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Complete Care at Severna Park: Call Bell Failures - MD
The inspection revealed a broader pattern of call bell failures throughout the facility....
Latest reports, citations, and penalties from CMS data
The inspection revealed a broader pattern of call bell failures throughout the facility....
Inspectors found four separate medication carts that failed to lock properly during their October investigation....
Nobody at the nursing home noticed Resident #127 was missing until nearly two hours after the 8:55 PM escape on May 11, 2025....
The resident, identified in inspection records as CR #1, left the facility during an afternoon shift change without staff knowledge....
Staff had been serving meals without proper verification that food matched physician-ordered diet restrictions....
The resident also had suffered a stroke with right-sided weakness and malnutrition....
Resident 105 had been at the facility for just two days when the incident occurred....
She didn't receive a single dose until October 20....
Nobody weighed the resident when he was readmitted in September....
The error affected how staff addressed the resident's comfort needs and pain management....
The inspection, conducted on October 23, 2025, followed complaints about conditions at the 395745-licensed facility....
Resident #5 fell at Piedmont Hills Center for Nursing and Rehab on September 3rd at 11:30 AM, then again at 1:00 PM....
Staff had begun treating the skin breakdown, but the resident's comprehensive care plan remained unchanged....
Staff D entered Resident #2's room during personal care on October 22....
When R1's condition changed, registered nurse V17 was working in the same area of the building....
But the administrator never filed the required report with state authorities....
She told them staff had brought her breakfast tray and said they would be back to help her transfer out of bed....
Federal inspectors found dangerous water temperatures in six of eleven bathrooms they tested during an October 27 complaint investigation....
The resident told federal inspectors on October 27 that he had been at Amberwood Care Centre for about six months and had not seen a podiatrist yet....
The 78-year-old woman with moderate mental impairment had been admitted to Autumn Creek Post Acute with the catheter already in place....