Latest reports, citations, and penalties from CMS data
The facility's own policy requires staff to notify responsible parties of changes in condition or medical occurrences....
Yet documentation consistently listed dementia as her condition....
The violation occurred during care for a 72-year-old woman with multiple health conditions including congestive heart failure, diabetes, and morbid obesity....
Federal inspectors found the facility violated residents' rights to access their personal records during a complaint investigation completed August 28....
The licensed vocational nurse heard a sound in the hallway around 6:15 PM on August 12 and looked up to see Resident 1 on the floor....
The incident at Colonial Manor of Elma involved a resident whose cognitive assessment scored just 2 out of 15 points, indicating severe impairment....
Resident 1 developed a fever on August 4 and received a COVID test at the facility before being transferred to a hospital....
Three days later, during psychiatric evaluations, both spouses made the same request....
The violations occurred despite facility policies requiring immediate documentation both before and after giving medications....
The facility's own policy, dated May 2024 and titled "Outbreak of Communicable Diseases," could not have been clearer....
The problems persisted for months despite repeated complaints....
The January 11 incident at Gracelen Care Center sent the resident to the hospital with a hip fracture....
The resident threw off the blanket during the meal, exposing herself to other patients and staff....
The Sumer Sani-Cloth Germicidal Wipes were sitting openly on the aide's cart when inspectors arrived on August 25....
The resident's current wheelchair was missing a brake on one side, though he told inspectors it was "functioning fine" and he was aware he could get a new one....
The August inspection focused on two residents who lacked the mental capacity to speak for themselves....
The contradictory assessments of Resident #1 occurred between May 6 and May 8, 2024....
The woman had been admitted with a below-the-knee amputation, spinal stenosis, anxiety, and depression....
The resident required help transferring from her wheelchair and assistance with clothing removal....
The Licensed Vocational Nurse worked the night of April 3, 2025, and was assigned to Resident 1....