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Piqua Manor: Abuse Reporting Failures Found - OH
The inspection was a complaint investigation, not a routine survey....
Latest reports, citations, and penalties from CMS data
The inspection was a complaint investigation, not a routine survey....
It had happened more than once, in more than one place, or with more than one resident....
Inspectors cited Bluebonnet Nursing and Rehabilitation on August 22, 2025, for failures in how drugs and biologicals were stored and labeled....
The August 22 inspection, triggered by a complaint, found the facility deficient in providing adequate pain management to a resident requiring such services....
The facility reported the problem corrected the following day....
The resident, identified in inspection records as Resident 6, told inspectors on August 20 that they had not been bathed since at least August 1....
The citation, issued August 22, 2025, accused the facility of failing to provide activities that meet all residents' needs....
The citation, issued August 22, 2025, fell under the regulatory category for infection control deficiencies....
The August 29 complaint inspection produced one of the longer deficiency lists a California nursing home can accumulate in a single visit....
The citation fell under a category covering how nursing homes procure, store, prepare, distribute, and serve food....
Someone handwrote "Contact precautions" on the lab result....
The incident happened at Madison Grove Post Acute on July 29, 2025, at approximately 1:30 AM....
The citation, issued under the regulatory category of Resident Rights Deficiencies, documented a pattern of failures around the facility's grievance process....
Inspectors classified it as an isolated finding with no actual harm to residents, but with the potential for more than minimal harm....
Inspectors classified it at Scope/Severity Level D, meaning it was an isolated finding, and no resident was documented as actually harmed....
The infection control citation, issued under regulatory tag F0880, was classified as a pattern of deficient practice....
The specific deficiency: the facility failed to allow residents to self-administer drugs when it had been determined clinically appropriate for them to do so....
The violation at Willowbrook Post Acute, cited under a resident rights deficiency, sits at the intersection of medical care and personal autonomy....
Federal health inspectors cited Antelope Valley Care Center in Lancaster for exactly that failure during a complaint inspection completed August 29, 2025....
No resident was documented as injured....