Latest reports, citations, and penalties from CMS data
Resident #44 sat in his room with three open wounds completely exposed, despite physician orders requiring all of them to be covered with dressings....
The in-house hemodialysis nurse discovered the problem on October 3rd when Resident #2 arrived for her regular treatment....
Federal inspectors found the violations at Avon Place Healthcare Center during an October complaint investigation....
on September 29, inspectors observed him alone in the chair....
Instead of following written protocols, staff relied on personal familiarity with residents to determine appropriate responses....
"You will take a bath today if you come closer to me," RN #3 told the resident, according to her own account to investigators....
Yet the family remained unaware until they happened to be present when the wound care provider came to the resident's room....
Federal inspectors reviewing grievances from July through December found residents repeatedly complained about staff customer service problems....
The incident at CareOne at Livingston reveals a breakdown in basic wound care protocols that left a facility-acquired injury undocumented for 10 days....
The incident occurred on October 22 when Staff A and Staff E moved Resident #5 from his recliner to his bed for incontinence care....
The resident's daughter filed a complaint October 15 stating her father had passed away at the hospital....
But she couldn't recall what the physician told her to do....
The facility's computer system was designed to prompt nurses to enter a blood sugar reading when they signed off on administering the insulin....
Inspectors counted approximately 16 flies swarming Hall 300 on October 20....
The Assistant Director of Nursing told inspectors she would check a fallen resident's range of motion first....
A physician immediately ordered potassium supplements and Zofran, an anti-nausea medication, by telephone that evening....
The facility's own policy requires medications be given within one hour of prescribed times....
The October investigation revealed a pattern of medication management failures that put vulnerable residents at risk....
The finding triggered an emergency state survey that confirmed the facility had implemented corrective measures by October 15....
The facility's own policy mandates pain scores be documented every shift for each resident....