Latest reports, citations, and penalties from CMS data
Federal inspectors found no care plan existed for any of the three residents during a December 30 complaint investigation....
The director told inspectors on December 30 that she relied on nurses to inform her of concerns from the reports rather than reviewing them herself....
Resident 1 had been placed in isolation due to suspected scabies and received a doctor's order for permethrin cream....
State inspectors found an expired water filter connected to the icemaker during a December 30 visit to the facility kitchen....
The hoarding situation represents a breakdown in the facility's ability to balance residents' rights to personal belongings with basic safety requirements....
Federal inspectors discovered the violation during a December 30 complaint investigation at The Meadows Health and Rehabilitation Center....
Federal inspectors watched the contamination unfold in real time....
Resident 1 approached department heads complaining that items were missing related to use of their bank card....
Licensed Vocational Nurse 2 acknowledged the problem when inspectors questioned her about the undated containers at 9:56 a.m....
Resident 3 was classified as high risk for falls and required frequent visual checks....
Resident 1, admitted in late 2025 with a urinary tract infection and weakness, had an uncovered urinal stored in the bottom drawer of their closet....
The assessment painted a picture of serious respiratory distress....
The patient, identified as Resident #1 in the inspection report, scored a 5 on her cognitive assessment, indicating severe impairment....
Her cognitive assessment score of 5 reflected severe impairment....
Robert Lee Care Center admitted Resident #31 with diagnoses including dementia with psychotic disturbance, delusions, hallucinations, and depression....
Resident 4, who has a contracted left arm and hand, told inspectors that Resident 3 "took my bottle of nutritional supplement and threw it at me....
The December 22 incident at Lakewood Healthcare Center occurred when CNA 4 was escorting Resident 6 to the restroom....
The man told inspectors he had pressed his call light several times but received no assistance from staff....
Food service staff took temperatures before serving meals but failed to document temperatures after food reached residents' trays....
"The staff do not get trainings but get a text reminder," the dietary department supervisor told inspectors during a December 30 interview....