Latest reports, citations, and penalties from CMS data
The citation, classified under F0689 with a harm level of "Actual harm," appeared in a complaint inspection completed October 23, 2025....
The pain management failure was cited under a federal regulatory category covering quality of life and care....
One of them, identified in inspection records as NA-E, told her colleague she didn't think the full body lift was correct for this resident....
Together, a GNA and a member of the housekeeping staff lifted Resident 13 back into bed....
The concern is that residents were being chemically controlled....
Inspectors did note the potential for more than minimal harm to residents who did not receive the services....
That gap, between what the resident said and what the medical team knew, sat at the center of a complaint inspection completed in November 2025....
She said it wasn't the first time....
The incident at the center of it dated to a Saturday, September 13, five weeks earlier....
The fall came to light during a complaint inspection completed October 17, 2025....
The incident happened on April 5, 2025, at Saint Helens Post Acute....
Federal inspectors documented the failure during a complaint inspection on November 18, 2025....
She was looking for transfer instructions....
Eighty-eight residents live at the facility....
The citation came out of a complaint investigation completed October 20, 2025....
The incident involved two residents identified in the report only as Resident 49 and Resident 16....
The citation carried the most serious classification available under federal nursing home oversight: immediate jeopardy to resident health or safety....
The fracture was an occipital condylar fracture, a rare injury at the base of the skull....
Inspectors from the Centers for Medicare and Medicaid Services cited Presidential Post-Acute following a complaint investigation completed October 20, 2025....
Inspectors visited Avir at Kingsland on November 11, 2025, following a complaint....