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Dinwiddie Health and Rehab: Lift Transfer Violations - VA
But the underlying finding was not minor....
Latest reports, citations, and penalties from CMS data
But the underlying finding was not minor....
The August 20th incident at Fort Worth Transitional Care Center revealed systematic failures in fall prevention protocols....
The physician who approved the discharge told inspectors he expected the facility to handle that call....
Resident 3 missed pain medication patches on two consecutive days....
The resident, identified in inspection records as Resident 24, used those rails to help himself move in bed and to steady himself when getting up....
that Friday, a nurse spotted the resident in the hallway, well dressed and holding a cellphone....
Federal inspectors who visited Aperion Care Hanover on August 29, 2025, found the gaps during a review of Resident D's medical records....
The resident, identified in inspection records only as Resident 1, was admitted to the facility with diabetes and had been on long-term insulin therapy....
The immediate jeopardy finding was made official on September 3 at 3:36 p.m....
Resident 59 requested a room transfer and called a family member to report what the roommate had said....
The incident took place on June 10, 2025....
The inspection, triggered by a complaint and completed September 3, 2025, centered on a single resident identified in records as Resident #1....
She knocked several times before a staff member finally heard her and let her in....
Members of the public walked past it....
The inspection, filed as a complaint survey, was completed September 3, 2025....
The resident who didn't return was identified in the inspection report only as Resident 5....
The call light cord belonging to Resident 4 had been pulled from the wall....
At Carmel Mountain Rehabilitation & Healthcare Center, a licensed nurse learned at 9:30 a.m....
Thirteen days later, she fell again....
The date written on the dressing did not lie....