Latest reports, citations, and penalties from CMS data
The September 19 altercation at Marshall Rehab & Nursing began as a verbal dispute about politics between the two roommates....
The resident's responsible party told inspectors during a November 24 interview that facility staff never informed them about the shingles diagnosis....
Without proper compression, the drains essentially stop working....
The resident at Griffith Park Healthcare Center required all medications to be crushed because he could not swallow whole pills....
She told inspectors she acted at the resident's request but now realizes she should have refused....
The incident occurred at Folsom Care Center, where Resident 1 has lived since 2020 with diagnoses of traumatic brain injury and dementia....
Yet the Medical Records Director revealed the signature problem went deeper than simple oversight....
RN 1 spoke with the resident's family member at 4:47 a.m....
The resident arrived at her doctor's office on October 13 with wet dressings covering two open wounds on her left foot....
The breakdown in communication centered on Resident #1, whose scheduled bath days were Monday, Wednesday, and Friday....
She told inspectors the facility had no proof residents were receiving their scheduled baths....
The resident never returned from the hospital....
Federal inspectors found the practice violated requirements to provide activities that meet residents' individual needs and preferences....
During a November 26 interview at 2:29 p.m., she admitted she had not started any specialized training in infection prevention....
When inspectors questioned nurses about the missing orders, staff admitted they weren't sure if orders were needed....
The resident stayed outside until 1 AM on October 8, repeatedly telling staff he was "enjoying the fresh air" and wasn't ready to come inside....
Medication Aide G parked the Station A cart close to both the TV room and dining area at 9:52 a.m....
The November 25 discovery at Parklane West Healthcare Center revealed a fundamental breakdown in medication security....
The attack occurred on October 8 between two residents at Lone Star Ranch Rehabilitation and Healthcare Center....
The social worker and MDS coordinator told inspectors during a joint interview that they "should have" updated the care plan earlier....