Grafton Oaks Nursing Center: Privacy Breach - OH
The resident who left with the wrong prescription was not the one it belonged to....
Latest reports, citations, and penalties from CMS data
The resident who left with the wrong prescription was not the one it belonged to....
The nursing assistant, identified in federal inspection records as CNA #1, was the one who spotted it....
Both aides acknowledged what they had seen....
Residents discharged back to the community, or transferred to another nursing facility altogether, were not included....
Federal inspectors visited the facility on August 18, 2025, responding to a complaint....
Federal inspectors cited the facility for failing to report an injury of unknown origin within required timeframes to the Wisconsin State Survey Agency....
He said the turning caused him pain....
During an August 2025 inspection, surveyors discovered mouse droppings in the facility's conference room....
She was, by every clinical measure the facility had, fully intact....
The resident, identified in inspection records only as resident #20, had a documented history of hiding medications in his mouth rather than swallowing them....
The August 18 inspection, triggered by a complaint, produced an immediate jeopardy finding, the most serious classification federal inspectors can assign....
The violation involved perineal care, the routine hygiene procedure performed on residents who cannot clean their own genital and rectal areas....
The fall happened on July 3, 2025....
When a federal inspector pointed it out at 10:30 a.m....
"I think it looks crappy," he said....
That is what a federal inspection report describes happening at Focused Care at Huntsville, a skilled nursing facility in Huntsville, Texas....
For Resident 1, no such sign had been placed on the door....
The resident, identified only as Resident #250, was flagged in their care plan as being at risk for bladder incontinence due to physical debility....
That was one of seven obstacles inspectors documented on August 13 at 24th Place, a residential facility serving 78 people in Norman....
Done wrong, a transfer from bed to wheelchair or toilet can fracture a hip, tear a shoulder, or send a resident to the floor....