Latest reports, citations, and penalties from CMS data
Resident #20 wanted to lie down but found himself trapped in his manual wheelchair near the foot of his bed on November 6....
Neither checked that the bed wheels were secured before beginning the care....
The violations occurred despite facility policies requiring medications to remain accessible only to licensed nursing personnel and authorized staff members....
Federal inspectors found the violations during a complaint investigation at Vintage Health Care Center on November 26, 2025....
MA G's three-hour delay violated federal pharmaceutical service requirements that mandate proper timing for all drugs administered to residents....
Yet when inspectors observed daily operations, they witnessed staff walking directly into the resident's room without following these procedures....
Federal inspectors observed the lizard at 3:45 p.m....
When inspectors tested the laundry room on October 13 at 9:00 a.m., no hot water flowed from the washing machine or hand sink....
Federal inspectors discovered the omission during a complaint investigation in late October....
Resident 92 experienced severe foot pain on April 23, prompting staff at Arbors at Delaware to call the physician and request an emergency room transfer....
The medication shortage created a dangerous gap....
Nothing had been done about any of them....
Instead, the resident missed seven consecutive doses between November 14 and November 17, according to federal inspection records....
Federal inspectors found the documentation failure at New Orange Hills during a complaint investigation in late November....
The facility's Director of Nursing acknowledged the failures during interviews conducted in November....
The incident at Avir at Beeville involved two residents, identified in the inspection report as R3 and R4....
The violation affected at least one resident and represented what inspectors classified as minimal harm with potential for worse....
When these devices are placed out of reach, residents become trapped without any means of summoning help....
The violations occurred despite facility policies requiring hand washing between resident contacts and before any direct care procedures....
The violation occurred on October 2, 2025, at Advanced Health & Rehab Center of Garland, according to federal inspection records....