đ° News
Guardian Care: Missing Fire Safety Signs - CA
But no such signs appeared on the doors of residents receiving oxygen therapy....
Latest reports, citations, and penalties from CMS data
But no such signs appeared on the doors of residents receiving oxygen therapy....
The December 17 incident left the female resident crying when she described it to staff the next morning....
The resident's diagnoses included schizoaffective disorder, schizophrenia, and depression....
RN 2 told inspectors the facility's protocol requires nursing staff to inform Psychiatrist 1 of any consultation order the same day it's written....
The Director of Nursing placed a verbal order to the pharmacy the same day, but complications quickly emerged....
"The facility cannot provide 1:1 care for this resident," Director of Nursing told inspectors on December 19, 2025....
The maintenance director hadn't been told about any of the problems....
The facility's own policy required an immediate investigation after any suspicion of abuse or neglect....
The former employee hadn't worked at the facility since May 2025, according to the administrator interviewed during a December inspection....
Resident 67 has severe cerebral palsy with extreme stiffness in all limbs and cannot move....
The facility operates under a special federal exception that allows them to use a wireless call light system instead of the standard hardwired version....
Resident #2 was discovered just after midnight, unresponsive with a core body temperature of 90.7 degrees Fahrenheit....
When inspectors looked inside those notebooks, they found nothing....
Resident #114 was prescribed Lacosamide, an anti-seizure medication, to be taken twice daily starting December 12....
The facility never updated her care plan....
The wound care nurse, identified as V3 in the report, said she would need to ask maintenance to fix the setting....
The December 23 inspection revealed nurses ignored basic cardiac emergency protocols when the resident needed immediate intervention....
Federal inspectors discovered significant gaps in infection control procedures at Brazos Healthcare Center during a December 23 complaint investigation....
Federal inspectors found the documentation gaps at Northern Dauphin Nursing and Rehabilitation Center during a December 23 complaint investigation....
The resident's wound culture tested positive for methicillin-resistant staphylococcus aureus on October 10, four days after the sample was collected....