California Healthcare: Wound Misdiagnosis Risks - CA
Federal inspectors found the misdiagnosis placed the resident at risk for wound deterioration....
Latest reports, citations, and penalties from CMS data
Federal inspectors found the misdiagnosis placed the resident at risk for wound deterioration....
Staff witnessed the destructive behavior repeatedly....
Two residents required hemodialysis three times weekly through surgically implanted chest catheters....
His blood pressure was dangerously low when responders found him....
As Resident 1 walked down the corridor, she extended her right arm, blocking his passage....
The resident at Lakeside Health and Wellness told inspectors he had been receiving "baby food for a while now" when they observed his lunch on November 19....
The first resident was found on the floor and later developed blood in his catheter bag....
The friend found the pills during a visit and immediately alerted nursing staff....
The incident occurred on August 26, 2025, when Resident #1's BIPAP machine stopped working between 2 and 3 AM....
The facility's own policy required staff to request specialized services within 20 business days of interdisciplinary team meetings....
"Staff could miss resident care needs." The facility's own policy requires care plans to be updated whenever incidents occur....
Federal inspectors cited the nursing home for deficiencies in elopement management following a complaint investigation completed November 19....
The October incident exposed gaps in how the facility handles discharges....
The doctor's order specifically required staff to hold the medication if the patient's heart rate fell below 60....
The facility failed to ensure that assessment participants had adequate knowledge to complete accurate evaluations of residents' conditions....
CNA A was terminated November 6 after the facility completed its investigation into the misappropriation of funds....
The complaint inspection on November 19 revealed systematic failures in basic environmental maintenance at the Texas nursing home....
The November 19 inspection followed a complaint and resulted in citations affecting few residents, according to the federal inspection report....
Resident 1 required IV Zosyn, a powerful antibiotic, upon readmission in November....
The resident's medication package carried a pharmacy sticker stating "Swallow Whole....