Lakewood Healthcare: Fall Injuries from Poor Safety - CA
The December 22 incident at Lakewood Healthcare Center occurred when CNA 4 was escorting Resident 6 to the restroom....
Latest reports, citations, and penalties from CMS data
The December 22 incident at Lakewood Healthcare Center occurred when CNA 4 was escorting Resident 6 to the restroom....
The man told inspectors he had pressed his call light several times but received no assistance from staff....
Federal inspectors found that Citrus Grove Post Acute failed to ensure a safe discharge for the resident on December 17, 2025....
The resident had been alert and oriented when she was admitted to Imperial Healthcare Center on August 11....
"[Resident 2] is not calm," Certified Nurse's Aide 1 told inspectors....
Federal inspectors who visited the facility on December 31 found that nursing staff weren't following required procedures for tracking controlled medications....
Resident 2's physician orders were clear and specific....
Resident 1 at Sunnyview Care Center developed moisture-associated skin damage on his sacrococcyx and groin area....
Federal inspectors discovered the unreported incident during a complaint investigation completed on December 31....
Resident #1 first disappeared on November 17, 2025....
Federal inspectors observed the violation firsthand when they watched the nursing assistant enter the room improperly equipped....
Three days later, the resident fell....
Staff found her on the floor with no visible injuries during their initial assessment....
The resident, identified in inspection records as Resident 1, fell sometime before 9:30 PM on December 23, 2025, at Live Oak Rehab Center....
Resident 1, who needed the anti-seizure medication to manage his medical condition, went without treatment until December 21....
The resident was unable to hold the phone herself because her hands were shaking, inspectors documented....
Federal inspectors discovered the violation on December 30 during a complaint investigation....
Her pineapple allergy was clearly documented in her ongoing plan of care from October 3, 2024, and noted on her meal ticket....
Resident 9 tested positive for COVID on December 20 and again on December 29, yet remained roommates with Resident 10, who tested negative....
The resident at Cityview Nursing and Rehabilitation Center told inspectors on January 29 that his bedding had not been changed since the night before....