Latest reports, citations, and penalties from CMS data
Staff had been serving meals without proper verification that food matched physician-ordered diet restrictions....
Nobody knew who had used the cart last....
But for the next week, she never looked under it....
Hospital staff discovered the maggots on September 27 when the confused resident arrived at the emergency department....
Resident 56's first biopsy appointment on October 1 was scrapped after staff served him breakfast that morning, despite orders requiring him to fast....
The resident also had suffered a stroke with right-sided weakness and malnutrition....
Director of Nursing acknowledged the problem during her October 27 interview with inspectors....
The October 27 inspection focused on the facility's job descriptions for certified nursing assistants and certified medication aides....
The violation occurred at Deerbrook Skilled Nursing and Rehab Center during a complaint investigation completed October 27....
The October 27 complaint inspection resulted in the most serious level of citation possible under federal nursing home regulations....
Resident 105 had been at the facility for just two days when the incident occurred....
She didn't receive a single dose until October 20....
Nobody weighed the resident when he was readmitted in September....
The error affected how staff addressed the resident's comfort needs and pain management....
The inspection, conducted on October 23, 2025, followed complaints about conditions at the 395745-licensed facility....
Resident #5 fell at Piedmont Hills Center for Nursing and Rehab on September 3rd at 11:30 AM, then again at 1:00 PM....
Staff had begun treating the skin breakdown, but the resident's comprehensive care plan remained unchanged....
The technology is specifically designed to prevent residents at risk of wandering from leaving the building unsupervised....
He would say okay, but didn't change his approach....
Staff D entered Resident #2's room during personal care on October 22....