Latest reports, citations, and penalties from CMS data
## Physical Abuse During Personal Care The most serious incident occurred on March 7, 2025, during overnight care at the Highway 39 North facility....
Federal regulations mandate that QAPI programs must be **data-driven, ongoing, and proactive** rather than reactive....
The resident, identified as Resident #1, had exited through an emergency fire door that should have been alarmed but was found to be disarmed....
Kitchen staff interviewed during the inspection expressed uncertainty about proper food storage timelines....
## Inappropriate Contact with Sleeping Resident The incident occurred on the evening of February 7, 2025, when a resident was sleeping peacefully in his bed....
CNAs provide the majority of hands-on care in nursing facilities, including assistance with bathing, dressing, eating, and mobility....
The incident involved multiple staff members and escalated into verbal threats in the presence of other residents....
The facility's ombudsman confirmed that leadership turnover had created ongoing staffing challenges, directly impacting resident care quality....
The nurse acknowledged that the unsigned form indicated the proper process was not followed....
Nursing homes, which house vulnerable elderly populations with compromised immune systems, must maintain strict adherence to these protocols....
The resident had been at the facility since July 2021 and required mechanical lift assistance for all transfers due to their condition....
This medication requires precise timing to maintain steady blood levels and prevent organ rejection....
The resident's blood sugar level measured 335 mg/dL, significantly above normal ranges of 80-130 mg/dL....
Federal inspectors identified critical supervision lapses that placed vulnerable residents at risk of serious harm....
This recurring citation pattern indicates the facility has struggled to fully correct underlying safety issues that initially triggered regulatory action....
This deficiency indicates systemic problems in the facility's ability to monitor and improve critical medical procedures....
The resident required substantial assistance with daily activities due to severe cognitive impairment....
The committee's inability to maintain oversight of medication safety protocols represents a breakdown in the facility's quality management structure....
Documentation shows the resident made sexually inappropriate comments to staff on June 8, with the behavior continuing and escalating over the following weeks....
## Complete Care Abandonment Captured on Video Surveillance footage from March revealed the shocking extent of the care abandonment at Jefferson Manor....