Latest reports, citations, and penalties from CMS data
The missing narcotics came to light in a sequence that a licensed practical nurse described in detail to inspectors on November 21, 2025....
That is what inspectors found at Evercare at Stearns after a complaint investigation completed in November 2025....
The inspection, conducted following a complaint, centered on a single resident with a urinary catheter....
The violation was cited under F0602, which covers a facility's obligation to operate with integrity in its management of controlled substances....
The inspection, conducted November 20, 2025, was triggered by a complaint....
Inspectors arrived at the resident's room on the morning of November 17, 2025, at 10:28 a.m....
The antibiotic was Macrobid, typically used to treat urinary tract infections....
The pattern shows up in the resident council meeting minutes with unusual clarity....
Staff called the nursing home administrator, the NHA, directly....
Federal inspectors cited the facility in November 2025 for failing to maintain comprehensive care plans that reflected residents' actual needs....
The Director of Nursing confirmed the gaps on the spot....
The finding covered a small number of residents....
The deficiency was tagged F0600, covering protection from abuse, and inspectors found the level of harm as minimal or potential, with few residents affected....
A physician order requires a doctor to authorize the treatment and provide a diagnosis explaining why oxygen is needed....
When she returned from the hospital on September 30, 2025, the nurse who transcribed her discharge orders recorded the antibiotic stop date as October 10....
That was September 26, 2025, at The Waterview Pines LLC....
The violation, cited as affecting many residents, was recorded during a complaint inspection on November 24, 2025....
The resident, a man identified in inspection records as R2, picked up the cup and swallowed the medications himself....
The resident, identified in inspection records only as R5, has confusion that the facility's own assistant director of nursing acknowledged waxes and wanes....
That is what happened at Parc Joliet on the evening of November 17, 2025, according to camera footage the facility later reviewed and turned over to police....