Latest reports, citations, and penalties from CMS data
When inspectors checked her medication cart that morning, they found a sealed bottle of Creon labeled for the resident with a pharmacy fill date of January 6....
"I usually kept a close eye on Resident 53, as she liked to wander," Staff A told inspectors....
Licensed vocational nurse LVN 6 discovered the expired fluticasone/salmeterol inhaler for Resident 22 during the inspection on July 24....
The incident at Rockcastle Health & Rehabilitation Center involved a resident with multiple sclerosis who had lived at the facility since 2016....
The resident was allergic to penicillin and aspirin....
The violation occurred when the facility failed to provide accurate acquiring, receiving, dispensing and administering of drugs to meet resident needs....
The June 9 accident at Liberty Care and Rehabilitation Center sent the 89-year-old woman to two hospitals....
The UTI case involved a resident who had been at the facility since November 2023....
ProAmatine treats low blood pressure with instructions to hold the dose if blood pressure rises above 130....
The resident lacked capacity to understand decisions or communicate effectively, according to assessment records....
The violations earned the facility an immediate jeopardy citation â the most serious level of harm â during an April inspection....
Two residents received improper pain management that violated basic medical protocols....
Nye Summit switched Resident 7 from Elavil to Quetiapine on November 5, 2024, for a diagnosis of primary insomnia....
Three of those falls resulted in major injuries....
From 7:15 PM to 9:45 PM, two licensed practical nurses handled all resident care alone â medications, treatments, personal hygiene, and call bells....
The violations placed the resident at risk for hypoglycemia, seizures, coma and death....
The insulin error occurred April 19 when a licensed practical nurse gave the injection to the wrong resident after patients switched rooms....
The maintenance director told inspectors during a July interview that some of the nursing home's plumbing is more than 100 years old....
The Director of Nursing acknowledged during a May 21 interview that Resident #17 lacked the required physician's authorization for oxygen treatment....
The improper testing method was just one of several kitchen safety violations inspectors documented at the 97-bed nursing home on West Bernardo Drive....