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Central Nursing Home: Treatment Plan Violations - IL
Under facility policy, unsigned medication records mean the drugs weren't administered....
Latest reports, citations, and penalties from CMS data
Under facility policy, unsigned medication records mean the drugs weren't administered....
When facilities fail to follow proper response protocols, they create an environment where residents remain vulnerable and problems can escalate....
At 8:38 a.m., inspectors found the middle medication cart unlocked with no licensed nurses or authorized staff present in the hallway....
The December 22 inspection at Haven of Flagstaff revealed controlled substance diversion involving two residents....
SALT LAKE CITY, UTAH â The CEO of PACS Group, a major nursing home operator with 323 facilities across 17 states, told investors this week that the company has become stronger following a federal investigation into its billing practices that began more than a year ago....
Inspectors classified the deficiency as isolated with no actual harm documented, though the potential existed for more than minimal harm to residents....
The milk registered 54 degrees Fahrenheit....
Certified Nurse Aide #1 was providing care to Resident #1 on December 5, 2025, when the resident fell....
The investigation revealed that antipsychotic drugs were frequently administered to dementia patients to control behavior without attempting non-drug interventions first, despite Food and Drug Administration warnings about increased death risk, as reported by the OIG....
The comprehensive assessment serves as the foundation for all resident care....
When any component fails, the entire system becomes compromised....
While investigators found no evidence of actual harm to residents, they identified conditions that created potential for more than minimal harm....
The deficiency carried a scope and severity rating of Level D, indicating isolated instances with potential for more than minimal harm....
The facility received a deficiency citation under federal regulatory tag F0761, which governs pharmaceutical service standards in nursing homes....
This marked one of 18 deficiencies identified during the comprehensive review of the facility's operations....
For five consecutive nights, nurses failed to apply protective booties to a resident's feet as ordered by their doctor....
The violation, classified as regulatory tag F0628, represented one of 32 deficiencies identified at the facility....
The facility was required to implement corrective measures, which they reported completing by October 24, 2025....
Federal inspectors found the dialysis unit filled with a "foul, biological-waste odor consistent with drain back-up" during a December complaint investigation....
The inspection found the facility repeatedly failed to meet this requirement, creating a pattern that affected multiple residents....