Victoria Post Acute: Abuse Report Failure - CA
The resident, who had been admitted with a history of brain hemorrhage, scored a perfect 15 out of 15 on his cognitive assessment in May....
Latest reports, citations, and penalties from CMS data
The resident, who had been admitted with a history of brain hemorrhage, scored a perfect 15 out of 15 on his cognitive assessment in May....
Administrative staff confirmed they expected nurses to follow these basic safety protocols....
Resident 53 had been readmitted to Dreier's Nursing Care Center in May after a fall at the facility led to hospitalization for altered mental status....
Each time he removed dirty gloves and put on clean ones, he skipped the required hand hygiene step....
The 87-year-old with severe Alzheimer's disease left the facility at 1:35 PM on June 14 after nurses discovered the medical emergency at 1:05 PM....
The violation at St Vincent's - A Prospera Community illustrates how basic infection control failures can put vulnerable residents at risk....
Federal inspectors determined the pattern created immediate jeopardy to resident safety....
The resident had acute respiratory failure, a tracheostomy, and was at high risk for falls....
The resident's family member called the facility in June 2024, concerned about developing contractures in hands and legs....
Seven days later, the same two residents argued again on the patio about personal space....
Multiple cigarette butts lay in brown, brittle grass around the facility sign, along the driveway fence, and under a facility window....
The failures at Olympic View Post Acute put Resident 127 at risk during treatment for pneumonia and sepsis, a potentially fatal blood infection....
Despite this total dependence on staff, inspectors found the person's fingernails had grown about three-quarters of an inch beyond their fingertips....
The resident weighed 77.4 pounds and could walk independently without assistance....
The facility's own assessment documents promised annual wound care training and specialized care competencies for staff....
When the physical therapist pressed the call light that morning to get the resident cleaned up for her session, nobody came....
The incident at Decatur Health & Rehab Center triggered immediate jeopardy violations that lasted nearly a month, from January 4 through February 1, 2025....
The problems emerged during a resident council meeting on April 22, when multiple residents complained about conditions during night shifts....
Staff F was hired at Royal Park Health and Rehabilitation Center on November 3, 2022....
Both residents had severe cognitive impairment....