McKinley Park Care Center: Overheated Rooms - CA
Federal inspectors found every single resident room they checked exceeded the facility's own temperature policy during an August inspection....
Latest reports, citations, and penalties from CMS data
Federal inspectors found every single resident room they checked exceeded the facility's own temperature policy during an August inspection....
The resident, identified in inspection records as Resident #5, told the aide the arrangement was uncomfortable....
When asked what the medications were, the resident couldn't identify any of them....
Nobody had written that down anywhere enforceable....
The finding, the most serious classification available to federal inspectors, applied to at least one resident....
Morning Star Post Acute staff held Resident 5's eye pressure medications on July 19 because the pharmacy had not delivered them....
She scratched her chest, abdomen, legs, arms, palms, flanks and back as she spoke....
Resident 1 arrived at the facility on August 2, 2025, around 3:00 p.m....
The food was failing residents before it ever reached their rooms....
The incident at Willows of Greensburg involved a severely cognitively impaired resident with non-Alzheimer's dementia, atrial fibrillation, and hypertension....
Nobody noticed Resident #203 was gone until lunchtime....
The resident, identified in inspection records only as Resident 4, was admitted with a diagnosis of muscle weakness....
The violations involved antipsychotic drugs, antidepressants and anxiety medications administered to newly admitted residents starting August 12....
The Director of Nursing was called....
A nursing aide, CNA #133, said he helped get her up before the nurse arrived because her husband had already started to lift her....
Her federally mandated assessment from June 29 showed no memory impairment....
Federal inspectors rated the failure immediate jeopardy, meaning the lapse created a situation likely to cause serious harm or death....
The audible portion of the call bell system, the sound that travels down the hall and into the nurses station, was not working....
The finding came out of a complaint inspection completed August 15, 2025....
The cup went onto the shelf with everything else....