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Carmel Hills Wellness: Cold Food Safety Violations - MO
The violations occurred during both lunch service on January 15 and breakfast service on January 16....
Latest reports, citations, and penalties from CMS data
The violations occurred during both lunch service on January 15 and breakfast service on January 16....
Bear Creek Senior Living blocked the return of Resident #1 in January following her fourth hospitalization in six months....
The final rinse cycle operated correctly at 180 degrees....
The vulnerable resident was admitted following hospitalization for altered mental status....
Licensed Practical Nurse #3 witnessed the entire assault on Resident #905 at Willowbrooke CT Skilled Care Center at Bayleigh Chase....
The woodworking accidents occurred repeatedly over eight months despite a safety plan that required staff supervision when the resident used power tools....
But that wasn't what the menu actually called for....
The facility's performance improvement plan, launched in August 2024, had seen accuracy rates fluctuate between 90 and 96.3 percent through February 2025....
The July 4 inspection revealed systematic breakdowns across multiple departments at the 119-bed facility....
Resident 1 was readmitted to Bayshire Torrey Pines Post-Acute on February 1 with a history of cerebral infarction and moderate cognitive deficits....
But pharmacy records showed the medication wasn't delivered until January 22 at 11:15 p.m....
The woman, identified as Resident #42 in inspection records, had physician orders from three weeks earlier requiring blood glucose monitoring four times daily....
The incident happened on April 22 as the driver returned Resident 3 from a doctor's appointment to Hurricane Health and Rehabilitation....
The lab company placed the facility on a non-payment hold on April 23, 2025, over an unpaid balance of $9,536.92....
The resident, identified as R2, was observed on June 18 lying in bed with disheveled hair, dirty nails, and dried food on her face and clothing....
Her care plan specifically called for repositioning every two hours and daily skin inspections by nursing assistants....
Her physician had ordered the specialized diet texture in August 2023, more than a year before the choking incident....
The CNA also shouted at the resident and made other inappropriate comments during the incident, according to a January 31 federal inspection report....
Despite these documented risks, staff failed to prevent the April 9 attack on his roommate....
The violations put dozens of residents at risk across multiple areas of care....