Latest reports, citations, and penalties from CMS data
The resident's face appeared "reddish purple" with only a weak pulse detected and no visible breathing patterns observed....
The facility's response proved inadequate at multiple levels....
"The food at the facility was terrible as it was sometimes cold when it arrives," Resident 173 told inspectors....
Despite having a comprehensive behavior care plan in place, staff failed to implement critical interventions that could have prevented the attack....
Despite these clear medical directives, facility records show that insulin was discontinued on the day of admission....
The modified assessment painted a dramatically different picture, documenting serious wounds that extended through multiple layers of skin and tissue....
The violations occurred despite the facility's own policy requiring comprehensive pain assessment and management based on professional standards....
In one resident's room, inspectors observed **"a large area of the floor covered in mouse droppings"** behind a nightstand....
Federal regulations require nursing homes to promptly notify residents' representatives of changes in condition and transfers to hospitals....
This represents a systematic failure in the facility's quality oversight mechanisms designed to protect resident welfare....
The absence of proper training for this critical position compromises the facility's entire infection prevention program....
## G-tube Administration Complications The inspection documented a particularly problematic situation when the nurse encountered a clogged feeding tube....
However, the recent inspection findings indicate this oversight system proved ineffective in preventing continued food safety violations....
The resident was undergoing an atherectomy, a procedure to remove arterial plaque buildup....
This regulation exists to protect vulnerable residents from financial exploitation and ensure transparency in financial management....
The facility failed to conduct comprehensive root cause analyses for any of the incidents, missing critical opportunities to prevent subsequent falls....
## Falsified Treatment Documentation The most serious violation involved **falsified treatment records** for a diabetic resident with multiple wounds....
The medication was ordered to be administered daily between 7:00 AM and 11:00 AM, but the facility failed to ensure timely delivery from their pharmacy....
The Department of Public Health wasn't notified until the outbreak had already spread throughout the facility....
The nurse took both medicine cups, each labeled for different residents, to the first patient's room....