đ° News
Avalon Villa: Choking Risk from Wrong Diet - CA
Resident 4 sat in the dining room on September 19, eating lunch without his dentures....
Latest reports, citations, and penalties from CMS data
Resident 4 sat in the dining room on September 19, eating lunch without his dentures....
The nursing director's lapse occurred during wound care for a resident admitted with multiple conditions including a stage 3 pressure ulcer....
The resident, identified in inspection documents as Resident 1, had been flagged for elopement risk and wandering behavior....
Federal inspectors found immediate jeopardy violations on September 14 during a complaint investigation at the facility on Ninth Avenue....
But the facility never entered the tube feeding orders into the resident's medical record....
The facility's social media account showed a photograph of Resident D participating in an arts and crafts activity on July 28....
The record clearly stated the pressure dressing should be removed after 12:00 PM that same day....
The lapse in life-saving training stretched back more than a year in the worst case....
The registered nurse stood by her medication cart on September 19, a few rooms away from Resident 3, when inspectors found her at 1:12 p.m....
Resident #3 fell on August 16 at Mayfair Village Nursing Care Center and was taken to the emergency room with left hip pain....
The facility's own policies require written notification and consent before any room changes....
The resident, identified as Resident 6, developed an unstageable pressure ulcer measuring 5.7 by 5.5 centimeters on her tailbone area....
One resident fell on August 26 and was sent to the hospital for evaluation and treatment....
The September inspection revealed systematic breakdowns in how staff handled residents who refused medications and exhibited behavioral changes....
The incident occurred on December 1, 2024, when the resident complained of pain to a licensed nurse....
The first incomplete investigation involved Resident 36 and an alleged abuse incident that occurred March 10, 2025, during the evening shift....
The nursing assistant, identified in inspection records as CNA 1, immediately recognized what he was seeing....
The incident occurred on September 11 around 11:15 PM when a certified nursing assistant discovered the resident's legs wrapped and immobilized....
The incident at Fleshers Fairview Health Care went unreported for hours....
Resident #5 had raised concerns through the facility's Social Services Director about his catheter bag not being emptied....