Latest reports, citations, and penalties from CMS data
The resident's representative had signed legal documents directing the facility to provide all possible life-saving interventions....
Federal inspectors found that Bedford Post Acute failed to properly handle the grievance, violating the resident's right to voice complaints without reprisal....
Federal inspectors found the facility failed to complete required care plans during a complaint investigation in November....
Licensed Vocational Nurse B told inspectors that nursing aides typically performed the weighings and reported results to her for entry into medical records....
Federal inspectors found the facility violated basic notification requirements during the November incident....
The allegations came in an email from the resident's healthcare proxy on September 30, 2025, at 8:08 PM....
Resident #1 told inspectors during a November 10 phone interview that their roommate had been taking their clothes, shoes and food for an extended period....
Resident 1, who has multiple sclerosis and no cognitive impairment, had declined authorization for any photographs on January 4, 2023....
The violation occurred on November 12 at 7:50 AM at Chapters Living of Council Bluffs....
The incident occurred when Resident #2 was walking down a hallway and encountered Resident #1, who was talking with a nursing assistant....
Resident #6 told federal inspectors that Resident #8 put his hand on her left knee, rubbing and moving upward on her thigh until she pushed him away....
Certified Nursing Assistant 2 discovered Resident 2 kissing Resident 1's lips and laying on top of him in Resident 1's bed....
The error at The Heights of Alamo created a fundamental contradiction in Resident #1's medical instructions....
Federal inspectors determined the incident posed immediate danger to resident health and safety....
Licensed nurse LN 8 administered the resident's medications around 9:30 a.m....
The nursing assistant, identified in inspection records only as CNA 1, brought the resident into the dining room around 3 p.m....
Federal inspectors observed the medication violations during a 10-minute period that morning....
Day shift staff weren't told about the malfunction and had no idea they needed to increase supervision of residents with dementia....
The discovery triggered an immediate response on October 30, including deep cleaning of the affected resident's room and emergency pest control treatment....
The October 8 confrontation began when Resident B was sitting in the back west hallway with a female resident nearby....