Latest reports, citations, and penalties from CMS data
The resident reported waking up one night to see a mouse near the bathroom entrance and informing staff about the problem....
This represents a fundamental breakdown in the facility's internal monitoring and improvement processes that are designed to ensure quality care....
On January 28, 2025, at approximately 5:30 a.m., Licensed Practical Nurse Staff B changed the resident's catheter per physician orders....
These small flying insects can carry bacteria and other pathogens on their bodies, potentially transferring contaminants between surfaces and food sources....
When surveyors returned the next day, the resident still lacked a call light system in his room....
This cross-contamination scenario represents a fundamental breach of infection control protocols....
Inspectors found systemic failures in following these protocols for residents requiring specialized protection....
The physician had ordered that oxygen levels be maintained at 94% or higher, with specific instructions to increase oxygen delivery if levels dropped....
The IP's training transcript revealed completion of only 15 out of the required training modules, with one course still outstanding....
The incident involved an Evolution wheelchair, a specialty mobility device that requires specific training for safe operation....
However, inspectors found no physician's order authorizing the transfer in the medical record....
During interviews with inspectors, the Medical Director revealed a concerning disconnect from facility operations....
This violation represents a significant breach of medication security protocols....
The inspection was classified as involving "minimal harm or potential for actual harm" affecting few residents....
The most significant issue involved delayed responses to resident call lights....
The dietitian recommended **Arginaid, an amino acid supplement essential for wound healing**, twice daily for 30 days in December 2024....
According to inspection records, the resident first reported abdominal discomfort on July 22 at 9:45 PM and received antacid medication twice without relief....
The facility failed to obtain physician orders before the procedure and did not notify the patient's responsible family member....
On February 17, 2024, the resident's family approached nursing staff expressing concern about **significant swelling in their loved one's left leg**....
The citation, designated as F690, indicates the facility failed to provide complete information required during the regulatory review process....