Latest reports, citations, and penalties from CMS data
When the inspector visited R103's room on December 16 at 10:40 a.m., the resident was sitting in his wheelchair next to the right side of his bed....
Federal inspectors who reviewed the facility's investigation records on October 20 and 21 found a troubling pattern across multiple abuse cases....
The resident scores a perfect 15 out of 15 on cognitive assessments, meaning they are fully aware of their circumstances and care needs....
The most serious case involved an allegation of neglect by a staff member reported on October 20....
The Administrator received a phone call around 11:00 or 11:30 p.m....
The male resident sat in his wheelchair next to her, facing toward her, moving his arm back and forth repeatedly....
The incident at Golden Age Care Center occurred around 9 p.m....
The resident, who has systemic lupus erythematosus and rheumatoid arthritis, was readmitted to the facility in May 2025....
The violation emerged during a complaint investigation about the admission of residents listed on the Virginia State Police Sex Offender Registry....
The October incident triggered what administrators called an "ad-hoc QA" meeting with the medical director just days later....
The incident prompted the facility to discharge the resident involved and send them to an inpatient behavioral health facility....
Resident #11 required the specialized catheter due to obstructive and reflux uropathy and an overactive bladder....
Resident #5 received no documented catheter flushes from late January through mid-April 2025, even though urologists recommended the procedures....
Staff received mandatory training before their next shifts could begin....
The resident received antibiotic treatments through a peripherally inserted central catheter from June 1 through October 17....
Logan County Sheriff's deputies arrested Resident 12 on June 17 with an active warrant signed by a magistrate....
Agency CNA Employee E1 was positioned between the resident's bed and their roommate's bed when attempting to roll Resident R1....
The problems began with Resident #1, who suffered a witnessed fall on February 20....
Yet the inspection revealed systemic breakdowns in how these critical updates were communicated and implemented....
The resident was admitted to the facility with paraplegia and an indwelling Foley catheter that remained in place continuously....