Latest reports, citations, and penalties from CMS data
QAPI programs serve as the backbone of nursing home operations, designed to continuously monitor and improve care quality....
## Critical Security System Failures The elopement incident exposed multiple systemic failures in the facility's safety protocols....
This federal regulation requires facilities to maintain comprehensive medication administration protocols and report any errors that occur....
Federal regulations require nursing homes to provide at least 80 square feet per resident in multiple-occupancy rooms and 100 square feet for single rooms....
Inspectors found undated condiments and sauces in both kitchen areas and resident refrigerators, creating potential health risks for the facility's population....
Inadequate quality assurance program implementation and care plan oversight violations documented at Altoona nursing facility during federal inspection....
In September 2024, R22 sustained a **pelvis fracture** during a fall....
These reporting failures prevent state agencies from conducting proper oversight and additional investigations when necessary....
The witness, an agency nurse, failed to report the incident immediately as required....
The oversight left the diabetic resident without her prescribed 17 units of daily Insulin Glargine from January 31 through February 5....
Federal regulations require nursing homes to administer medications within one hour of their prescribed time and document any missed doses....
The deficiency was rated as causing minimal harm with potential for actual harm, affecting few residents....
However, the facility failed to carry out this laboratory order before the resident required hospitalization on February 17, 2025....
However, facility records showed significant gaps in required documentation updates....
The medication administration record showed the drug was "on order from pharmacy" during this period, indicating it was unavailable at the facility....
## Critical Understaffing Documented The March 19, 2025 inspection revealed systematic staffing shortages that directly impacted resident care quality....
The April 18, 2025 complaint investigation revealed systemic failures in fall prevention protocols that put residents at immediate risk of harm....
During their morning inspection at 7:57 a.m., surveyors documented multiple safety hazards in the bathing room....
Medical records showed the resident lacks mental capacity to understand and make medical decisions....
**FB_POST:** BREAKING: Mansfield nursing home cited for immediate jeopardy after failing to protect suicidal resident with proper safety protocols....