Latest reports, citations, and penalties from CMS data
The violation was severe enough to trigger the highest level of enforcement action available to federal regulators....
The resident required Enhanced Barrier Precautions (EBP) due to having a pressure ulcer on the left buttock and being incontinent of bowel and bladder....
The facility received the citation following a complaint investigation completed on August 1, 2024....
Healthcare providers rely on these records to evaluate treatment effectiveness and adjust pain management plans....
The resident, who had difficulty swallowing and required assistance with meals, was prescribed a specific daily fluid goal of 1500-1800 milliliters....
The violations encompassed critical documentation gaps across multiple areas of resident care....
Another resident in a persistent vegetative state also had catheter tubing on the floor....
The facility's wound nurse discovered two new pressure injuries during routine care....
Federal regulations require nursing homes to investigate all allegations of abuse and take immediate protective action....
MRSA is a potentially life-threatening bacterial infection that resists many common antibiotics....
Inspectors documented that an agency nurse used a blood glucose meter designated for one resident on another resident without proper disinfection procedures....
GERRY, NY - Heritage Village Rehab and Skilled Nursing Inc....
These violations represent systemic failures in care delivery that require immediate intervention....
The resident told inspectors they felt nursing staff was not monitoring their surgical incision properly....
The resident remains hospitalized as of the inspection date....
The resident was later transferred to the hospital in January 2025 for neurologic changes....
This created a dangerous gap in the medical record that could lead to medication errors, including potential double-dosing or missed medications....
The nurse administered two different eye drops at 8:26 AM and 8:27 AM without the required waiting period....
The discovery prompted immediate action to protect residents' health and safety....
## **Critical Reporting Protocol Failures** The inspection revealed significant breakdowns in the facility's abuse reporting system....