Rehabilitation Center on Pico: Medication Errors - CA
The scene at The Rehabilitation Center on Pico revealed a medication crisis that federal inspectors called immediate jeopardy....
Latest reports, citations, and penalties from CMS data
The scene at The Rehabilitation Center on Pico revealed a medication crisis that federal inspectors called immediate jeopardy....
By the time a federal inspector arrived six weeks later, the medical director said he had never heard of the recommendation....
She eventually required emergency hospitalization on January 27 with an infected amputation site and "intractable pain," hospital records show....
The resident at Care One at Millbury had developed a large genital slit from his long-term catheter....
His care plan from May 2024 specifically required assistance from two staff for bed mobility and transfers....
The hospital had discharged the patient specifically to continue intravenous Avycaz treatment through January 13....
The February inspection at Riverview Healthcare Center revealed systematic breakdowns in food safety and infection control that put residents at risk....
Resident 35, who had undergone craniotomy and required a tracheostomy, received heparin injections twice daily to prevent blood clots....
The facility violated reporting requirements in five of 27 abuse cases reviewed during a June 2024 complaint inspection....
Federal inspectors found the pattern across multiple diabetic residents at Mirage Post Acute during a January 17 inspection....
Four urinary catheter kits had expired in September 2024....
The water temperature crisis began when maintenance staff struggled to control heating systems throughout the building....
R20 tested positive for coronavirus on June 2nd and received physician orders for contact and droplet isolation precautions....
Clinton Place's own pest control logs documented the scope of the problem in the weeks before the June inspection....
The March inspection revealed the facility's systematic failure to address residents' fundamental needs....
The facility's quality improvement committee failed to prevent the problems from recurring....
The immediate jeopardy citation was triggered after inspectors discovered systemic failures in meal supervision and care planning....
By then, staff at Countryside Meadows had already changed his treatment goals from full care to palliative care without her knowledge or consent....
The unit manager said the overnight agency aide "must have left the dirty sheet on the resident's bed" rather than changing it during incontinence care....
When the roommate tried to retrieve the book, the Alzheimer's patient slapped him on the left side of the face, leaving visible redness....