Latest reports, citations, and penalties from CMS data
The January 29 inspection focused on a complaint that revealed systemic problems with the facility's quality of care protocols....
The administrator immediately launched an investigation, reporting the incident to state health officials and local police....
The plan addressed the resident's aggressive behavior but lacked critical components that staff needed to safely manage the situation....
Resident 1's daughter discovered the problem during a care plan meeting on January 21....
The nurse's personnel file showed his last day of employment was the same date....
The breakdown extended beyond paperwork....
Her hospital discharge instructions from December 18 specifically ordered doxycycline 100 milligrams to be given daily for three days starting December 19....
A blanket covered the resident's lower body, but no pants were underneath....
Federal inspectors found the violation during a complaint investigation at Pinnacle Nursing and Rehabilitation Center on January 26....
State inspectors discovered Resident #13 on January 23, 2026, in a brief soiled with both urine and feces....
The facility's Director of Nursing confirmed this practice could cause cross contamination leading to infection and delayed wound healing....
The assistant found Resident 35 around 10:30 a.m....
Federal inspectors found that Resident #84 at Dunbar Center missed all his required diabetes medications on December 25, 2025....
The medication errors occurred at least six times in January 2026 with a resident who depended on dialysis and had end-stage renal disease....
The first resident disappeared on November 2, 2025....
Staff signed the oxycodone out of the narcotic reconciliation log but left the medication administration record blank....
The facility's own risk management report documented the August medication error....
Federal inspectors found the debris covering the wall next to Resident 37's bed during a January complaint investigation....
Federal inspectors discovered the violation during a complaint investigation completed January 29....
She acknowledged that admission nurses were responsible for reviewing all hospital discharge summaries and updating care plans accordingly....