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Transcendent Healthcare: DNR Order Ignored in Care Plan - IN
The resident died with conflicting instructions in their medical record....
Latest reports, citations, and penalties from CMS data
The resident died with conflicting instructions in their medical record....
The facility's administrator didn't notify proper authorities until October 7 â six days after the abuse occurred....
The incident occurred at Brittany Manor on September 14, 2025, at 3:30 PM in the activity room....
The resident reported a pain level of 8 out of 10 throughout the ordeal....
Federal inspectors found Resident #4 at Aviata at Seminole on October 7 in the facility's parking lot at 10:58 a.m., openly smoking marijuana....
That's where her involvement ended....
The 21-hour delay violated New York regulations requiring nursing homes to report abuse allegations within two hours....
The October 1st incident unfolded when the resident's doctor's office discovered her portable oxygen supply had run out during the 9:50 a.m....
On September 23, 2025, a family member of a resident contacted Nursing Home Administrator A with the sexual abuse allegation....
Several staff members had developed their own workarounds, placing pillows between the resident and the rails to prevent injury....
The resident, identified as CR1 in inspection records, exhibited escalating behaviors that staff said they could not manage....
The resident at Parkridge Specialty Care had been placed on strict non-weight bearing status for her left foot on September 17....
A licensed nurse completed an assessment including neurological checks and documented no injuries from the incident....
and taken to live in an apartment with minimal support services....
Nobody at Greentree acted on that recommendation....
The resident arrived September 19 with colon cancer, a colostomy, and surgical aftercare needs....
The Director of Nursing told inspectors that nursing assistants should document care provided and note any refusals....
The investigation violated federal requirements for thorough abuse inquiries at nursing homes receiving Medicare and Medicaid funding....
The resident, identified as Resident #1, entered the facility on August 20, 2025, with closed scar tissue on the sacrum and no open wounds....
The resident at Egle Nursing Home had spent the entire day confined to their room on August 30, 2024, because their roommate had tested positive for COVID-19....