Latest reports, citations, and penalties from CMS data
The lapse surfaced during a complaint inspection at Alhambra Healthcare & Wellness Centre on November 25, 2025....
The incident happened around 5:00 a.m....
Immediate jeopardy is not a routine finding....
Inspectors cited the facility following a complaint investigation completed November 20, 2025....
The inspection, triggered by a complaint and conducted on November 20, 2025, resulted in a citation under a federal deficiency category covering care planning....
It was the resident's first time ever wearing one....
That is what federal inspectors concluded after a complaint investigation completed November 20, 2025, at the facility on Holland Sylvania Road....
Inspectors cited the home for failing to protect Resident 14 from neglect, a deficiency that regulators tagged as carrying potential for actual harm....
The facility, operating under the name Avir at San Knoll at 5757 N Knoll, was cited under Tag F0563, which covers resident visitation rights....
The facility's own director of nursing acknowledged both failures....
Inspectors who visited McAllen Transitional Care Center in November found that staff were not consistently using that equipment....
At Middletown Park, inspectors found that promise had not been kept....
The staff member clocked out at 9:07 p.m., more than an hour and a half later, after finishing the medication pass....
That finding sits at the center of a complaint inspection completed November 20, 2025, at the Liberty facility....
It is among the most preventable wounds in a long-term care setting....
Twenty-four minutes later, Employee E sat down with an inspector and explained what he understood the rules to be....
The inspection, completed November 20, 2025, was a complaint investigation....
Pressure ulcers, sometimes called bedsores or decubitus ulcers, are among the most preventable injuries in long-term care....
Crush either type and the protection disappears....
The inspection, completed November 20, 2025, resulted in a citation under F0880, the federal tag that covers infection prevention and control....