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MEMPHIS, TN – Physician Orders Violated, Pressure Sores Cause Actual Harm and Bathing Not Provided

ASHTON PLACE HEALTH & REHAB CENTER

Located: 3030 WALNUT GROVE RD, MEMPHIS, TN 38111

ASHTON PLACE HEALTH & REHAB CENTER was cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES FOR THE FOLLOWING DEFICIENCIES:

The following highlighted quoted text is only a portion of the full report/survey. The full report/survey can be found here.

FAILED TO FOLOW PHYSICIAN’S ORDERS

Based on policy review, medical record review, observation  and interview, it was determined the facility failed to follow physician’s orders for medication administration

FAILURE TO IDENTIFY A PRESSURE ULCER BEFORE IT BECAME UNSTAGEABLE

Based on review of the “National Pressure Advisory Panel [NPUAP] Pressure Ulcer Prevention” quick reference guide, policy review, medical record review, observation and interview, it was determined the facility failed to identify a pressure ulcer before it became unstageable with necrosis for 1 of 6 (Resident #198) sampled residents reviewed of the 6 residents with pressure ulcers. The failure to identify a pressure ulcer before it became unstageable with necrosis resulted in an actual harm for Resident #198.

UNABLE TO PROVIDE SKIN AUDITS

The facility was unable to provide weekly skin audits as requested.

INCONSISTENT BATHING

Nurse #4 was asked about the ADL grid reflecting bathing being performed on every shift for Resident #198. Nurse #4 stated, “…It is very inconsistent… No, I do not believe residents are being bathed every shift… it is very inconsistent…”

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

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