Latest reports, citations, and penalties from CMS data
Inspectors determined that Lutheran Home At Hollidaysburg had not provided training consistent with what its own facility assessment should have dictated....
The food safety citation was one of **five total deficiencies** documented during the inspection....
The facility owner found the resident at 10:15 pm on October 1st after driving around the area....
The infection control finding carried a potential for more than minimal harm to residents....
Inspectors rated the harm level as minimal, affecting a small number of residents....
He returned the next day with antibiotics for cellulitis and packing that was supposed to remain in place for 48 to 72 hours....
The director of nursing was direct about what she saw in the record....
The facility has since reported correcting the issue as of **September 22, 2025**....
Federal inspectors visited the facility on September 12, 2025, following a complaint....
The October 2nd violation occurred during morning wound care for a diabetic resident with open toe wounds on both feet....
The facility received **five total deficiencies**, with infection control failures representing a significant area of concern for resident safety....
The medication error at Eventide Fargo represented a pattern federal inspectors documented during their September visit....
The facility was cited under **regulatory tag F0880** for failing to provide and implement an adequate infection prevention and control program....
Staff documented on the treatment administration record that they collected the urine sample on April 25....
Federal inspectors arrived at Harmony House Nursing and Rehabilitation Center at 8:45 a.m....
While inspectors did not document actual harm at the time of the survey, the classification noted **potential for more than minimal harm** to residents....
The resident, identified in inspection records only as RI #20, reported the wheelchair incident on September 5, 2025....
## Why Individualized Food Preparation Matters Proper food preparation in nursing homes goes far beyond standard kitchen practices....
Federal inspectors found that four of five certified nursing aides reviewed lacked mandatory training when they started caring for residents....
The citation represents the most severe level of nursing home violations under federal law....