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Fruitvale Healthcare: Pain Medication Skipped Nightly - CA
The resident also carried a diagnosis of chronic pain syndrome....
Latest reports, citations, and penalties from CMS data
The resident also carried a diagnosis of chronic pain syndrome....
Resident 1 required specialized urinals due to their medical condition, but the facility's infection preventionist had no idea the equipment existed....
The incident occurred July 13, 2025, when Resident 5 made the statement to Licensed Practical Nurse D during an evening shift....
When facilities post these signs outside resident rooms, staff must follow specific protocols to prevent transmission to other residents....
The facility's communication failures ran deep....
The missing drugs were discovered during a routine review on March 26, according to the facility's former director of nursing services....
Resident #1 was transferred to the hospital emergency department on September 21....
Staff intervened during the coffee incident but did not follow mandatory reporting procedures....
The September incident involved a patient who takes Percocet four times daily for pain management through a specialized clinic....
The abuse incident was not immediately reported to administrative staff as required by facility policy....
The uncertified staff member had been running food services for months....
The oversight meant staff had no written guidance about monitoring for life-threatening complications like blood clots, infections, or catheter displacement....
The contamination occurred during a routine wound dressing change on November 13, when the nursing director was treating a sacral wound on Resident 6....
Resident 17, diagnosed with Type 2 Diabetes Mellitus, had physician orders requiring blood glucose checks before meals and at bedtime....
Federal inspectors found that Skyview Care and Rehab at Bridgeport discontinued fluoxetine for Resident 3 on October 14 without any documented medical reason....
Facility employees told the NP they had already ordered replacement strips and expected them to arrive later that day....
The incident unfolded around 9:00 P.M....
The September 20 incident involved Family Member G, who came to visit Resident #2....
When asked about the sanitizer testing strips for the dish machine, he said he didn't know where they were or when the system was last checked....
She told them the incidents happened on multiple dates and that she was scared when the nurse, V56, refused to help her during breathing episodes....