Pulaski Health & Rehab: Care Plan Failures - VA
The deficiency was classified at **Scope/Severity Level D**, meaning it was isolated in nature and did not result in documented actual harm....
Latest reports, citations, and penalties from CMS data
The deficiency was classified at **Scope/Severity Level D**, meaning it was isolated in nature and did not result in documented actual harm....
The footage showed Certified Nursing Assistant #1 tapping Resident #1 on their head....
The citation carried a **Scope/Severity Level G** rating â indicating isolated instances of actual harm that did not rise to the level of immediate jeopardy....
The facility has **not submitted a plan of correction**....
The missing medications included 30 tablets of oxycodone 5 milligrams from Resident #22 and 28 tablets of the same drug from Resident #6....
A witness described the scene in detail to inspectors on December 22....
The shredding continued until the facility's administrator finally told her to stop in October....
Federal inspectors discovered the documentation failures during a complaint investigation completed December 30....
An **immediate jeopardy citation** represents the highest and most serious level of regulatory violation a facility can receive....
The citation specifically addressed the facility's failure to develop and implement complete care plans with measurable timetables and actions for residents....
Under federal law, nursing homes must follow a multi-step reporting process when abuse, neglect, or exploitation is suspected: **1....
Inspectors determined that the facility failed to meet federal requirements for posting nurse staffing information on a daily basis....
Inspectors classified the violation at **Scope/Severity Level D**, meaning it was isolated in nature and did not result in documented harm....
While this rating indicates the problem had not yet resulted in injury, the underlying risk to resident safety prompted the formal citation....
Federal inspectors found the facility's policies never defined what staff should do when a wander guard alarm activated....
The violation was classified as isolated with no actual harm documented, though inspectors noted potential for minimal harm to residents....
Federal inspectors discovered the violation on December 23 during a complaint investigation at the 4327 Nakoma Road facility....
Federal inspectors witnessed the December 17 incident at Shady Grove Nursing and Rehabilitation Center during a complaint investigation....
While inspectors documented no actual harm to residents, they determined the violation carried potential for more than minimal harm....
The facility terminated the employee and sent certification paperwork to their home address via certified mail....