Latest reports, citations, and penalties from CMS data
These reporting failures prevent state agencies from conducting proper oversight and additional investigations when necessary....
The deficiency was rated as causing minimal harm with potential for actual harm, affecting few residents....
However, the facility failed to carry out this laboratory order before the resident required hospitalization on February 17, 2025....
The medication administration record showed the drug was "on order from pharmacy" during this period, indicating it was unavailable at the facility....
The April 18, 2025 complaint investigation revealed systemic failures in fall prevention protocols that put residents at immediate risk of harm....
During their morning inspection at 7:57 a.m., surveyors documented multiple safety hazards in the bathing room....
Medical records showed the resident lacks mental capacity to understand and make medical decisions....
**FB_POST:** BREAKING: Mansfield nursing home cited for immediate jeopardy after failing to protect suicidal resident with proper safety protocols....
One patient receiving hospice care for stage 5 kidney failure missed four fentanyl patch applications over 13 days....
Inspectors found two residents with pressure ulcers were not receiving the enhanced barrier precautions required by federal regulations updated in April 2024....
Despite having clear protocols in place, inspectors observed multiple instances where nursing staff failed to follow these critical safety measures....
The resident had a deep wound reaching muscles, ligament and bone that required specialized care....
The individual was transported to the hospital emergency department for evaluation and returned to the facility five days later....
According to inspection findings, residents consistently experienced long delays when requesting assistance with fundamental daily care needs....
The violations centered on inadequate documentation of insulin administration for a resident with both diabetes and Parkinson's disease....
This created a dangerous scenario where, in the event of cardiac arrest, emergency responders would have conflicting information about the resident's wishes....
The nurse administered 4% lidocaine patches instead of the prescribed 5% strength to a resident requiring pain relief for both shoulders....
Emergency Medical Services transported the resident to the hospital at 7:25 am....
## Medication Storage and Labeling Failures Inspectors found serious medication management violations across multiple areas of the facility....
However, conflicting accounts emerged during the investigation that raised serious concerns about the circumstances of the injury....