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Santa Anita Convalescent: Resident Escapes Via Gate - CA
The receptionist entered the code to open the gate without speaking to anyone or verifying their identity....
Latest reports, citations, and penalties from CMS data
The receptionist entered the code to open the gate without speaking to anyone or verifying their identity....
Resident #186 entered the facility in March 2020 with Alzheimer's disease, major depressive disorder, and hypertension....
Resident #11's injury was discovered on September 22 when staff noticed discoloration on her left hand and wrist....
The missing documentation raises fundamental questions about whether residents actually received prescribed treatments....
The incident occurred when the agency CNA lined up a shower stretcher next to the resident's bed and pulled them across using a sheet....
The worker resigned November 5 after state inspectors began asking questions....
The resident cannot walk independently and requires assistance with transfers, according to her most recent assessment....
The facility only assigned round-the-clock supervision after the September 29 incident involving two residents....
The supplements are nutritional drinks prescribed by doctors for residents who need additional calories or nutrients....
The Estates of Perryville imposed a two-week restriction on Resident #1's ability to leave alone after the person returned to the facility intoxicated....
The October 22 incident at Envive of Liberty involved a resident with multiple serious conditions including heart disease, diabetes, and a history of stroke....
Resident 1 crashed onto the floor mat on August 14, 2025, while a certified nursing assistant provided care alone....
The nurse, identified as LVN A in inspection records, broke sterile protocol while caring for a resident on enhanced barrier precautions....
Federal inspectors cited the nursing home for violations that posed immediate threat to resident health and safety following the October 22 incident....
But when federal inspectors arrived for a complaint investigation in November, they found the mat stored away from her room....
The resident was on a "nothing by mouth" diet due to difficulty swallowing....
The medication error at Karcher Post Acute was one of seven drug mistakes documented by federal inspectors during a November complaint investigation....
Federal inspectors found that nursing assistants repeatedly witnessed delays in colostomy care during a November complaint investigation....
The unnamed administrator told investigators she thought her predecessor would notify the state when he left....
The incident occurred on July 12, 2025, at Seneca Health Care Center....