Colonial Gardens: Call Light Failures, Oxygen Overdose - CA
The same week, nurses were pumping oxygen into Resident 61's lungs at more than double the prescribed rate....
Latest reports, citations, and penalties from CMS data
The same week, nurses were pumping oxygen into Resident 61's lungs at more than double the prescribed rate....
R104 arrived at the facility on June 29, 2024, with a traumatic brain injury and subarachnoid hemorrhage....
The most egregious case involved a morbidly obese resident who was supposed to receive compression stockings twice daily to prevent dangerous blood clots....
The resident, identified as Resident 3 in federal inspection records, dropped from 219 pounds in September to 173 pounds by February, a 23.29% weight loss....
The complaint involved three residents who all requested that the same two certified nursing assistants be removed from their care assignments....
The dangerous temperatures at Weakley County Rehabilitation and Nursing Center put cognitively impaired residents at immediate risk of burns....
Resident 35 arrived at Shoreline Healthcare Center in March with a left hip fracture and small heel blisters....
Cook [NAME] pulled broccoli, carrots, zucchini and cauliflower from the failing freezer at Beachside Post Acute at 4:00 a.m....
The insulin was supposed to be given before meals....
On July 20, 2024, staff attempted to change the dressing around the catheter site....
The first resident, identified as R10, had been diagnosed with pneumonia and respiratory failure according to her December 2024 assessment....
The violation centered on the facility's systematic failure to verify and implement hospital discharge orders when residents returned from medical treatment....
The drug can destroy infection-fighting blood cells, making regular monitoring critical for patient safety....
The resident's care plan specifically required two staff members for all turning and repositioning in bed....
The scene at The Rehabilitation Center on Pico revealed a medication crisis that federal inspectors called immediate jeopardy....
By the time a federal inspector arrived six weeks later, the medical director said he had never heard of the recommendation....
She eventually required emergency hospitalization on January 27 with an infected amputation site and "intractable pain," hospital records show....
The resident at Care One at Millbury had developed a large genital slit from his long-term catheter....
His care plan from May 2024 specifically required assistance from two staff for bed mobility and transfers....
The hospital had discharged the patient specifically to continue intravenous Avycaz treatment through January 13....