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Trabuco Hills Post Acute: Family Left in Dark - CA
The resident was discharged 13 days later....
Latest reports, citations, and penalties from CMS data
The resident was discharged 13 days later....
The incident occurred after Resident #1 had been exhibiting wandering and exit-seeking behaviors since August 5, according to nursing progress notes....
The plan also required staff to "re-evaluate to extend or heal" the abrasion....
The facility's own policy, revised in April, explicitly prohibits this arrangement when the average daily occupancy exceeds 60 residents....
The facility's interdisciplinary team met on January 9, 2025, to discuss Resident #1's care needs....
Federal inspectors found the facility failed to provide appropriate care and services according to the resident's plan of care....
LPN #1 began wound care for Resident #2 at 9:26 a.m., properly donning gloves and a gown before positioning the resident and removing the current dressing....
The male resident, identified in records as R4, had already been flagged twice this year for inappropriate sexual behavior toward female residents....
The omission violated the facility's own policy requiring comprehensive care plans to include all services needed to maintain residents' well-being....
Their allergy to latex was documented in an allergy tab dated March 5....
The resident was back at the facility within 24 hours after going to a local hospital due to a fall at home....
His personal account funds didn't arrive in the mail until February 5, 2025....
Federal inspectors found that Leisure Homestead at Stafford violated notification requirements during a complaint investigation in August....
Staff A, a registered nurse, was preparing dronabinol for Resident 1 when the inspector arrived on August 13....
The resident explained the routine to inspectors: "That's my Mucinex....
RN G parked his medication cart in the hallway outside the resident's room at 11:38 AM and gathered supplies for the blood sugar test....
Resident 210 was supposed to receive Phos-NaK oral packets four times daily starting in late summer....
Federal inspectors observed Licensed Practical Nurse #35 at Heritage Health Care Center preparing morning medications for Resident #21 at 8:51 a.m....
The medication discrepancy at Mesquite Village Wellness & Rehabilitation emerged during a complaint inspection completed August 21, 2025....
Resident #1's skin assessment was due on August 13, 2025....