Latest reports, citations, and penalties from CMS data
The bruising went unreported on skin observation forms completed March 3, March 10, and March 17....
The nurse entered the room, performed hand hygiene and put on gloves, then proceeded with wound care....
The dietary manager acknowledged the problems when confronted by inspectors on July 22....
During the inspection, a visitor watching the resident's call light complained to passing staff: "Where is an aide at?...
The Treatment Administration Record showed the suprapubic site was dressed daily, with Treatment Nurse 1 signing off on July 16 and 17....
She got help with six transfers but found no one available for the seventh....
Federal inspectors observed the May 28 incident at Colonial Nursing and Rehabilitation Center during wound care for Resident #11's left great toe....
The discovery on January 9 exposed a pattern of neglect that extended far beyond one resident's room....
Instead, CNAs repeatedly left her alone to attend to other residents....
The facility's quality assurance program completely failed to address the widespread infection control problems....
Resident 233, who has heart failure and diabetes, soiled herself at 9 AM on February 6 and pressed her call button for help....
The errors included crushing Isosorbide Mononitrate ER, a heart medication, and Slow-Mag, a delayed-release calcium and magnesium supplement....
Resident 35 was supposed to receive only pureed food after the May 13 choking episode....
Licensed Practical Nurse #4 discovered Resident #75's feeding tube was clogged during medication administration on March 26....
Resident 84 had stage 4 chronic kidney disease, meaning his kidneys were moderately or severely damaged and not properly filtering waste from his blood....
The February 26 incident was one of at least five documented attacks by Resident #2 against other residents and staff since November....
Resident #76 experienced the longest documented wait, going approximately 21 hours without incontinence care despite needing regular assistance....
The nursing assistant acknowledged the resident's pain and provided gentler care, but only after the inspector intervened....
Resident 97, who had stage 4 breast cancer that had spread to bones and lungs, missed multiple doses of tramadol in June and July 2023....
The resident at Arbor Glen Care Center told inspectors on April 10 that staff routinely took 30 minutes to answer her call light....