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FORDSVILLE, KY- NURSE IGNORED TWO CHOKING EPISODES IN ONE DAY; RESULTS IN RESPIRATORY DISTRESS

FORDSVILLE NURSING AND REHABILITATION CENTER

LOCATED: 313 MAIN STREET, FORDSVILLE, KY 42343

FORDSVILLE 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 observation, interview, record review, review of Hospital emergency room Records and review of facility policies it was determined the facility failed to ensure one (1) of four (4) sampled residents (Resident #1), received the necessary care and services to attain or maintain the highest practicable physical, mental and psychosocial well-being, in accordance the comprehensive assessment and plan of care. The facility failed to provide a mechanical soft diet for Resident #1 and failed to assess Resident #1 for signs and symptoms of aspiration after two (2) episodes of choking. On [DATE], during the lunch meal, Resident #1 became choked when Certified Nurse Aide (CNA) #1 fed the resident scalloped potatoes. The resident coughed spitting up some of the potatoes and his/her face became red. CNA #1 informed the nurse, who did not assess the resident, but notified the Speech Therapist (ST). The ST gave the resident chocolate milk and determined the problem was the resident needed to be sitting at a ninety degree angle when fed. The ST did not look in the resident’s mouth or do any hands on assessment. The nurse did not assess the resident for lung sounds, obtain oxygen saturation levels, or obtain vital signs. The resident experienced another choking episode when being fed the supper meal. The CNA notified Licensed Practical Nurse (LPN) #1 who did not assess the resident. At 8:40 PM, the resident presented with an elevated temperature of 99.1 F (normal 98.6 F), coughed up some thick mucus, and had a noted little rattle when breathing; however, the nurse (RN #2), did not assess the resident’s respiratory status, lung sounds or oxygen saturation. Resident #1 was found to be in respiratory distress the next morning on [DATE] at 7:55 AM. The resident was sent to the Emergency Department and a circular piece of potato with the skin on it was found in the resident’s throat during intubation. The resident was admitted to the hospital with [REDACTED]. The facility’s failure to ensure the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care was provided has caused or is likely to cause serious injury, harm, impairment or death to a resident.

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.

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