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Boulder Park Terrace: Fall Prevention Failure - MI
The fall happened on July 29, 2025....
Latest reports, citations, and penalties from CMS data
The fall happened on July 29, 2025....
Inspectors classified the violation at Scope/Severity Level D, meaning it was isolated and caused no documented harm to any resident....
The administrator confirmed it herself....
The deficiency, cited under a category covering quality of life and care, is among the more direct failures a nursing home can accumulate....
It is a standard that exists precisely because some failures don't fit neatly into a box about medication timing or hand-washing....
Federal inspectors cited the 20820 Earl Street facility on August 15, 2025, following a complaint investigation....
Federal health inspectors cited the facility under a deficiency category covering the confidentiality of resident records....
The inspection, completed on August 14, 2025, produced a single citation, but it was not a minor one....
Not just during the day, when administrators and department heads are present, but at night....
The violation was one of 15 deficiencies inspectors documented during a complaint inspection on August 15....
The inspection was triggered by a complaint....
The inspection was conducted on August 14, 2025....
The citation, issued August 14, 2025, fell under a regulatory category covering how nursing homes procure, store, prepare, distribute, and serve food....
The August 2025 complaint inspection turned up no progress notes addressing the resident's discharge preference....
The violation was identified during a complaint inspection on August 14, 2025....
That finding, recorded under a category covering resident assessment and care planning, is the kind of citation that can mean many things, none of them good....
The deficiency was one of 15 cited during the inspection....
Extended-release opioids are designed to maintain steady levels in the bloodstream....
Inspectors classified it as an isolated problem, meaning they did not find it spreading across the facility in the way a systemic failure would....
Inspectors visiting the facility on August 18, 2025 found that Resident 3, admitted on March 20, 2025, had no documented discharge care plan at admission....