Latest reports, citations, and penalties from CMS data
## Inconsistent Cleaning Schedules Documented The inspection revealed significant gaps between the facility's written policies and actual cleaning practices....
When questioned, the nurses acknowledged they should have worn proper PPE to prevent infection spread....
**Incontinence care** represents a critical aspect of nursing home care that directly impacts resident dignity and health....
The facility's QAPI committee, responsible for monitoring and improving care quality, failed to maintain effective systems for ensuring regulatory compliance....
## Cold Food Service Prompts Resident Complaints The inspection began after multiple residents complained about food quality....
## Freezer Contamination Risks Documented During a March 27, 2025 inspection, surveyors found significant ice buildup in the facility's food storage freezer....
## Dangerous Fall Pattern Emerges The most serious incident involved Resident #114, who experienced five separate falls over four days in early January....
The Director of Nursing revealed the infection preventionist had been on leave since January 10, 2025 due to nursing license issues....
The facility was cited for failing to ensure proper infection control practices during medication administration....
The resident remained unassisted until 2:14 PM when a certified nursing assistant finally entered the room....
On January 30, 2025, a resident being transported to a pain management appointment fell from his wheelchair to the floor of the transport van....
According to facility documentation, Resident #1 had no history of physical aggression prior to being struck by Resident #3....
Under federal regulations, nursing homes must notify appropriate authorities of incidents that could impact resident safety or welfare....
Resident #34 had developed a left heel blister that was drained in October 2024 and subsequently tested positive for MRSA....
This screening error had cascading effects on the resident's care....
The licensed vocational nurse assigned to the cart admitted she had gone to a resident's room and failed to properly lock the medication cart....
The resident's care plan, updated in January 2025, explicitly stated that a mechanical lift must be used for all transfers with two staff members present....
The 36-year-old resident, admitted in February 2024 with dementia and neurogenic bladder dysfunction, required an indwelling catheter....
The combination medication, prescribed to manage chronic respiratory conditions, had expired on March 17 but remained in the facility's medication cart....
The fall resulted in a fractured right femur requiring surgical repair....