Latest reports, citations, and penalties from CMS data
Resident 1, who required a strict 1,440ml daily fluid limit due to heart failure, was given a large blue cup containing 360ml of water each night shift....
The resident's behavior deteriorated dramatically after he started smoking in September 2025....
The same resident's September records showed missing documentation for the steroid cream on four separate dates....
The facility's last Quality Assurance committee meeting occurred on July 17, 2025....
Multiple residents had specific care plans requiring two-person assistance with Hoyer lifts for transfers....
The resident agreed to transfer voluntarily after the previous administrator told him about a Houston facility that would accept him....
The resident, identified as R5 in the inspection report, was found on the floor next to the bed at 4:45 AM on October 30, entangled in bedding and snoring....
But the facility's medication records showed something different....
Hospital records showed the patient's last dose was administered at 9:08 AM that morning....
The CEO told inspectors on November 9th that he believed the bills were paid on November 3rd....
The aide raised the head of the bed and set up the meal tray without washing their hands before or after....
The resident remained unattended until RN C arrived for the 7:20 a.m....
Resident #1 had been without her Percocet since the weekend when federal inspectors arrived on November 11....
The nurse blamed a "typo" when confronted three months later....
Federal inspectors found the facility failed to protect residents from physical abuse by other residents....
The medication error at Cascade Terrace Post Acute involved temozolomide, a cancer drug that was supposed to stop after five days in April 2025....
The footage shows the aide becoming frustrated when residents wandered into the wrong room, then physically assaulting both patients within seconds....
The November inspection revealed confusion among nursing staff about proper sling sizing based on resident weight and body measurements....
The resident also developed edema, or swelling....
Administrator interviews revealed staff confusion about supervision requirements....