Latest reports, citations, and penalties from CMS data
The deficiency was classified at **Scope/Severity Level D**, meaning it was isolated in nature and did not result in documented actual harm....
On the second floor at 9:41 a.m....
Residents in rehabilitation and long-term care facilities are particularly vulnerable to environmental hazards....
The facility was cited for **three deficiencies** during the inspection, including a violation of regulatory tag F0585 governing grievance rights....
The "widespread" classification is significant....
The resident told inspectors on December 18 that wounds on the right toes, right shin, left shin and buttocks were one to two months old....
The facility reported correcting the issue by **December 5, 2025**....
"He also had other repairs to complete," according to the inspection report....
This distinction is significant....
The facility has not submitted a plan of correction....
Instead, staff worked for months without basic infection control measures designed to prevent the spread of drug-resistant organisms....
The QAA committee is not optional....
The deficiency was classified at **Scope/Severity Level D**, meaning the problem was isolated in nature and no actual harm to residents was documented....
The inspection, conducted on September 4, 2025, raised concerns about wound management practices at the Nevada rehabilitation facility....
The facility failed to meet professional standards for procuring, storing, preparing, and serving food to its residents....
When treatment deviates from physician orders, the clinical consequences can escalate quickly....
When a facility fails to uphold these standards, the consequences extend beyond the specific incident documented by inspectors....
The facility bears a legal and ethical obligation to identify environmental dangers and mitigate them before harm occurs....
This right is not optional or aspirational....
The nurse, identified as Staff C, never called the medical provider or the facility's on-call service to report the serious injury....