Latest reports, citations, and penalties from CMS data
Despite facility policy requiring immediate nursing assessment after any fall, the aide failed to notify nursing staff or supervisors about the incident....
Instead, staff served the meal on a single plate with all items mixed together....
When staff couldn't locate the resident at 6:00 PM, they initiated a facility-wide search and contacted local police....
Additionally, inspectors found a bag labeled "Promethegan" with concerning documentation issues....
In the 100 hall shower room, staff had stored an electric razor filled with gray hair stubble without any resident identification label....
The federal requirements governing medication administration encompass multiple safeguards....
This qualification gap becomes particularly significant when considering the scope of responsibility involved in dietary management....
The resident experienced severe pain for approximately 15 hours before receiving the appropriate pain medication....
Inspectors documented that Resident 67, who tested positive on July 16, continued sharing room 301 with COVID-negative Resident 61....
This positioning failure presents serious medical risks....
The IV medication bag containing one gram of Vancomycin lacked essential documentation: no date, no administration time, and no nurse signature....
Inspectors found the facility lacked proper systems for recording incidents of infections identified through surveillance activities....
The resident also required monitoring for potential brain bleeding....
At 7:15 a.m., inspectors tested the dishwasher and recorded a final rinse temperature of just **137 degrees Fahrenheit**....
Her medical history included Stage 5 Chronic Kidney Disease and dementia....
The surveyor observed Certified Nursing Assistant (CNA) 8 wheeling Resident 47 away from the Northwest area of the facility....
The citation under **F610** addresses requirements for facilities to investigate and report allegations of abuse, neglect, and exploitation....
Similarly, the anti-anxiety medication lorazepam (Ativan) was documented as removed from stock on January 24 at 3 a.m....
These concerns were echoed at a family meeting held the previous day, where relatives questioned facility leadership about reduced staffing levels....
Residents who elope face significant risks including exposure to weather extremes, traffic hazards, falls, and inability to access medications or medical care....