GREAT TRAIL CARE CENTER

Located: 400 CAROLYN COURT, MINERVA, OH 44657

GREAT TRAIL CARE CENTER  (NURSING HOME) was recently cited by the  DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES in December of 2013 for the following:

WARNING: The following highlighted quoted portions can be disturbing to some readers. The full survey/report can be found here.

Protect each resident from all abuse, physical punishment, and being separated from others.{Level of harm – Actual harm}

Sexual Abuse of Residents #2, #3, and #4:

Based on observation, interview and record review the facility failed to ensure all residents were free from sexual and/or verbal abuse. The facility failed to ensure Resident #2, #3 and #4 were free from unwanted sexual contact from Resident #1. The facility failed to ensure Resident #5 and Resident #7 were free from verbal abuse from staff. This affected five residents (Resident #2, #3, #4, #5 and #7) of nine residents reviewed for abuse, injury of unknown origin or misappropriation. Harm occurred to Resident #4 on 12/16/13 when State tested nursing assistant (STNA #26) found Resident #1 in Resident #4′s room on his knees over his roommate’s (Resident #4′s) bed with Resident #4′s brief off. Review of a witness statement from STNA #26 revealed Resident #1 was on his knees over Resident #4′s bed with his hands on Resident #4′s genitals. The nurse was notified and Resident #1 was removed from the room. The facility failed to comprehensively assess Resident #4 following the incident to determine the extent of contact or injury if any from Resident #1.

Continuing:  Review of the nursing note dated 11/14/13 at 11:00 A.M., revealed Resident #1 was observed participating in inappropriate behavior in dining room during musical activities with a female resident (Resident #2 who was confused and had [DIAGNOSES REDACTED]. Review of nursing notes revealed there were no further notes documented until 11/16/13 at 1:00 P.M., when Resident #1 had been separated from Resident #2 several times this shift due to inappropriate touching and/or petting. Review of the nursing notes revealed the next note, dated 11/17/13 at 11:30 A.M.,when Resident #1 was visiting with Resident #2 at dining table. Resident #1 was placing his hand between Resident #2′s legs and stroking Resident #2.

Continuing: Review of the nursing notes dated 11/17/13 at 1:20 P.M., revealed Resident #1 was sitting in the lobby area chair with Resident #2 in thewheelchair in front of Resident #1 holding her shirt up while Resident #1 fondled Resident #2′s breasts.

Continuing:  Review of the nursing notes dated 11/25/13 at 4:15 A.M., revealed Resident #1 was following a new female resident (Resident #3 who was confused with [DIAGNOSES REDACTED]. Staff separated the residents and instructed them it was not appropriate behavior in a public area.

Continuing: During the interview, the DON verified the first nursing note related to Resident #1′s sexual behavior on the night of 12/16/13 was not until 12/17/13 at 5:45 A.M. when the nurse indicated Resident #1 continued to go in and out of his room this shift. The DON verified there was no documentation related to how the nurse observed Resident #1 or the resident’s behaviors. The DON verified an incident had occurred on 12/16/13 9:45 P.M. when Resident #1 was found touching Resident #4′s genitals. There was no documented evidence either Resident #1 or Resident #4 were assessed to attempt to determine the extent of the sexual abuse towards Resident #4. The DON verified there were no witness statements obtained from STNA #39 or RN #28 who were on duty at the time of the incident. On 12/23/13 at 4:25 P.M., interview with STNA #26 verified she observed Resident #1 on his knees over Resident #4′s bed with Resident #4′s brief off and Resident #1′s hands on Resident #4′s genitals.

Continuing: Based on the information reviewed during the on-site investigation, the facility, who was aware of Resident #1′s previous sexual behaviors with Resident #2 and #3, failed to implement adequate and necessary interventions to prevent an incident of sexual abuse from occurring involving Resident #4 on 12/16/13.

Continuing: On 12/23/13 at 12:10 P.M., interview with the director of nursing (DON) indicated the inappropriate sexual contact between Resident #1, #2 and #3 was consensual and no family or responsible parties were notified despite all the residents having a [DIAGNOSES REDACTED].

Continuing: On 12/23/13 at 12:40 P.M., interview with the DON verified there was no documented evidence the relationships between Resident #1 and Residents #2 and #3 were consensual. 

Continuing:  On 12/24/13 at 10:05 A.M., during an interview with the DON, administrator and corporate nurse all concerns with the above residents were shared. This included the lack of family or responsible party involvement related to sexual activity with the residents especially since Resident #2, #3 and #4 could not provide consent.

Continuing: SSD #25 verified she did not inform anyone when Resident #1 started inappropriately touching female residents because it was his right to do this, but just not in public areas. Explained to SSD #25 when one of the residents involved did not have the capacity to understand, such as demented residents, it was the facility’s responsibility to involve the family, guardian or responsible part to ensure each resident was safe.

Verbal Abuse of Resident #5:

Continuing: Review of the witness statement from STNA #26 dated 07/30/13, no time, revealed STNA #26 heard STNA #31 complaining and cursing that Resident #5 had peed on the floor. 

Review of the witness statement from STNA #33 dated 07/30/13, not times, revealed STNA #31 answered Resident #5′s light and when STNA #31 came out of Resident #5′s room he said she (f@#$%^ing) pissed all over the floor in her room.  

STNA #31 asked me to help him with another resident and while we were in caring for the other resident STNA #31 said I am still pissed off about Resident #5 and I reamed her ass and cursed her out. She knows better than that the bathroom is (f@#$%ing) three feet from her bed.

Continuing: The administrator verified STNA #31 was verbally abuse towards Resident #5 and was not sent home.

Verbal Abuse of Resident #7:

Continuing: Resident #7 stated she was going straight to the administrator. Resident #7 stated in the past when she had chest pains LPN #34 told her if she cried wolf too many times, one time we would not come running.

Continuing: When the DON came in to talk to me I told her how LPN #34 treated me and the DON said I teach my staff to be stern.

On 12/23/13 at 4:23 P.M., interview with the DON verified she teaches her staff to be stern. The DON verified no one on one had been completed as of yet for LPN #34 as planned above. The DON verified LPN #34 continued to provide care to Resident #7 without any discipline or interventions.

———————————————————–

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.

Share your story with us, spread the word and HELP STOP THE ABUSE AND NEGLECT! Stop the companies who hire inadequate and poorly trained staff in order to gain profits from our helpless elderly.

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