Rivers Edge Nursing and Rehab: Wound Care Failures - WI
The resident, identified in inspection records as R15, had a right heel pressure ulcer first documented on March 24 at 0.5 centimeters by 0.5 centimeters....
Latest reports, citations, and penalties from CMS data
The resident, identified in inspection records as R15, had a right heel pressure ulcer first documented on March 24 at 0.5 centimeters by 0.5 centimeters....
His physician ordered nightly foot checks at bedtime starting July 2024....
Every one of them gave the same answer: call a code pink....
Federal inspectors visited the facility on August 15, 2025, responding to a complaint....
The citation was for immediate jeopardy, the most severe finding available under the federal inspection system....
She admitted as much to inspectors who arrived at Focused Care of Center in April 2025....
Where checks should have been documented, the sheet listed the resident as asleep....
The citation was classified as an isolated incident with no documented harm, but with potential for more than minimal harm to the resident involved....
The April 21 federal inspection of Rivers Edge Nursing and Rehab, located at 1000 N....
The administrator, when asked, acknowledged he had signed the monthly meeting minutes....
The August 11 inspection produced nine deficiencies in total....
The violation was categorized as isolated, meaning inspectors did not find it playing out across the resident population....
When the surveyor walked into the room that morning, they found crumbs piled on the carpet near the door....
The violation was classified at Scope and Severity Level E, meaning inspectors found a pattern, not a one-time lapse....
Inspectors determined there was potential for more than minimal harm to residents....
Federal inspectors documented the violation during an April 2025 survey at the facility, located at 501 Timpson Street in Center, Texas....
The resident's family caught it first....
That was among 26 deficiencies federal health inspectors cited at Frostburg Village Rehab Center following a complaint inspection completed August 13....
The resident, identified in inspection records only as Resident 85, is diabetic and requires a mechanically altered therapeutic diet....
Controlled substances, which carry the highest requirements for secured storage, are supposed to be kept in separately locked compartments....