Latest reports, citations, and penalties from CMS data
By May 2025, the 58-year-old resident reported she could no longer see faces, read books, or even see her food during meals....
This oversight represents a fundamental breach of infection control protocols....
He speculated the medication was "probably on the medication due to R34's medical history" but had no documentation to support this assumption....
This oversight occurred in one of the facility's seven medication carts....
Inspectors found that Southridge Specialty Care was not following its own Medication and Treatment Orders policy, which had been revised in July 2016....
This violation, documented under federal tag F837, represents a fundamental breach of nursing home operational standards....
This face-to-face requirement replaced what appeared to be an ineffective or non-existent previous system....
When injections are repeatedly administered to the same site, scar tissue develops beneath the skin, creating a condition called lipodystrophy....
A certified nursing assistant (CNA) working evening shifts described conditions of mental and physical exhaustion due to inadequate staffing levels....
The second incident proved even more concerning....
However, nursing staff documented a scabbed area on the heel during skin checks on December 5, 2024, and January 25, 2025....
The resident regained consciousness after the compressions but immediately began experiencing significant chest pain....
The resident's dietary admission assessments documented the progressive weight loss across multiple weeks....
The facility also documented inaccurate assessment records following the incident, potentially compromising future care decisions....
According to nursing notes from December 25, 2024, staff observed the resident "curse and holler at her roommate" during a disagreement....
On February 4, 2025, the facility's administrator received a report that CNA #1 had been physically rough with a resident during a transfer attempt....
The incident involved two residents with significant mental health diagnoses....
during a March 2025 inspection, raising concerns about the facility's ability to maintain accurate records and ensure resident safety....
This violation of federal regulation F655 represents a fundamental breakdown in the facility's care coordination system....
However, **no evidence existed that the serum level was ever drawn**, and neither the physician nor nurse practitioner followed up on the missing results....