Bay Crest Care Center: Care Plan Failures - CA
The inspection identified failures in how the facility monitored, documented, and reported signs of infection and complications to physicians....
Latest reports, citations, and penalties from CMS data
The inspection identified failures in how the facility monitored, documented, and reported signs of infection and complications to physicians....
The resident, identified in inspection records only as Resident O, carries diagnoses of osteomyelitis, a serious bone infection, and schizophrenia....
A witness, another resident, walked to the social services office the following morning and reported what he had seen....
An inspector noticed the outdated posting at 9:40 that morning....
Federal inspectors visited the Pasadena facility on August 19, 2025, and documented the finding as part of a complaint investigation....
The resident, identified in inspection records only as Resident E, had a physician's order written at 1:16 p.m....
That was August 19, 2025, the day surveyors arrived for a complaint inspection....
When he asked a therapist why, he was told they didn't have enough staff....
Resident #2 was in his wheelchair with the brakes locked....
The resident had severe osteoporosis....
That is what federal inspectors found when they investigated a complaint at Monrovia Post Acute, a skilled nursing facility at 1220 E....
The temperature gauge read 50 degrees....
The facility housed 103 residents at the time....
That observation, recorded by a federal inspector on the morning of August 19, was not an isolated test....
The aide, identified in inspection records only as Medication Aide #380, told inspectors she had put on a face shield at first but took it off....
The facility failed to report a resident's allegations of verbal abuse and neglect to the state agency within the required timeframe, inspectors found....
What inspectors found that day, and the next, was a building coming apart around the people living in it, room by room, floor by floor....
The inspection, completed August 20, 2025, was a complaint investigation....
Inspectors visiting Ormond Rehabilitation and Nursing Center on August 19, 2025, documented the sequence....
The error happened on the morning of August 6, inside Continuing Healthcare of Cuyahoga Falls, a 50-bed facility....