Briarcrest Nursing: Head Injury Checks Missed - CA
The resident's son told facility staff during a November 11 meeting that his father had been struck by an unidentified male certified nursing assistant....
Latest reports, citations, and penalties from CMS data
The resident's son told facility staff during a November 11 meeting that his father had been struck by an unidentified male certified nursing assistant....
Federal inspectors found Santa Cruz Post Acute violated wheelchair securement protocols during a November complaint investigation....
The September incident at Ocean Pointe Healthcare Center involved a resident admitted with a urinary tract infection, sepsis, and congestive heart failure....
During an observation on November 14 from 1:10 p.m....
Medical assistant MA A discovered the smoking supplies but failed to confiscate them or report the violation to supervisors....
The immediate jeopardy status was lifted on November 15, 2025 at 3:35 PM, following two days of intensive staff education and policy implementation....
The October 11 incident at Pleasant View Luther Home involved a resident assessed as having moderate fall risk just two days earlier....
The resident had been admitted to The Center at Grande on September 16 with conditions requiring careful monitoring....
The resident was discovered calling out from her room on November 16 with no facility staff in the hallway....
The November 17 complaint inspection revealed deficiencies serious enough to trigger the most severe level of regulatory action....
Resident 7 arrived at the facility in October with osteomyelitis of vertebrae, a bone infection....
Resident 14's blood glucose level reached 528 by the time testing resumed on October 22, 2025....
The wound became infected, requiring antibiotics and specialized dressing changes....
Resident #3, who is cognitively intact, shouted for help until the Assistant Director of Nursing came to the dining room....
When inspectors asked whether wound assessment fell within an LPN's scope of practice, Staff E responded: "I never really thought of that, I am not sure....
The complaint investigation at Willard Care Center revealed a pattern of undocumented family communications across multiple residents....
Federal inspectors who watched nurses distribute medications over two days in November found a 7.14% error rate on the facility's first and second floors....
The resident told investigators that CNA #2 became upset when asked to be gentler during care on August 21, 2025....
The October 29 incident involved a resident who had been admitted just days earlier with congestive heart disease, anxiety, and Type 2 diabetes....
State inspectors found the violations during a November 14 visit to Aperion Care Midlothian....