Latest reports, citations, and penalties from CMS data
The incident occurred on December 4, 2024, when a certified nursing assistant locked her medication cart and rushed to assess what she had witnessed....
A nutritional assessment dated December 8 confirmed she had dentures....
The resident was upset enough to call police herself, and officers arrived at Pasadena Grove Health Center that same day to speak with her....
Licensed Vocational Nurse 2 administered sacubitril-valsartan to Resident 3 on December 16 at 5 p.m., even though the patient's blood pressure measured 109/77....
Her doctor ordered hydrocodone-acetaminophen tablets every four hours as needed for moderate to severe pain rated four to ten on the standard pain scale....
The resident required enteral feeding through a G-tube and had multiple stage VI pressure ulcers that were present when they arrived at the facility....
She said the facility had no information about what arrangements were being made to transfer someone requiring such intensive medical care....
"Hand washing was important to prevent cross contamination and food borne illness," the Dietary Manager told inspectors....
Federal inspectors documented the December 16 incident during a complaint investigation at the Perry Highway facility....
Federal inspectors discovered the violation during a December 19 complaint investigation at River Pointe Post-Acute....
Resident 4 had been admitted to the facility in October 2023 with epilepsy, generalized muscle weakness, dementia, hemiplegia, hemiparesis, and diabetes....
The September 18 admission assessment for Resident #1 was missing the most basic requirement: acknowledging the person had diabetes....
The outdated policies left residents vulnerable to consuming expired or unsafe food items....
Inspectors discovered the violation during a December 20 complaint investigation....
Administrator V1 received a phone call at 7 a.m....
The December 21 inspection was conducted in response to a complaint....
Her admission record showed she had been diagnosed with malnutrition upon entering the facility....
The facility's Director of Nursing told inspectors that blister packs for narcotics should never be taped....
The privacy breach occurred at Cedar Creek Nursing and Rehabilitation Center during a December 20 complaint investigation....
Multiple nursing assistants told inspectors they understood the proper procedures....