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Royal Oaks: No Fall Follow-Up After Nurse Walkout - IA
Resident #18 fell on the morning of August 21st....
Latest reports, citations, and penalties from CMS data
Resident #18 fell on the morning of August 21st....
The facility failed to keep the areas clean despite daily use by residents who depend on staff assistance for basic hygiene....
Staff had failed to implement basic fall prevention measures despite the resident's high risk status and recent fall history....
The patient at CareView Health and Rehab of Minocqua was supposed to receive vancomycin starting June 30, but the first dose wasn't administered until July 2....
Staff D became the only nurse in the building around 2:00 am when Staff F left without authorization....
Federal inspectors found that nursing staff failed to follow established procedures for contacting medical providers during emergencies....
Federal inspectors found that multiple staff members knew about the situation but failed to take immediate action to protect the resident....
The resident developed the sacral pressure ulcer while at the facility in late August....
Federal inspectors witnessed the violation during morning medication rounds at Scioto Rehabilitation & Care Center on October 22....
The October 23, 2025 complaint inspection revealed safety failures serious enough to pose immediate threats to resident health and safety....
The wound care nurse practitioner collected a specimen from Resident #2's right foot on October 15th after noticing increased swelling and pus drainage....
The chain of events began when one nursing assistant witnessed another yelling at a pediatric resident....
Her progress note was clear: "If voiding trial fails reinsert indwelling foley and consult urology." Nothing happened....
His electronic medical record showed no MDS assessments had been completed despite federal requirements for both entry and discharge evaluations....
The facility's own policy required reporting suspected abuse to state agencies within 24 hours....
The medication aide, identified as MA B in federal inspection records, had been hired at Laurel Court on August 19, 2024....
The surveyor's inspection began at 10:22 AM on the facility's third floor....
Federal inspectors found the violation during an October complaint investigation at Carriage Inn of Steubenville....
The sexual abuse allegation was not reported to the State Agency until August 21, 2025 at 11:32 a.m., more than two hours after the incident occurred....
Resident 104 depends entirely on staff for feeding due to quadriplegia, spinal stenosis, and hand contractures from a previous stroke....