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BOARDMAN, OH – Facility Failed to Provide Fall Prevention as Ordered by Physician; Resident Hospitalized After Fall

GREENBRIAR CENTER

LOCATED: 8064 SOUTH AVENUE, BOARDMAN, OH 44512

GREENBRIAR CENTER 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 submitted by DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES. The full report/survey can be found here.

FACILITY FAILED TO PROVIDE FALL PREVENTION INTERVENTIONS WERE IN PLACE AS ORDERED BY THE PHYSICIAN

Level of harm – Actual Harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on interview and record review, the facility failed to ensure Resident #99 who was identified at high risk for falls had fall prevention interventions in place as ordered by the physician. Harm occurred on 07/11/14 when Resident #99 fell and sustained a subdural hematoma requiring a hospital admission.

Continuing: [DATE] with [DIAGNOSES REDACTED]. On admission Resident #99 was assessed as a high risk for falls. Review of a progress note dated 07/10/14 timed 3:20 P.M., revealed Resident #99 toppled out of chair onto her left side. The resident denied pain and stated she did not fall. The progress note indicated Resident #99 was confused and did not understand her surroundings. As a result of the fall, the physician ordered a low bed and bilateral mats to the floor next to the bed for the resident’s safety. Review of a progress note dated 07/11/14, revealed Resident #99 sustained an unwitnessed fall. The note indicated the nurse walked by Resident #99’s room and observed her on the floor with staff members administering first-aid. The progress note indicated Resident #99 was actively bleeding from a laceration to the back of her head. Resident #99 was sent to the hospital for evaluation. Review of a progress note dated 07/12/14, revealed Resident #99 was admitted to the hospital with [REDACTED].#99 remained in the hospital until 07/16/14, when she was readmitted to the facility. Review of the facility’s incident investigation for the 07/11/14 fall revealed Resident #99’s bed was not in the low position, the call light was not in reach and the floor mats were not on the floor on either side of the bed as ordered by the physician for fall prevention interventions. The director of nursing (DON) was interviewed on 08/19/14 at 8:25 A.M. The DON verified Resident # 99 was supposed to have a low bed and floor mats in place as a safety precaution and verified they were not in place at the time of the fall. The DON verified the resident was sent to the hospital on [DATE], as a result of the fall.

Personal Note from NHAA Advocates: 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.

You can make a difference. 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.

Contact us through our CONTACT FORM located on our website here or call our toll free hot line number: 1-800-645-5262

You can make a difference even if your loved one has already passed away.

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3 Responses to “BOARDMAN, OH – Facility Failed to Provide Fall Prevention as Ordered by Physician; Resident Hospitalized After Fall”

  1. Christine Day says:

    VERY INTERESTING!!!
    What a crap hole this place is. How many times did we have to call a special meetings with staff & administration??!!! It wasn’t just one mistake, that can be forgive, but it was time after time after time. We made several incident reports & we had to fight to get dad into another facility and finally we just called in the State!!! If MICHAEL JORDAN is still Director he should be fired immediately along with his side kick KIM and forced to stay in this understaffed, unsanitary, unhygienic, unhealthy, disease ridden shit hole with his terribly inadequate staff. If you have a love one in this facility I don’t mean to offend, but lookup nursing home Ohio, it’s very last in the ratings, and in all honestly it should be
    closed down. DONT PUT YOUR LOVED ONE IN THIS INADEQUATE INCOMPETENT FILTHY SHIT HOLE.

  2. Christine Day says:

    VERY INTERESTING!!!
    What a crap hole this place is. How many times did we have to call a special meetings with staff & administration??!!! It wasn’t just one mistake, that can be forgive, but it was time after time after time. We made several incident reports & we had to fight to get dad into another facility and finally we just called in the State!!! If MICHAEL JORDAN is still Director he should be fired immediately along with his side kick KIM and forced to stay in this understaffed, unsanitary, unhygienic, unhealthy, disease ridden shit hole with his terribly inadequate staff. If you have a love one in this facility I don’t mean to offend, but lookup nursing home Ohio, it’s very last in the ratings, and in all honestly it should be
    closed down. DONT PUT YOUR LOVED ONE IN THIS INADEQUATE INCOMPETENT FILTHY SHIT HOLE.

  3. Lynn wolski says:

    My mom at Calcutta healthcare east Liverpool oh they let her fall 3 times in one week and I told them watch she does not fall already had broken hip and if fell might not be able to walk went er 3 times concusion bruises broken finger 10 months later died after fall had headaches and problem walking told them said oh sorry brought her home. Nursing homes need watch elderly

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