Latest reports, citations, and penalties from CMS data
When inspectors questioned nurses about the missing orders, staff admitted they weren't sure if orders were needed....
The resident stayed outside until 1 AM on October 8, repeatedly telling staff he was "enjoying the fresh air" and wasn't ready to come inside....
Medication Aide G parked the Station A cart close to both the TV room and dining area at 9:52 a.m....
The November 25 discovery at Parklane West Healthcare Center revealed a fundamental breakdown in medication security....
The attack occurred on October 8 between two residents at Lone Star Ranch Rehabilitation and Healthcare Center....
The social worker and MDS coordinator told inspectors during a joint interview that they "should have" updated the care plan earlier....
Federal inspectors observed the violation during a complaint investigation....
The patient also has atrial fibrillation, COPD, and high blood pressure....
The resident, identified only as a woman in her 80s, was supposed to receive showers on Tuesday, Thursday and Saturday evenings according to her care plan....
A hospice aide discovered the wound without its protective bandage during morning care around 9:00 AM....
Federal inspectors found a pattern of basic hygiene failures during a November complaint investigation....
The violation represents continued non-compliance from an October 15 survey at the facility....
Resident #1 died at Optalis Health and Rehabilitation at St....
The facility ultimately treated 29 residents and 15 staff members for scabies....
The incident at Pasadena Nursing Center on November 25, 2025, exposed a breakdown in the facility's abuse reporting procedures....
The resident, identified as Resident #10 in inspection records, told investigators she had no idea the picture was being taken....
Neither checked that the bed wheels were secured before beginning the care....
The violations occurred despite facility policies requiring medications to remain accessible only to licensed nursing personnel and authorized staff members....
Yet when inspectors observed daily operations, they witnessed staff walking directly into the resident's room without following these procedures....
Federal inspectors discovered the omission during a complaint investigation in late October....