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Cambridge Rehab: Fall Investigation Failures - NJ
The citation, issued under F0689, is one of the more consequential tags inspectors can assign....
Latest reports, citations, and penalties from CMS data
The citation, issued under F0689, is one of the more consequential tags inspectors can assign....
That is what federal inspectors found at Jerseyville Nursing & Rehab Center following a complaint inspection completed in November 2025....
All eighteen coffee mugs had loose food particles and a removable brown film coating the inside....
The resident fell sometime before October 26, 2025....
She had a Wander Guard on her right wrist....
That is what federal inspectors documented during a November 10 complaint inspection at the facility....
It took two staff members and a Hoyer lift to get the resident off the floor....
The resident, identified in inspection records only as R1, had been assessed as an elopement risk....
And during those bed baths, she said, she did not wash R2's hair....
Federal inspectors cited the facility for actual harm to residents following a complaint inspection completed November 5, 2025....
The inspection was triggered by a complaint....
For reasons that not one person at Anoka Rehabilitation and Living Center could explain to inspectors, it was never used....
The aide, identified in inspection records as AA C, had known the resident, referred to as R901, for about two years....
The incidents happened within roughly two weeks of each other in late October and early November 2025....
Neither drug had adequate behavior monitoring documentation behind it....
He had always preferred to keep a beard and mustache....
The wound appeared on October 6, 2025....
The citation carried a finding of minimal harm or potential for actual harm and affected some residents....
That's what a state inspector found on the morning of November 5, 2025, at Country Club Retirement Center III, a nursing home with 72 residents on its census....
The allegation surfaced in a grievance filed on August 12, 2025, but it didn't come from the resident herself....