Latest reports, citations, and penalties from CMS data
The registered nurse stood by her medication cart on September 19, a few rooms away from Resident 3, when inspectors found her at 1:12 p.m....
Resident #3 fell on August 16 at Mayfair Village Nursing Care Center and was taken to the emergency room with left hip pain....
The facility's own policies require written notification and consent before any room changes....
One resident fell on August 26 and was sent to the hospital for evaluation and treatment....
The incident at Fleshers Fairview Health Care went unreported for hours....
The neglect left residents at risk for poor hygiene, diminished self-worth, and other negative health outcomes....
The violations affected patients whose medical conditions made independent eating impossible....
The resident, identified in inspection records as Resident 2, had dementia and a physician's order requiring one-on-one supervision to prevent wandering....
Two days after the hallway crawling incident, the facility's interdisciplinary team met to discuss what they classified as a fall....
Federal inspectors observed the violation on September 9 at 2:12 p.m....
The extended-release morphine medication is typically prescribed for chronic severe pain requiring around-the-clock treatment....
The resident had been admitted to the nursing home just hours earlier on June 7th at 5 PM, arriving directly from the hospital....
The resident was supposed to begin a restorative nursing program for walking on July 21, 2025, immediately after her physical therapy treatment concluded....
Despite being cognitively intact, the resident depends on substantial help with eating and all personal care....
The facility's own recipe called for specific measurements....
The drugs were completely unsecured....
Resident #1 managed to leave the secured facility even though staff knew he posed an elopement risk and had implemented hourly visual checks....
CNA #101's confession came during a September complaint investigation that revealed weeks of abandoned restorative care at Hudson Elms Nursing Center....
The resident routinely refused medications and services, requiring staff to redirect her and offer alternative caregivers when needed....
Federal inspectors found the facility violated requirements to thoroughly investigate alleged violations and prevent further abuse or neglect....