Latest reports, citations, and penalties from CMS data
Staff failed to verify the placement of one resident's fentanyl patch during first shift on September 12, 2025....
Federal inspectors visited the Morrison, Illinois nursing home on January 29, 2026, following a complaint....
The facility's own records told a fragmented story....
She told inspectors she did not feel the staffing level was safe or in the best interest of the residents....
Inspectors documented that the facility's policy, last revised in February 2023, states its commitment to protecting residents from abuse in multiple forms....
The nurse, identified in inspection records only as V21, had already refused to cover an entire hall when it became clear he was alone....
The resident, identified as R2 in federal inspection records, was alert and oriented, communicated his needs verbally, and walked independently using a walker....
That is what a federal inspection at Apopka Health and Rehabilitation Center found in late January 2026....
Inspectors classified this as a Category D violation - meaning while no actual harm occurred to residents, there was **potential for more than minimal harm**....
The inspection report, dated January 29, 2026, reveals a facility scrambling to contain damage from staff misconduct....
The woman's gross monthly income was $1,159.22, according to her Medicaid eligibility records....
The error involved a resident identified in inspection records as R71....
Inspectors documented a **pattern of deficiencies** affecting multiple residents, though no immediate physical harm was observed....
The oversight left contradictory instructions in the resident's file for months....
These citations require facilities to implement immediate corrective actions to remove the jeopardy situation....
The infection control violation occurred during care of a resident with a suprapubic catheter....
Resident 85 arrived at the facility on December 16, 2025, with multiple serious conditions....
A new antibiotic had been started....
The resident at the center of the incident, identified in inspection records only as Resident 1, was admitted to the Fortuna facility in October 2025....
The resident already had a history of gangrene on her left pointer finger....