Latest reports, citations, and penalties from CMS data
Resident 85 told a nurse at Gardens of Euclid Beach that he was having chest pain and constipation during morning medication rounds on a day in September....
The resident routinely refused medications and services, requiring staff to redirect her and offer alternative caregivers when needed....
The incident occurred July 30 at Deerfield Nursing and Rehabilitation Center when S9CNA finished helping Resident #7 with dinner around 4:30 p.m....
Federal inspectors found the facility violated requirements to thoroughly investigate alleged violations and prevent further abuse or neglect....
The resident, who takes Coumadin to prevent strokes caused by atrial fibrillation, should have received the blood thinner daily....
The resident was admitted to Creekside Post-Acute with chronic venous hypertension and ulcers on both lower legs....
The missed monitoring left a critical gap in care for someone whose medical conditions demanded close attention....
The resident had been under physician-ordered constant supervision for three days due to his elopement risk....
The brain-injured resident, identified as Resident #3, was admitted in June 2025 with chronic respiratory failure and anoxic brain damage....
The violations began August 12, when the resident's evening glucose reading hit 213 mg/dl....
The September 12 incident at Oak Ridge Rehabilitation & Healthcare Center went unreported to administrators for nearly two weeks....
Federal inspectors observed the lunch service on September 23 and found staff failed to honor basic food requests for residents identified as R9, R10, and R11....
Ten minutes later, when questioned by inspectors, the nurse acknowledged the dangerous oversight....
Federal inspectors found the facility operated without any registered nurses scheduled for extended periods in August and September....
Staff watched condensation build up on hallway and dining room floors but failed to notify management or maintenance for hours....
His doctor had ordered Latanoprost 0.005% eye drops to be administered in each eye at bedtime starting August 15....
The temperature drop wasn't an isolated incident....
Near the nurses' station, CNA #2 asked if she had brought food for staff....
Inspectors observed Nursing Assistant #1 standing at the side of Resident #30's bed during the 12:56 PM feeding....
According to the Director of Nursing, a Certified Nurse Aide reported the initial encounter a few weeks before the inspection....