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Tremont Health Care Center: Medication Errors - MA
However, inspectors found no physician's order authorizing the transfer in the medical record....
Latest reports, citations, and penalties from CMS data
However, inspectors found no physician's order authorizing the transfer in the medical record....
The dietitian recommended **Arginaid, an amino acid supplement essential for wound healing**, twice daily for 30 days in December 2024....
According to inspection records, the resident first reported abdominal discomfort on July 22 at 9:45 PM and received antacid medication twice without relief....
Scores typically range from 0-28, with scores above 10 indicating significant fall risk requiring immediate interventions....
The resident received twice-daily Heparin injections subcutaneously as a preventive measure against blood clots, a standard practice for immobilized patients....
Hospital records confirmed the resident sustained a left eyebrow laceration from the unwitnessed fall and required sutures....
The dietitian specifically recommended continuous feeding at 45 ml per hour of Diabetisource AC nutritional formula....
The resident died at an area hospital after experiencing dangerously low blood sugar levels of 27 mg/dL (normal range is 70-100 mg/dL)....
Documentation review revealed alarming patterns of missing bowel movement records....
This recurring citation indicates a persistent compliance issue that the facility has failed to adequately address over more than a year....
This violation received an F-level citation, indicating widespread systemic issues with potential for more than minimal harm to residents....
Yellow dried material consistent with urine was visible on the broken toilet seat, which hung sideways from the fixture....
This practice affected multiple vulnerable residents, including those with severe cognitive impairment, mobility limitations, and histories of falls....
The resident, who had a below-knee amputation and used a wheelchair, left the facility during a day when temperatures reached 95 degrees Fahrenheit....
Federal inspection of Mesa Glen Care Center in Glendora, CA on April 15, 2025 revealed violations requiring immediate correction....
This delay in medical notification prevented timely interventions that could prevent minor issues from escalating into serious medical emergencies....
The resident, identified as R8, was discovered on December 22, 2024, in a compromised position after attempting to get out of bed....
The facility's response to this incident initially created additional compliance issues....
This type of mold exposure poses serious health risks, particularly for elderly residents with compromised immune systems....
A licensed practical nurse properly performed most aspects of the glucose testing procedure, including hand hygiene, glove use, and finger cleaning....