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Vernon Healthcare Center: Resident Denied Readmission - CA
Hospital records from September 5th and 8th documented the facility's repeated denials....
Latest reports, citations, and penalties from CMS data
Hospital records from September 5th and 8th documented the facility's repeated denials....
The practice violated the facility's own policies and put vulnerable residents at risk....
The inspection revealed systemic problems with the facility's elopement prevention program....
The violation occurred on September 10 during what was otherwise a textbook demonstration of incontinence care at Carroll Healthcare Center....
The 112-bed facility's housekeeping schedules showed rooms had been serviced, but inspectors documented a pattern of neglect across multiple areas....
The facility had purchased new beds with assist bars designed to help residents with transfers and bed mobility....
The odor was first documented on September 8 at 8:48 AM when inspectors found the resident lying in bed....
When inspectors observed the resident on September 8, her fingernails extended approximately one inch or more beyond her fingertips....
The patient has severe cognitive impairment and "never or rarely" makes decisions independently....
Even worse, nurses were simply placing medication bottles on bedside tables and walking away, leaving pills unattended....
The incident at Ohman Family Living at Briar came to light during a September complaint investigation....
The bruise appeared on September 2nd, measuring more than four inches long and nearly three inches wide....
The administrator at NHC Healthcare Springfield later decided the incident didn't need to be reported to state authorities....
The physician ordered blood work on August 13 to be completed two days later....
Two to three minutes later, LVN 1 entered Room A to find Resident 1 on the floor near the foot of his bed....
The family member, identified as Person #1 in inspection records, immediately reported the allegation to the Assistant Director of Nursing....
Federal inspectors found Torrance Care Center West created generic, unmeasurable care plans that ignored what residents actually needed....
The failure left unanswered questions about whether the incident was related to neglect and put other residents at risk for repeated errors....
Despite physician orders for daily wound care beginning June 21, staff skipped treatments on 12 separate days through August 11....
was supposed to weigh Resident #29 every week starting June 11....