Latest reports, citations, and penalties from CMS data
The incident at Pulaski Health & Rehab Center involved a resident with severe cognitive impairment who scored just 3 out of 15 on a mental status evaluation....
That finding sits at the center of a federal complaint inspection completed at the facility on December 23, 2025....
The incident at Harborview Post Acute exposed a cascade of delayed care that federal inspectors found violated basic medical standards....
The facility has **not submitted a plan of correction**....
The missing medications included 30 tablets of oxycodone 5 milligrams from Resident #22 and 28 tablets of the same drug from Resident #6....
A witness described the scene in detail to inspectors on December 22....
The shredding continued until the facility's administrator finally told her to stop in October....
Federal inspectors discovered the documentation failures during a complaint investigation completed December 30....
An **immediate jeopardy citation** represents the highest and most serious level of regulatory violation a facility can receive....
The citation specifically addressed the facility's failure to develop and implement complete care plans with measurable timetables and actions for residents....
That silence is at the center of a federal complaint inspection completed December 31, 2025, at the Warsaw nursing home....
Inspectors determined that the facility failed to meet federal requirements for posting nurse staffing information on a daily basis....
When inspectors requested the files on September 12, facility staff discovered the investigations had never been finished....
While this rating indicates the problem had not yet resulted in injury, the underlying risk to resident safety prompted the formal citation....
The facility's Director of Rehabilitation told inspectors he believed a physician had been notified about the lapse in physical therapy services....
The violations occurred across multiple refrigeration units throughout the facility during a September inspection....
The resident, identified in inspection records as R9, had just arrived from the hospital and was reporting pain at a 9 out of 10....
Federal inspectors witnessed the December 17 incident at Shady Grove Nursing and Rehabilitation Center during a complaint investigation....
Resident 102 was rushed to the hospital on March 18 at 10 a.m....
The facility terminated the employee and sent certification paperwork to their home address via certified mail....