Latest reports, citations, and penalties from CMS data
CNA 1 told inspectors they routinely placed pillows under the fitted sheet to prevent falls when Resident 2 attempted to get out of bed unassisted....
Ocean Pointe Healthcare Center cut Resident 1's daily Donepezil dose from 15 milligrams to 10 milligrams on December 12, 2024....
The breakdown in wound monitoring at Advanced Rehab Center of Tustin came to light during a November 13 federal inspection triggered by a complaint....
The incident at Advanced Rehab Center of Tustin began during what should have been a routine shower....
The violation occurred at Desert Canyon Post Acute during a complaint inspection completed November 13, 2025....
Licensed Nurse J found the exposed metal hardware during a wound evaluation on September 3....
The facility had placed Resident #1 on droplet precautions after a recent COVID-19 diagnosis....
The administrator, who has worked at the facility for 11 months, said nursing staff are responsible for medication audits....
Federal inspectors found Resident #5 with toenails "digging into her skin" during a November complaint investigation....
The Director of Nursing admitted during a November inspection that some residents had sustained bruises and skin tears from the bed rails....
The facility's own policy required immediate notification of families when residents experience "significant changes" including death....
The November 14 inspection followed a complaint about restraint use at the 91732 Buffington Road facility....
The incident occurred on September 9, 2025, at Colonial Gardens Nursing Home when Resident 5 told Licensed Vocational Nurse 11 that someone had hit him....
Daily weights are essential for heart failure patients because sudden weight gain signals dangerous fluid buildup that can lead to hospitalization or death....
The resident had completed a POLST form electing "do not attempt resuscitation" status....
On November 12, inspectors found her nebulizer mask and tubing sitting uncovered on her nightstand instead of stored in a protective bag....
Federal inspectors found the missing documentation during a November complaint investigation....
The practice violated federal privacy regulations designed to protect residents' medical information from unauthorized viewing....
She stated she didn't save the note and acknowledged she should have documented the events directly into the resident's progress notes....
No staff members were present in the hallway....