Latest reports, citations, and penalties from CMS data
The admission came during a complaint investigation that found Resident #1 could face severe allergic reactions from improper medication handling....
Resident #1 told inspectors he had asked the aide to remove his lunch tray so he could use his bedside table....
Two residents required feeding assistance at mealtimes, but their care plans failed to reflect this critical need....
Hospital doctors told the facility to review her blood pressure medications, which may have needed adjustment....
The man said he became too embarrassed to go to the dining room because of his condition....
The medication error prompted a federal investigation that found the facility failed to ensure proper discharge procedures....
The August 1 incident at Pinnacle Specialty Care involved a resident with cancer, malnutrition, and septicemia â a life-threatening blood infection....
Administrator NHA A told inspectors the positive test result indicated an adverse medication event had occurred....
Resident C's medication records from August showed a pattern of missing documentation....
The resident had an open wound on their left lower extremity and intact mental capacity....
On November 18, inspectors spotted a cockroach crawling across the back of the hand washing sink at 10:25 AM....
The nurse told state inspectors on October 6 that the bottle was already there when she started work at 6:30 AM....
Resident 72 has lived at the 76-bed Springfield facility since July 2021....
The facility uses these precautions specifically to prevent transmission of multi-drug-resistant organisms that can cause life-threatening infections....
But no one assessed the resident after the incident....
The incident at Clara Manor Nursing Home on November 12 exposed a cascade of failures that federal inspectors called an immediate threat to resident safety....
The resident depended on staff for all daily activities and had impairments affecting both upper and lower extremities on both sides of their body....
Federal inspectors documented the medication security violations during a November 20 complaint investigation....
"I didn't know what is going on," the resident told inspectors the next day....
The resident was transferred to the hospital afterward to rule out a urinary tract infection....