Latest reports, citations, and penalties from CMS data
The hospital completed a Level 1 screening on December 6, 2024, and sent a referral for the required Level 2 evaluation....
Staff found her sitting on the floor between the bed and scooter with no apparent injuries or head trauma....
## Food Storage Systems Compromised Inspectors found significant problems with the facility's food storage systems during their April 1, 2025 visit....
This represents a systemic failure in the facility's oversight mechanisms that are designed to protect resident safety and care quality....
Despite his cognitive impairment and history of impulsive behavior, the facility failed to implement adequate supervision measures....
The condition requires careful monitoring and management to prevent deterioration....
The 30-milligram antidepressant, which she had been receiving twice daily since May 2022, was abruptly stopped without proper medical protocols....
## Ongoing Harassment and Emotional Impact On January 30, 2025, inspectors observed Resident #141 crying in his room after another incident....
However, the recent inspection findings indicate this oversight system proved ineffective in preventing continued food safety violations....
In one alarming incident, inspectors found a resident's **suprapubic catheter drainage bag lying on the floor** beside the patient's bed....
The incident involved a female resident with severe cognitive impairment who required full assistance for basic activities....
The resident was undergoing an atherectomy, a procedure to remove arterial plaque buildup....
The resident's diastolic pressure measured 64 mmHg, well below the 70 mmHg threshold specified in physician orders for holding the medication....
This regulation exists to protect vulnerable residents from financial exploitation and ensure transparency in financial management....
The facility failed to conduct comprehensive root cause analyses for any of the incidents, missing critical opportunities to prevent subsequent falls....
## Falsified Treatment Documentation The most serious violation involved **falsified treatment records** for a diabetic resident with multiple wounds....
The medication was ordered to be administered daily between 7:00 AM and 11:00 AM, but the facility failed to ensure timely delivery from their pharmacy....
The Department of Public Health wasn't notified until the outbreak had already spread throughout the facility....
The nurse took both medicine cups, each labeled for different residents, to the first patient's room....
Inspectors found that the nursing home failed to implement comprehensive quality assurance activities across all departments....