Golden Haven Care Center Fatal Diabetes Care Failures CA
Hospital records from before the resident's nursing home admission documented proper diabetes management protocols....
Latest reports, citations, and penalties from CMS data
Hospital records from before the resident's nursing home admission documented proper diabetes management protocols....
The attending nurse failed to wear protective gear required by EBP protocols and committed multiple contamination risks during the dressing change procedure....
Proper skin care planning is essential for preventing pressure ulcers and promoting healing....
This failure represents a fundamental breach of care standards....
The patient had been admitted with a bacterial infection in their left knee, a serious condition requiring immediate and consistent antibiotic treatment....
Federal inspectors documented a troubling escalation of violence against the resident....
QAPI committees serve as the primary mechanism for nursing homes to identify problems, develop solutions, and ensure compliance with care standards....
STATEN ISLAND, NY - New Vanderbilt Rehabilitation and Care Center, Inc....
This represents a fundamental breakdown in the facility's duty to maintain a safe environment for vulnerable elderly residents....
The resident, who required total assistance with daily activities, experienced falls from mechanical lifts on April 14 and June 1, 2024....
The investigation found that the student CNA was placed in situations beyond their training level and scope of practice....
This seemingly minor error can significantly impact the medication's effectiveness....
The violations occurred despite facility policies stating that emergency pharmaceutical services should be available 24 hours a day....
Hospital staff contacted Parkview Care Center to notify them that the resident was returning by taxi....
The delayed notification represents a critical breakdown in the nursing home's safety reporting system....
The facility's failures violated these fundamental principles of wound care....
During multiple cardiac events, staff discovered critical gaps in their crash cart supplies and accessibility....
This represents a fundamental breakdown in the facility's internal oversight mechanisms designed to protect resident care quality....
Additionally, federal regulations mandate that physicians be notified immediately when prescribed medications cannot be administered as ordered....
The malfunctioning alarms were located at the 100 hall door, the west hall door facing the parking lot, and the downstairs hallway office door....