Latest reports, citations, and penalties from CMS data
The patient had undergone extensive lumbar spinal surgery on July 31, 2025, but developed complications within days....
While this represents the lower end of the federal severity scale, medical records violations carry significant implications for resident safety and privacy....
The breakdown in communication left physicians unaware when Resident #1 missed multiple doses of phenobarbital, a medication used to control seizures....
While this designation falls below the threshold of immediate jeopardy, it signals conditions that could lead to serious injury if left unaddressed....
The deficiency fell under F0689, the federal tag covering accident hazards and fall prevention....
The facility has not submitted a correction plan....
The Director of Nursing told inspectors on November 6 that she made the shower schedule for staff every day....
"It was uncomfortable," the resident said, pointing to her vagina....
The facility received a total of **four deficiencies** during the inspection....
The discrepancy involved Resident #1, who was admitted with major depressive disorder, adjustment disorder, unspecified dementia and metabolic encephalopathy....
This included shortcomings in providing treatment and daily living supports in a safe manner....
The facility's own managers confirmed it, one after another, in interviews with inspectors across two days....
The wound went without physician-ordered treatment until February 27....
She said so herself during a federal inspection on November 14, 2025....
That person was the facility's operations manager....
Inspectors noted the deficiency affected some residents....
Federal inspectors found the facility prescribed Trazodone 50 milligrams at bedtime for insomnia to Resident #3, with orders starting November 1st....
The August 2nd encounter began when the resident's spouse became frustrated that her husband didn't want to sit and visit with her....
LPN 1 told federal inspectors the situation escalated quickly after the family signed admission paperwork and said "good luck" on their way out of the room....
The incident happened on September 30....