Latest reports, citations, and penalties from CMS data
Federal regulations under F0921 require nursing homes to maintain their physical environment in a manner that protects residents from potential hazards....
Even an isolated lapse can carry significant consequences for medically fragile residents who depend on consistent respiratory support....
The facility has not submitted a plan of correction for the cited violations....
Inspectors determined the violation represented a **pattern of noncompliance** rather than an isolated incident....
The facility has not submitted a plan of correction for the infection control violation....
The meeting took place on July 23, 2025....
The September incident at Mitchell-Hollingsworth Nursing & Rehabilitation involved two residents standing in the hallway around 11 a.m....
The deficiency, cited under federal tag F0760, affected more than one resident....
Resident #126 arrived at Lenoir Health and Rehabilitation Center from the hospital with pneumonia....
The Director of Nursing told inspectors she built the shower schedule herself every day....
Inspectors determined the facility had not adequately implemented the systems necessary to protect residents from infectious disease transmission....
The nurse, identified in the report only as Licensed Practical Nurse #1, told inspectors the dose "should have been caught." It wasn't....
State inspectors found Resident 9 breathing oxygen at 4.5 liters per minute on September 24, when their physician had ordered 2 liters per minute....
The distinction between "no actual harm" and "potential for more than minimal harm" is significant....
One staffer admitted to transferring a resident who required two people without any assistance because no help was available....
The facility has since reported correcting the issue as of December 1, 2025....
The facility has not submitted a correction plan....
The facility was cited for **three total deficiencies** during the inspection, including an administration-level failure tied to hospice care coordination....
The deficiency, classified as presenting minimal harm or potential for actual harm, affected a small number of residents....
The citation falls under the category of Resident Assessment and Care Planning Deficiencies, a critical area of federal nursing home oversight....