Cadia Rehabilitation Broadmeadow: Dehydration Death - DE
R114's fluid consumption dropped from 1,560 milliliters daily to just 300 milliliters in the days before her January transfer to the hospital....
Latest reports, citations, and penalties from CMS data
R114's fluid consumption dropped from 1,560 milliliters daily to just 300 milliliters in the days before her January transfer to the hospital....
One aide admitted he "forgot" to cover his mustache and goatee while scooping watermelon and placing silverware....
"Employee 1 indicated she was never educated at the facility on the administration of intravenous medications," inspectors wrote....
Resident 16 remained on the restrictive mattress at North Long Beach Post Acute despite his physician canceling the order on July 18, 2023....
Federal inspectors cited the facility for immediate jeopardy violations, finding a likelihood of serious injury, harm, or death from the unlicensed care....
The patient had been admitted with diagnoses including asthma, dependence on supplemental oxygen, and malignant neoplasm of unspecified bronchus or lung....
Federal inspectors observed the violation on January 2 during a tour of the facility's clean laundry room....
The noise caused her to stay awake and remain unable to sleep....
The March 24 incident at Calhoun Convalescent Center began when RN1 couldn't find the individual glucose monitors for two residents....
The coffee that burned the resident was served without temperature monitoring....
The facility knew the resident required enhanced barrier precautions but provided no gowns, gloves, or proper signage outside his room....
Yet the facility's response to his assault on another resident was delayed and inadequate....
The medical director said he never conferred with the former medical director before starting his position....
The incident occurred at Maria Regina Rehabilitation and Nursing during a January 28 federal inspection....
The medical examiner requested photographs of the head injury to determine its severity....
The abdominal binder at Geneva Lake Manor was supposed to hold nephrostomy tubes in place to prevent the resident from pulling them out....
Resident 85, a cognitively intact woman over 65 with diabetes, entered the facility in November 2023 with intact skin on her feet and heels....
The resident, identified as R9 in inspection records, propelled his wheelchair through Unit A on May 3 when he stopped a federal inspector at 2:19 pm....
Federal inspectors discovered the contaminated food during a July inspection of the facility's kitchen, which serves meals to 43 residents....
The incident occurred on January 14, 2025, when the resident became "increasingly agitated" because she wanted her medication schedule changed from 9 p.m....