Latest reports, citations, and penalties from CMS data
On January 29, 2025, at 11:31 a.m., inspectors at Willow Terrace watched a licensed nurse enter the room of Resident R271 wearing only gloves....
The care plan deficiencies were still there....
The citation, tagged F689, stems from an incident on April 9, 2025....
The inspection was triggered by a complaint, not a routine survey....
The previous citations came in November 2019 and again in May 2024....
Inspectors who visited Weirton Geriatric Center on April 24, 2025 found the facility was not following it....
A resident who doesn't receive a bed hold notice doesn't know whether their room will still be there when they're discharged....
The facility's own corrective plan acknowledges each of those failures, without disputing them....
Nobody on the facility's quality committee knew it was happening....
Inspectors visited the facility on May 28, 2025, and documented what they observed during wound care....
The problem surfaced in May 2024, ran for a week, and then returned in June....
Inspectors also cited the facility under two Pennsylvania state nursing regulations....
A care plan is the document that drives decisions about a resident's medications, therapies, diet, and personal needs....
What they found at Windber Woods Senior Living & Rehabilitation Center during a March 2025 inspection was that none of it had worked....
What that complaint described, and what inspectors found when they arrived, is not detailed in the publicly available narrative....
Federal inspectors cited John C....
The administrator had not ensured the facility's registered dietician was making frequent scheduled visits to oversee day-to-day kitchen operations....
Those are not technical requirements buried in a regulatory footnote....
The committee in question is known in nursing home regulation as a QAPI committee, short for Quality Assurance and Performance Improvement....
The incident prompted a complaint inspection that found the facility had failed to keep a resident free from preventable harm during a routine bath....