Latest reports, citations, and penalties from CMS data
Inspectors walked the facility's 100 Hall on the morning of January 31 and found the same problem in three separate rooms within twenty-five minutes....
That resident, identified in inspection records as R151, told inspectors on January 29 that they needed the catheter adjusted....
Hypothermia is not a minor discomfort....
She was not alone in what she was describing....
The resident, identified in inspection records only as Resident 49, had survived a stroke that left her left side weak and partially paralyzed....
The tubs were cleaned after each resident's bath, but the instructions staff followed never told them to let the disinfectant sit for 10 minutes....
That sequence of events is what federal inspectors documented during a January 30 complaint inspection at the Frederick facility....
On at least 15 separate days between Christmas Eve and late January, the kitchen operated with only two workers....
The resident who struck her, Resident 2, scored 8 out of 15, indicating moderate impairment....
Without those checks, there is no reliable way to know whether the dishes coming out of the machine are sanitized or simply wet and clean-looking....
Cohorting, the practice of grouping patients with the same infection or exposure together, is a standard infection control measure....
It did not specify procedures for putting on and taking off gloves before, during, and after peri-care procedures....
The resident, identified in inspection records as Resident 11, had a Foley catheter for a condition called neurogenic bladder....
The facility could not produce a documented rationale for the prescription when inspectors asked for one on February 10....
The resident, identified in inspection records only as Resident #75, was admitted to the facility with type 2 diabetes....
Nobody had done the required assessment first....
Bins of sugar, flour, and cornmeal sat open with no date markings....
Inspectors noted he had intact cognition....
Most concerning was the discovery that controlled drugs were not stored in separately locked compartments as required by federal regulations....
Inspectors classified this as a Level E deficiency, indicating a pattern of problems with potential for more than minimal harm to residents....