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Silver Oak Nursing and Rehabilitation: Abuse Reporting Failures - IA
The facility serves 76 residents....
Latest reports, citations, and penalties from CMS data
The facility serves 76 residents....
That admission came from the facility's own director of nursing during a September complaint inspection....
The nurse at the center of the finding is identified in the inspection report only as RN-D....
The form was completed by the resident's responsible party, the person legally authorized to make medical decisions on the resident's behalf....
The inspection record describes a facility where the basic infrastructure for resident complaints had broken down....
The resident, identified in inspection records only as R117, had been at Haralson Nursing & Rehab Center for less than two weeks when the error occurred....
Care plans are meant to be living documents, revised as a resident's condition changes....
He said he had asked for a new mattress multiple times....
The resident at Patapsco Healthcare had a sacral wound that had gotten worse....
The resident was sent to the emergency room by ambulance....
Federal inspectors arrived at the facility on September 10, 2025, responding to a complaint....
The required checks were not complicated....
The housekeeper looked at it and said she believed it was getting up under the floor tiles....
The incident at Mulder Health Care Facility happened on September 9, 2025....
It means inspectors concluded that the problem was not theoretical....
The dumpster doors and lids had been left open....
A nursing assistant had watched a colleague say terrible things to residents....
The residents who spoke to the director of nursing or her designee on April 15 were direct about what they had experienced....
The inspection, triggered by a complaint, was completed September 17, 2025....
The resident, identified in the report as R3, required supervision and cueing during meals....