Latest reports, citations, and penalties from CMS data
Licensed Practical Nurse #1 was observed on October 1st preparing and administering medications to Resident #8 without consulting the required records....
Resident #13 required tube feeding because she couldn't swallow safely, yet she routinely tampered with her medical equipment and consumed dangerous items....
The September inspection revealed systematic failures in infection control and tracheostomy care that put vulnerable residents at risk....
The assistant administrator discovered the employee in the resident's room asking for money during what should have been her day off....
The Administrator separated the two residents but failed to file the required abuse report with the Texas Health and Human Services Commission....
The September incident at Shelby Oaks Post Acute involved a resident with a documented pattern of throwing himself on the floor and falling repeatedly....
That resident wasn't alone at Hallmar Village....
Seven of eight staff members reviewed during an October inspection had no record of completing the required effective communication program training....
The patient, identified in records as Resident 1, was found face down on the floor of his third-floor room around 9:40 PM....
A sign posted outside the resident's door clearly indicated staff should wear gowns and gloves during high-contact care, including wound treatment....
The resident, identified only as Resident 1, disappeared from the facility sometime between 7 a.m....
Two residents were placed under intensive monitoring, with one requiring round-the-clock supervision....
The October 6 complaint inspection revealed systemic failures in wound care oversight and staff training that affected multiple residents....
Resident 39 provides the clearest example of this documentation failure....
She heard the resident's right arm "crack" during the repositioning....
Resident 10's medication administration record showed seven separate episodes of physical aggression toward staff between 7 p.m....
Video clips showed the incident unfolding during routine care....
The incident occurred at Meadowood Nursing Center on September 15, 2025, at approximately 10:30 p.m....
The resident told staff her left leg pain and tailbone pressure sore prevented her from standing....
The resident's cognitive assessment showed a score of 6, indicating severe impairment that would prevent her from making informed treatment decisions....