Latest reports, citations, and penalties from CMS data
That omission sat in a resident's clinical record at Woodstock Valley Health and Rehabilitation for more than six weeks before federal inspectors arrived....
In the language of federal nursing home oversight, a finding of "potential for more than minimal harm" is not a bureaucratic formality....
The deficiency was one of eight cited during that inspection....
Two residents, identified in inspection records as Resident R1 and Resident R3, were involved....
The citation was one of 14 deficiencies inspectors recorded during a complaint inspection at the Huntington facility....
No resident was found to have suffered actual harm....
The chapel findings were the most visible....
Without it, Facility A was receiving a new patient with no documented handoff from the clinical team that had been caring for that person....
The resident, identified in inspection records only as R1, died at Accolade HC of Paxton on Pells on a morning when the clock read 11:52 AM....
The resident returned to the unit that day without any documented signs or symptoms of physical harm....
Her physician had entered an order specifying she was a Full Code and that staff should attempt CPR if needed....
Federal health inspectors arrived on September 27, 2025, to find out what that was....
The citation, issued September 26, 2025, covered a single area: the facility's failure to provide and implement an infection prevention and control program....
But they noted the potential for more than minimal harm existed....
The incident happened on August 10, 2025....
The deficiency, cited under a category covering resident assessment and care planning, was one of five violations inspectors documented during the visit....
The inspection was triggered by a complaint....
That is the phrase that appears in inspection records when investigators leave without a resident in a hospital bed they can point to....
No resident was documented as having been harmed....
The violation was cited as having minimal harm or potential for actual harm, and inspectors noted it affected many residents....