Latest reports, citations, and penalties from CMS data
The October 24 complaint inspection found every resident reviewed for call bell access â four out of four â unable to summon help when needed....
The practitioner applied barrier cream and alerted the wound team but could not recall the specific date of the visit....
When R1's condition changed, registered nurse V17 was working in the same area of the building....
The incident at Viera Del Mar Health and Rehabilitation Center exposed a gap in the facility's oversight of residents with serious mental illness....
The facility's Director of Nursing acknowledged the delay during an October 24 interview with inspectors....
Resident 127 left the building on May 11, 2025, and wasn't returned until later that day....
The certified nursing assistant, identified as CNA-C in inspection records, began working at the 1226 Berlin Street facility on August 26....
The documentation failure at San Rafael Nursing and Rehabilitation came to light during a complaint investigation completed October 27....
Both ADON B and Medical Assistant E said they had given the resident pain medication before starting the procedure....
The resident's condition was obvious to staff....
The violation centered on Resident #28, whose case revealed a breakdown in the facility's weight monitoring system....
The October 14 incident involving Resident #1 and Resident #2 remained uninvestigated when federal inspectors arrived at the facility on October 21....
But the administrator never filed the required report with state authorities....
She told them staff had brought her breakfast tray and said they would be back to help her transfer out of bed....
Federal inspectors found dangerous water temperatures in six of eleven bathrooms they tested during an October 27 complaint investigation....
The resident told federal inspectors on October 27 that he had been at Amberwood Care Centre for about six months and had not seen a podiatrist yet....
The 78-year-old woman with moderate mental impairment had been admitted to Autumn Creek Post Acute with the catheter already in place....
Staff told emergency responders the woman had become "more altered" that day and complained of a "splitting headache" while sitting in her wheelchair....
The violations came to light during a complaint investigation at Country Lane Gardens Rehab & Nursing Center....
In resident 15's room, the soap dispenser had been torn completely off the wall....