Frederick Crossing: Call Light Delays Over Hour - MD
The delays forced desperate residents to yell for staff or call the nurses' station directly when their call buttons went unanswered....
Latest reports, citations, and penalties from CMS data
The delays forced desperate residents to yell for staff or call the nurses' station directly when their call buttons went unanswered....
One resident was moved four times during their stay at the facility....
The incident unfolded on September 20 when Resident H became upset with Licensed Practical Nurse 2 over a physician order he disagreed with....
A Complete Blood Count measures infection-fighting white cells, oxygen-carrying red cells, and clotting factors....
Resident #3 at Adel Acres fell during the overnight shift on August 11, 2025....
The resident, identified only as R1 in inspection records, had an oxygen concentrator at their bedside when inspectors arrived on October 7....
The resident first reported pain on March 27....
No comprehensive assessment was performed to check vital signs, pain levels, bowel sounds, or examine stool appearance in the colostomy bag....
She observed the left arm was "slightly swollen" and larger than the right arm....
Staff last changed the catheter on September 2....
The forms spanned multiple dates and showed changing preferences about CPR decisions....
The October 13 incident occurred at 2:30 a.m....
The resident, identified as R2 in the October inspection report, missed doses of three prescribed medications between September 18 and September 21....
When inspectors asked why they chose that rate, the nurse said "that was what they do." The antibiotic treats a leg ulcer related to atherosclerosis....
The resident at Charleston Healthcare Center required help eating but went without documented assistance for entire days at a time between July and September....
Two days later, the resident complained of rib pain and was vomiting a coffee-brown substance....
Director of Nursing confirmed during an October 15 interview that no orders existed for the resident's J-tube site care until that day....
The patient at CHI Franciscan Villa had been readmitted with acute respiratory failure, anoxic brain damage, and congestive heart failure....
"She felt anxious and violated due to Resident 2's continued behavior," one roommate told inspectors....
Resident #91 arrived at the facility on September 17 with specific instructions from his doctor to check his spine incision daily for redness or drainage....