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Ginger Cove: Abuse Reporting Failure - MD
Federal inspectors found the facility violated reporting requirements during a November complaint investigation....
Latest reports, citations, and penalties from CMS data
Federal inspectors found the facility violated reporting requirements during a November complaint investigation....
The wire was part of the wander guard alarm system at the facility's service hall back door....
The resident, identified only as R1 in federal inspection records, had an esophageal stricture requiring repeated procedures to stretch his esophagus....
That finding emerged from a complaint inspection completed November 20, 2025, at the 3450 N Buffalo Drive facility....
The Enderlin nursing facility received **two deficiency citations**, including one related to maintaining a safe, accident-free environment for residents....
Federal inspectors found that Resident #1, diagnosed with hypertension, was supposed to receive a reduced dose starting October 23....
Federal regulations require that these plans include specific timetables and measurable actions....
The citation falls under the **Quality of Life and Care Deficiencies** category, one of the most fundamental areas of nursing home compliance....
The contamination posed risks of foodborne illness to residents, according to the inspection report....
She placed it under herself and urinated into it alone....
The resident had diagnoses including chronic kidney disease, hypertension, and type 2 diabetes, and had severely impaired cognition....
Federal inspectors discovered the falsified records during a November inspection of the facility's controlled substance logs....
The facility has not submitted a plan of correction....
The problem centered on the facility's Narcotic Count Sheet, a form used to track controlled substances across each shift....
The resident arrived with an open wound on the sacrum that staff documented only as "open wound" without any detailed assessment....
This classification sits on the lower end of the federal enforcement scale but still represents a meaningful gap in resident safety protocols....
Colonial Park Rehabilitation and Nursing Center was supposed to draw blood on April 14 to check vancomycin levels in Resident #1....
The breadth of the breakdown is notable....
Resident #3 required assistance with toileting and dressing due to "cognitive loss and poor initiation of tasks." Inspectors found her at 5:05 a.m....
Federal inspectors discovered the unsecured cart at 9:08 a.m....