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Waters Edge Rehab: Missing CPR Orders Risk Lives - WI
Resident 11, who has a legal guardian, entered the facility sometime before July....
Latest reports, citations, and penalties from CMS data
Resident 11, who has a legal guardian, entered the facility sometime before July....
Stellar Care Center failed to provide Prostat to residents from August 28 through September 8, according to federal inspection records....
The incident occurred at Winter Garden Rehabilitation and Nursing Center when nursing staff failed to arrive on time for dinner service....
Federal inspectors discovered the violation during a complaint investigation in September....
Four minutes later, V19 told inspectors she had missed cleaning the left buttock because she was nervous....
Four of five residents interviewed during a September complaint investigation said the facility consistently failed to serve food at proper temperatures....
Resident #28 self-propelled her wheelchair down the hallway, desperate for help....
The resident, identified as R50 in the inspection report, depends entirely on staff for toileting, mobility and all personal care....
The plan required staff to keep bilateral fall mats at her bedside and maintain her bed in the lowest position at all times....
Resident 70 arrived at the 96-bed facility on June 20 with a complex psychiatric profile....
The medication didn't arrive at the facility until September 21....
On March 20, 2025, a nurse practitioner examined R7 after his father alerted staff to an "open area" on his thumb....
The catheter connects directly through the abdomen to the bladder, bypassing normal urination....
Licensed Practical Nurse V4 entered the resident's room on September 17 to assist with tracheostomy care....
Resident 37 voiced concern during a September 29 interview that she "did not always receive" her scheduled showers....
Her doctor ordered Tramadol 50 mg on September 10, but the facility didn't request the opioid pain medication from the pharmacy until September 15....
Resident #70 fled the facility's mental health unit at 5:45 PM....
The incident occurred on September 5, when nursing assistants used a mechanical lift to transfer Resident #1....
A towel was wrapped around her neck....
The September 30 federal inspection found two residents missed multiple doses of prescribed oxycodone when the facility ran out of medication....