Latest reports, citations, and penalties from CMS data
That is what federal inspectors found when they investigated a complaint at Kulana Malama, a nursing home on Oahu's western shore....
The deficiency, tagged F0695, covers the provision of respiratory care services and equipment, including oxygen....
Resident 61 reported what they saw immediately to the administrator....
He returned the next day with antibiotics for cellulitis and packing that was supposed to remain in place for 48 to 72 hours....
The October 2nd violation occurred during morning wound care for a diabetic resident with open toe wounds on both feet....
The medication error at Eventide Fargo represented a pattern federal inspectors documented during their September visit....
The facility was cited under **regulatory tag F0880** for failing to provide and implement an adequate infection prevention and control program....
Staff documented on the treatment administration record that they collected the urine sample on April 25....
The citation represents the most severe level of nursing home violations under federal law....
Federal inspectors discovered the infestation on November 19 at 10:20 AM....
The facility reported correcting the deficiency as of **December 1, 2025**, approximately two weeks after the inspection concluded....
The resident, identified only as R1 in inspection records, has lived at The Pearl of Rolling Meadows since November 2018....
Multiple interviews revealed staff routinely ignored the resident's transfer requirements....
The resident told inspectors on November 24 that "the floor needed swept and mopped" when they observed the unsanitary conditions at 11:47 a.m....
Saint Helens Post Acute placed the resident under airborne precautions on November 15 while awaiting chest X-ray results....
The November 2025 inspection, triggered by a complaint, resulted in a citation carrying a finding of actual harm to residents....
Care plans serve as the foundational document guiding every aspect of a nursing home resident's daily care....
The resident, identified in inspection records as R3, had been at The Ching Villas for roughly a year....
The resident, identified in inspection records as R3, was described by staff as interviewable....
Federal inspectors found the facility violated rules designed to prevent unnecessary psychotropic medications during an August complaint investigation....