Latest reports, citations, and penalties from CMS data
The patient required assistance with personal care and was dependent on staff for toileting hygiene, bathing, lower body dressing, and putting on footwear....
The oxygen failures involved two residents with serious respiratory conditions....
Three residents were affected by staff who skipped hand hygiene steps or failed to wear required protective equipment....
The incident at Ingleside Manor involved two residents in December 2024....
She never washed her hands before putting on gloves....
The protections apply regardless of whether residents are known to carry resistant bacteria....
The woman, identified in inspection records only as R1, had been assessed just two days earlier as having no elopement risk factors....
Federal inspectors found the facility knew about the resident's condition but took no meaningful steps to prevent access to alcohol....
The charge nurse found blood on his mouth and nose, soot covering his face, and his beard burned off and still smoking....
R146 was admitted March 30 with altered mental status....
The woman had activated her call light at 8:15 a.m....
Jefferson Healthcare Center created a quality improvement plan on March 25 specifically targeting medication cart audit problems....
"The kitchen does not have enough sippy cups to go on residents' meal trays," one dietary aide told inspectors....
The patient, identified as Resident 35, dropped from 163 pounds in July 2024 to 129.4 pounds by February 2025....
Her boyfriend had been with her for several years before the brain injury that left her severely cognitively impaired....
The incident at Avantara Norton occurred on May 27 when the aide woke the resident at 7:10 a.m....
The February inspection revealed a cascade of medication safety failures affecting multiple residents at the 13000 Victory Boulevard facility....
Both residents had cognitive scores so low they indicated severe impairment....
The resident had been taking 625 milligrams of the drug three times daily since January 2023....
Immediate jeopardy citations are reserved for the most dangerous situations in nursing homes....