Latest reports, citations, and penalties from CMS data
The facility's medical provider ordered a venous doppler study, a diagnostic ultrasound procedure used to detect blood clots in veins....
Similar patterns emerged on Hall B, where staff touched privacy curtains, delivered food trays, and moved between resident rooms without hand hygiene....
Medical records serve as the primary communication tool among healthcare team members and provide the legal documentation of care delivered....
Elevated BNP levels indicate the heart is struggling to pump blood effectively, a critical finding in patients with known heart failure....
The resident had been at the facility since late November 2024, with a brief hospital stay in January....
During a medication pass beginning at 8:47 a.m....
## Overnight Staffing Raises Concerns The facility's nighttime staffing configuration emerged as a primary issue during an April 2025 inspection....
Federal regulations define manual restraint as holding or limiting a resident's voluntary movement through body contact....
This newly created assessment identified that staff education and competencies were necessary to support resident care needs, including various certifications....
Additionally, the facility failed to develop individualized care plans addressing smoking activities for residents who smoked....
The staffing crisis extended over multiple weeks....
The electronic medication administration records from June 4-17 revealed an extensive pattern of medication refusals....
The resident, who had severe cognitive impairment and paralysis affecting one side of their body, was discovered at 6:35 a.m....
These dating requirements exist because many medications have limited stability once their original seal is broken....
The incident began when Resident 4 discovered his debit card balance had decreased from $814 to $600 after ordering food with his roommate, Resident 3....
However, facility records revealed no documented weights for the entire months of June and July 2024, despite the care plan requirement for weekly monitoring....
The inspection revealed that staff had failed to secure the catheter tubing with a leg strap, allowing it to pull against sensitive tissue....
The inspection revealed that staff members did not follow established emergency procedures for mental health crises....
This incident marked the facility's second elopement event, revealing a pattern of inadequate supervision and environmental security measures....
Four residents admitted between February and May 2024 experienced significant delays or complete absence of required care planning meetings....