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Mountainside Skilled Nursing: Residents Left in Soaked Diapers - NJ
that February morning, inspectors accompanied CNA #1 to check on Resident 103 in bed....
Latest reports, citations, and penalties from CMS data
that February morning, inspectors accompanied CNA #1 to check on Resident 103 in bed....
When inspectors found her in her room, she sat in her wheelchair with her eyes closed, no television or music playing, no books or magazines available....
During a May 31 morning medication round, inspectors watched Nurse #1 give resident #9 just one tablet of Vitamin D3 when the doctor had ordered two....
But the termination came only after the facility had already botched its response to confirmed physical abuse....
Federal inspectors found the facility violated residents' rights to be free from physical abuse when they reviewed the cases in late May....
The scene at Ukiah Post Acute on January 22, 2025, captured a pattern of food service failures that left residents hungry and frustrated....
The family member discovered the unauthorized vaccination only when the resident complained her arm hurt after a visit....
Federal inspectors testing eight resident rooms on January 10 found every single bathroom sink exceeded safe temperatures....
Federal inspectors found that the facility failed to report abuse allegations involving four residents during a complaint investigation in August....
Instead of launching an investigation, the social services director called police on the complaining family member....
The devices were not part of facility policy, yet had been present at the 128-bed facility for an unknown period....
Resident 2 died 41 minutes later....
The dietary manager told inspectors she routinely propped the kitchen door open to take trash to an uncovered dumpster 25 feet away....
R34 yelled out and R63 removed his hand....
The resident missed her scheduled choir practice and expressed frustration about the facility's response times....
She fell, fracturing her right femoral head and requiring a hip replacement the next day....
When inspectors checked her medication cart that morning, they found a sealed bottle of Creon labeled for the resident with a pharmacy fill date of January 6....
"I usually kept a close eye on Resident 53, as she liked to wander," Staff A told inspectors....
Licensed vocational nurse LVN 6 discovered the expired fluticasone/salmeterol inhaler for Resident 22 during the inspection on July 24....
The incident at Rockcastle Health & Rehabilitation Center involved a resident with multiple sclerosis who had lived at the facility since 2016....