Heritage Manor: Oxygen Monitoring Failures, Monterey CA
The physician had ordered that oxygen levels be maintained at 94% or higher, with specific instructions to increase oxygen delivery if levels dropped.
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September 24, 2025 • HERITAGE MANOR • MONTEREY PARK, CA
The physician had ordered that oxygen levels be maintained at 94% or higher, with specific instructions to increase oxygen delivery if levels dropped.
Read More →September 24, 2025 • SOUTH LYON MEDICAL CENTER • YERINGTON, NV
The IP's training transcript revealed completion of only 15 out of the required training modules, with one course still outstanding.
Read More →September 24, 2025 • LIBERTY CARE AND REHABILITATION CENTER • LIBERTY, KY
The incident involved an Evolution wheelchair, a specialty mobility device that requires specific training for safe operation.
Read More →September 24, 2025 • TREMONT HEALTH CARE CENTER • WAREHAM, MA
However, inspectors found no physician's order authorizing the transfer in the medical record.
Read More →September 24, 2025 • BISHOP REHABILITATION AND NURSING CENTER • SYRACUSE, NY
During interviews with inspectors, the Medical Director revealed a concerning disconnect from facility operations.
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