Latest reports, citations, and penalties from CMS data
Yet nursing staff failed to document whether the resident ate breakfast on August 3, 4, 9, 15, 22, 23, and September 1, 2025....
The resident also complained that nurses didn't care about him and that some were rough during treatment, making him cry because they weren't gentle....
The ADON explained that care plans must be person-centered so staff understand exactly how to care for each resident....
The facility's own policies outlined detailed requirements for managing medical orders that weren't being followed....
The resident died at 10:40 AM on the inspection date....
The resident scored just six out of 15 on a mental status assessment, indicating significant dementia....
Federal inspectors found the facility violated requirements to immediately report suspected abuse after Resident #98 made the complaint on December 30, 2024....
The September incident at Advanced Center for Nursing & Rehabilitation left doctors unaware that critical lab work had gone undone for nearly two weeks....
The assessment determines what resources are necessary to care for residents competently during daily operations, nights, weekends, and emergencies....
Licensed Practical Nurse #1 was observed on October 1st preparing and administering medications to Resident #8 without consulting the required records....
Resident #13 required tube feeding because she couldn't swallow safely, yet she routinely tampered with her medical equipment and consumed dangerous items....
The September inspection revealed systematic failures in infection control and tracheostomy care that put vulnerable residents at risk....
The assistant administrator discovered the employee in the resident's room asking for money during what should have been her day off....
The Administrator separated the two residents but failed to file the required abuse report with the Texas Health and Human Services Commission....
The September incident at Shelby Oaks Post Acute involved a resident with a documented pattern of throwing himself on the floor and falling repeatedly....
That resident wasn't alone at Hallmar Village....
Seven of eight staff members reviewed during an October inspection had no record of completing the required effective communication program training....
The patient, identified in records as Resident 1, was found face down on the floor of his third-floor room around 9:40 PM....
A sign posted outside the resident's door clearly indicated staff should wear gowns and gloves during high-contact care, including wound treatment....
The resident, identified only as Resident 1, disappeared from the facility sometime between 7 a.m....