Latest reports, citations, and penalties from CMS data
The regulation specifically mandates that residents receive treatment and daily living supports in a manner that does not compromise their safety....
First, the facility must report the suspicion to the state survey agency....
The incident at Santa Rosa Care Center involved two residents sharing bathroom access....
Federal inspectors reviewing 45 daily staff postings found four days where the nursing home completely omitted census numbers from all three shifts....
The facility uses a layered system to keep residents from wandering out....
Inspectors found the requirement wasn't being met....
The deficiency was classified at **Scope/Severity Level D**, meaning it was isolated in nature and did not result in documented actual harm to residents....
Resident 101 died at the hospital after being sent from the facility for emergency evaluation....
## Why Catheter Care Standards Exist Urinary catheters are medical devices that require meticulous maintenance to prevent complications....
Person-centered care planning is a foundational principle in modern long-term care....
The facility's own bathing schedule called for showers three times weekly on Mondays, Wednesdays, and Fridays....
Earlier that morning at 2:58 AM, the facility's wound nurse, RN-F, had treated the same resident's right knee surgical incision....
The violation was tagged at the minimal harm level, meaning inspectors did not find evidence that residents suffered serious physical injury as a result....
The incident at Pine Creek Rehabilitation and Nursing began when Resident 38 learned her nursing assistant was having financial difficulties....
Federal inspectors found her violating these requirements on October 20....
The breakdown timeline stretched back years....
The deficiency, documented under **federal regulatory tag F0583**, falls within the category of Resident Rights Deficiencies....
Federal inspectors found that Waynesboro Post Acute & Rehabilitation could not access or provide medical records for any resident prior to June 18, 2024....
Inspectors cited the facility following a complaint inspection completed December 24, 2025....
Police arrested the attacker and took him to jail....