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Bayshire Rancho Mirage: Oxygen Without Doctor Orders - CA
No doctor had ever ordered the treatment....
Latest reports, citations, and penalties from CMS data
No doctor had ever ordered the treatment....
Shoreline Care Center admitted the resident with diagnoses including Alzheimer's disease, psychosis and depression....
Driftwood Healthcare Center staff admitted they had no idea the resident had a conservator when they processed the November 7 discharge....
Inspectors found call lights positioned beyond the reach of residents in both the 100-hall and 600-hall during their complaint investigation....
LPN #303 left Resident #12 alone with seven remaining pills after confirming he had water available....
The 188-pound man required all nutrition through a feeding tube surgically placed in his stomach....
Resident #43 arrived at the 51-bed facility on February 26 with type II diabetes and generalized anxiety....
The incident occurred on August 1, 2025, when the night nurse discovered blood in Resident #1's catheter bag but failed to contact the doctor....
Nobody caught the missing order....
The incident occurred on November 24, 2025, when CNA D removed a meal tray from Resident 1's room, causing the resident to become upset....
The incident occurred on October 16 at Foundation Park Care Center when Resident 12 got his arm under the lift's support sling while being transferred....
RN-A, the nurse providing care, told inspectors he was completely unaware R5 required enhanced barrier precautions....
The incident occurred at Civita Care Center at Milford when Resident #1 experienced shortness of breath and declining oxygen levels that dropped to 88 percent....
Resident 23 had been flagged as high risk for elopement after multiple previous escape attempts....
CNA #567 was suspended at 8:19 P.M....
Staff didn't arrive until sometime after 9:45 AM....
She acknowledged that staff became nervous when state surveyors watched them work, but said she still expected proper protocols to be followed....
Federal inspectors responding to a complaint on November 25 found the violations during their review of the facility's medication storage practices....
On November 18, staff recorded only a blood pressure of 116/68 mmHg and pulse of 81 beats per minute....
Federal inspectors found that Licensed Vocational Nurse 2 administered the 8:00 a.m....