Latest reports, citations, and penalties from CMS data
The incident occurred on September 17 when LPN J went to complete a critical admission assessment for Resident 108 around 7:00 PM....
The resident's physician suspected the symptoms stemmed from medication toxicity or metabolic problems....
The appointment scheduler at the gastroenterologist's office confirmed during a phone interview that the resident had an 11:00 AM appointment that day....
Federal inspectors found the facility failed to follow mandatory notification procedures for residents discharged between late August and early September....
The resident had been admitted from an acute care hospital for rehabilitation following a stroke that left them with paralytic syndrome....
A nurse documented the requirement that same evening at 8:58 PM, noting the resident needed the specialist appointment within the prescribed timeframe....
Resident 83, who has ataxic cerebral palsy, epilepsy and schizophrenia, was found "looked out of it" by LPN 856 on June 19....
"NA #2 reported she could not recall opening the base or locking wheels to the mechanical lift," inspectors wrote....
Resident #7 arrived at Fairfield Nursing & Rehabilitation Center in February with stage IV cancer that had spread to the brain....
The incident occurred August 26, 2025, at Birchwood Rehabilitation & Healthcare Center....
Resident 104 had been admitted with diagnoses including dementia, lack of coordination, anxiety, muscle weakness, and difficulty walking....
The lapses affected residents with Alzheimer's disease, severe cognitive impairment and active wounds....
Records show she received documented baths on only seven dates between June and September 2025....
The facility's Director of Nursing admitted that care plans for three residents should have been revised after each fall, but weren't....
The resident, identified as Resident #4 in the inspection report, weighed 213 pounds in September 2024....
The incident occurred before 5:00 A.M....
The resident at Fairfield Nursing & Rehabilitation Center had battled cancer for two years....
The resident required multiple daily treatments for wounds on the left upper inner thigh, right lower abdomen, and left lower extremity....
Resident 128's family discovered the undocumented wound only when they took their loved one to the emergency room on July 21....
Resident 109, a male patient with chronic venous ulcers on both legs, requires specialized Unna boot dressings every other day to treat the painful condition....