Latest reports, citations, and penalties from CMS data
Additionally, inspectors discovered two health shakes that were not purchased by the facility, also completely lacking any identification labels....
The severity of this delay cannot be understated....
Licensed Nurse 10 was administering medications to a resident who required **Enhanced Barrier Precautions** due to an implanted feeding device....
The MCU houses residents with dementia and cognitive impairments who require specialized supervision to prevent wandering and potential harm....
A Certified Nursing Assistant eating lunch in the parking lot spotted the resident and called the front desk to ask if she was supposed to be outside....
When staff incorrectly implement these orders, the consequences can be fatal....
These regulations establish mandatory standards for resident care, facility operations, and safety protocols that all licensed nursing facilities must follow....
Inspectors observed a teardrop-shaped brownish liquid on the cable portion of the hood and additional residue on protruding tubes....
Inspectors found discrepancies in the controlled substance tracking system on medication cart 1C....
The violations revealed a concerning pattern where serious resident concerns were either inadequately investigated or dismissed without proper follow-up....
**Five residents collectively missed 18 scheduled showers** during this timeframe, with some residents going without proper bathing for extended periods....
However, interviews with nursing staff revealed that many were unaware of the unauthorized medications....
The violation highlights broader concerns about the facility's training oversight systems and their potential impact on resident care quality....
Licensed Practical Nurse #10, who was caring for the resident during the day shift, contacted the facility's nurse practitioner about the elevated heart rate....
However, the facility didn't request these records until August 2024 - six months later....
However, when questioned about qualifications, the DON admitted she lacked certification in infection control, as did the ADON....
The gap occurred because the facility had run out of the resident's ordered medication but failed to notify the prescribing provider about the shortage....
During a February 24 test tray evaluation, inspectors found that hot foods were being served well below safe temperatures....
Resident 1, who has dementia and major depressive disorder with psychotic symptoms, was creating disturbances that prevented her roommates from sleeping....
Many residents have weakened immune systems due to age, chronic conditions, or recent hospitalizations....