Latest reports, citations, and penalties from CMS data
The November 21 attack left the victim shaken and the aggressor with a head injury after he lost his balance and fell....
She said staff sometimes told her to wait until they finished their rounds before they could help with basic hygiene needs....
Resident #16 described the reality of life inside the facility during an April 24 interview with inspectors....
The resident, identified as Resident 8, had been readmitted to the facility in May 2024 with type 2 diabetes, diabetic neuropathy, and chronic kidney disease....
The patient's blood sugar climbed steadily throughout the day â from 313 mg/dl at 2:47 PM to 332 mg/dl at 5:32 PM, finally reaching 402 mg/dl by evening....
that February morning, inspectors accompanied CNA #1 to check on Resident 103 in bed....
When inspectors found her in her room, she sat in her wheelchair with her eyes closed, no television or music playing, no books or magazines available....
During a May 31 morning medication round, inspectors watched Nurse #1 give resident #9 just one tablet of Vitamin D3 when the doctor had ordered two....
But the termination came only after the facility had already botched its response to confirmed physical abuse....
Federal inspectors found the facility violated residents' rights to be free from physical abuse when they reviewed the cases in late May....
The scene at Ukiah Post Acute on January 22, 2025, captured a pattern of food service failures that left residents hungry and frustrated....
The family member discovered the unauthorized vaccination only when the resident complained her arm hurt after a visit....
Federal inspectors testing eight resident rooms on January 10 found every single bathroom sink exceeded safe temperatures....
Federal inspectors found that the facility failed to report abuse allegations involving four residents during a complaint investigation in August....
Instead of launching an investigation, the social services director called police on the complaining family member....
The devices were not part of facility policy, yet had been present at the 128-bed facility for an unknown period....
Resident 2 died 41 minutes later....
The dietary manager told inspectors she routinely propped the kitchen door open to take trash to an uncovered dumpster 25 feet away....
R34 yelled out and R63 removed his hand....
She fell, fracturing her right femoral head and requiring a hip replacement the next day....