Latest reports, citations, and penalties from CMS data
Inspectors visiting Autumn Lake Healthcare Post-Acute Care Center on November 24, 2025 reviewed records for residents discharged within the last six months....
The facility hired the workers through AllShifts, a gig economy app that connects nursing homes with temporary staff....
A Level F rating means the deficiency was not limited to one meal, one kitchen station, or one staff member's practices....
The resident in the next bed heard it happen....
The nurse had documented information about the changes themselves....
On the night of October 28, one aide worked the overnight shift alone for eight hours....
The deficiency was classified at **Scope/Severity Level D**, meaning it was isolated in nature and did not result in documented actual harm....
The resident developed deep tissue injuries on both buttocks by September 25....
Federal inspectors discovered the missing Iowa Statutory Power of Attorney documents during a November 25 complaint investigation....
The October incident at Sunset Villa Healthcare led to the aide's immediate termination for abuse....
The resident at Center Point Health Care and Rehab had dropped from 139.4 pounds in late August to 128.8 pounds by mid-November....
The deficiency was classified at **Scope/Severity Level E**, indicating a **pattern of noncompliance** rather than an isolated incident....
The outbreak began November 2 with one resident and one staff member testing positive....
The drug involved was midodrine, which is used to raise blood pressure....
The Director of Nursing confirmed to federal inspectors that staff had not been trained specifically on orthostatic hypotension fall prevention techniques....
"She rolled out of the bed on to her face," the aide said....
In a nursing home, where residents are elderly, often immunocompromised, and share caregivers, the failure to contain it carries serious risk....
Inspectors documented the burn through a series of wound assessments....
What federal inspectors found when they arrived on November 20, 2025, was that the facility had not done what it said it would do....
The investigation, triggered by a complaint filed with regulators, resulted in **two deficiency citations** for the Arlington Heights nursing home....