Latest reports, citations, and penalties from CMS data
The incident occurred despite the resident having a care plan that explicitly identified them as high-risk for elopement, with a risk score of 20....
Despite these documented precautions, the magnetic lock system on the courtyard gate was left disengaged after routine lawn maintenance....
Medical records revealed that staff repeatedly documented concerning findings about the resident's dialysis access site between December 2024 and March 2025....
The resident's psychiatric medication was ordered to be administered at 9:00 PM daily, but staff failed to provide these doses....
Water at 127 degrees Fahrenheit can cause first-degree burns in just one minute of exposure....
When nursing staff initially observed the skin breakdown on March 14, multiple certified nursing assistants reported seeing the affected area....
The April 2025 inspection documented improperly installed and maintained bed equipment throughout the 159-bed facility, prompting emergency corrective actions....
Inspectors observed dried brown smears on bathroom walls near light switches and on bedside commodes, which facility staff confirmed was fecal matter....
The violations affected multiple residents and created risks for medication errors, untreated medical issues, and deteriorating health conditions....
Personnel records examined during the inspection showed Cook D's initial dementia training occurred shortly after their hire date of December 16, 2023....
Long, untreated toenails in elderly residents create significant health risks beyond discomfort....
These specialized medical devices require precise monitoring and regular maintenance to prevent life-threatening complications....
By May 2025, the 58-year-old resident reported she could no longer see faces, read books, or even see her food during meals....
This oversight represents a fundamental breach of infection control protocols....
He speculated the medication was "probably on the medication due to R34's medical history" but had no documentation to support this assumption....
This oversight occurred in one of the facility's seven medication carts....
Inspectors found that Southridge Specialty Care was not following its own Medication and Treatment Orders policy, which had been revised in July 2016....
This violation, documented under federal tag F837, represents a fundamental breach of nursing home operational standards....
This face-to-face requirement replaced what appeared to be an ineffective or non-existent previous system....
When injections are repeatedly administered to the same site, scar tissue develops beneath the skin, creating a condition called lipodystrophy....