FAYETTEVILLE HEALTH AND REHABILITATION CENTER
LOCATED: 3100 OLD MISSOURI RD, FAYETTEVILLE, AR 72703
FAYETTEVILLE HEALTH 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.
PROTECT EACH RESIDENT FROM ALL ABUSE, PHYSICAL PUNISHMENT, AND BEING SEPARATED FROM OTHERS
Level of harm – Immediate Jeopardy
Complaint # (AR 370) was substantiated (all or in part) in these findings. Based on observation, record review and interview, the facility failed to ensure Residents #1 and #6, who were cognitively impaired, were free from abuse. The facility identified an incident where Resident #1 physically injured CNA #1 to increase the risk of staff to resident abuse but failed to ensure the planned intervention was implemented. The facility failed to ensure witnessed staff to resident verbal/mental abuse involving Certified Nursing Assistant (CNA) #1 was immediately reported to the Administrator/Designee to ensure residents were protected from the potential of further abuse for 2 of 2 (Residents #1 and #6) case mix residents who were cognitive impaired. The failed practices resulted in Immediate Jeopardy which caused or could have caused serious harm, injury or death to Resident #1 who was cognitively impaired and who alleged staff to resident abuse.
Continuing: Records reviewed showed that (CNA #1) had given (Resident #1) his shower on Saturday evening 7/26/14. CNA #1 was immediately suspended pending investigation. Police, MD (medical doctor) and family were notified and an officer came to the facility to interview the resident with family and staff present. Collection of statements from alert and oriented resident as well as other staff members has begun, investigation continues . 1) On 8/1/14 at 8:41 p.m., the Weekend RN Supervisor was asked what she knew about the abuse allegation reported by (Resident #1) concerning (CNA #1). She stated she noticed (Resident #1) in the dining room drinking coffee around 4:00 p.m. Sunday (7/27/14). She stated, (Resident #1) was quiet and distant that day. There was something odd about his behavior, not himself. The Weekend RN Supervisor stated when she was asked if she knew (CNA #1) was not supposed to provide care to (Resident #1)? She stated, I had no knowledge (CNA #1) was not supposed to work with (Resident #1), because I would not have scheduled him there. I would just switch halls. If I had an idea at all, any suspicion, I would just change the assignment.
Continuing: (Resident #1) reported that there was a CNA on his floor, whom he does not like, who was responsible for his care in the shower 2 days ago. He reports that the CNA used his finger to penetrate his anus repeatedly. He also used a shower nozzle to slap against his penis. He was also grabbed strongly on his left arm. The patient seems quite upset about this and was able to recall the event in pretty significant detail. He really doesn’t have any pain with defecation at this point, and his bowel movements have been normal. He does have some bruising around this left wrist. His penis is normal, and he has no dysuria, and is not suffering bruising in his groin anteriorly. He is alert and cooperative with exam today. Left wrist: shows dorsal ecchymosis, about the size of the palm of a hand that appears within 1 to 3 day of age.
Continuing: There is one (1) small superficial, less than one (1) centimeter, abrasion on the right buttock, about 4 cm from his anus. It appears pretty fresh as there is no scabbing, but there is no active bleeding either. I could see no anal trauma and no other ecchymosis noted.I cannot say for sure whether this lesion is directly attributable to the trauma of 2 days ago, but it is certainly consistent with that age of injury.
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.
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