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Sarasota Health: Bruise Investigation Failures - FL
The facility's investigation was riddled with missing documentation and contradictory accounts....
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The facility's investigation was riddled with missing documentation and contradictory accounts....
The resident, identified only as R1 in inspection records, fell at 5:05 AM on October 28, sustaining the fracture that required medical treatment....
But when she reviewed the resident's file with the surveyor, she found no discharge instructions or summary had been created....
The facility served meals from mobile carts with plastic dome covers but no plate warmers....
The incident occurred at St Annes Nursing Center on October 9, 2025, around 6:00 AM as staff prepared Resident #1 for dialysis....
Federal inspectors found the 112-bed facility displaying nursing staff data from September 11 when they arrived on September 16....
Federal inspectors found that Harmony Dubuque violated residents' rights to communicate with family members during a November complaint investigation....
The October incident left the facility without a roadmap for staff to follow, despite physician orders for daily wound care that would continue for two weeks....
Resident 74 fell on August 11 in an incident nobody witnessed....
The resident's potassium dropped to a critical 2.7 mEq/L, requiring immediate intervention....
Federal inspectors found multiple violations of basic safety protocols at Whittier Hills Health Care Center during a November complaint investigation....
The resident asked for her pain medication schedule to be changed from every six hours to every four hours on November 12....
CNA 1 told inspectors they routinely placed pillows under the fitted sheet to prevent falls when Resident 2 attempted to get out of bed unassisted....
Ocean Pointe Healthcare Center cut Resident 1's daily Donepezil dose from 15 milligrams to 10 milligrams on December 12, 2024....
The breakdown in wound monitoring at Advanced Rehab Center of Tustin came to light during a November 13 federal inspection triggered by a complaint....
Licensed Nurse J found the exposed metal hardware during a wound evaluation on September 3....
The facility had placed Resident #1 on droplet precautions after a recent COVID-19 diagnosis....
The administrator, who has worked at the facility for 11 months, said nursing staff are responsible for medication audits....
The facility's own policy required immediate notification of families when residents experience "significant changes" including death....
The November 14 inspection followed a complaint about restraint use at the 91732 Buffington Road facility....