Latest reports, citations, and penalties from CMS data
The Administrator told inspectors he investigated the incident alongside the Director of Nursing by reviewing progress notes and speaking with LVN B....
"I don't know why he just walked up and hit me," the resident told staff afterward....
The incident began at 2:15 p.m....
Federal inspectors observed CNA D providing incontinence care to Resident #5 on September 30....
Resident #6 told inspectors on September 30 that her brief had last been changed the night before....
She also had severe cognitive impairment and could rarely be understood when she tried to speak....
The LVN, identified in inspection records as LVN A, said she didn't know the aide's name but knew they worked on the 400 hallway....
The resident presented with excessive worry, restlessness, irritability and impaired concentration during psychological visits....
The chest harness was custom-made for the resident's wheelchair and could not be easily removed by the person wearing it....
Immediate jeopardy means inspectors determined the facility's practices posed imminent risk to resident health or safety....
Resident #1 received regular-textured meals daily despite physician orders for bolus feedings only twice per day....
The incident at Southern California Hospital at Culver City involved a resident admitted on May 29, 2025, with acute respiratory failure....
Federal inspectors found the facility failed to protect residents from abuse....
RT 1 disconnected the resident from their ventilator and attached them to an Ambu bag connected to 10 liters per minute of oxygen for the 30-minute shower....
LVN 1 admitted her mistakes during interviews with federal inspectors in late September....
Resident #4's incident began after a shower when she became agitated and refused to get dressed....
The November incident at DFW Nursing & Rehab ended with one resident hospitalized and the other taken to jail....
Resident #1 wore a code alert bracelet designed to trigger door alarms and prevent unsupervised exits....
LVN B gave tramadol to Resident #2 on September 20 at 2:00 pm, according to the facility's Director of Nursing....
Federal inspectors responding to a complaint discovered the infection control violation during interviews with staff in November....