Latest reports, citations, and penalties from CMS data
The licensed practical nurse, identified as LPN #5 in inspection records, pulled 0.25ml doses from a morphine solution between August 15 and August 24....
CNA #4 then pushed the resident very hard, causing him to fall backward onto the bed from a standing position....
The resident, identified as Resident #2 in the inspection report, remained conscious during the fall but did not leave his wheelchair....
Resident #12 reported the persistent aching pain in both movement and at rest following admission from a hospital....
The pain was directly related to the resident's colostomy care....
Inspectors found the annunciator alarm on C wing had been muted, potentially allowing residents to leave without staff awareness....
The results came back the same day at 7:10 p.m., revealing multiple abnormal findings that should have triggered an urgent call to the physician....
Federal inspectors found the facility failed to properly investigate or report the incident as required....
She said she thought the resident had discharged to his family member's house as planned....
The citation centered on problems with a concrete ramp in the facility's 200 hall that residents use to enter and exit the building for smoking breaks....
The incident occurred during the CNA's final rounds on October 23, when he found the resident had soiled herself with a large bowel movement....
The resident, who required two staff members for all care, was being cleaned by a single nursing assistant when she fell from her bed on October 21st....
CNA A had moved the resident at 10:15 AM but failed to reposition the drainage bag properly....
Resident #1 was discovered on September 28, 2025, at 11:30 PM after an unwitnessed fall....
The resident, who has atrial fibrillation and a history of pulmonary embolus, had their Eliquis discontinued on July 2 for a surgical procedure....
The resident hit her head and tore skin on her right elbow during the January 7 fall at Village at Victory Lakes....
The resident admitted to staff that she slapped other residents during these episodes....
His September cognitive assessment showed a score of 8 out of 15, indicating moderately impaired mental function....
The incident occurred during lunch on October 29 at Wheaton Franciscan Healthcare - Terrace at St....
The resident didn't know where the call bell was....