Latest reports, citations, and penalties from CMS data
The medication error at Cascade Terrace Post Acute involved temozolomide, a cancer drug that was supposed to stop after five days in April 2025....
Federal inspectors found immediate jeopardy to resident health and safety after investigating the November death....
The footage shows the aide becoming frustrated when residents wandered into the wrong room, then physically assaulting both patients within seconds....
The violation centered on Resident #1, whose care plan specifically mandated Hoyer lift transfers at all times....
Someone at Great Oaks Rehabilitation and Healthcare Center initialed and dated the return-to-work form on July 22....
The incident at Imboden Creek Senior Living began at 5:10 AM on October 18 when staff found a resident on the floor of her room....
The 15-bed facility's own policies failed to require the protective barriers that infection control standards mandate for such work....
The November inspection revealed confusion among nursing staff about proper sling sizing based on resident weight and body measurements....
The resident also developed edema, or swelling....
Administrator interviews revealed staff confusion about supervision requirements....
The facility's own policy requires an interdisciplinary team to review every fall within 72 hours and modify prevention strategies as needed....
The boots had vanished after the resident returned from a hospital stay....
When questioned immediately after providing care, the assistant confirmed she had not dried the resident or cleaned her buttocks, rectal, or coccyx area....
Federal inspectors found the grooming failure at Lindengrove Menomonee Falls during a November complaint investigation....
The resident was admitted with multiple diagnoses including dementia, heart failure and diabetes....
The resident's representative had signed legal documents directing the facility to provide all possible life-saving interventions....
When the family member entered the room after hearing the scream, they found Staff H present along with the resident and another family member....
Immediate jeopardy violations indicate inspectors found conditions that posed immediate risk to resident health or safety....
Federal inspectors found that Bedford Post Acute failed to properly handle the grievance, violating the resident's right to voice complaints without reprisal....
Federal inspectors found the facility failed to complete required care plans during a complaint investigation in November....