Latest reports, citations, and penalties from CMS data
When she left, staff failed to provide her with those medications plus oxycodone-acetaminophen for pain management....
"It wasn't an unusual occurrence," the facility administrator told federal inspectors when asked why the fall went unreported....
LPN and Unit Manager #241 confirmed the Ativan documentation error during a September 17th interview....
Multiple employees had gaps in their training records, with some working beyond required completion deadlines....
Hours later, worsening ankle pain sent her to the hospital for X-rays....
The resident at Avante at Ocala believes he's back in Vietnam....
She died days later after being transferred to hospice care with a terminal diagnosis....
By October, administrator couldn't locate the plan of correction documents that supposedly showed how these problems were resolved....
The Director of Nursing acknowledged the violation during the October 14 inspection....
Staff signed out Ativan doses from the facility's controlled substance accounting system but left the corresponding medication administration records blank....
She acknowledged the posters weren't available to staff....
Or that narcotics had been stolen from a third resident....
The facility's own response logs confirmed the problem, documenting delays ranging from 16 to 39 minutes between October 9 and October 15....
Resident 51 told inspectors she normally gets one shower per week, and only when she asks for it....
The incident occurred on October 3rd when a resident with metastatic lung cancer became unresponsive at Lexington Health Care Center....
Instead, she was lying in bed at 9:47 AM with her breakfast tray sitting on her bedside table....
At 2:45 PM on August 8, the resident's sister contacted local law enforcement with concerns that her brother was being abused and didn't feel safe....
Heritage Park Rehabilitation and Skilled Nursing Center's error triggered an immediate jeopardy citation from federal inspectors on October 14, 2025....
The resident's hemoglobin dropped to 6.9 on July 25 â less than half the normal range of 14 to 18....
Resident 4 had been classified as a moderate fall risk and was totally dependent on staff for everything, able to use only his right side....