Nursing Home Resident Dies After String of Preventable Falls Despite Clear Warning Signs
Over the next five months, the facility documented six separate falls, all occurring in the resident's room while he was unsupervised.
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September 12, 2025 • HANFORD POST ACUTE • HANFORD, CA
Over the next five months, the facility documented six separate falls, all occurring in the resident's room while he was unsupervised.
Read More →September 12, 2025 • SILOAM HEALTHCARE, LLC • SILOAM SPRINGS, AR
Despite having a documented fall prevention plan, inspectors found the facility repeatedly implemented the same ineffective interventions after each incident.
Read More →September 12, 2025 • MULDER HEALTH CARE FACILITY • WEST SALEM, WI
The facility's failure to implement these systems left vulnerable residents without adequate protection.
Read More →September 12, 2025 • FAITH LUTHERAN HOME • WOLF POINT, MT
This regulatory gap occurred when the previous interim administrator's licensing and contract renewal plans fell through in late December.
Read More →September 12, 2025 • KALAKAUA GARDENS • HONOLULU, HI
One resident, identified as R348 in the report, had functional abilities that were completely omitted from their care plan.
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