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OVERTON, TX – Resident Suffers from Burns; CNA admits to Lack of Supervision

OVERTON HEALTHCARE CENTER

LOCATED: 1110 HWY 135 S, OVERTON, TX 75684

OVERTON HEALTHCARE 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 SUPERVISION TO PREVENT HOT BEVERAGE BURNS

Level of harm – Actual Harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on interview and record review, the facility failed to provide supervision to prevent hot beverage burns for 1 of 5 residents reviewed for accidents. (Resident #2) Resident #2 was not assessed for his ability to manage hot beverages. Resident #2 sustained blisters to his legs while serving himself coffee. This failure could place 12 residents on the men ‘ s secure unit at risk for injury. Findings included: Physician orders [REDACTED].#2, admitted [DATE], was [AGE] years old with [DIAGNOSES REDACTED]. The most recent MDS dated [DATE] indicated Resident #2 had severely impaired cognitive skills for daily decision making, was unsteady, used a wheelchair and walker for mobility, and required supervision with setup help with eating. A comprehensive care plan revised 03/19/14 indicated Resident #2 was at risk for injury from wandering in an unsafe environment. Approaches included monitoring every hour and as needed to keep the resident ‘ s environment safe from possible hazards. The care plan indicated the resident required assistance with ADLs. The clinical record for Resident #2 did not have an evaluation to determine his ability to manage hot beverages. An Incident Report dated 04/25/14 indicated Resident #2 was assessed in his room with five blisters on his legs, three to both of his lower legs and one on each thigh. Resident #2 stated coffee when asked what happened. A Provider Investigation Report dated 4/29/14 indicated Resident #2 was discharged on [DATE]. A Provider Investigation Report dated 5/6/14 indicated Resident #2 received blisters to the right and left lower leg. The investigation summary indicated dietary staff saw Resident #2 getting coffee all day in a large plastic cup. During an interview on 05/14/14 at 2:00 p.m., LVN C said she assessed Resident #2 on 4/25/14 and discovered blisters on his legs. She said she was unsure of what occurred, but Resident #2 said coffee when she asked him how the blisters occurred. During an interview on 05/14/14 at 8:30 a.m., CNA A, said she worked the men ‘ s secure unit where Resident #2 resided. She said she was not aware Resident #2 spilled coffee on himself. She said residents continued to freely serve themselves coffee. She said 12 residents resided on the unit. CNA A said they all exhibit behaviors and required assistance with activities of daily living. She said the unit was staffed with one CNA. CNA A said one CNA could not provide the required care, supervision and monitor residents for behaviors. During an interview on 05/14/14 at 1:00 p.m., CNA B said he worked on the men ‘ s secure unit where Resident #2 resided. He said she was not aware Resident #2 spilled coffee on himself or if any preventative measures put into place. He said the unit had 12 residents who exhibited behaviors and required assistance with activities of daily living. He said the unit was staffed with one CNA. CNA B said one CNA could not provide the required care, supervision and monitor residents for behaviors. During interviews on 05/14/14 at 1:35 p.m., LVN D said she was assigned to the men ‘ s secure unit where Resident #2 resided. She said she was not aware Resident #2 spilled coffee on himself until today and was unsure if preventative measures were implemented.

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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2 Responses to “OVERTON, TX – Resident Suffers from Burns; CNA admits to Lack of Supervision”

  1. Nelia Jernigan says:

    My sonwas in Clairmont Nursing Home when I was diagnosed with Pneumonia. He stayed for18 days and he lost 18 pounds. He was totally disabled with Cerebral Quadreplegic Plasy but was talking. I was in that place almost everyday because whenever I come to visit him, he was not fed, food was infront of him, he could not feed himself, his wound was not cleaned and changed the dressing, he was uncleaned, smelling bad. Staff were most of the time at the nurses station talking, laughing. I removed my son after18 days. At night before I leave, I passed by the hallway with rooms and patients and I see patient almost falling on the side but the rail of the bed was not up. Some calling and crying but no one come to check them.

  2. It is so terribly sad that our elderly are given such shameful care! I believe that most of the reason lies with failure to be able to pay good, competive wages! Most of these homes pay minimum wage or just barely above and I think you get what you pay for!!! There aren’t enough staff per resident and they’re not paid a decent wage!! Well that’s my vent for the day and again it’s a shame for our elderly to be placed in such a position.

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