CARE INN OF ABILENE
Located: 4934 S 7TH ST, ABILENE, TX 79604
CARE INN OF ABILENE was cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:
Please note: The following highlighted quoted text is ONLY a portion of the full report/survey. The full report/survey of this facility for these deficiencies can be found here.
WARNING: THE FOLLOWING CAN BE DISTURBING TO SOME READERS.
Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents’ property – Level of harm – Immediate jeopardy
Based on observations, interviews and record reviews the facility failed to implement policy and procedure that prohibits neglect for one of two sampled residents (Resident #3) reviewed for Foley catheter care. The facility failed to ensure Resident #3 did not suffer from a urinary tract infection that became septic on 3/19/13. – The facility failed to properly assess Resident #3 and when she was sent to the local emergency room via Emergency Medical Services (EMS), she was in septic shock. The facility only notified the physician that she had been vomiting twice the day before, and no one at the facility had assessed her Foley catheter or urine. An Immediate Jeopardy was identified on 3/22/13 at 10:45 a.m.
Continuing: In an interview on 3/22/13 at 1:10 p.m. the Emergency Department Registered Nurse that received Resident #3 into the emergency department stated that when she received Resident #3 from the emergency medical services, Resident #3 was not alert, her rectal temperature was elevated and her Foley catheter was draining thick gray pus. She stated that Resident #3 was in a very bad state, diaphoretic (soaked in sweat) and had a general bad odor about her. She stated that Resident #3 was very dirty when she arrived to the emergency room . In an interview on 3/21/13 at 8:15 a.m. Intensive Care Unit (ICU) nurse (ICU nurse #1) that had care for Resident #3 when she was first admitted to the ICU stated that when she received Resident #3 from the emergency room , that Resident #3 was filthy and her Foley catheter had sludge in the tubing clotting off the urine from going into the drainage collection bag. She described the urine as cloudy, nasty green/gray in color and when she removed the Foley that she came to the hospital with from the facility, the tubing was stained and dirty. ICU nurse #1 described that when she removed the old Foley, there were three ICU nurses in the room assisting and two of the ICU nurse ‘ s had to leave the room vomiting from the overwhelming odor of the urine that saturated the bedding of Resident #3. She stated that after placing a new Foley catheter in Resident #3 and after Resident #3 urinated and soaked the entire bed, Resident #3 voided almost 500 cc (cubic centimeters) of cloudy, dark, thick urine. She stated that Resident #3 had dried stool on her buttocks and abdomen. She stated that she had given Resident #3 two head to toe bed baths during her shift and Resident #3 still was not clean when she turned over care to the oncoming nurse. In an interview on 3/25/13 at 10:50 a.m. Intensive Care Unit (ICU) nurse #2 that took over care of Resident #3 stated that she also gave Resident #3 two complete head to toe bed baths and finally got her cleaned up.
Continuing: In an interview on 3/21/13 at 8:30 a.m. Resident #3 ‘ s four daughters were present and stated that the first time they heard of their mother being admitted to the intensive care unit (ICU) was 3/19/13 at night (they were not sure at what time, but it was late evening) when the ICU nurse called them to come see their mother, that she was in critical condition and was not expected to survive.
NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety. This nursing home and many others across the country are cited for abuse and neglect.
. If you have a loved one living in this nursing home or any other nursing home where you suspect any form of abuse or neglect, contact us immediately. We can help you file a state complaint, hire a specialized nursing home attorney or help you find a more suitable location for your loved one.
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