Latest reports, citations, and penalties from CMS data
This created a dangerous scenario where, in the event of cardiac arrest, emergency responders would have conflicting information about the resident's wishes....
The nurse administered 4% lidocaine patches instead of the prescribed 5% strength to a resident requiring pain relief for both shoulders....
Emergency Medical Services transported the resident to the hospital at 7:25 am....
## Medication Storage and Labeling Failures Inspectors found serious medication management violations across multiple areas of the facility....
However, conflicting accounts emerged during the investigation that raised serious concerns about the circumstances of the injury....
When facility staff assessed the resident, they found no pulse or respirations and immediately began cardiopulmonary resuscitation....
The keys were also left unattended on the medication cart while a corporate nurse conducted routine checks for expired and unlabeled medications....
Snellville facility administered incorrect oxygen levels and failed to maintain clean equipment filters, putting residents at serious respiratory risk....
Stand lifts are mechanical devices used to safely transfer residents with mobility limitations from beds, toilets, and wheelchairs....
The resident, who was on aspiration precautions and required assistance with meals, began vomiting while lying in bed after lunch....
Inspectors reviewed the facility's policy dated December 2024, which establishes the foundation for all pharmaceutical services within the nursing home....
## Medical Risks of Improper Electrical Setup Extension cord misuse in healthcare settings poses significant risks beyond typical household hazards....
No justification was documented for the significant delay in this case....
Staff A attempted the transfer alone despite **clear instructions posted inside the resident's closet door** and verbal warnings from the resident's spouse....
The contamination resulted from improper cleaning procedures that violated both manufacturer specifications and FDA Food Code requirements....
## **Repeated Nail Care Failures** The April 2025 inspection revealed troubling patterns of neglected personal hygiene across multiple residents....
The resident indicated the pain made eating difficult and sometimes left him hungry due to his inability to chew food properly....
The resident, identified as Resident #1, had exited through an emergency fire door that should have been alarmed but was found to be disarmed....
Kitchen staff interviewed during the inspection expressed uncertainty about proper food storage timelines....
## Inappropriate Contact with Sleeping Resident The incident occurred on the evening of February 7, 2025, when a resident was sleeping peacefully in his bed....