PortagePointe: Unauthorized Catheter Insertion, MI
The facility failed to obtain physician orders before the procedure and did not notify the patient's responsible family member....
Latest reports, citations, and penalties from CMS data
The facility failed to obtain physician orders before the procedure and did not notify the patient's responsible family member....
On February 17, 2024, the resident's family approached nursing staff expressing concern about **significant swelling in their loved one's left leg**....
The citation, designated as F690, indicates the facility failed to provide complete information required during the regulatory review process....
Scores typically range from 0-28, with scores above 10 indicating significant fall risk requiring immediate interventions....
WOODLAND HILLS, CA - Motion Picture and T.V....
During the inspection, **residents consistently reported receiving cold hot foods and improperly cooled cold items**....
The resident received twice-daily Heparin injections subcutaneously as a preventive measure against blood clots, a standard practice for immobilized patients....
Hospital records confirmed the resident sustained a left eyebrow laceration from the unwitnessed fall and required sutures....
The dietitian specifically recommended continuous feeding at 45 ml per hour of Diabetisource AC nutritional formula....
The resident died at an area hospital after experiencing dangerously low blood sugar levels of 27 mg/dL (normal range is 70-100 mg/dL)....
Documentation review revealed alarming patterns of missing bowel movement records....
This recurring citation indicates a persistent compliance issue that the facility has failed to adequately address over more than a year....
This failure is particularly concerning because residents with tracheostomies face unique respiratory risks....
Social services staff were actively working on community placement and had scheduled housing paperwork review for November 11, 2024....
State inspectors found that pain management protocols were inconsistent with professional standards and residents' care plans....
The inspection findings revealed that administrative oversight failures created conditions that compromised fundamental aspects of resident care....
This violation received an F-level citation, indicating widespread systemic issues with potential for more than minimal harm to residents....
Yellow dried material consistent with urine was visible on the broken toilet seat, which hung sideways from the fixture....
The situation became more complex due to the resident's documented allergy to aspirin, a common blood thinner....
This practice affected multiple vulnerable residents, including those with severe cognitive impairment, mobility limitations, and histories of falls....