St James Living Center: Failed to Notify Doctor of Overdose - MO
Three days later, the doctor still had no idea what happened....
Latest reports, citations, and penalties from CMS data
Three days later, the doctor still had no idea what happened....
Licensed Nurse C discovered the situation on July 27 when she walked past Resident 2's room and found RN B exiting and closing the door behind her....
That was the finding at AristaCare at Whiting, a nursing home at 23 Schoolhouse Road, following a complaint inspection completed August 14, 2025....
The document was specific: the resident was at risk for hot liquid accidents because of impaired cognition, confusion, and dementia....
That is what federal inspectors found when they visited the facility on August 14, 2025, following a complaint....
Someone reported the incident to state health officials the next day....
The puree chicken registered 128 degrees, mashed potatoes hit 134 degrees, and puree green beans reached only 132.6 degrees....
The August 14 inspection, triggered by a complaint, ended with a citation at the most serious level the federal government assigns: immediate jeopardy....
Federal inspectors found Kabul Nursing Homes failed to develop appropriate dementia care for the resident during an August complaint investigation....
The resident at the center of the incident was not identified by name in the inspection report....
The resident, identified in inspection records only as Resident 6, has lived at the facility since July 2022....
Resident #71 arrived at the facility on July 26 from a subacute care hospital with acute respiratory failure, pneumonia, and a tracheostomy already in place....
The wheelchair's left brake couldn't grip its bald tire....
The resident, identified in inspection records only as Resident 1, had been admitted to the facility on a date redacted from public records....
The resident at Life Care Center of Kennewick had been admitted with a brain injury that caused loss of consciousness, stroke damage, and a history of falling....
Inspectors documented that interventions to increase staff awareness of the resident's elopement risk had not been added to the care plan....
The CNA stepped between the residents and separated them....
The violent incident unfolded during a two-day stay at Boulder Park Terrace in July....
The director of nursing confirmed this directly to inspectors....
The Assistant Director of Nursing acknowledged the facility's policy requires leaving a discharge note and confirmed this was not done....