Latest reports, citations, and penalties from CMS data
Federal inspectors found Kabul Nursing Homes failed to develop appropriate dementia care for the resident during an August complaint investigation....
The resident at the center of the incident was not identified by name in the inspection report....
On July 17, 2025, a nurse documented a change in the resident's condition: her left eye had redness, as though a blood vessel had broken....
Resident #71 arrived at the facility on July 26 from a subacute care hospital with acute respiratory failure, pneumonia, and a tracheostomy already in place....
The wheelchair's left brake couldn't grip its bald tire....
The resident, identified in inspection records only as Resident 1, had been admitted to the facility on a date redacted from public records....
The resident at Life Care Center of Kennewick had been admitted with a brain injury that caused loss of consciousness, stroke damage, and a history of falling....
Inspectors documented that interventions to increase staff awareness of the resident's elopement risk had not been added to the care plan....
The CNA stepped between the residents and separated them....
The violent incident unfolded during a two-day stay at Boulder Park Terrace in July....
The director of nursing confirmed this directly to inspectors....
The Assistant Director of Nursing acknowledged the facility's policy requires leaving a discharge note and confirmed this was not done....
The inspection, completed August 15, 2025, was triggered by a complaint....
The August incident exposed critical failures in the facility's wandering prevention systems....
His left side did not work the way it once had....
The patient, identified in inspection records only as Resident 3, is cognitively intact....
Resident #4 scored 11 on the facility's wandering risk assessment, marking them as high risk to wander....
on August 12, 2025, when inspectors opened the cooler and saw a hard plastic container filled halfway with shredded cheese....
Only a concerned family member's phone call hours later prompted nurses to review her condition and discover the critical signs....
That is what federal inspectors found at Heritage Manor, a nursing facility at 610 North Garfield Avenue, during a complaint inspection on August 14, 2025....