On August 11, another resident walked into the social services office at Westview around 10:15 a.m.
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Federal inspectors found the facility's daily staffing board outside the administrator's office was dated August 8 when they arrived on August 20.
Certified Nursing Assistant 1 examined the resident's hands during the inspection and told investigators some fingernails were long and dirty.
By the next morning, Resident E's swelling persisted.
During one documented incident, staff found Resident 22 sitting in the hallway when they looked up to see her shutting her neighbor's door.
Resident 2 was admitted to Westwood Post Acute on May 29, 2025, with a diagnosis of muscle weakness.
Federal inspectors cited Palma Real for deficient abuse investigation procedures during an August complaint investigation.
The resident's care plan clearly indicated staff were supposed to transfer using a mechanical stand.
Monrovia Post Acute failed to provide the evaluation for Resident 10, even though his physician specifically ordered it on or around May 1, 2025.
Another recreation assistant heard Resident #34 coughing and yelling for help.
The patient needed total care and had significant swelling throughout their body.
Federal inspectors responding to a complaint about broken call lights at The Lakeland Center found exactly what the anonymous complainant had reported.