Levindale Hebrew: Abuse Reporting Failures - MD
Inspectors rated the harm level as minimal, with a few residents affected....
Latest reports, citations, and penalties from CMS data
Inspectors rated the harm level as minimal, with a few residents affected....
The incident came to light during a complaint inspection completed October 29, 2025....
The September 2025 complaint inspection resulted in an immediate jeopardy finding under F0689, the federal tag covering accident prevention and supervision....
The facility uses a point-of-care kiosk system where CNAs are expected to log eating assistance after each meal....
The resident, identified in the report as R5, did not receive their IV medication as required....
The resident, identified only as Resident 6 in inspection documents, had three serious medical conditions that demanded constant observation....
The facility has since reported correcting the issues as of November 25, 2025....
The administrator said camera footage was reviewed to ensure compliance....
The facility received **two deficiencies** during the survey, including a violation related to resident assessment and care planning protocols....
He was on escitalopram and trazodone....
In another shower room, dried brown matter was observed on the wall next to a shower chair....
Inspectors assigned the violation a **Scope/Severity Level E**, indicating a pattern of noncompliance rather than an isolated incident....
Inspectors observed the worker, identified in the report as Dietary Aide 2, pick up fish with his gloved hands and plate it at 12:54 PM on October 8....
The October schedule gaps represent a systematic failure rather than isolated incidents....
Federal inspectors found the facility had trained staff on proper transfer techniques but the nursing assistant violated those procedures....
That is what federal inspectors found when they visited Big Horn Rehabilitation and Care Center on October 23, 2025, following a complaint....
Federal inspectors flagged the language during a November 2025 complaint inspection, citing it as a violation....
Staff signed medication records showing they dispensed the controlled substance but failed to record administration on required tracking documents....
The inspection was triggered by a complaint....
The facility has not submitted a corrective action plan....