Palm Terrace Healthcare: IV, Medication Lapses - CA
The IV medication bag containing one gram of Vancomycin lacked essential documentation: no date, no administration time, and no nurse signature....
Latest reports, citations, and penalties from CMS data
The IV medication bag containing one gram of Vancomycin lacked essential documentation: no date, no administration time, and no nurse signature....
Inspectors found the facility lacked proper systems for recording incidents of infections identified through surveillance activities....
The resident also required monitoring for potential brain bleeding....
This citation indicates that inspectors identified concerns related to the facility's obligations to protect residents from mistreatment....
The driver then moved the injured resident without medical assessment and did not report the incident to facility staff....
At 7:15 a.m., inspectors tested the dishwasher and recorded a final rinse temperature of just **137 degrees Fahrenheit**....
According to facility records, the resident "was escorted from the facility accompanied by law enforcement" at approximately 3:50 p.m....
Her medical history included Stage 5 Chronic Kidney Disease and dementia....
The surveyor observed Certified Nursing Assistant (CNA) 8 wheeling Resident 47 away from the Northwest area of the facility....
The citation under **F610** addresses requirements for facilities to investigate and report allegations of abuse, neglect, and exploitation....
Similarly, the anti-anxiety medication lorazepam (Ativan) was documented as removed from stock on January 24 at 3 a.m....
Immediate jeopardy is the highest severity level that federal surveyors can assign to a nursing home deficiency....
These concerns were echoed at a family meeting held the previous day, where relatives questioned facility leadership about reduced staffing levels....
Residents who elope face significant risks including exposure to weather extremes, traffic hazards, falls, and inability to access medications or medical care....
According to the inspection report, CNA #3 was observed removing gloves from her pocket and putting them on without first performing hand hygiene....
According to the inspection report, the resident was admitted in September 2024 with heart failure and chronic obstructive pulmonary disease....
On February 8, 2025, the resident left the facility and did not return....
Burns occurring in oxygen-enriched environments tend to be more severe and can happen almost instantaneously....
Despite these clear instructions, inspectors observed multiple instances where staff ignored the requirement entirely....
Without this information accessible to all caregiving staff, residents may receive incorrect oxygen levels or miss treatments entirely....