St Clare Commons: Dietary Safety Deficiencies - OH
Staff at Physical Medicine and Rehabilitation told inspectors the facility cancelled appointments on July 3, July 23, August 13, and October 31....
Latest reports, citations, and penalties from CMS data
Staff at Physical Medicine and Rehabilitation told inspectors the facility cancelled appointments on July 3, July 23, August 13, and October 31....
The 72-bed facility's own posted schedule called for Hall 4 residents to receive lunch by 11:30 AM on November 25....
The resident, admitted in April 2024 with hemiplegia and weakness following a stroke, first showed signs of skin breakdown in June....
His cognitive abilities were moderately impaired, with a mental status score of 8 out of 15....
The problem inspectors identified was the contradiction sitting inside the facility's own records....
## Why Staffing Transparency Requirements Exist The daily posting of nurse staffing levels is not a bureaucratic formality....
The facility has not submitted a plan of correction for the infection control violation....
It wasn't, she said, because of an internal failure to notify her....
The deficiency falls under the category of **Resident Rights**, one of the most fundamental protections guaranteed to nursing home residents under federal law....
That is what federal inspectors found when they investigated a complaint at Kulana Malama, a nursing home on Oahu's western shore....
Federal inspectors visited Cherrydale Health & Rehabilitation Center on November 13, 2025, following a complaint....
The deficiency, tagged F0695, covers the provision of respiratory care services and equipment, including oxygen....
The fall happened on or around September 23, 2025....
Inspectors recorded the resident's location at 10:56 a.m., 11:12 a.m., 11:22 a.m., 11:35 a.m., and 11:45 a.m....
For facilities constructed after November 28, 2016, the limit is two residents per room....
Resident 61 reported what they saw immediately to the administrator....
While Level D represents the lower end of the federal severity scale, respiratory care failures carry inherent medical risks that warrant serious attention....
"It doesn't come in from Pharmacy and then my cycle has to start over," the resident told inspectors....
She had been admitted with diagnoses including hereditary neuropathy, respiratory disorders, and muscle wasting....
The inspection, completed November 18, 2025, was a complaint investigation....