Latest reports, citations, and penalties from CMS data
The resident, identified in the October 7 inspection report as R1, had been readmitted to the facility with benign prostatic hyperplasia....
The October 2nd incident prompted emergency federal oversight after administrators failed to adequately protect residents from threats....
Six minutes later, the nurse confirmed to inspectors that she had not instructed the resident to rinse his mouth after using the inhaler....
The medication error occurred during evening rounds on September 9, 2025....
Federal inspectors found the facility violated transparency rules by failing to post daily staffing numbers on October 1 and 2, 2025....
Federal inspectors documented the pattern at Fair Oaks Health & Rehabilitation during a complaint investigation in October....
Federal inspectors found St Sophia Health & Rehabilitation Center systematically failed to provide restorative services to residents who needed them....
Federal inspectors found that LPN #1 was told at 7:45 AM that Resident #2 could not breathe and was having problems with their oxygen concentrator....
An alarm had activated when the resident was watching TV in a wheelchair and tried to get the remote....
The 98-year-old resident scored 12 out of 15 on a cognitive assessment, indicating moderate impairment....
The mistake occurred at Fair Oaks Health & Rehabilitation during a September assessment of Resident #4....
Hospital emergency department tests revealed the extent of the resident's deteriorated condition....
The delay involved records for Resident A, who had been discharged in November 2023 after treatment for chronic kidney disease....
The delays occurred despite clear facility policies requiring immediate notification of state agencies when abuse is suspected....
According to the federal inspection report, the resident was sitting on a dycem, cushion, and bath blanket when the van driver applied the brakes....
The resident told inspectors on October 7th that medications had arrived "several hours late" on multiple occasions....
The resident's cognitive assessment score was 6 out of 15, indicating severe impairment that would make self-advocacy impossible....
Resident #101 scored just 4 out of 15 on a cognitive assessment in July, indicating severe impairment....
Residents received soup with cottage cheese and fruit syrup....
The incident occurred March 8 during the evening meal....