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MARIETTA, OH – NURSING HOME FAILED TO MONITOR RESIDENT; RESIDENT DIES FROM CHOKING ON PEANUT BUTTER

MARIETTA CENTER

LOCATED: 117 BARTLETT STREET, MARIETTA, OH 45750

MARIETTA 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 SUPERVISE ONE RESIDENT TO ENSURE SWALLOWING SAFETY IN ACCORDANCE WITH THE PHYSICIAN’S PRESCRIBED DIET ORDER

LEVEL OF HARM – IMMEDIATE JEOPARDY

Based on medical record review, review of the emergency medical transportation report, review of the emergency room report, staff interview and medical director interview, the facility failed to supervise one resident to ensure swallowing safety in accordance with the physician’s prescribed diet order. This resulted in Immediate Jeopardy for one (Resident #106) of six sampled residents of the 32 residents who resided on the Solana Unit (secured unit). Resident #106 choked while consuming peanut butter, required the Heimlich maneuver, cardiopulmonary resuscitation (CPR), and hospital transfer. The resident expired. 

Continuing: On [DATE] at 4:15 P.M., the Administrator and Director of Nursing (DON) were notified Immediate Jeopardy began on [DATE] at 12:00 P.M. when Resident #106 obtained a bowl of peanut butter from the Solana Unit kitchenette without staff knowledge. The resident ate the peanut butter, choked and required immediate staff intervention. The resident was transported to the hospital via emergency medical transport and expired at the hospital.

Continuing: Review of the Emergency Transport Report dated [DATE] revealed the service was notified of the need for transport at 12:05 P.M. and arrived at the scene at 12:07 P.M. The patient narrative revealed upon arrival to the unit, the nurses were doing CPR and using an Ambu (placed over mouth to provide ventilation) bag. The resident was eating peanut butter and apparently choked. The emergency transporters applied a cardiac monitor and the rhythm revealed asystole (no heartbeat) and CPR was continued. The resident had a massive amount of peanut butter in her mouth and airway and intubation could not be successful due to the blockage and suction was also ineffective. The emergency transporters were able to insert a nasal airway and provide air movement but there was no change in the cardiac rhythm. Review of the emergency room documentation dated [DATE], revealed the resident arrived in cardiac arrest after eating peanut butter and apparently choked. The documentation also revealed the emergency transporters were unable to place an airway due to peanut butter obscuring the visualization. Assessment of the mouth revealed peanut butter covering the resident ‘ s lips and most of the posterior pharynx (back of the throat).

Continuing: This deficiency substantiated allegations contained in Complaint Number OH 453. This deficiency is also an example of continued non-compliance from the annual survey completed [DATE].

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 or call our toll free hot line number: 1-800-645-5262

You can make a difference even if your loved one has already passed away.

 

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12 Responses to “MARIETTA, OH – NURSING HOME FAILED TO MONITOR RESIDENT; RESIDENT DIES FROM CHOKING ON PEANUT BUTTER”

  1. Wanda Davis says:

    My heart breaks for this lady and her family.Alot of happened lack aides.Yet someone had to see her.The time lapes is a big thing that no one saw her.

  2. Jennae Brookover says:

    The nurse or NA need to be charged with wrongful death. No ifs ands or buts. Just do it. This has to stop. The people in nursing homes are there for a reason. Our loved ones are suppose to be protected and taken care of. I know my grandma went through hell when she was there. I don’t like this place and you better believe I’ll be the first one to escape if I’m ever put in here. Disgusting!!!

  3. Lorraine Ramage says:

    Millie I didn’t give up on you honey my promise was that everyone possible would know what that hell hole did. I hope every staff member working on that unit that has to live with the fact they wasn’t doing there job. Praying that it never happens to someone else’s loved one.

  4. tracy says:

    It saddens me that the people who own the genicess nursing home are like this it happens at other place they own and they try to cover it up the nursing homes should be monteird more then they are their always working the aids short because of the way their treated hope the family dose sue maybe then the company will change their rules if not shut down my heart goes out to the family I can’t belive that anyone could be so iersponsable that a Locke down unit eyes on all times on them all of the residents back their

  5. Sarah Casto says:

    I am an STNA and stuff like this makes me mad! Nurses and nursing assistants should pay more attention. If they did their job correctly then this person would still be alive!

  6. Pat says:

    As a STNA myself most Nursing Homes are short handed due to the STATE we try so hard to make sure every one is in Good Hands but once in a great while you will have 1 slip by you when your tending to others needs ! So WHATS NEEDED IN EVERY NURSING HOME AROUND THE WORLD IS MORE HELP some times on afternoon shift and midnight shift they are always Short Handed and the STNA s care no one else seems to because if they did they would not ever make us work so short handed

  7. J says:

    Main underlying problems are these places are understaffed, especially with CNAs. And with most of them being abused by residents on a daily basis. Most nursing homes are not equipped to deal with redidents who are combative, abusive to the point of causing serious bodily harm to the CNA, and the nursing homes don’t provide the training to deal with those residents. Hencefoth most CNAs will avoid those residents leading to neglect. If th he mid-ohio valley had the facilities and proper training for those type of residents, and treated the CNAs better, this would lower the neglect and abuse stats.

  8. Alycia says:

    Nursing homes should only be able to house 20 or less residents. There is never enough staff and never will be for large facilities. No one ever gets the time and attention they need and deserve. Makes me so sad.

  9. 25 years in Healthcare says:

    There needs to be state mandated laws of nurse to patient ratios & aide to patient ratios. The healthcare facilities are about making money so they work staff dangerously short at the expense of the patients & the staffs licensure! Sometimes staff isn’t the best, but always the cooperation chooses unsafe staffing to save a buck! The facilities need sued not the staff.

  10. Darca Dickson says:

    This is a horrible place to put your love one. Lack of care – unprofessional nurses and aides. This place needs shut downASAP.
    This is coming from someone who had there loved one at this horrible
    place a month ago. I even had to go call my own ambulance to come
    pick him up. Terribly rude nursing supervisor !!!!!!!!!!!!!!!!!!!

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