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PRUITTHEALTH – NORTH AUGUSTA

PRUITTHEALTH NORTH AUGUSTA LOCATED: 1200 TALISMAN DRIVE, NORTH AUGUSTA, SC 29841 PRUITTHEALTH NORTH AUGUSTA 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 WRITE AND USE POLICIES THAT FORBID MISTREATMENT, NEGLECT AND ABUSE OF RESIDENTS AND THEFT OF RESIDENT’ PROPERTY. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of facility Reportable Incidents and review of the facility’s policy Prevention of Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property, the facility failed to implement its policies to ensure 1 of 1 resident reviewed for abuse was free from Misappropriation of Property. (Resident #141) The findings included: The facility admitted Resident #141 with [DIAGNOSES REDACTED]. Review of the facility’s Reportable Incidents revealed an Initial 24-Hour Report dated 10/3/16 related to Resident #141. The 24-Hour Report indicated that on 10/03/16 the resident and a family member reported unauthorized transactions occurred on the resident’s credit and/or debit card. Review of the Five-Day Follow-Up Report dated 10/07/16 indicated the facility notified local law enforcement and filed a report. The investigative report indicated that law enforcement investigated the allegation, and a warrant was issued for Alleged Perpetrator Certified Nurse Aide (CNA) #1. Review of the law enforcement Incident Report revealed that CNA #1 .admitted to all of the charges on both credit cards . Review of the facility’s policy entitled, Prevention of Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property revealed the policy stated, It is the policy of PruittHealth and its affiliated entities .to actively preserve each patient’s right to be free from verbal, sexual, physical, and mental abuse, corporal punishment, involuntary seclusion, neglect, exploitation, mistreatment and misappropriation of patient property .The Organization and its partners should assure that best efforts are made to prevent any occurrences of any form of abuse, neglect, and exploitation. Further review of the policy revealed, ‘Misappropriation of Patient Property’ means the deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a patient’s belongings or money without the patient’s consent. 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...

Hidden camera tells true story of how veteran died after calling for help, gasping for air...

Hidden camera tells true story of how veteran died after calling for help, gasping for air The video shows the decorated World War II veteran calling for help six times before he goes unconscious while gasping for air. Author: Andy Pierrotti Published: 12:31 PM EST November 18, 2017 An 11Alive investigation uncovered hidden camera video catching nursing home staff laughing while an elderly patient dies in front of them. The incident happened at the Northeast Atlanta Health and Rehabilitation in 2014, but the video was recently released as part of a lawsuit filed by the family. Attorneys representing the Atlanta nursing home tried to prevent 11Alive from obtaining the video. They asked a DeKalb County judge to keep the video sealed and then attempted to appeal to the Georgia State Supreme Court. The judge ruled in favor of 11Alive and the nursing home eventually dropped its appeal to the state’s highest court. The video includes almost six hours of video court deposition from a nursing supervisor explaining how she responded to the patient before she knew the hidden camera video existed. The video shows a completely different response. The deceased patient is 89-year-old James Dempsey, a decorated World War II veteran from Woodstock, Georgia. In the video deposition, former nursing supervisor Wanda Nuckles tells the family’s attorney, Mike Prieto, how she rushed to Dempsey’s room when a nurse alerted her he had stopped breathing. Prieto: “From the time you came in, you took over doing chest compressions…correct?” Nuckles : “Yes.” Prieto: “Until the time paramedics arrive, you were giving CPR continuously?” Nuckles : “Yes.” The video, however, shows no one doing CPR when Nuckles entered the room. She also did not immediately start doing CPR. “Sir, that was an honest mistake,” said Nuckles in the deposition. “I was just basing everything on what I normally do.” Watch the extended deposition here where her story changes after watching the hidden video. The video shows the veteran calling for help six times before he goes unconscious while gasping for air. State records show nursing home staff found Dempsey unresponsive at 5:28 am. It took almost an hour for the staff to call 911 at 6:25a.m. When a different nurse does respond, she fails to check any of his vital signs. Nuckles says she would have reprimanded the nurse for the way she responded to Dempsey. She called the video “sick.” When nurses had difficulty getting Dempsey’s oxygen machine operational during, you can hear Nuckles and others laughing. Prieto: “Ma’am, was there something funny that was happening?” Nuckles : “I can’t even...

“I CAN ONLY DESCRIBE AS SIGNIFICANT NEGLECT…THERE WAS STOOL PACKED IN HIS WOUNDS” ER REPORTS STATES...

KINDRED TRANSITIONAL CARE & REHAB – PARK PLACE LOCATED: 1500 32ND ST S, GREAT FALLS, MT 59405 KINDRED TRANSITIONAL CARE & REHAB – PARK PLACE 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 GIVE RESIDENTS PROPER TREATMENT TO PREVENT NEW BED (PRESSURE) SORES OR HEAL EXISTING BED SORES. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to prevent the development of 3 Stage II pressure ulcers, the worsening of pressure ulcers, the development of 2 Unstageable pressures ulcers, and a wound infection for 1 (#13) of 17 sampled residents. The facility failed to prevent the development of an Unstageable pressure ulcer for 1 (#6) of 17 residents. Review of resident #13’s ER admission note, dated 12/18/16 at 1:43 a.m., showed (physical exam in the ED has revealed what I can only describe as significant neglect resulting in serious ulceration, possible perirectal fistula and even ulceration and swelling of the posterior scrotum. There was stool packed into his wounds. His urinalysis shows significant infections. Skin break down was noted on both heels, pressure sore with damage down to the fascia on the scrotum and pressure sore on coccyx with damage down to the muscle. Review of the resident’s hospital notes, dated 12/25/16, showed the resident had septic shock secondary to urinary tract infection present on admission; stage IV decubitus ulcer, which was noted to have stool inside the wound at admission. A culture, dated 12/19/16, showed drainage from the penis had E. coli, and Proteus Mirabilis. The two urine cultures were contaminated with the same 2 organisms. The left ischial necrotic tissue had the same two organisms, plus Pseudomonas aeruginosa. The bone culture also had [MEDICAL CONDITION][MEDICATION NAME]. Resident #13 had surgery for [REDACTED]. He was placed on Hospice 12/28/16. The resident passed away on 12/29/16. Review of resident #13’s Progress Note, dated 6/22/16, showed his penis was swollen and macerated. Review of resident #13’s Progress Note, dated 6/22/16, showed he had a small amount of thick green drainage from the open area on the penis. Will request orders for antibiotic ointment. 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...

WOUND CARE NURSE STATES,” IT IS NOT IDEAL FOR PRESSURE ULCERS TO BE DISCOVERED AT STAGE 3”...

KINDRED NURSING AND REHABILITATION-RIVER POINTE LOCATED: 4142 BONNEY ROAD, VIRGINIA BEACH, VA 23452 KINDRED NURSING AND REHABILITATION-RIVER POINTE 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 GIVE RESIDENTS PROPER TREATMENT TO PREVENT NEW BED (PRESSURE) SORES OR HEAL EXISTING BED SORES. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, clinical record review, staff interviews and review of the facility’s policy, the facility staff failed to provide the necessary treatment, care and services, consistent with professional standards of practice, to prevent a new avoidable pressure ulcer (any lesion caused by unrelieved pressure that results in damage to the underlying tissue) from developing for 1 of 26 residents (Resident 6), in the survey sample. The facility’s staff did not identify Resident #6 had developed a sacral (the part of the spinal column which sits between the two hipbones) pressure ulcer until it had advanced to a stage three (3)* resulting in harm. Resident #6 was originally admitted to the facility 07/13/16 and has never been discharged. During the 2/9/17 interview at approximately 1:50 p.m., with the wound care nurse, the Pressure Ulcer Investigation was reviewed. The Pressure Ulcer Investigation revealed Resident #6 was identified with a stage 3 pressure ulcer acquired in house on 1/17/17. The wound care nurse stated the investigation revealed the resident had the following risk factors; impaired transfer and bed mobility, chronic urinary incontinence, chronic bowel incontinence, diabetes, immobility, and inadequate nutrition/hydration therefore; the pressure ulcer was unavoidable. The wound care nurse stated it is not ideal for pressure ulcers to be discovered at a stage 3, early on when there is only redness is optimal. The wound care nurse also stated the Certified Nurse Assistants (CNA)s are the first line of defense for early detection as they provide routine bathing and incontinent care. 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...

Florence, Alabama – Mitchell-Hollingsworth Nursing and Rehabilitation Center...

Reeves (Lauderdale County Detention Center photo) Updated Nov 8, 8:00 PM; Posted Nov 8, 7:56 PM By Ashley Remkus ;aremkus@al.com A 21-year-old certified nursing assistant is accused of sexually assaulting an elderly person at a Florence nursing home, police said. Zachariah Lee Reeves was arrested today on charges of first-degree sodomy and second-degree elder abuse, Florence police said in a news release. Reeves is held in the Lauderdale County Detention Center with bail set at $60,000. Reeves, a CNA at Mitchell-Hollingsworth Nursing and Rehabilitation Center, was working when the victim was assaulted this past Thursday, said Sgt. Greg Cobb. The Center is at 805 Flagg Circle. Further details about the case haven’t been made public. Police weren’t immediately available to provide further details. If convicted, Reeves faces up to life in prison and would be required to register as a sex offender. If you have concerns about the care your loved one received at this facility or another, we can help you and your loved one. CONTACT US AT 1-800-645-5262...

Resident states, “I have gone about 1 ½ weeks without a shower because there is no shower aide.”...

LYNNWOOD POST ACUTE REHABILITATION CENTER LOCATED: 5821 188TH SOUTHWEST, LYNNWOOD, WA 98037 LYNNWOOD POST ACUTE REHABILITATION 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 HAVE ENOUGH NURSES TO CARE FOR EVERY RESIDENT IN A WAY THAT MAXIMIZES THE RESIDENT’S WELL BEING. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to provide sufficient qualified staffing to treat residents with respect and dignity, receive services to improve/maintain Daily Living, answer call lights in a timely manner, prevent urinary incontinence, and provide medications timely for 14 of 25 sampled residents (3, 4, 18, 27, 29, 35, 45, 67, 75, 80, 92, 109, 111 and 138) and 3 of 3 (52, 61 and 74) sampled family members. This failure potentially put residents at risk of feelings of frustration and humiliation, diminished quality of life and unmet care needs of the residents and caused actual harm to residents. Additionally 11 of 18 sampled residents (4, 27, 29, 35, 36, 47, 52, 61, 67, 74 and 78) reviewed for bathing, were not bathed timely and regularly. Findings include: Upon entrance to the facility it was discovered that the Director of Nursing, who had been there for aproximately 9 months, left her position on 07/16/16. An Interim DNS had been appointed on 07/20/16 but was replaced by another Interim DNS on 08/30/16. There was no information supplied as to when a permanent DNS would be appointed. Residents, family members and facility staff were asked the following question: Do you feel there is enough staff available to make sure you get the care and assistance you need without having to wait a long time? RESIDENT INTERVIEWS Resident 3 stated on 08/26/16 at 11:23 AM, They need more staff, particularly more shower aides. It seems like they are short staffed. I don’t think it is that they don’t want to help me, they are just too busy. They need to hire more people. Resident 4 stated on 08/25/16 at 10:51 AM, Everyone keeps saying they are short staffed. They tell everybody that. I wait over an hour, sometimes 2 hours or they don’t come period. They help others that need more help than me. It makes me feel stressed out. Resident 18 stated on...