Latest reports, citations, and penalties from CMS data
Inspectors observed dried brown smears on bathroom walls near light switches and on bedside commodes, which facility staff confirmed was fecal matter....
The violations affected multiple residents and created risks for medication errors, untreated medical issues, and deteriorating health conditions....
Personnel records examined during the inspection showed Cook D's initial dementia training occurred shortly after their hire date of December 16, 2023....
Long, untreated toenails in elderly residents create significant health risks beyond discomfort....
These specialized medical devices require precise monitoring and regular maintenance to prevent life-threatening complications....
By May 2025, the 58-year-old resident reported she could no longer see faces, read books, or even see her food during meals....
This oversight represents a fundamental breach of infection control protocols....
He speculated the medication was "probably on the medication due to R34's medical history" but had no documentation to support this assumption....
This oversight occurred in one of the facility's seven medication carts....
Inspectors found that Southridge Specialty Care was not following its own Medication and Treatment Orders policy, which had been revised in July 2016....
This violation, documented under federal tag F837, represents a fundamental breach of nursing home operational standards....
This face-to-face requirement replaced what appeared to be an ineffective or non-existent previous system....
When injections are repeatedly administered to the same site, scar tissue develops beneath the skin, creating a condition called lipodystrophy....
A certified nursing assistant (CNA) working evening shifts described conditions of mental and physical exhaustion due to inadequate staffing levels....
The second incident proved even more concerning....
However, nursing staff documented a scabbed area on the heel during skin checks on December 5, 2024, and January 25, 2025....
The resident regained consciousness after the compressions but immediately began experiencing significant chest pain....
The resident's dietary admission assessments documented the progressive weight loss across multiple weeks....
The facility also documented inaccurate assessment records following the incident, potentially compromising future care decisions....
According to nursing notes from December 25, 2024, staff observed the resident "curse and holler at her roommate" during a disagreement....