Latest reports, citations, and penalties from CMS data
The facility's administrator didn't notify proper authorities until October 7 â six days after the abuse occurred....
The 61-bed facility's own policy required residents receive bathing twice weekly....
Resident 8, who has spastic quadriplegic cerebral palsy and severe cognitive impairment, depends entirely on staff for eating, transfers and bed mobility....
The incident occurred at Brittany Manor on September 14, 2025, at 3:30 PM in the activity room....
Four residents filed complaints about the inadequate linen conditions during a federal inspection in early October....
The resident reported a pain level of 8 out of 10 throughout the ordeal....
Resident 101 had lived at Optalis Health and Rehabilitation of Three Rivers since his admission earlier this year....
Maintenance Assistant 38 witnessed the March 27 assault and reported it immediately....
The resident, identified as R4 in the inspection report, was completely dependent on staff for eating, toileting, dressing, and mobility....
Hospital records showed the resident had been receiving IV fluid bolus daily before admission....
The incident began June 6 when nurses were trying to position a Hoyer lift pad under Resident #7....
Federal inspectors found a pattern of missed blood glucose checks throughout September....
Federal inspectors found Resident #4 at Aviata at Seminole on October 7 in the facility's parking lot at 10:58 a.m., openly smoking marijuana....
The woman's incontinence brief was completely saturated with urine, and both sides of her buttocks appeared deep red....
"I was informed that her insurance could provide one and we just needed a referral or an order from the facility to provide to the insurance company," he said....
His physician had ordered morphine concentrate every hour as needed for shortness of breath and pain....
The facility's Director of Nursing told inspectors that change in condition evaluations should be completed before the end of the shift when the change occurs....
That's where her involvement ended....
Federal inspectors responding to a complaint found the violations created immediate jeopardy to resident safety during their October visit....
The facility's medical director said he should have been informed immediately....