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Pine Acres Rehab: Treatment Harm Violation - IA
Emergency department records confirmed the resident had both patches when transported to the hospital....
Latest reports, citations, and penalties from CMS data
Emergency department records confirmed the resident had both patches when transported to the hospital....
The resident, identified as R #24 in inspection records, had been in the dining room since 11:30 AM when inspectors found him at 1:55 PM on November 17....
The 128-pound woman had been steadily losing weight since August....
The facility has not submitted a plan of correction....
Of ten residents who tested positive and were reviewed by inspectors, eight had signed consent forms in October agreeing to receive the COVID vaccine....
Heritage Hills Living & Rehabilitation Center used an unsecured resident room for chemical storage, with no way to lock the door....
Resident 175 had $1,915.07 sitting in her personal account when federal inspectors arrived in September....
The resident identified in the report as R2 was hospitalized for injuries sustained in the attack....
Inspectors cited Monument Healthcare Millcreek, located at 1201 East 4500 South, for infection control failures involving a small number of residents....
The Weights and Vitals Summary told a different story....
At Chandler Post Acute and Rehabilitation, inspectors found that process broke down....
The administrator, identified in inspection records as V1, found the woman, referred to as R3, at 6:55 AM on November 20, 2025....
The ombudsman told inspectors she had not received any discharge notices since March 2025 and no transfer notices since August 2025....
Then they falsified the medical records....
The resident was prescribed Warfarin, a powerful anticoagulant that prevents clots from forming or growing larger....
The resident was spitting some of it out....
As of the most recent update, the facility **has not submitted a plan of correction** for the cited deficiency....
The citation was one of four deficiencies identified during the inspection, suggesting a pattern of compliance gaps at the facility during the review period....
Residents who do not understand their medications may not report adverse reactions....
The deficiency falls under the broader category of Quality of Life and Care requirements that all Medicare- and Medicaid-certified facilities must meet....