Latest reports, citations, and penalties from CMS data
Northgate Unit of Lakeview Christian Home filed an annual assessment claiming the resident had not fallen since admission....
But a 30-day review revealed a pattern of missed care....
Three nursing assistants witnessed the incident and confirmed the nurse skipped the floor assessment....
The failure violated federal safety requirements designed to track controlled substances and protect residents from medication errors....
But nursing staff entered the treatment as "PRN" â meaning as needed â rather than as a daily scheduled order....
The attack left visible injuries that staff documented in an internal abuse report dated June 20....
The dietary manager, identified as V4 in inspection records, told inspectors on August 21 that she lacks certification for dietary management....
At 8:57 that morning, V22 opened the resident's electronic health record showing the 7:30 am glucose check was highlighted in red, indicating it was overdue....
The incident involved Resident 1, who had tested positive for COVID on August 16 and was in isolation....
The incident occurred July 4, 2025, when staff were changing the brief of a resident who has lived at Gallaway Health and Rehab since 2014....
Resident 1 has hemiplegia and muscle weakness affecting his left side, along with bowel and bladder incontinence....
Federal inspectors discovered the life-threatening gap in staff competency during an August 28 complaint investigation....
The resident at Waterville Residential Care Center had been identified as a fall risk due to confusion, gait problems, and a history of falls before admission....
Resident #2 walked toward Resident #1 and started grabbing her neck, according to the administrator's account to inspectors....
The incident occurred at Novato Healthcare Center on July 23, when Resident 2 accidentally spilled hot chocolate on her roommate....
The resident told inspectors she wanted her nails cut....
Despite state requirements mandating reports within two hours, the facility didn't file its notification until 11:11 the following morning....
The incident occurred during the night shift on August 21 at Santa Anita Convalescent Hospital, according to federal inspection records....
The incident occurred during a deep cleaning at California Post-Acute Care when the resident briefly left their room....
The incident occurred at Lakeside Rehabilitation and Care Center on April 29, when multiple staff members witnessed the administrator flip off Resident #1....