Latest reports, citations, and penalties from CMS data
State inspectors who visited the facility on September 11, 2025, found the problem ran deeper than one missed order....
What followed, according to federal inspectors who observed the sequence on September 9, 2025, was worse....
The incident happened at 8:15 on the morning of August 28, 2025, while federal inspectors were watching....
A surgeon had performed a debridement on August 15....
Inspectors cited the violations as causing minimal harm or potential for actual harm, affecting a small number of residents....
That walkthrough happened on September 8, 2025....
The resident, identified in inspection records only as Resident 199, lives at Park Terrace Care Center on Van Doren Street in Corona, Queens....
He banged his head against walls and floors....
That gap matters because the care plan is what tells staff what to do....
The Villas at New Brighton, a nursing home on First Avenue Northwest, never reported what happened to state authorities....
When a medication is missed or held, the facility's own policy required staff to notify the physician immediately....
The pharmacy the facility contracts with is in Kansas City....
On September 11, the day inspectors visited Integrity HC of Herrin, a staff member walked by the resident at 11:36 a.m....
Inspectors documented that the elevator, which should have served as a security checkpoint, was not operating with its safety system intact....
Sixteen residents were affected....
The resident, identified in inspection records as Resident A, had ADHD and a colostomy that physician orders required staff to manage every shift....
Inspectors pulled the facility's Omnicell inventory log for that same day....
The resident, identified in inspection records as R2, had been prescribed hydrocodone-acetaminophen 10/325mg for pain....
The complaint that triggered a September 12 inspection centered on a nursing assistant identified in inspection records as NA-P....
The incident happened on August 30, 2025....