Latest reports, citations, and penalties from CMS data
This approach, known as person-centered care, aims to treat the root cause of behavioral symptoms rather than simply medicating them....
Despite this clear directive, nursing staff did not follow the facility's own emergency protocols....
The resident was observed multiple times lying in bed, moaning with facial grimacing and labored breathing....
The facility's Units B and C were particularly affected, with room temperatures ranging from 65 to 69 degrees....
When nursing staff discovered the inhalers during the inspection, they acknowledged the violation....
The January 2025 inspection also revealed that life-saving equipment was not maintained in working condition during a medical emergency....
On November 14, 2024, **Resident #2 experienced a severe choking episode while eating peanut butter crackers in the facility's communal living room**....
However, the program lacked proper oversight mechanisms required by federal regulations....
Additionally, two CNAs who had been employed for years had not undergone required re-fingerprinting under the state's Rap Back system....
## Critical Wound Care Documentation Failures The inspection revealed significant problems with wound care protocols that put residents at risk....
This successful resolution demonstrates the effectiveness of proper quality management systems in nursing home operations....
The incident occurred during routine care around 5:00 AM when the staff members entered the resident's room to change bedding and provide personal care....
Most concerning were two white, round tablets and one pink tablet that were completely unmarked and unidentifiable....
Security footage revealed that CNA #1 immediately began striking the wheelchair-bound resident with closed fists to his face, head, and chest....
The incident involved the spouse of one resident physically hitting another resident who was reaching up toward her while being transported in his wheelchair....
However, the resident's TAR showed missing initials for treatments that should have been administered on May 21, 2024, at 9:00 AM and 1:00 PM....
Over the course of just one afternoon, inspectors documented three separate incidents where nursing staff failed to follow proper sanitization procedures....
Extended periods of inactivity and social isolation can lead to accelerated cognitive decline, increased anxiety, and a diminished sense of purpose....
The nurse was observed removing contaminated gloves and immediately putting on new gloves without sanitizing her hands between the glove changes....
The consequences of inadequate supervision can be catastrophic....