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Prescott Village: Fall Mat Safety Failures - AZ
Resident #2 had a documented history of falls and was identified as needing fall prevention interventions....
Latest reports, citations, and penalties from CMS data
Resident #2 had a documented history of falls and was identified as needing fall prevention interventions....
The expired medication was discovered during a complaint inspection at Avir at Patriot on Gateway North Boulevard....
Resident D depends entirely on tube feeding because of dysphagia, a condition that makes swallowing dangerous....
Resident 1, who has end-stage renal disease and depression, described the persistent heat problem during his interview with inspectors at 12:10 p.m....
The violation continued for nearly two hours during the inspection on August 26, 2025....
Inspectors observed 26 medication administration opportunities involving four residents....
The July 28 incident at Diversicare of Eupora involved Licensed Practical Nurse #1 and an unnamed resident....
After two months of hospitalization, he arrived at Harmony Care at Beaumont for rehabilitation and wound management....
Resident 40 scored 15 out of 15 on his mental status assessment in July, indicating his cognition was completely intact....
Licensed Nurse 9 discovered the resident's skin was warm to touch and attempted to contact the attending physician....
The resident was rushed to the hospital on March 6, unable to speak and with unfocused eyes....
During one return, he toppled over the overbed table by her bedside while continuing to scream at her....
The chicken was dry and tough to chew when inspectors tested it at Beechtree Center for Rehabilitation and Nursing on August 25, 2025....
The resident told inspectors in August that he had repeatedly asked the maintenance director to repair the damage, but nothing had been done....
The July incident at Mount Miguel Covenant Village occurred when a certified nursing assistant and student nursing assistant were changing Resident 1....
The facility's own abuse prevention policy requires staff to revise care plans when a resident's needs or preferences change....
The incident occurred on August 7th during the night shift, when Resident #1 was experiencing what staff described as behavioral issues....
Federal inspectors found the facility never filed the mandatory 24-hour report with the California Department of Public Health....
The deficient storage method affected every resident requiring insulin administration via pen devices....
Staff at Everett Center have been falsely documenting that residents and families "refused" bed hold notices when staff simply couldn't reach anyone by phone....