Latest reports, citations, and penalties from CMS data
The business office manager forwarded the email to the director of nursing an hour later but took no further action to fulfill the records request....
The social services director immediately notified the director of nursing and provided emotional support to the resident....
Federal inspectors found Atlas Healthcare at Daughters of Miriam violated incontinence care standards during an October 30 complaint investigation....
Resident 1 was admitted to Buena Park Nursing Center on October 8 with a specialized gastrojejunostomy tube, which has two separate ports....
The patient, identified as Resident #1, was admitted to the facility with a cerebrovascular accident, Parkinsonism, and vascular dementia....
Resident 1 was changing his brief with CNA 1 on September 25 when the nursing assistant instructed him to turn to his left side....
The incident began when CNA C was providing peri-care to Resident #1 and reported hearing the distinctive sound....
The DON acknowledged the serious consequences of failing to report....
The resident was found unresponsive on August 16, 2025, during the night shift....
The lift tray used to carry food was soiled and covered with debris....
The fracture was first noticed on August 17 when a licensed practical nurse spotted discoloration on the resident's left collar bone....
The woman said "okay," and the man proceeded to touch her breast....
Federal inspectors arrived two days later to investigate the incident that put the resident's health and safety at immediate risk....
The resident, identified as R1 in the inspection report, was admitted with dehydration, Parkinson's disease, anxiety and weakness....
Resident #159 arrived at the emergency room at 4:23 a.m....
The incident occurred during a two-week period when the facility's call light system had malfunctioned....
The discharge delays had serious medical consequences....
The October 2nd incident involved a resident who had lived at the 91-bed facility for more than two years....
After finishing the perineal care, the nursing assistant put a new incontinence brief on the resident while still wearing the same gloves used during cleaning....
Despite giving scheduled medications, she left no written record that any treatments had occurred....