Olivia Restorative Care Center: Medication Errors - MN
The patient, identified in inspection records only as Resident 11, had been discharged from a hospital on August 15, 2025....
Latest reports, citations, and penalties from CMS data
The patient, identified in inspection records only as Resident 11, had been discharged from a hospital on August 15, 2025....
The inspection, completed August 20, identified the problem as affecting multiple residents....
What happened there on August 4 involved a certified nursing assistant identified in inspection records as CNA #203....
Two days later, on August 20, the stubble was still there, longer now....
The resident, identified in inspection records only as R4, lives at La Bella of Mascoutah....
The citation against California Home for the Aged is the most serious kind short of immediate jeopardy....
When an inspector asked R2 on August 14 whether he ever goes to the bank or whether he wanted to close his bank account, he could not answer appropriately....
Inspectors walked through Teton Healthcare of Cascadia on August 14, 2025, and documented what they found room by room....
The harm level was listed as minimal harm or potential for actual harm, and inspectors noted the problem affected a small number of residents....
That was the response inspectors documented when they asked about the gap....
The inspection centered on the facility's Treatment Administration Records, known as TARs....
The resident, identified in inspection records only as R2, arrived at the ER on June 25, 2025, with altered mental status....
The violation was straightforward: food removed from its original packaging wasn't being labeled with the name of the food....
The nurse who called his doctor after his fall never mentioned he was on Plavix....
The nurse, identified in inspection records only as Staff #120, was scheduled to work a shift that ended at 7:00 A.M....
She found out during an inspection....
The resident, identified in inspection records as Resident B, was already in the air when a nursing assistant the facility identifies as CNA 2 arrived....
She also hadn't put the wraps on that morning....
Hospitality aides at the facility pass water, deliver meal trays, change and remake beds, restock supplies, and answer call lights....
On August 11, 2025, a resident identified in inspection records as Resident 4, or R4, became upset after lunch....