Stone Oak Care Center: Fall History Coding Errors - TX
The resident, identified as Resident #1 in the November inspection report, scored 15 on a cognitive assessment indicating he was mentally intact....
Latest reports, citations, and penalties from CMS data
The resident, identified as Resident #1 in the November inspection report, scored 15 on a cognitive assessment indicating he was mentally intact....
The facility terminated Dietary Manager B on October 6 following 28 formal complaints about the dietary department in just two months....
The violation centered on Resident #2, who required continuous oxygen therapy with humidification....
The violations put residents at risk for bacterial infections and cross-contamination between patients, according to the inspection report....
Yet when inspectors arrived at 10:18 AM, they found the bag sitting uncovered on the bed....
Resident #1 at Ridgewood at the Woodlands needed the specialized wheelchair for "upper trunk adjustment and comfort," according to inspection records....
The incident at Rockwall Nursing Care Center occurred on a Saturday in the television room while CNA C was bent over cleaning fluids from the floor....
The facility's own resident council documented the problem weeks earlier....
The chemical-soaked wipes were discovered during a complaint inspection at Denton Rehabilitation and Nursing Center on October 7, 2025....
Resident #2 requires blood sugar checks twice daily due to Type 2 diabetes, with results over 300 requiring immediate physician notification....
The nursing assistant's comment was documented in the facility's own SBAR record, a standard medical communication tool used to track significant incidents....
No doctor had ever ordered the treatment....
Shoreline Care Center admitted the resident with diagnoses including Alzheimer's disease, psychosis and depression....
Driftwood Healthcare Center staff admitted they had no idea the resident had a conservator when they processed the November 7 discharge....
Inspectors found call lights positioned beyond the reach of residents in both the 100-hall and 600-hall during their complaint investigation....
LPN #303 left Resident #12 alone with seven remaining pills after confirming he had water available....
The 188-pound man required all nutrition through a feeding tube surgically placed in his stomach....
Resident #43 arrived at the 51-bed facility on February 26 with type II diabetes and generalized anxiety....
The incident occurred on August 1, 2025, when the night nurse discovered blood in Resident #1's catheter bag but failed to contact the doctor....
Nobody caught the missing order....