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Casa De Paz: Medical Equipment Breakdown - IA
Resident #5 received medication through a Duopa pump connected to a gastro-jejunal tube inserted in January....
Latest reports, citations, and penalties from CMS data
Resident #5 received medication through a Duopa pump connected to a gastro-jejunal tube inserted in January....
The incident began when CNA C was providing peri-care to Resident #1 and reported hearing the distinctive sound....
The DON acknowledged the serious consequences of failing to report....
Federal inspectors found the nursing home violated requirements for resident grievance procedures during an October inspection....
Immediate jeopardy represents the most serious level of violation, reserved for situations where residents face imminent danger of serious injury or death....
The resident was found unresponsive on August 16, 2025, during the night shift....
The lift tray used to carry food was soiled and covered with debris....
The fracture was first noticed on August 17 when a licensed practical nurse spotted discoloration on the resident's left collar bone....
The woman said "okay," and the man proceeded to touch her breast....
Federal inspectors arrived two days later to investigate the incident that put the resident's health and safety at immediate risk....
The resident, identified as R1 in the inspection report, was admitted with dehydration, Parkinson's disease, anxiety and weakness....
But on October 23, more than two months later, she called the surveyor at 2:59 PM to walk back her account....
Resident #159 arrived at the emergency room at 4:23 a.m....
The incident occurred during a two-week period when the facility's call light system had malfunctioned....
The discharge delays had serious medical consequences....
The resident told the night nurse about the incident that same evening....
The altercation occurred on August 6, 2025, involving Resident #63 and another person whose identity remains unknown in inspection records....
Federal inspectors discovered the facility's failure to investigate during a complaint inspection completed November 3....
The October 2nd incident involved a resident who had lived at the 91-bed facility for more than two years....
After finishing the perineal care, the nursing assistant put a new incontinence brief on the resident while still wearing the same gloves used during cleaning....