Live Oak Rehab: Fall Notification Delay - CA
The resident, identified in inspection records as Resident 1, fell sometime before 9:30 PM on December 23, 2025, at Live Oak Rehab Center....
Latest reports, citations, and penalties from CMS data
The resident, identified in inspection records as Resident 1, fell sometime before 9:30 PM on December 23, 2025, at Live Oak Rehab Center....
Resident 1, who needed the anti-seizure medication to manage his medical condition, went without treatment until December 21....
LVN 9 at Chestnut Ridge Post Acute couldn't remember what medications she gave Resident 1 during December 2025....
The resident was unable to hold the phone herself because her hands were shaking, inspectors documented....
Federal inspectors discovered the violation on December 30 during a complaint investigation....
Her pineapple allergy was clearly documented in her ongoing plan of care from October 3, 2024, and noted on her meal ticket....
Resident 9 tested positive for COVID on December 20 and again on December 29, yet remained roommates with Resident 10, who tested negative....
Inspectors determined the nursing home's failures created dangerous conditions for residents identified as having substance abuse issues....
The resident at Cityview Nursing and Rehabilitation Center told inspectors on January 29 that his bedding had not been changed since the night before....
The medications had been specifically ordered to manage the resident's COPD....
The facility's dietary manager admitted she rarely monitored kitchen staff and couldn't produce temperature logs for the day inspectors arrived....
The resident, diagnosed with severe protein-calorie malnutrition and difficulty swallowing, had been at the facility since her admission....
Federal inspectors found the oxygen equipment violation during a January 29 complaint investigation at Cottonwood Nursing and Rehabilitation....
Federal inspectors arriving at Cottonwood Nursing and Rehabilitation on January 29 found the large toolbox sitting unsecured at the end of Hall 3 at 9:06 AM....
The resident developed a Stage II pressure ulcer on the tailbone that measured 1 by 0.3 centimeters....
Resident 2 arrived at the Oakland facility with type 2 diabetes, chronic kidney disease, and left hemiplegia â paralysis affecting one side of the body....
The maintenance supervisor showed inspectors the problem firsthand....
She expressed concern for his safety when driving because of his substance use and the unresolved surgical wound....
One drug, Midodrine, treats dangerously low blood pressure....
The medication treats orthostatic hypotension, a sudden fall in blood pressure that occurs when a person stands up....