Latest reports, citations, and penalties from CMS data
Adequate staffing in nursing homes is essential for maintaining residents' dignity and preventing serious medical complications....
Inspectors found that a resident prescribed antibiotics for a urinary tract infection was not properly tracked or monitored according to established protocols....
Despite having physician orders for continuous one-to-one monitoring since October 2024, staff failed to provide the required supervision....
These safeguards protect vulnerable residents who depend on staff for proper medication management and prevent potential diversion of controlled substances....
The violations affected Resident 7, who had been admitted in January 2024 with type 2 diabetes, diabetic kidney disease, and diabetic nerve damage....
The facility provided oxygen to residents without proper physician orders and failed to maintain basic infection control standards for oxygen equipment....
However, the manufacturer's expiration date on each package showed April 2025 - meaning the medications had expired more than a month earlier....
The missed medications included **Levetiracetam**, a critical anti-seizure medication prescribed at 750 mg twice daily....
The inspection revealed that two out of three observed care episodes involved improper hand hygiene practices during perineal care....
During the inspection, surveyors confirmed that shower water temperatures fell below required standards in multiple resident bathing areas....
The facility's failure to ensure nursing staff possessed adequate infection control skills violates basic standards of care....
These violations occurred while the resident was watching television and eating meals, creating sustained exposure to potential contamination sources....
The damaged door exposed multiple construction nails with sharp points facing into the room....
One resident was observed lying in the same position from 10:08 a.m....
After returning from a February 2025 hospitalization, the resident should have received tacrolimus twice daily: 2 mg each morning at 9 A.M....
The tracking system used to monitor staff certifications was found to be incomplete, with columns for CPR issue dates and expiration dates left blank....
Inspectors documented water temperatures reaching **124 degrees Fahrenheit** in a shower room sink and **123.2 degrees Fahrenheit** in a resident room sink....
Federal surveyors found that weekly audits conducted by nurse managers from February through May 2025 were fundamentally flawed in their design and execution....
## Medical Significance of Dialysis Communication Protocols Proper dialysis care coordination represents a critical component of kidney failure treatment....
In the main kitchen area, investigators found several opened condiment containers without dates, including ketchup and other sauces....