Latest reports, citations, and penalties from CMS data
The incident occurred around 11:30 pm on August 3, 2025, when the resident was found crying and complaining of chest pain....
The September 21 assault at Legacy Nursing at St....
Staff heard door alarms going off but didn't immediately investigate the source....
Yet nursing staff failed to document whether the resident ate breakfast on August 3, 4, 9, 15, 22, 23, and September 1, 2025....
The facility's own policies outlined detailed requirements for managing medical orders that weren't being followed....
Resident #13 required tube feeding because she couldn't swallow safely, yet she routinely tampered with her medical equipment and consumed dangerous items....
The assistant administrator discovered the employee in the resident's room asking for money during what should have been her day off....
The patient, identified in records as Resident 1, was found face down on the floor of his third-floor room around 9:40 PM....
A sign posted outside the resident's door clearly indicated staff should wear gowns and gloves during high-contact care, including wound treatment....
The resident, identified only as Resident 1, disappeared from the facility sometime between 7 a.m....
She heard the resident's right arm "crack" during the repositioning....
The incident occurred at Meadowood Nursing Center on September 15, 2025, at approximately 10:30 p.m....
The resident told staff her left leg pain and tailbone pressure sore prevented her from standing....
Federal inspectors found dozens of missing signatures across two wings during their October 7 investigation....
Resident 44 had paralysis on one side of her body and required a two-person assist for transfers using a Hoyer lift....
Staff never offered to brush his teeth in the morning, he said....
The facility's restorative nursing aide, known as an RNA, was reassigned to basic nursing duties instead of providing the specialized care residents required....
The medication mix-up at Wellbrooke of Carmel involved Rytary, an extended-release drug used to treat Parkinson's symptoms....
The resident, identified in the October 7 inspection report as R1, had been readmitted to the facility with benign prostatic hyperplasia....
The October 2nd incident prompted emergency federal oversight after administrators failed to adequately protect residents from threats....