Latest reports, citations, and penalties from CMS data
When this committee fails to operate as mandated, facilities lose their most important internal safeguard against declining care standards....
Resident #6 exemplified the systematic failures....
While no actual harm occurred, the deficiency represented one of 16 citations issued during the comprehensive inspection....
Federal regulations require nursing homes to prominently display current staffing levels where residents and visitors can easily access this information....
Resident #1, who has chronic pain syndrome, morbid obesity, lymphedema and osteoarthritis, was brought to their room after bingo and asked to go to bed....
Inspectors classified the deficiency as isolated but carrying potential for more than minimal harm to residents....
Inspectors classified the violation as isolated but noted it carried potential for more than minimal harm to residents....
Inspectors classified the violation as isolated but carrying potential for more than minimal harm to residents....
Inspectors assigned a scope and severity rating of "E," indicating a pattern of deficiencies with potential for more than minimal harm to residents....
The CNA, identified in inspection records only as CNA 1, recognized immediately that something was wrong....
Controlled substances include opioid pain medications, sedatives, and other drugs with high potential for misuse....
The harassment escalated to violence on September 19 when the two residents fought after returning from a nature ride....
The facility's own policy requires staff to wear gowns and gloves during all "high-contact care activities" for residents with feeding tubes....
These policies must be comprehensive, clearly documented, and actively implemented throughout daily operations....
Without proper designation and functioning of this role, critical breakdowns in communication, care coordination, and policy implementation can occur rapidly....
The facility's Director of Nursing told inspectors she was unaware that Resident 1 had missed her scheduled Lyrica for 48 hours....
When questioned about the violation, he defended his practice, insisting the handwritten room number was sufficient identification....
The facility reported implementing corrections as of December 2, 2025....
The administrator, identified as Employee E1, could not explain the facility's financial management of the resident's account during the interview at 2:15 p.m....
The facility assessed Resident 8 for pressure injuries on July 9, 2025, when the person was not at the nursing home....