Latest reports, citations, and penalties from CMS data
The patient, identified in records as Resident 1, was found face down on the floor of his third-floor room around 9:40 PM....
A sign posted outside the resident's door clearly indicated staff should wear gowns and gloves during high-contact care, including wound treatment....
The resident, identified only as Resident 1, disappeared from the facility sometime between 7 a.m....
She heard the resident's right arm "crack" during the repositioning....
The incident occurred at Meadowood Nursing Center on September 15, 2025, at approximately 10:30 p.m....
The resident told staff her left leg pain and tailbone pressure sore prevented her from standing....
Federal inspectors found dozens of missing signatures across two wings during their October 7 investigation....
Resident 44 had paralysis on one side of her body and required a two-person assist for transfers using a Hoyer lift....
Staff never offered to brush his teeth in the morning, he said....
The facility's restorative nursing aide, known as an RNA, was reassigned to basic nursing duties instead of providing the specialized care residents required....
The medication mix-up at Wellbrooke of Carmel involved Rytary, an extended-release drug used to treat Parkinson's symptoms....
The resident, identified in the October 7 inspection report as R1, had been readmitted to the facility with benign prostatic hyperplasia....
The October 2nd incident prompted emergency federal oversight after administrators failed to adequately protect residents from threats....
The medication error occurred during evening rounds on September 9, 2025....
The delay involved records for Resident A, who had been discharged in November 2023 after treatment for chronic kidney disease....
The delays occurred despite clear facility policies requiring immediate notification of state agencies when abuse is suspected....
According to the federal inspection report, the resident was sitting on a dycem, cushion, and bath blanket when the van driver applied the brakes....
The resident told inspectors on October 7th that medications had arrived "several hours late" on multiple occasions....
Resident #101 scored just 4 out of 15 on a cognitive assessment in July, indicating severe impairment....
The incident occurred March 8 during the evening meal....