Grand Rehabilitation: Blood Sugar, Monitoring Fails - NY
The resident arrived at 9:40 PM on January 10, 2025, with hospital discharge orders requiring blood sugar checks three times daily....
Latest reports, citations, and penalties from CMS data
The resident arrived at 9:40 PM on January 10, 2025, with hospital discharge orders requiring blood sugar checks three times daily....
Stage 4 pressure ulcers represent the most severe category of pressure wounds, extending through the skin and fat to expose underlying muscle, tendon, or bone....
F760 violations relate to specific aspects of nursing home operations and resident care standards under federal regulations....
This critical oversight caused the resident to slide out of the lift, resulting in three minor skin tear injuries....
The violations occurred despite facility policies requiring enhanced barrier precautions for residents with indwelling medical devices....
WOODLAND HILLS, CA - Federal inspectors documented serious medication errors, infection control breaches, and food safety violations at Motion Picture and T.V....
Normal blood sugar levels typically range from 70-140 mg/dl, making this reading potentially life-threatening....
The resident fell to the tile floor, hitting her head and landing on her right side....
The nurse was terminated on November 27, 2024, following the facility's internal investigation....
Food service staff acknowledged the violations when temperatures were measured....
On May 31, 2024, federal surveyors observed a nurse administering the 50mg Metoprolol tablet without obtaining the required vital signs measurements....
In both cases, the nursing home did not submit investigation results to the State Survey Agency within the mandatory five working days....
According to the inspection report, documentation gaps occurred on multiple dates across three months....
The resident had been admitted in December 2024 with diagnoses including cerebral palsy, Type II diabetes, and depression....
Resident #47 was missing 60 tablets of oxycodone/acetaminophen 5/325mg, while Resident #57 was missing 30 tablets of oxycodone 5mg....
A resident with ESBL infection remained in a shared room despite facility policies requiring private room placement when beds were available....
Facility records showed the patient's itching symptoms had resolved by June 2024, yet both medications continued to be administered through September....
The facility failed to meet federal standards for tracking and evaluating significant weight changes among residents....
Nursing facility failed to follow ordered care plans for resident hand splints, potentially compromising recovery outcomes....
Similarly, Resident 44's Zosyn medication label didn't match the physician's order....