Wheatcrest Hills: Pressure Ulcer Harm Cited - SD
The pressure ulcer deficiency was one of **four total citations** issued during the survey of the small South Dakota nursing facility....
Latest reports, citations, and penalties from CMS data
The pressure ulcer deficiency was one of **four total citations** issued during the survey of the small South Dakota nursing facility....
The facility has not submitted a plan of correction....
The food safety citation was one of **two total deficiencies** identified during the inspection of the Reed City rehabilitation facility....
Federal inspectors cited Maimonides Health Center of Virginia Beach following a complaint survey completed November 17, 2025....
The facility has not submitted a plan of correction for the cited deficiency....
One of the residents never returned to the facility....
This assessment, known as the Minimum Data Set (MDS), serves as the foundation for every aspect of a resident's care plan....
The charge nurse responsible for one resident was terminated September 11 for failing to report an injury of unknown origin....
Inspectors visiting Autumn Lake Healthcare Post-Acute Care Center on November 24, 2025 reviewed records for residents discharged within the last six months....
The resident in the next bed heard it happen....
The nurse had documented information about the changes themselves....
The resident developed deep tissue injuries on both buttocks by September 25....
Federal inspectors discovered the missing Iowa Statutory Power of Attorney documents during a November 25 complaint investigation....
The resident at Center Point Health Care and Rehab had dropped from 139.4 pounds in late August to 128.8 pounds by mid-November....
The Director of Nursing confirmed to federal inspectors that staff had not been trained specifically on orthostatic hypotension fall prevention techniques....
"She rolled out of the bed on to her face," the aide said....
Inspectors documented the burn through a series of wound assessments....
What federal inspectors found when they arrived on November 20, 2025, was that the facility had not done what it said it would do....
The investigation, triggered by a complaint filed with regulators, resulted in **two deficiency citations** for the Arlington Heights nursing home....
The state ombudsman told inspectors she hadn't received any discharge notices from Agawam East Rehab and Nursing since March 2025....