Middleton Oaks: Missing Narcotics Investigation - MS
LPN #4 was suspended on August 17 and terminated four days later when she wouldn't assist administrators trying to account for the missing pain medication....
Latest reports, citations, and penalties from CMS data
LPN #4 was suspended on August 17 and terminated four days later when she wouldn't assist administrators trying to account for the missing pain medication....
But the facility's own records told a different story....
She never reported the incidents to the administrator or outside agencies as required by both facility policy and federal regulations....
A physician ordered Ceftin 500 milligrams twice daily for seven days the same day the culture results came back positive....
The resident came to the facility from the hospital with a five-day order for Dilaudid, a powerful opioid pain medication....
His physician had ordered the boots to be applied every shift to prevent further skin breakdown....
The resident, identified only as Resident #1 in inspection documents, was discovered to have a left tibia and fibula fracture on August 28....
The September incident at Kalkaska Memorial Health Center involved a resident with an above-knee amputation, dementia, and right-side paralysis from a stroke....
Federal inspectors found the expired medications during a September complaint investigation at Cascades at Port Arthur....
Federal inspectors determined the medication reconciliation failures posed immediate danger to residents between February 7 and February 10, 2025....
Resident 1 had alleged physical abuse....
The director of nursing herself confirmed during an 11:56 a.m....
Federal inspectors discovered the hazardous condition on September 12 during a complaint investigation....
The resident was moaning and groaning during nighttime care on September 10....
But the system broke down repeatedly....
The situation represented more than a simple behavioral issue....
Stuart Rehabilitation and Healthcare failed to meet Medicare submission deadlines for all four residents examined during a September complaint investigation....
The incident at AHC of Landerhaven involved residents identified as #51 and #52 on August 12....
Federal inspectors found the laundry crisis during a September complaint investigation at the 22 Cree Drive facility....
The facility took nearly a year to report the neglect allegation to state regulators....