HIGHLANDS OF HARRISON AT TIMS HEALTH AND REHABILITATION
LOCATED: 202 TIMS AVENUE, HARRISON, AR 72601
HIGHLANDS OF HARRISON AT TIMS HEALTH AND REHABILITATION 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 HIRE ONLY PEOPLE WITH NO LEGAL HISTORY OF ABUSING, NEGLECTING OR MISTREATING RESIDENTS; OR 2) REPORT AND INVESTIGATE ANY ACTS OR REPORTS OF ABUSE, NEGLECT OR MISTREATMENT OF RESIDENTS.
LEVEL OF HARM –IMMEDIATE JEOPARDY
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Complaint # (AR 768) was substantiated (all or in part) in these findings.
Based on record review and interview, the facility failed to ensure all allegations of abuse were immediately reported to the Administrator/Designee, to ensure all allegations of abuse were investigated and that residents were protected from the potential of further abuse during the investigation for 2 of 2 (Residents # 6 and 8) case mix residents who were cognitively impaired and were subjects of staff to resident abuse allegations. The failed practices resulted in Immediate Jeopardy which caused or could have caused serious harm, injury or death to Resident # 6 who repeatedly told staff of an abuse allegation and a staff member allegation of a witnessed abuse of Resident # 8 and had the potential to affect 51 residents who were cognitively impaired according a list received from the Nurse Consultant on 10/28/15. The facility was notified of the Immediate Jeopardy condition on 10/22/15 at 4:25 p.m.
On 10/20/15 at 4:42 p.m., CNA # 16 was asked, do you have any concerns that abuse or neglect is occurring in the facility? CNA # 16 stated, yes. CNA #16 was asked, what are these concerns? CNA # 16 stated, Last week (Resident # 6) told us that he put his light on during supper and the CNA answered it and the CNA was rough with him and jerked him off the toilet, didn’t clean him and did not put a brief on him. We reported it, (CNA #15) and I and we told him to tell the nurse. CNA # 16 was asked, which nurse did you tell? CNA #16 stated, Our Acting DON, (Acting DON # 1). I don’t recall what charge nurse we told. CNA #16 was asked, did you fill out a witness statement? CNA #16 stated, No, we weren’t asked to. We mentioned this to (Administrator) and she said she interviewed (Resident # 6) and he told her 3 different versions of the story but he repeated this verbalization to the Treatment Nurse (LPN # 7) and to (CNA # 15).
a. On 10/20/15 at 4:05 p.m., CNA # 15 was asked, do you have concerns that abuse or neglect is occurring in the facility? CNA #15 stated, more than I’ve ever heard of it. CNA #15 was asked, is that because residents or staff are telling you? CAN # 15 stated, Residents mostly. Here lately it’s staff members who told me. I was told by (LPN # 6) and Housekeeper # 2 about an aide slapping a resident’s hand. (Housekeeper # 2) told me about it. And I asked him if he filled out a witness statement and he said no, he was told to sign a paper saying he would report abuse to his supervisor.
b. On 10/22/15 at 8:12 a.m., Housekeeper # 2 was asked, have you ever seen any resident slapped by a staff member? Housekeeper #2 stated, yes. Housekeeper # 2 was asked, who was the resident? Housekeeper # 2 stated, (Resident # 8). Housekeeper #2 was asked, what happened? Housekeeper #2 stated, I was cleaning a room, coming out of the room when I turned around to go to my cart. (Resident # 8) was in her wheelchair in the hall at the linen cart and (Resident # 8) grabbed a CNA by her smock or shirt. I think it was (CNA #17). (Resident #8) had just reached up to get her snack, to get an oatmeal cake and the CNA took her hand and swatted the resident on the forearm. I told (LPN # 6) – she was right there passing meds. I asked (LPN # 6) did you see that and she said yes and I’m watching that. Housekeeper #2 was asked, that was all she said? Housekeeper #2 stated, yes and from what I gather she went and told her supervisor but not while I see it. Housekeeper #2 was asked, did you tell anyone else? Housekeeper #2 stated, No, but I had to sign a paper that I had to tell my supervisor if it happened again.
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.
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