Latest reports, citations, and penalties from CMS data
Despite these clear medical directives, facility records show that insulin was discontinued on the day of admission....
The modified assessment painted a dramatically different picture, documenting serious wounds that extended through multiple layers of skin and tissue....
The violations occurred despite the facility's own policy requiring comprehensive pain assessment and management based on professional standards....
In one resident's room, inspectors observed **"a large area of the floor covered in mouse droppings"** behind a nightstand....
Federal regulations require nursing homes to promptly notify residents' representatives of changes in condition and transfers to hospitals....
The medication errors occurred despite the facility having established protocols requiring proper drug administration according to physician orders....
This represents a systematic failure in the facility's quality oversight mechanisms designed to protect resident welfare....
The absence of proper training for this critical position compromises the facility's entire infection prevention program....
## G-tube Administration Complications The inspection documented a particularly problematic situation when the nurse encountered a clogged feeding tube....
The hospital completed a Level 1 screening on December 6, 2024, and sent a referral for the required Level 2 evaluation....
Staff found her sitting on the floor between the bed and scooter with no apparent injuries or head trauma....
## Food Storage Systems Compromised Inspectors found significant problems with the facility's food storage systems during their April 1, 2025 visit....
This represents a systemic failure in the facility's oversight mechanisms that are designed to protect resident safety and care quality....
Despite his cognitive impairment and history of impulsive behavior, the facility failed to implement adequate supervision measures....
The condition requires careful monitoring and management to prevent deterioration....
The 30-milligram antidepressant, which she had been receiving twice daily since May 2022, was abruptly stopped without proper medical protocols....
## Ongoing Harassment and Emotional Impact On January 30, 2025, inspectors observed Resident #141 crying in his room after another incident....
However, the recent inspection findings indicate this oversight system proved ineffective in preventing continued food safety violations....
In one alarming incident, inspectors found a resident's **suprapubic catheter drainage bag lying on the floor** beside the patient's bed....
The incident involved a female resident with severe cognitive impairment who required full assistance for basic activities....