Latest reports, citations, and penalties from CMS data
Federal inspectors found dozens of missing signatures across two wings during their October 7 investigation....
According to the grievance, an alarm sounded when R7 was watching television in a wheelchair and attempted to reach the remote control....
On October 1st, inspectors found only seven certified nursing assistants working the day shift when the facility's plan calls for eight....
The man told inspectors he still doesn't feel safe eating because he fears staff might tamper with his food....
Resident 44 had paralysis on one side of her body and required a two-person assist for transfers using a Hoyer lift....
The resident, identified as Resident #11, has end-stage renal disease and diabetes....
Staff never offered to brush his teeth in the morning, he said....
Resident #48 exemplified the level of dependency among affected patients....
The facility's restorative nursing aide, known as an RNA, was reassigned to basic nursing duties instead of providing the specialized care residents required....
The medication mix-up at Wellbrooke of Carmel involved Rytary, an extended-release drug used to treat Parkinson's symptoms....
The October 6 inspection triggered the most serious level of regulatory enforcement available to federal health officials....
The resident, identified in the October 7 inspection report as R1, had been readmitted to the facility with benign prostatic hyperplasia....
The October 2nd incident prompted emergency federal oversight after administrators failed to adequately protect residents from threats....
Six minutes later, the nurse confirmed to inspectors that she had not instructed the resident to rinse his mouth after using the inhaler....
The medication error occurred during evening rounds on September 9, 2025....
Federal inspectors found the facility violated transparency rules by failing to post daily staffing numbers on October 1 and 2, 2025....
Federal inspectors documented the pattern at Fair Oaks Health & Rehabilitation during a complaint investigation in October....
Federal inspectors found St Sophia Health & Rehabilitation Center systematically failed to provide restorative services to residents who needed them....
Federal inspectors found that LPN #1 was told at 7:45 AM that Resident #2 could not breathe and was having problems with their oxygen concentrator....
An alarm had activated when the resident was watching TV in a wheelchair and tried to get the remote....