Latest reports, citations, and penalties from CMS data
The October 26 incident at Avenue Care and Rehabilitation Center involved Resident #67, who was under hospice care and experiencing an overall decline....
The specialist prescribed gabapentin, a seizure medication commonly used to treat nerve pain, at 100 milligrams daily....
They left out the fourth resident entirely....
Video footage reviewed by facility administrators shows what happened next....
The incident occurred at Edgewood Health & Rehabilitation, where facility policy explicitly requires two staff members for all mechanical lift transfers....
The medication error began on August 14 when a physician ordered 5 ml of morphine every three hours for the patient's pain....
Federal inspectors found the medication failures during a complaint investigation completed October 29....
The October 30 inspection revealed that Ombudsman R was completely unaware of any resident eloping from the secured unit through a window....
The facility's corporate clinical team made the decision based on aggressive behaviors that occurred before the hospitalization....
Medical records told a different story....
The medical power of attorney for the resident discovered the pattern only when doctors' offices called wondering where she was....
Federal inspectors found three residents affected by the medication errors during their October 30 complaint investigation....
Only when she looked in the medication cup and asked "where her Bumex and aspirin were" did the nurse return to his cart....
The medication errors at Harmony Court Rehab and Nursing affected a resident with schizoaffective disorder who had been living at the facility since May....
Federal inspectors found the medication errors at Aventura at Carriage Inn during an October 30 complaint investigation....
The October 9th fall at Kingston of Ashland happened at approximately 5:57 P.M....
The fall occurred at approximately 5:57 p.m....
The discovery occurred during routine cleaning of Resident 82's room at Embassy of Newark....
The dispute at Clayton Rehabilitation and Healthcare Center involved Resident #26, who was receiving end-of-life care....
The falsified documentation at Clayton Rehabilitation and Healthcare Center came to light when federal inspectors investigated wound care practices in October....