Latest reports, citations, and penalties from CMS data
Licensed Practical Nurse #7 consistently administered morning medications 45 minutes to over an hour late due to an overwhelming patient load of 28 residents....
During the inspection, surveyors found two white tablets in a clear plastic cup on her bedside table....
The problem became so persistent that residents filed formal grievances in December 2024 and again in February 2025....
One CNA, employed since November 2022, had not received the required annual abuse training during the 12 months prior to the inspection....
The resident in question possessed baby dolls with hard plastic heads, which became weapons during aggressive episodes....
Improper storage of smoking materials in healthcare facilities presents serious fire safety risks....
The medical director, identified as MD N, confirmed the pattern of administrative absence during her interview with inspectors....
This violated the fundamental protection that ensures residents cannot be arbitrarily removed from their homes without due process....
According to facility documentation, a certified nursing assistant making morning rounds at approximately 7:30 a.m....
## Delayed Response to Abuse Allegations Raises Concerns On January 16, 2025, a female resident approached nursing staff in her room appearing visibly upset....
Investigators documented multiple instances where residents waited **20-40 minutes** for assistance, with some emergency situations going unaddressed entirely....
These violations included improperly labeled food items, contaminated ice machines, and cross-contamination in the dishwashing area....
Both residents had severe functional limitations that warranted comprehensive rehabilitation assessments....
The resident, who had been asking for double portions due to persistent hunger after meals, did not receive adequate monitoring of their nutritional status....
The staff found Resident #40 face down on the floor and made several critical errors in their response that violated established medical protocols....
This violation indicates fundamental problems with the facility's pharmacy operations and medication management systems....
Federal regulations require all medication carts to remain locked when not under direct supervision of nursing staff....
Inspectors observed five medication errors during 31 administration opportunities, affecting at least three residents....
## Resident Discharged Without Proper Documentation One of the most serious violations involved the improper discharge of a resident in February 2024....
The auditor explained the significance of tracking replacement dates, stating, "If it's been 2 months or 1 year....