Latest reports, citations, and penalties from CMS data
The violation was cited under F0602, which covers a facility's obligation to operate with integrity in its management of controlled substances....
The inspection, conducted November 20, 2025, was triggered by a complaint....
Inspectors arrived at the resident's room on the morning of November 17, 2025, at 10:28 a.m....
The resident who died, identified in inspection records as R3, had morphine remaining in the medication cart at the time of his death....
The antibiotic was Macrobid, typically used to treat urinary tract infections....
The pattern shows up in the resident council meeting minutes with unusual clarity....
Staff called the nursing home administrator, the NHA, directly....
The incident came to light during a complaint inspection completed November 21, 2025....
Federal inspectors cited the facility in November 2025 for failing to maintain comprehensive care plans that reflected residents' actual needs....
The admission came during a November 2025 federal inspection triggered by complaints....
The Director of Nursing confirmed the gaps on the spot....
That is what a federal inspector found on September 24, 2025, during a complaint inspection at the facility at 46 North Midland Boulevard....
The finding covered a small number of residents....
Federal inspectors arrived at the 925 W....
The deficiency was tagged F0600, covering protection from abuse, and inspectors found the level of harm as minimal or potential, with few residents affected....
The first resident, identified in inspection records only as Resident R1, was admitted to the facility on September 7, 2025, following a fracture....
The complaint inspection, conducted November 20, 2025, identified a deficiency in how the facility handled transfer and discharge documentation....
A physician order requires a doctor to authorize the treatment and provide a diagnosis explaining why oxygen is needed....
When she returned from the hospital on September 30, 2025, the nurse who transcribed her discharge orders recorded the antibiotic stop date as October 10....
That was September 26, 2025, at The Waterview Pines LLC....