Latest reports, citations, and penalties from CMS data
That was the scene inspectors documented at Willow Grove Post Acute on December 31, 2025, during a complaint inspection of the facility's two nursing units....
That is what federal inspectors found when they visited the facility on December 31, 2025....
The answer, based on what inspectors documented on January 29, 2026, was complicated....
Staff were also ordered to change oxygen tubing weekly....
Those were among the first things inspectors found when they walked into Williamsville Suburban on December 18, 2025....
Inspectors observed the aide washing dishes on the morning of January 28....
The inspection, completed December 22, 2025, documented what happened during the code in detail that is difficult to read and impossible to dismiss....
The accused employee was eventually suspended and will remain off duty until the investigation concludes, according to inspection records....
A complaint inspection completed January 29 found a gap at the center of Sun Dial Manor's misappropriation policy....
The cleaner was called Medorra Limpreza....
Inspectors cited the facility on South Central Avenue after reviewing how staff handled laboratory results and condition changes in residents....
Licensed Vocational Nurse 2, working through a staffing agency, heard the call light system activating but refused to respond....
Licensed Vocational Nurse 6 acknowledged the resident should have had a doctor's order for oxygen therapy....
I want to be seen by a dentist," the resident told inspectors when asked directly if she wanted dental services....
Electronic records show the medication wasn't given on February 7, 8, 17, 18, 19, and 20, with an additional evening dose missed on February 18....
The replacement catheter also became dislodged the same day, forcing the resident to undergo emergency surgery two days later....
Resident 4 developed a fever of 102.3 degrees and oxygen saturation of just 83 percent on Christmas Day, requiring emergency transport to the hospital....
The violations occurred despite the facility having written policies requiring enhanced safety measures for residents with medical devices....
The crisis began when the facility's primary walk-in refrigerator stopped working properly....
The highly contagious gastrointestinal illness caused nausea, vomiting and diarrhea among residents and workers during the May 2025 outbreak....