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Westport Rehab: Failed to Report Abuse Claim - VA
The incident unfolded on January 27, 2025, when a nurse entered Resident #4's room to administer insulin....
Latest reports, citations, and penalties from CMS data
The incident unfolded on January 27, 2025, when a nurse entered Resident #4's room to administer insulin....
Warfarin is a powerful anticoagulant that prevents blood clots but can cause severe bleeding if not carefully monitored through regular blood tests....
Federal inspectors found the violation at Meadowbrook at Appleton during an October complaint investigation....
The 34-bed facility's own policy required reporting abuse allegations within two hours....
Staff 43, a licensed practical nurse at Gracelen Care Center, received reports that Resident 7 was showing signs of changed mental status on December 8, 2024....
The comments included telling her that nobody at the facility liked her and that she was a difficult resident to take care of and roll over....
No other staff members or residents were questioned about the incident, despite facility policy requiring comprehensive witness statements....
The leaks occurred on the secured dementia unit and both main entrances whenever it rained....
The order was dated July 17, 2025, nearly a year after her admission....
The August incident was captured on video footage that the resident's family had placed in her room....
When the inspector visited R103's room on December 16 at 10:40 a.m., the resident was sitting in his wheelchair next to the right side of his bed....
Federal inspectors who reviewed the facility's investigation records on October 20 and 21 found a troubling pattern across multiple abuse cases....
The resident scores a perfect 15 out of 15 on cognitive assessments, meaning they are fully aware of their circumstances and care needs....
The most serious case involved an allegation of neglect by a staff member reported on October 20....
The Administrator received a phone call around 11:00 or 11:30 p.m....
The male resident sat in his wheelchair next to her, facing toward her, moving his arm back and forth repeatedly....
The incident at Golden Age Care Center occurred around 9 p.m....
The resident, who has systemic lupus erythematosus and rheumatoid arthritis, was readmitted to the facility in May 2025....
The violation emerged during a complaint investigation about the admission of residents listed on the Virginia State Police Sex Offender Registry....
The October incident triggered what administrators called an "ad-hoc QA" meeting with the medical director just days later....