Devlin Manor: Delayed Missing Money Report - MD
The delay violated federal regulations requiring nursing homes to report suspected misappropriation within two hours....
Latest reports, citations, and penalties from CMS data
The delay violated federal regulations requiring nursing homes to report suspected misappropriation within two hours....
The September 4 incident involving Resident 2 occurred during the 7 p.m....
Federal inspectors found the facility failed to follow basic safety protocols that could have prevented the injury....
The September 12 inspection revealed multiple meal service failures affecting residents' food preferences and medical nutrition requirements....
Federal inspectors found that staff skipped required residual volume checks for at least four residents with gastrostomy tubes in September 2025....
Federal inspectors classified the violations as immediate jeopardy, meaning they posed an immediate threat to resident health or safety....
The September incident at Community Care Center began when the resident complained that housekeeping staff had given him toilet paper without wearing gloves....
RN B admitted she didn't know how often meals were served late, despite breakfast being scheduled for 7:00 am and lunch at 11:00 am....
The resident, identified as R1 in federal inspection records, was admitted with orders for two heart medications that needed to be given twice daily....
The facility's environmental services director acknowledged they currently have no floor technician and are "stretched thin" on cleaning staff....
The incident began when Resident #1 entered another resident's room despite being told by nursing staff not to go there....
Resident #74 somehow left the building undetected and crossed streets to reach a bus stop....
Federal regulations require nursing homes to report incidents involving potential serious bodily injury within 24 hours....
The facility reported the irregularity itself on September 4, after discovering discrepancies in narcotic sign-out sheets for the two residents....
On August 27, staff recorded four separate diarrhea episodes....
The resident, identified in inspection records as R1, suffered a stroke that left her unable to move her left arm independently....
During the September 11 inspection, the Director of Nursing acknowledged the oversight....
The medication treats nerve pain and controls seizures....
The most serious case involved a resident with diabetes and kidney disease whose second right toe had developed a pressure sore....
The incident at Lassen Nursing & Rehabilitation Center on September 3rd began when Resident 1 told staff she was uncomfortable and needed to use the bathroom....