Springtree Healthcare & Rehab: Admission Order Failures - VA
Inspectors rated the violation as causing minimal harm or the potential for actual harm, and identified it as affecting a small number of residents....
Latest reports, citations, and penalties from CMS data
Inspectors rated the violation as causing minimal harm or the potential for actual harm, and identified it as affecting a small number of residents....
The inspection, completed August 20, 2025, was a complaint survey....
Inspectors classified the staffing finding under a category reserved for nursing and physician services deficiencies....
The resident had developed an unstageable pressure ulcer on the right gluteus, measuring 2.6 centimeters by 2.0 centimeters....
Inspectors determined the facility was out of compliance....
Inspectors classified it as an isolated deficiency with no actual harm documented but with potential for more than minimal harm....
The deficiency was tagged under pharmacy service requirements and classified as a pattern, meaning it wasn't an isolated slip....
The discrepancies stretched across at least four residents and nearly six weeks....
IV therapy is not a low-stakes procedure....
The failure came to light during a complaint inspection on August 26, 2025....
The August 21 complaint inspection turned up a single deficiency, tagged F0812 and rated at the level of minimal harm or potential for actual harm....
Inspectors who visited Wheaton Franciscan HC â Terrace at St....
When a registered nurse on staff was asked whether plastic silverware was normal, she said it wasn't....
No resident was documented as harmed....
The inspection, conducted on August 21, 2025, was triggered by a complaint....
The citation, tagged F0755, was assigned a harm level of minimal harm or potential for actual harm....
The citation, issued under regulatory tag F0686, was one of 14 deficiencies inspectors documented during the complaint inspection conducted on August 20, 2025....
Inspectors classified the violation as isolated, with no actual harm documented but with potential for more than minimal harm to residents....
Federal health inspectors cited the facility for exactly that failure during a complaint inspection completed August 20, 2025....
The August inspection, triggered by a complaint, covered a facility that houses 33 residents....