Latest reports, citations, and penalties from CMS data
## Medical Significance of ADL Care Failures When nursing homes fail to provide adequate ADL assistance, residents face serious health consequences....
According to the inspection findings, a resident identified as R2 had reported experiencing verbal abuse from facility staff....
The facility's inadequate response to **Resident #58's history of inappropriate sexual behavior** created ongoing safety risks for other residents....
This designation suggests the nursing home took proactive steps to remedy the situation once it was identified....
During the August 1, 2024 inspection, surveyors found two residents requiring EBP protection were left without proper isolation gowns at their doors....
When nursing homes fail to maintain compliance with F-tag regulations, it signals potential gaps in their quality assurance systems and oversight processes....
The resident, identified as Resident 42, was documented as having severely impaired cognition and requiring maximal assistance with basic movements....
The violations centered on Resident 79, whose care plans remained incomplete despite federal mandates requiring these documents within specific timeframes....
**Facilities must inspect common areas, resident rooms, and outdoor spaces daily** to identify and eliminate potential safety risks....
When staff finally arrived, they found the resident walking alone in their room without supervision, directly violating established safety protocols....
Inspectors discovered that nursing staff failed to obtain physician orders for monitoring these devices when the resident was admitted....
When surveyors requested monthly infection surveillance reports for 2025, nursing staff initially could not provide the documentation....
The inspection resulted in citations under reference WAC 388-97-1100(1), which governs nursing home operational standards and resident care requirements....
Inspectors found that residents with diagnosed mental health conditions were not receiving the specialized care outlined in their treatment plans....
However, this admission highlighted a dangerous gap between knowledge and practice that could have exposed other residents to the influenza virus....
The violations occurred across several areas of the facility's food service operations, including storage, temperature monitoring, and handling procedures....
"RN 2 stated there were multiple instances that the sites of insulin administration of insulin were not rotated," according to the inspection report....
For patients with atrial fibrillation, blood thinners are essential medications that prevent potentially fatal blood clots from forming....
When staff finally identified the penile split in April 2024, they failed to measure it, update his care plan, or ensure immediate physician notification....
Despite receiving detailed referral information from a local hospital, the facility failed to take appropriate action to ensure the resident's safety....