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DUNN, NC – RESIDENT DIES; NURSE IGNORES MULTIPLE WARNINGS FROM STAFF AND FAMILY

CORNERSTONE NURSING AND REHABILITATION CENTER

LOCATED: 711 SUSAN TART ROAD BOX 948, DUNN, NC 28334

CORNERSTONE NURSING AND REHABILITATION 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 NECESSARY CARE AND SERVICES TO MAINTAIN THE HIGHEST WELL BEING OF EACH RESIDENT

LEVEL OF HARM – IMMEDIATE JEOPARDY

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on record review and staff interviews, the facility failed to comprehensively assess a change in a resident’s condition for 1 (Resident #1) of 3 sampled residents; and failed to initiate medical treatment of [REDACTED]. #1) of 3 residents with an oxygen saturation of 78% for greater than 15 minutes.

Review of a written statement by NA #1 read in part On Saturday, [DATE] Resident #1 was very sick, sick vomiting and having diarrhea. Her Aid (NA#2) took her vitals and informed Nurse #1 that she wasn’t doing well. As the day went on, Resident #1 was still feeling bad. I asked Nurse #1 around 2:45pm, what would we do about Resident #1 because she was still doing bad. She raised her voice at me and stated I can’t send her out for vomiting and diarrhea. I then walked away. Around (time unclear) she was looking yellow. I told NA #3 to look at her and she agreed with me. I then went to RN supervisor and asked her to look at Resident #1 and she stated I’m sending her out, I’ve called EMS! Nurse #1 was asked to get oxygen for Resident #1. After about, [DATE] minutes, I looked for Nurse #1. She was at the nurse’s station doing her MARS (Medication Administration Records). I asked Nurse #1 where was the oxygen? Nurse #1 stated I don’t have keys to the room and I’m not on the hall anymore. She never got the oxygen that the RN supervisor asked her to get.

Review of the written statement by RN supervisor read in part On [DATE] st around lunchtime, I was called to (Resident #1’s) room. When I entered the room, Nurse #1 was cleaning up some vomitus off the resident’s gown. The vomitus appeared to be some of the food resident was eating. Then around 4:45 pm, I was called to (Resident #1’s) room again. This time I was greeted by the resident’s family member who asked if I could help her with Resident #1. I asked her what she needed me to do and she stated Resident #1 was not doing good. I asked her what she thought was different about Resident #1. She told me that Resident #1 was swollen, that her color was not good and that she was not acting right. I told the resident’s family member that I could send Resident #1 out to the hospital for evaluation and she agreed. After the resident’s family member was out of the room, I quickly assessed the resident. EMS and the attending physician were called. Nurse #1 did offer to get the oxygen but did not immediately because EMS had already been called. However after a few minutes and the fact that EMS had not gotten there, I asked the CNA to have Nurse #1 get oxygen. CNA came back to the room and stated that Nurse #1 said she was off the floor and someone else needed to get the oxygen. EMS arrived shortly and resident was transferred to the hospital.

Review of the local hospital emergency room report documented when EMS arrived, the patient was basically a [MEDICATION NAME] (sic) and blood pressure was in the 60 systolic. On [DATE] at 2:55 pm in an interview, the attending physician stated the sooner a resident is evaluated, the more likely the outcome would be different for the resident. After discussing the reports per the staff of the resident having nausea and vomiting, low blood pressure reading and yellow skin discoloration, the physician further stated, The three symptoms together meant something was going wrong here.

During an interview on [DATE] at 11:48 am, the Director of Emergency Services stated Resident #1 was cyanotic (blue in color) from a lack of oxygen on EMS arrival to the facility. He further stated the resident did not have a palpable pulse at the wrist due to the low blood pressure. He stated EMS was not able to obtain a blood pressure initially but the first obtainable blood pressure was, [DATE]. The resident died on [DATE].

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 below or on the sidebar 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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11 Responses to “DUNN, NC – RESIDENT DIES; NURSE IGNORES MULTIPLE WARNINGS FROM STAFF AND FAMILY”

  1. Reebe Barker says:

    I have been a nurse for 30+years mostly in geriatrics and this makes me upset. I have seen so many things. I feel some staff are there for a paycheck. I wish there was a way to weed out such nurses. Maybe making them get specialty education for geriatric nurse. It takes a special kind of person to take care of the elderly. Their families are in my prayets.

  2. Rosa Harris says:

    I was in a skilled nursing facility due to a total knee replacement and was shocked at the neglect by the,in particular, the nursing staff. Also the cleaning of the facility and patients bathrooms was awful. There was no call buzzers to call the nurses only a light on the outside of the patients doors. I was very alert and was in only for rehab, but had a very old roommate who yelled for the nurse for over 2 hours and no one came. I even manage to get in the wheelchair and roll myself in the hallway and still did see a nurse. I kept pushing the buzzer. Hours later someone came and put her to bed. My problem: did not receive all of the medications that the doctor had prescribed for me. Asked my PCP did he change my medications and he said no. There was days I got all of my medications and other days I did not. As stated my stay was short term (10 days) and I endured it. But something should really be done so that nursing homes would be more accountable to the way they treat patients. Also I had a motion machine for my knee exercise and only manage to get a nurse to put it in place for my use 2 times out of 10 days and only received the ice machine once. I would never return there but there are some people there that have no choice.

  3. James ivey says:

    Most of the c.a are very lazy on first shift they put off alot of things to do so the second shift will do it 500 hall need to be monitor more closely replace if they can not do there job

  4. Judy Tart says:

    My dad stayed in Cornerstone for 3-1/2 years. He has Lewey Body Dementia and of course did not know anything going on around him. Fortunately, my mother was alive and well and went over to the facility and stayed with him every single day. I think that in that 3-1/2 years, she only missed two days. She stayed on the CNAs and Nurses constantly to make sure my daddy was dry and turned like he should be. It was nothing unusual for her to “get into it” with one of the CNAs on any given day. I don’t even want to think about what kind of treatment he would have gotten if she was not there every day. Hope they get justice for this resident and her family.

  5. Gail Brunette says:

    cornestone nursing home is very neglect fully
    My mother died after falling and hitting her head on something sharp after I told them she could not get out of bed herself. They told me she was fine and could get out and I went home and was coming back the next day to get her out of there and was called later that evening that she fell and hit her head and was in hospital
    She died 2 weeks later

  6. Andria says:

    Corner stone is the worst rehabilitation center I have ever seen in my life,I wouldn’t send a dog there and I don’t even like dogs. If anyone needs help that’s the last place I would think of,the patients get worse instead of getting better,it stinks all the time,and it is by far the worst place I’ve ever seen

  7. Amanda says:

    I’m sorry that this happens, I am a firm believer that you should have a calling from God to be in health care. because of my health I can no longer work in the OR or up on the medical floor. I loved my job. my patients NEVER even knew I was there but I knew I had helped the surgeon & RNs make a difference in their quality of life and sometimes saved their lives. I thanked God for allowing me to serve others in this way. I know it’s busy and hectic at times but that’s life in general now days. Remember that this is someone’s mom, dad,husband or wife…how would you want yours treated?

  8. sue sloan says:

    I was in a Rehab facility for knee replacement for 8 days. They never clean the bathroom for the whole time I was there, they never changed the bedding nor cleaned the room. I was able to take care of myself most of the time. I had a knee machine that I was supposed to use 3 times a day along with an ice pack. I got to use it 6 times because I could not get help putt ing it on the bed. One night I did not get supper. That was when I wasnt able to get out of bed by myself. I was close to the nurses station and the bell rang all night. They would stand around talking especially on over night shift. I hope I never have to go there again!,

  9. lorri harkey says:

    sorry everyone can’t stay at Snug Harbor on Nelson Bay. it is awesome. no bad smells or bad treatment. the staff is awesome.

  10. Emma Belin-Reese says:

    I can believe everything stated here we/i have worked in
    healthcare field over 20 years and have came in contact with
    some of the laziest folk CNA’S and RN’S ever!

  11. donna gore says:

    I think you need to be upfront with all info on this this incident occurred over a year ago and the nurse was held accountable as bad as it sounds this happens in many facilities. Facilities for the old and young places were people being served can’t speak for themselves. We as responsible adults need to advocate strongly for the ones unable to advocate for themselves.

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