Latest reports, citations, and penalties from CMS data
The resident, who had been asking for double portions due to persistent hunger after meals, did not receive adequate monitoring of their nutritional status....
The staff found Resident #40 face down on the floor and made several critical errors in their response that violated established medical protocols....
This violation indicates fundamental problems with the facility's pharmacy operations and medication management systems....
Federal regulations require all medication carts to remain locked when not under direct supervision of nursing staff....
Inspectors observed five medication errors during 31 administration opportunities, affecting at least three residents....
## Resident Discharged Without Proper Documentation One of the most serious violations involved the improper discharge of a resident in February 2024....
The auditor explained the significance of tracking replacement dates, stating, "If it's been 2 months or 1 year....
The delay in this case meant that the resident remained potentially at risk while the alleged abuser continued working....
The incident occurred when a resident requiring a bariatric wheelchair for a medical appointment was given equipment previously used by a resident with C....
IV dressings serve as a critical barrier against bacteria and other pathogens that can enter the bloodstream through the catheter insertion site....
Pneumonia vaccines protect against pneumococcal bacteria that can cause serious illnesses including pneumonia, bloodstream infections, and meningitis....
The case centered on an 84-year-old resident with dementia and multiple medical conditions who developed unexplained bruising to the forehead and left cheek....
Facilities must ensure qualified staff provide appropriate respiratory treatments and monitor residents for changes in breathing patterns or oxygen levels....
On January 7, kitchen staff improperly cooled cooked macaroni pasta, allowing it to remain at dangerous temperatures for nearly five hours....
The Infection Preventionist confirmed these conditions created "potential harboring places for bacteria" that posed direct health risks to residents....
I go on scary missions and crawl on my hands and knees in the jungle slitting the throats of the enemy......
During the May 28, 2024 inspection, **Resident #42 reported difficulty breathing while connected to an oxygen concentrator set at 8 liters per minute**....
The incident resulted in an immediate jeopardy citation, indicating the violation posed a serious risk of injury, harm, or death to residents....
The error continued for an undetermined period before being identified by investigators....
Such citations are reserved for situations where residents face potential serious injury, harm, impairment, or death....