Latest reports, citations, and penalties from CMS data
Resident #1's disruptive episodes began in mid-August and continued for at least ten days, according to progress notes reviewed by federal inspectors....
The resident, identified as R5 in the inspection report, was found on the floor next to the bed at 4:45 AM on October 30, entangled in bedding and snoring....
But the facility's medication records showed something different....
Hospital records showed the patient's last dose was administered at 9:08 AM that morning....
The CEO told inspectors on November 9th that he believed the bills were paid on November 3rd....
The aide raised the head of the bed and set up the meal tray without washing their hands before or after....
The resident remained unattended until RN C arrived for the 7:20 a.m....
Resident #1 had been without her Percocet since the weekend when federal inspectors arrived on November 11....
The November 11 complaint investigation resulted in the most serious level of harm citation possible under federal nursing home regulations....
The nurse blamed a "typo" when confronted three months later....
Federal inspectors found the facility failed to protect residents from physical abuse by other residents....
The facility implemented immediate corrective measures following the inspection findings....
The medication error at Cascade Terrace Post Acute involved temozolomide, a cancer drug that was supposed to stop after five days in April 2025....
The footage shows the aide becoming frustrated when residents wandered into the wrong room, then physically assaulting both patients within seconds....
The November inspection revealed confusion among nursing staff about proper sling sizing based on resident weight and body measurements....
The resident also developed edema, or swelling....
Administrator interviews revealed staff confusion about supervision requirements....
The facility's own policy requires an interdisciplinary team to review every fall within 72 hours and modify prevention strategies as needed....
The boots had vanished after the resident returned from a hospital stay....
The resident was admitted with multiple diagnoses including dementia, heart failure and diabetes....