Terrace Post Acute: Expired Morphine Given to Patient - CA
Federal inspectors discovered that nurses administered the medication on three separate occasions after it had expired....
Latest reports, citations, and penalties from CMS data
Federal inspectors discovered that nurses administered the medication on three separate occasions after it had expired....
The first cart sat unlocked on the left side of the nurse's station at 2:26 p.m....
The order had been in place since May 1....
The incident occurred July 10 at Miller Health Care Center, where the resident had been receiving treatment for a skin tear wound on the left shoulder....
The Director of Nursing confirmed during an August 26 interview that licensed nurses should have clarified the IV bolus order to avoid confusion....
She requested to be discharged immediately....
The August 26 inspection revealed dangerous conditions in both shower rooms inspectors checked....
Immediate jeopardy citations indicate conditions so severe that continued operation could result in serious injury, harm, or death....
When asked where his call light was, the wheelchair-dependent man confirmed he couldn't reach it....
The August 17 incident at Westview Healthcare Center involved two roommates with vastly different cognitive abilities....
Federal inspectors discovered the unsecured documents at Roseville Point Health & Wellness Center during a complaint investigation on August 25....
The incident unfolded on Thursday morning, August 21, when the night shift nurse couldn't locate the resident during routine rounds....
The June 22nd incident at Altercare Cambridge began when Resident #50 requested her pain medication around 5:13 PM, the time it was actually due....
No staff intervened as inspectors opened the cart's drawers at 3:15 PM on nursing station 4....
The medication wasn't in the building either day....
The resident, identified only as Resident 1, was supposed to receive physical therapy and occupational therapy one hour each day, five days a week....
Forest Glen Health Campus sent Resident #74 home on May 31 with a potassium level of 2.5 milliequivalents per liter from blood work taken two days earlier....
The patient, identified as R1 in federal inspection records, was admitted on August 5, 2025, for rehabilitation following left total hip replacement surgery....
The incident at Sandstone of Tucson Rehab Centre involved two residents who shared a room....
The document he signed stated he would receive account statements at least quarterly....