GOLDEN LIVING CENTER – BRENTWOOD
LOCATED: 30 EAST CHANDLER AVENUE, EVANSVILLE, IN 47713
GOLDEN LIVING CENTER – BRENTWOOD 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 LET THE RESIDENT REFUSE TREATMENT OR REFUSE TO TAKE PART IN AN EXPERIMENT AND FORMULATE ADVANCE DIRECTIVES
LEVEL OF HARM –IMMEDIATE JEOPARDY
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on interview and record review, the facility failed to have a system in place to determine code status for 2 of 2 residents who were not provided Cardiopulmonary Resuscitation. The facility failed to perform Cardiopulmonary Resuscitation (CPR) on a resident who had requested to be a full code. (Resident #51) The facility failed to obtain a valid code status for Resident #36.
On [DATE] at 3:30 p.m., LPN #5 was interviewed. LPN #5 indicated she had walked into the resident’s room and found him without evidence of vital signs and walked out to the nurse’s station to check the resident’s code status. LPN #5 indicated there was not an Advanced Directive in the resident’s chart. At that time, LPN #5 indicated she was unaware of how to proceed and contacted the physician. LPN #5 indicated the physician instructed her to make Resident #51 a DNR (Do Not Resuscitate). LPN #5 indicated she had not performed CPR on Resident #51. LPN #5 was asked to describe what should happen when a resident is found without vital signs. LPN #5 indicated one nurse should contact the physician and another nurse should retrieve the crash cart. When queried regarding who would initiate CPR and who would call for the emergency services, LPN #5 indicated the nurse who contacted the physician would call the emergency services. The nurse who retrieved the crash cart, should initiate CPR.
When queried regarding the late entry of charting surrounding Resident #51’s death, LPN #5 indicated she had been exhausted and could no longer think.
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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