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Harmony House: Catheter Care Deficiencies - LA
The violation came to light during a complaint inspection on October 1st....
Latest reports, citations, and penalties from CMS data
The violation came to light during a complaint inspection on October 1st....
Federal inspectors responding to a complaint in September found that staff violated the facility's own safety procedures during wheelchair transport....
The resident also has chronic blood clots in the lungs and fluid buildup around the heart....
The August 14 attack happened at 4:45 PM when the victim, identified in federal inspection records as Resident #1, tapped Resident #2 on the shoulder....
She provided a photo with her complaint and gave the grievance form to the activities director....
The facility's Director of Nursing conducted a sexual capacity evaluation but failed to properly assess the resident's cognitive ability to consent....
When she got out in November, staff called her daughter, who talked her back inside over the phone....
The medication administration record, which nurses are supposed to fill out every time a controlled substance is given, showed nothing....
Federal surveyors observed the practice during routine medication administration at Franciscan Woods....
The facility has not submitted a plan of correction for the cited deficiencies....
She told an inspector by phone on December 23 that she had not received all of her required doses twice in September....
Federal inspectors found multiple documentation failures in wound care at Center at Park West during an October 2025 complaint investigation....
The resident had arrived with multiple wounds, including pressure injuries at the sacrococcyx, both heels, and the left lower leg....
The missing equipment violated the facility's own care plans for residents who needed the rails to turn, reposition themselves, and transfer in and out of bed....
Resident #5 at Stone Cottage Care Center had negotiated an unusual arrangement with staff....
A patient with dementia and a documented history of wandering had walked off the secured unit with a group of visitors on November 19....
The administrator confirmed the shower should be clean and maintained in good condition....
The resident required a mechanical lift to move from bed to wheelchair....
The lapse surfaced during a complaint inspection completed December 30, 2025....
The facility's policy required investigation results to be submitted within five working days....