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Medical Suites at Oak Creek: Lab Tests Without Orders - WI
The 98-year-old resident scored 12 out of 15 on a cognitive assessment, indicating moderate impairment....
Latest reports, citations, and penalties from CMS data
The 98-year-old resident scored 12 out of 15 on a cognitive assessment, indicating moderate impairment....
The mistake occurred at Fair Oaks Health & Rehabilitation during a September assessment of Resident #4....
Hospital emergency department tests revealed the extent of the resident's deteriorated condition....
The delay involved records for Resident A, who had been discharged in November 2023 after treatment for chronic kidney disease....
The delays occurred despite clear facility policies requiring immediate notification of state agencies when abuse is suspected....
According to the federal inspection report, the resident was sitting on a dycem, cushion, and bath blanket when the van driver applied the brakes....
The resident told inspectors on October 7th that medications had arrived "several hours late" on multiple occasions....
The resident's cognitive assessment score was 6 out of 15, indicating severe impairment that would make self-advocacy impossible....
Resident #101 scored just 4 out of 15 on a cognitive assessment in July, indicating severe impairment....
Residents received soup with cottage cheese and fruit syrup....
The incident occurred March 8 during the evening meal....
Corewell Health Rehabilitation & Nursing Center gave Lorazepam to Resident 101, a female with severe late-onset Alzheimer's dementia, beginning in May....
Licensed Nurse B found the bruise on Resident 1's arm on the morning of October 1st....
She couldn't provide evidence that another case manager had visited the resident on October 3, despite claims that the visit occurred....
The resident at WellBridge of Novi had been readmitted with acute congestive heart failure, blood clots in both legs, and swelling throughout her body....
The admission assessment at Oakmont Healthcare and Rehabilitation Center of Katy showed no documented weight for the resident on August 29, 2025....
CNA W told inspectors that Resident 101 "did not engage Resident 100 at any time during the incident" as she removed him from the dining room....
The violation came to light during a September 26 federal inspection triggered by complaints about the facility....
Inspectors classified the violations as having "minimal harm or potential for actual harm" affecting "some" residents....
Multiple large puddles of the same liquid extended under her wheelchair and along the floor leading to her bed....