Glenhaven: Bruise Investigation Stopped Early - WI
The August 25 inspection, triggered by a complaint, centered on a single question: why did the facility fail to fully investigate how Resident 1 got hurt?...
Latest reports, citations, and penalties from CMS data
The August 25 inspection, triggered by a complaint, centered on a single question: why did the facility fail to fully investigate how Resident 1 got hurt?...
That finding sits at the center of a complaint inspection completed August 25, 2025, at Bridge Crest Post Acute in Vancouver, Washington....
The resident, identified in inspection records as Resident 3, had a condition serious enough that a doctor had ordered a fluid restriction....
Inspectors classified the level of harm as minimal, or potential for actual harm, and noted that a small number of residents were affected....
The dietary manager, identified in the inspection report as Employee 1, was present during the walkthrough....
Inspectors classified it as a pattern, meaning the problem touched more than one resident and showed up in more than one place....
Federal inspectors cited The Suites Pasadena, located at 4900 East Sam Houston Parkway South, for failing to protect resident dignity and privacy during care....
Inspectors found the facility was not ensuring residents received the behavioral health services they needed....
The August 26 inspection, which was triggered by a complaint, turned up 14 separate deficiencies at the facility....
The citation did not record actual harm to any resident....
The citation, issued August 26, targeted the facility's pharmacy services....
The immediate jeopardy designation is among the most serious outcomes a federal inspection can produce....
Inspectors classified it as an isolated problem with no documented harm to any resident, but with the potential to cause more than minimal harm....
The citation was one of six deficiencies inspectors documented during the complaint inspection....
The inspection, conducted August 21 and 26, 2025, was a complaint investigation....
The citation was one of five deficiencies inspectors documented during that visit....
He had fallen more than four hours earlier....
The citation, issued August 27, 2025, fell under the category of quality of life and care deficiencies....
The resident, who lives with chronic pain, told inspectors she hadn't noticed a difference in her pain levels during the delay....
A resident identified in inspection records only as R4 had left the facility....