FOUNTAIN CIRCLE CARE AND REHABILITATION CENTER
LOCATED: 200 GLENWAY ROAD, WINCHESTER, KY 40391
FOUNTAIN CIRCLE CARE 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 interview, record review, and review of the facility’s policy, it was determined the facility failed to have an effective system in place to ensure each resident received Cardiopulmonary Resuscitation (CPR) according to established professional standards, the Advanced Directives, and requested code status, for one (1) of twelve (12) sampled residents (Resident #1).
On [DATE], Resident #1’s Responsible Party (RP) signed Advance Directives requesting the resident have a Full Code status (Full Code indicates life-saving measures were to be implemented in the event of cardiac or [MEDICAL CONDITION]), to include CPR. However, on [DATE] at approximately 7:15 AM, when State Registered Nursing Assistant (SRNA) #1 entered Resident #1’s room and found the resident to be unresponsive, she notified Licensed Practical Nurses (LPNs) #1 and #2, who failed to honor the resident’s Advance Directives for Full Code status. LPN #1 entered Resident #1’s room, checked Resident #1 for a pulse without success and failed to initiate CPR according to the resident’s Advance Directives. LPN #2 entered Resident #1’s room, observed LPN #1 checking the resident for a pulse, went to the Nurse’s Station and checked the resident’s chart for code status and called Registered Nurse (RN) #1. LPN #2 also failed to initiate CPR according to the resident’s Advance Directives. RN #1, who was on another unit, arrived to Resident #1’s room, assessed the resident to have no heart rate and no respirations and pronounced the resident deceased at 7:23 AM. Per interview, RN #1 determined Resident #1 was Full Code status, but she did not initiate CPR according to the resident’s Advance Directives. The facility’s failure to provide the necessary care and services related to the resident’s requested Full Code status and the provision of CPR, has caused or is likely to cause serious injury, harm, impairment, or death to a resident. Immediate Jeopardy was identified on [DATE], and was determined to exist on [DATE]. The facility was notified of the Immediate Jeopardy on [DATE].
Interview with LPN #1, on [DATE] at 6:12 PM, revealed he was the primary nurse for Resident #1 on the day shift of [DATE]. LPN #1 revealed he was certified to perform CPR; however, when he found Resident #1 on [DATE] around 7:15 AM, he did not initiate CPR. He further stated LPN #2 entered the resident’s room behind him and did not initiate CPR, but left the room to call the RN for assistance. LPN #1 revealed, at the time of the incident, he did not know if Resident #1 had a Full Code status and felt the resident required further assessment stating the RN was more qualified to complete that assessment. LPN #1 further stated he was unfamiliar with the facility’s policy; however, stated he did not know why he didn’t initiate CPR.
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.
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