DIVERSICARE OF NICHOLASVILLE
LOCATED: 100 SPARKS AVENUE, NICHOLASVILLE, KY 40356
DIVERSICARE OF NICHOLASVILLE 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 PROTECT EACH RESIDENT FROM ALL ABUSE, PHYSICAL PUNISHMENT, AND BEING SEPARATED FROM OTHERS.
LEVEL OF HARM –IMMEDIATE JEOPARDY
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on interview, record review, and review of the facility’s Policy, it was determined the facility failed to have an effective system to ensure each resident remained free from abuse for one (1) of eight (8) sampled residents (Resident #1).
Per staff interview Certified Nurse Aide (CNA) #1, and other staff witnessed verbal abuse on 02/18/17 at approximately 4:25 PM when Licensed Practical Nurse (LPN) #1 was in Resident #1’s face yelling it’s not happening today. I’m not doing it LPN #1 then told the resident he/she was lying about smoking after the resident requested a smoke break. CNA #1 immediately reported this to the Director of Nursing Service (DNS). The DNS immediately questioned LPN #1, who denied the allegation, stating she had to talk loudly because Resident #1 had his/her radio turned up loud and ear buds in at the time. However, staff interviews revealed Resident #1 was not listening to the radio and did not have ear buds in at the time of the incident. The DNS counseled the nurse on the resident smoking policy; however, did not further investigate the allegation.
Subsequently, per staff interview, CNA #2 and other staff witnessed verbal abuse again on 02/18/17 at approximately 5:00 PM between LPN #1 and Resident #1. CNA #2 pushed Resident #1 via wheelchair to the nurses’ station per the resident’s request. LPN #1 then yelled in front of the resident (he/she) can’t sit here with all this stuff! I don’t want (him/her) here. I don’t want to see (his/her) face. LPN #1 then told CNA #2 in front of Resident #1, I don’t care if it’s (his/her) home or not, it’s not happening. CNA #2 immediately went to the DNS to report the incident. However, the DNS only interviewed CNA #1, CNA #2 and LPN #1 after the incidents, and failed to question any additional employees or residents who may have been witnesses. Also, the DNS failed to report the incidents to the facility’s Administrator. On 02/18/17 at approximately 8:00 PM, CNA #1 reported the two (2) incidents she and CNA #2 had witnessed to the facility’s Administrator and the Corporate Care Line (Hotline) via phone conversation. On 02/21/17, the Governing Body representatives arrived at the facility related to a Human Resource issues and reviewed CNA #1’s Statement related to LPN #1’s behavior towards Resident #1 and also transcribed a statement from the DNS related to the incidents. However, the governing body representatives failed to recognize the allegations as potential abuse. (Refer to F-225, F-226, and F-493)
Personal Note from NHA – 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.
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