Latest reports, citations, and penalties from CMS data
The resident was receiving hospice care and had a physician's order for Ativan to manage anxiety and agitation....
After he inhaled two puffs, she told him to drink water....
The resident, identified as R16 in the report, told the licensed practical nurse he needed a new tube because his was almost empty....
Corporate had arranged an in-person training class in August 2025, but no kitchen staff attended....
Resident #29 arrived at Timber Springs Transitional Care in July with severe cognitive impairment and anxiety....
His care conference wasn't held until September 16th....
Staff A entered Resident #4's room at 10:05 AM on November 20, performed hand hygiene, and put on gloves....
The kitchen manager told inspectors on November 19 that he had seen gnats since February 2025 but never filed a report about the problem....
The November 20th inspection revealed contamination across multiple wings of the facility....
Resident #3 was on a pureed diet but received a regular meal during lunch on November 9, 2025, at Aviata at the Palms....
Resident #7 requires substantial or maximum assistance for bathing and is completely dependent on staff for toileting hygiene, according to facility records....
She said the facility provided no written notification at discharge and was unaware of her right to appeal or who to contact for support....
The resident, identified in inspection records as Resident 1, told inspectors she worries about colder weather and rain....
The facility's response was swift and comprehensive....
Resident 1 failed to return to Virgil Rehabilitation & Skilled Nursing Center on October 7, 2025, after leaving on what staff called an "out on pass" order....
Resident 2 had been on constant supervision since June 2025 following repeated fights with other residents at Oak Grove Post Acute....
Federal inspectors found Oak Grove Post Acute failed to follow its own abuse prevention procedures during a November complaint investigation....
The resident at The Earlwood told inspectors during their November visit that he would like to see a dentist....
The CNA had been serving as the facility's activities director for four to five weeks when federal inspectors arrived in November....
When Resident #1 pushed his call light requesting repositioning, three therapy staff and one certified nursing assistant responded to move him....