Latest reports, citations, and penalties from CMS data
Federal inspectors discovered the unauthorized restraint use during a June inspection of the facility on Rowena Avenue....
The facility's own policy required licensed nurses to chart the drug, time administered and their initials with each medication administration....
North Ridge Health and Rehab never conducted a trauma assessment for the 81-year-old woman who had been living at the facility since 2015....
The nurse administered the resident's 9 AM blood pressure medication at 12:19 PM, more than three hours late....
Resident #105 called Resident #141 the "N-word" and said he didn't want to hear "N***** music" on January 7, sending the victim to tears....
On July 31, 2024, inspectors observed the resident lying in bed without her prescribed hand splint....
His care plan required one to two person assistance during transfers and bed mobility....
Resident 301 arrived at the facility in December 2024 with a medical history that included type 2 diabetes, hemiplegia, and Alzheimer's disease....
Resident 51 suffered the most dramatic consequences....
Inspectors found the facility's administrator and director of nursing failed to effectively manage compliance with federal quality of care requirements....
The most dangerous temperature â 126 degrees Fahrenheit â was recorded in a resident room sink and the shower room serving Wing 1's 20 residents....
During an August 7 interview with federal inspectors, the nurse explained his reasoning....
Federal inspectors found the facility failed to protect her from physical abuse by staff....
The cuffs were never cleaned between uses....
For residents with substance use disorders, this means creating specific interventions and monitoring protocols regardless of current sobriety status....
The cotton ball placed on top of the gauze was soaked with blood....
Staff R retrieved a tray from the kitchen containing a plate warmer with steam rising from under the lid....
Resident 3 weighed 252 pounds and had paraplegia, morbid obesity, and cognitive deficits when the fatal fall occurred around 9:30 p.m....
Two residents with severe cognitive impairment lived in rooms where water measured 123 degrees, well above the state's maximum of 115 degrees....
CNA 15 described working by himself on a nursing unit one Sunday with 14 assigned residents....