Latest reports, citations, and penalties from CMS data
When inspectors arrived at Tarzana Health and Rehabilitation Center on November 21, they found the lobby's Temperature Control Box 2 switched off at 9:45 a.m....
Licensed Vocational Nurse 3 administered hydralazine to Resident 4 on November 8, 2025, at 9 p.m., despite the resident's blood pressure measuring 100/67 mmHg....
Without these supplies within arm's reach, any bleeding emergency could turn deadly while staff scrambled to locate equipment....
She was hired after his admission to the facility....
The breakdown occurred on November 17, 2025, when Resident 1 returned to Costa del Sol Healthcare from an emergency room visit....
State regulations require nursing homes to report alleged abuse incidents within 24 hours of discovery....
The resident suffered from chronic wounds with poor healing prospects due to her debilitated condition....
Resident #6 was discovered on the hallway floor at 10 a.m....
The resident, identified only as Resident #1, required intermittent catheterization according to doctor's orders....
The violation occurred in the facility's main kitchen where food is prepared for residents....
The resident, identified in inspection records as Resident #1, made multiple statements about sexual assault to nursing staff over several months....
"I have not worn them since I got them," she told inspectors during a September 23 interview....
Resident #1 fell on October 16, 2025, breaking her right humerus....
The violation occurred on October 16 at 12:34 PM on Hall 500 at Pflugerville Care Center....
Federal inspectors found staff transferring residents without gait belts during a September complaint investigation....
The investigation began when corporate auditors discovered the manager was not following proper procedures for distributing resident funds....
The incident occurred on the evening of October 19 when Resident #2 stomped or kicked Resident #1's foot at Avir at Overton....
But when federal inspectors reviewed the records in November, they found gaps in documentation and a facility that couldn't produce basic intake records....
The patient experienced shortness of breath during exertion, at rest, and while lying flat....
The November 9 assault was the second documented incident in two weeks....