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Copperfield Healthcare: Infection Control Failures - TX
State inspectors documented the lapses during a complaint inspection completed September 17, 2025....
Latest reports, citations, and penalties from CMS data
State inspectors documented the lapses during a complaint inspection completed September 17, 2025....
The violation affected a small number of residents, according to the inspection record....
When that handoff fails and a resident goes unaccounted for 15 minutes, an elopement response is supposed to activate....
The pattern began on July 24, when Resident E reported her call light had gone unanswered for more than two hours overnight....
The care plan dated August 5, 2025, contained no mention of the UTI or the hernia....
The bread and dessert freezer had no log....
Resident M hit her left foot on a wheelchair wheel coming back from the shower on August 11, 2025....
Federal inspectors flagged the failure during a September 18 complaint inspection....
The third floor, where E33 had worked the 11 p.m....
Federal inspectors documented the lapses in a complaint inspection completed September 19, 2025....
The resident, identified only as Resident R1, required full staff assistance and a Hoyer lift to get out of bed and into the shower room....
By late August 2025, a physician had ordered wound care twice daily, at 8 a.m....
The resident vomited before the nurse even disconnected the syringe....
Under Arizona law, it is mandatory....
The Reflections Unit Manager told the inspector that a leak on the 100-wing had been reported and fixed the same day....
That incident was one of two separate resident-to-resident abuse episodes at Clearwater this summer....
Federal inspectors classified the incident as Immediate Jeopardy....
When inspectors toured the kitchen on September 17, a fly was observed circling the room....
The dates, confirmed by the facility's own administrator during a September inspection, were April 20, April 26, May 11, May 18, May 31, and June 21, 2025....
Both were documented as given at 9:57pm....