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Saint Luke Lutheran: UTI Treatment Delayed 12 Days - OH
A physician then ordered urinalysis with culture and sensitivity testing that same day....
Latest reports, citations, and penalties from CMS data
A physician then ordered urinalysis with culture and sensitivity testing that same day....
The scheme unraveled on a Saturday when Staff F called the director of nursing about a taped medication....
The resident, who has Parkinson's disease and a history of cerebral infarction, told inspectors about the August incident: "I sure do....
But the information never reached the facility's leadership....
The resident fell at Mt Zion Health & Rehab Center on August 16 when her paralyzed left foot got caught in the wheelchair's front wheel....
When physicians finally examined the 83-year-old woman on September 29th, X-rays revealed fracture fragments in her knee....
The facility's Treatment Administration Record showed staff completed daily mediport flushes on Resident #9 from June 14 through July 7....
Resident 79 underwent an angiogram with intervention to open and dilate his right leg artery on May 23, 2025....
Federal inspectors cited Caring Acres Nursing and Rehab Center for failing to complete a thorough investigation after the resident reported the theft....
Resident #4's weight dropped enough on September 23 to trigger the facility's protocols for significant weight loss....
The resident had undergone an operation on her feet and was not supposed to put pressure on them....
Federal inspectors discovered the missing documents during an October 14 complaint investigation....
The facility received allegations on September 3rd that opioid medications were missing from Resident #51's supply....
Resident B reported the lost flip phone to a certified nursing assistant a couple months before federal inspectors arrived in October....
The resident required constant supervision due to fall risk and "should therefore always be in staff's line of site," Nurse #1 told inspectors....
The resident was prescribed tramadol, an opioid pain medication, to be given every six hours as needed for pain....
A geriatric nursing assistant responded and acknowledged his need but said she would return shortly....
The resident, identified as Resident B, has rhabdomyolysis, a condition where skeletal muscle breaks down and releases harmful substances into the bloodstream....
The resident told inspectors she fell in the bathroom a few weeks ago by herself with no initial injuries....
Federal inspectors documented the sequence through facility surveillance footage and witness accounts....