Latest reports, citations, and penalties from CMS data
On October 7, 2024, the resident's blood sugar reached 465 mg/dL at 3:14 p.m., followed by readings of 453 mg/dL at both 5:46 p.m....
Inspectors found that none of the six residents reviewed had proper documentation supporting their antibiotic treatments....
When these committees fail to function effectively, it creates a cascade of problems that can directly impact resident care and safety....
When inspectors arrived on March 20, they discovered the tube site had **thick, mucous drainage with dried dark red discharge** around it....
The investigation focused on three specific cases where residents experienced uncontrolled pain due to medication administration failures....
During the March 11-13 inspection period, surveyors documented persistent contamination despite multiple visits....
These protocols require staff to wear gowns and gloves during high-contact care activities including wound treatment, bathing, and device care....
For diabetic residents, this pattern of errors creates significant health risks....
The situation became critical when the resident's condition deteriorated dramatically....
Despite multiple medical evaluations confirming her inability to make healthcare decisions, the facility failed to implement appropriate protective measures....
The first incident occurred in August 2020 when a resident with an above-knee amputation was being transported in a wheelchair without proper foot support....
Federal regulations require nursing homes to maintain active QAPI programs that systematically identify, analyze, and correct deficient care practices....
Multiple staff members, including three nurses and two nursing aides, responded to the scene....
This oversight represents a fundamental breakdown in care coordination....
R5 immediately stopped the interaction, saying "No, no....
## Inspection Reveals Documentation Gaps The August 13, 2024 inspection was conducted in response to a complaint filed against the nursing facility....
The violations centered on kitchen staff's failure to follow established recipes for specialized diets....
CHESTERFIELD, MO - A skilled nursing facility affiliated with St....
These temperatures far exceed the facility's own policy, which mandates water temperatures not exceed 120 degrees Fahrenheit in resident areas....
Documentation shows the resident first appeared before the facility's nutrition committee in May 2024 after losing 11 pounds in April alone....