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Gardens of Euclid Beach: Immediate Jeopardy Deaths - OH
That finding, classified as immediate jeopardy, was not the only one....
Latest reports, citations, and penalties from CMS data
That finding, classified as immediate jeopardy, was not the only one....
The September 2025 inspection, triggered by a complaint, found the facility's 400-hall IV cart stocked with bags that had expired as far back as December 2024....
Federal inspectors flagged the failure during a complaint inspection on September 19, 2025, nearly a month after the altercation....
The care plan flagged the treatment as related to sepsis, described in the record as a life-threatening reaction to an infection....
The resident, identified in the inspection report as R5, was asleep in bed....
The list of care activities requiring that gown was specific....
That complaint, and others like it, sat in a folder at Bryn Mawr Village for more than a month....
When inspectors arrived at the facility on September 24, 2025, they found R4 lying in bed at 9:05 in the morning....
There was no written investigation....
The inspection, completed September 26, 2025, was triggered by a complaint....
The system serving the 300, 400, and 500 hallways failed that day....
She was cognitively intact, the inspection record confirms....
That gap is what a federal inspector found when she visited the facility on September 24, 2025....
Inspectors observed Resident H on September 25, 2025, at 11:33 a.m....
The pork was dated September 13, ten days before the inspection....
The inspection, triggered by a complaint, found the facility out of compliance with elopement protections....
Those five people were listed on the staffing sheet....
Inspectors found the right wheel tie-down on the resident's wheelchair had not been fastened....
A registered nurse told inspectors on September 25, 2025 that staff were never formally notified which residents had sex offense histories....
Both were residents at Wentworth Rehab & Health Care Center on the city's South Side....