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Sarasota Health: Bruise Investigation Failures - FL
The facility's investigation was riddled with missing documentation and contradictory accounts....
Latest reports, citations, and penalties from CMS data
The facility's investigation was riddled with missing documentation and contradictory accounts....
The resident, identified only as R1 in inspection records, fell at 5:05 AM on October 28, sustaining the fracture that required medical treatment....
But when she reviewed the resident's file with the surveyor, she found no discharge instructions or summary had been created....
Federal inspectors found the facility violated regulations by failing to use the resident's legal surrogate for debt collection actions....
LVN D administered the medication but failed to input the order into The Heights of Alamo's electronic system....
Director of Nursing found Resident 1 on the floor on her right side around 3 p.m....
The facility served meals from mobile carts with plastic dome covers but no plate warmers....
The incident occurred at St Annes Nursing Center on October 9, 2025, around 6:00 AM as staff prepared Resident #1 for dialysis....
The administrator confirmed to inspectors that no documentation existed to prove any daily living care had been provided to residents during those four hours....
Federal inspectors found the 112-bed facility displaying nursing staff data from September 11 when they arrived on September 16....
Federal inspectors found that Harmony Dubuque violated residents' rights to communicate with family members during a November complaint investigation....
The October incident left the facility without a roadmap for staff to follow, despite physician orders for daily wound care that would continue for two weeks....
Resident 74 fell on August 11 in an incident nobody witnessed....
State regulations require notification within two hours of any abuse allegation....
Resident 65 told inspectors that Certified Nursing Assistant 2 made her feel afraid during care on the night of September 14....
But inspectors found the resident alone without a sitter on September 16 at 11:42 AM and again on September 17 at 12:52 PM....
Resident 68 had been admitted to the facility in August with diagnoses including dementia, depression, and cognitive communication deficit....
The resident's potassium dropped to a critical 2.7 mEq/L, requiring immediate intervention....
Federal inspectors found multiple violations of basic safety protocols at Whittier Hills Health Care Center during a November complaint investigation....
The resident asked for her pain medication schedule to be changed from every six hours to every four hours on November 12....