a two-week period when the facility's call light system had malfunctioned....
The discharge delays had serious medical consequences....
The October 2nd incident involved a resident who had lived at the 91-bed facility for more than two years....
After finishing the perineal care, the nursing assistant put a new incontinence brief on the resident while still wearing the same gloves used during cleaning....
Despite giving scheduled medications, she left no written record that any treatments had occurred....
His doctor also ordered nurses to verify the oxygen humidification bottle contains adequate distilled water at least every shift....
She emphasized that no clinical discharge summary was provided with the transfer....
The resident required emergency surgery after the Hoyer lift canvas loosened during the solo transfer at Brooklyn Center for Rehab and Residential Health Care....
Resident 5 swallowed four medications meant for someone else at 9:00 AM on October 17, according to inspection records....
The resident's spouse discovered the problem after the regular meal period had ended....
Staff B, a registered nurse at Southeast Iowa Regional Medical - Klein Center, found the resident on the bathroom floor....
The medication shortage forced the resident to transfer to another facility....
The resident's medical record, known as a Kardex, clearly indicated she needed two-person assistance for all transfers using mechanical equipment....
The problems began on August 5 when staff discovered a stage 2 pressure injury in the resident's gluteal cleft....
The October 9 accident at The Meadows left the resident bleeding profusely from their forehead while still attached to the Hoyer lift sling....