Latest reports, citations, and penalties from CMS data
## Pattern of Narcotic Tracking Discrepancies Federal inspectors uncovered a concerning pattern of medication tracking failures spanning several months....
The breakdown extended to nursing assistants who provide direct resident care....
Bank statements showed the resident's account balance plummeted from $9,539.98 in July 2024 to just $496.46 by October 2024....
One resident with spinal stenosis and muscle weakness reported waiting **up to 2 hours** during nighttime shifts for staff to respond to calls for help....
## Food Contamination Incident Raises Infection Control Concerns The most alarming violation occurred during breakfast service in the secure dementia unit....
The facility's director of nursing approached and questioned why the door remained open during such intimate care....
Despite this clear requirement, the certified nursing assistant was performing bed linen changes alone....
When inspectors contacted the listed physician, **the doctor stated the facility was not one where he sees residents**....
During the inspection, surveyors observed a nurse aide exiting a COVID patient's room wearing only a blue surgical mask after performing close-contact care....
## **Facility's Inadequate Response Exposed** Federal inspection records reveal significant gaps in how administrators handled the abuse allegation....
When the attending physician ordered vital signs to be checked every four hours for 72 hours, nursing staff documented measurements at only 9:34 a.m....
**Multiple nurses admitted to throwing used fentanyl patches directly into regular trash cans** without proper supervision or disposal procedures....
This violation directly contradicted physician orders designed to prevent choking and aspiration risks....
The violations encompassed critical documentation gaps across multiple areas of resident care....
Another resident in a persistent vegetative state also had catheter tubing on the floor....
The facility's wound nurse discovered two new pressure injuries during routine care....
Federal regulations require nursing homes to investigate all allegations of abuse and take immediate protective action....
Inspectors documented that an agency nurse used a blood glucose meter designated for one resident on another resident without proper disinfection procedures....
The resident remains hospitalized as of the inspection date....
This created a dangerous gap in the medical record that could lead to medication errors, including potential double-dosing or missed medications....