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Bowling Green, KY – Nursing Home Fails to Notify Physician of Un-Relieved Pain During Treatments


Located 1561 NEWTON AVE,BOWLING GREEN, KY 42104 was recently cited as of 2013 by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for, “The facility failed to notify the physician of unrelieved pain during treatments.” One resident cried out, “Oh God, please,” during dressing removal.

The following are only highlighted portions of the full report. The full report can be found here.

Based on observation, interview, record review and review of the facility’s policy/procedure, it was determined the facility failed to immediately consult with the resident’s physician a need to alter treatment for one resident (#1) in the sample of fourteen (14) residents (Resident #1). The facility failed to notify the physician of unrelieved pain during treatments. During a dressing change, on 06/12113 at 1:15 PM, and on 06/13/13 at 10:00 AM, Resident #1 exhibited verbal/non-verbal signs of pain; however, the nurse continued the treatment without further intervention. On 06/12113 at 1:15 PM, Resident #1 winced with pain while tears rolled down his/her face as the nurse attempted to remove an old dressing to the right leg. Additionally, on 06/13/13 at 10:15 AM, Resident #1 began complaining of left heel pain The nurse assessed the resident as having a red, mushy” area to the left heel wnh a darkened scabbed area to the left second toe; however, the nurse failed to notify the physician of the pain to the left heel, or the new areas identified.


During the removal of the dressing. the resident was observed wincing in pain with facial grimacing. The dressing appeared to be stuck to the resident’s leg and difficult to remove. The resident began to cry with visible tears rolling down the resident’s face, as RN #1 continued to remove the dressing. RN #1 indicated the resident had been “pre-medicated” and continued the dressing removal without any other intervention. Observation of a dressing change, on 06113/13 at 10:00 AM, revealed old  dressings were removed from four (4) wounds on the resident’s right side. Resident #1 continuously stated “Oh’ during the treatment. dressing change of the wounds. Further observalion revealed the resident with facial grimacing and complaints to pain during the treatment. The resident was rolled to the other side while continuously stating “Oh God, please,”

Observation revealed dressings were removed from three (3) wounds on the resident’s left side. During treatment of these wounds, facial grimacing was observed with the resident stating “Oh, please.” Throughout the treatment of the wounds. RN #1 stated “Is the pain pill not helping?” and “We are almost done. It’s hard on you, isn’t it?”

Personal Note from NHAA Advocates: We here at NHAA share 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 other than our-self. We live our lives thinking our loved ones are being 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 which go unpunished and continue to turn a blind eye to our elders’ safety and well being.

You can make a difference. If you have a loved one living in this nursing home or any other nuring 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 abuse and/or neglect attorney or help you find a more suitable location for your loved one.

Share your story with us, spread the word and HELP STOP THE ABUSE AND NEGLECT! Stop the companies who hire inadequate and poorly trained staff in order to gain profits from our helpless elderly.

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