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Glenburnie Rehab: Sleep Apnea Device Never Provided - VA
Federal inspectors found no evidence the facility ever provided the device during his stay....
Latest reports, citations, and penalties from CMS data
Federal inspectors found no evidence the facility ever provided the device during his stay....
On October 22, inspectors observed Resident 43 sitting in dining room B at 12:15 PM, waiting for lunch trays that didn't arrive until 1:10 PM....
At least six residents developed severe itching rashes consistent with scabies infestation by mid-October....
Cases involving abuse or serious bodily injury must be reported within two hours....
The resident had called her son on September 1st asking him to bring a fly swatter because there were so many flies in her room....
The resident's anticoagulation medication Eliquis was stopped in July 2025 before a procedure to place a suprapubic catheter....
On the day of inspection, 24 residents displayed "falling star" nameplates marking them as fall risks....
A January assessment showed the resident scored just 3 out of 15 on a standard cognitive test, indicating severely impaired mental status....
The theft occurred between August 9 and September 10, 2025, at Senatobia Healthcare & Rehab....
A certified nursing assistant on break spotted the resident near the driveway and parking lot....
The five nursing assistants under review had worked at Oak Ridge for varying lengths of time....
When she and LPN #807 went to assess the situation, they found the maggots writhing inside the open wound....
The facility's own nurses and aides described feeling helpless to stop the attacks....
The resident, assessed as cognitively intact in quarterly evaluations, described the precarious system during an October 10 interview with inspectors....
The incident at Pavilion Of Waukegan occurred about two weeks before federal inspectors arrived for a complaint investigation in late October....
She had scheduled the visit specifically to address his healing progress after his left toe amputation....
The resident, identified in inspection records as Resident 1, had fallen at the facility on June 2 at 11:10 p.m....
Resident #28 arrived at Timberland Ridge Nursing & Rehabilitation in October with three existing pressure wounds....
Federal inspectors found the facility violated regulations requiring baseline care plans within 48 hours of admission during their October investigation....
The resident's daughter confronted staff about the conditions....