PRUITTHEALTH – PEAKE
LOCATED: 6190 PEAKE ROAD, MACON, GA 31220
PRUITTHEALTH – PEAKE 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 1) HIRE ONLY PEOPLE WITH NO LEGAL HISTORY OF ABUSING, NEGLECTING, OR MISTREATING RESIDENTS; 2) REPORT AND INVESTIGATE ANY ACTS OR REPORTS OF ABUSE, NEGLECT, OR MISTREATMENT OF RESIDENTS.
LEVEL OF HARM –IMMEDIATE JEOPARDY
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on record review, review of the facility policy titled, Reporting, Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property, review of the policy titled, Investigation of Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property, resident and staff interviews, the facility failed to immediately report to the State Survey Agency and thoroughly investigate allegations of staff to resident abuse for one of 44 sampled residents (R#112). Refer F223 and F226:
On 2/11/16 R#112 reported to the facility that LPN KK had been verbally and mentally abusing her. Additionally, on 10/28/16 R#112 reported that a heavyset woman, who provided her care, had been verbally, mentally, and physically abusive. In an interview with R#112 on 3/21/17 at 12:37 p.m., she stated that she had reported this to the people over the facility. R#112 could not name the nurse, but could describe her appearance, knew that she worked during the day and administered her medications. R#112 stated that she was afraid of this nurse and that the nurse was not working today (3/21/17).
Additional interviews were conducted on 3/24/17 with residents who reside on the 300 hall. On 3/24/17 at 1:18 p.m., R#80 stated he was sort of afraid of a nurse, who he was unable to name and who worked on the 300 hall and provided his care. In addition, on 3/24/17 at 2:00 p.m., R A alleged verbal and physical abuse by LPN KK, however, she did not report the allegation to the facility. R A stated she was afraid of LPN KK and afraid of retaliation for telling on her.
This failure to thoroughly investigate the alleged incidents reported on 2/11/16 and 10/28/16 by R#112 contributed to the increased likelihood of abuse to other residents in care of LPN KK. The facility suspended LPN KK on 3/22/17 during the survey and she was officially terminated on 3/27/17.
An interview with R#112 on 3/21/17 at 12:37 p.m., revealed that a heavy set, black nurse on first shift has a history of verbally, mentally and physically abusing her. She stated that the nurse has also threatened to stick her with needles. R#112 stated that she told the people over the facility. Upon further interview with the resident on 3/21/17 at 12:37 p.m., the resident stated that she was afraid of this nurse. R#112 stated that this occurred about three weeks ago. R#112 could not provide details of an exact date or name of the nurse but she was able to describe the nurse, knew she worked during the day and administered her medications. R#112 stated that the nurse was not working today (3/21/17).
During a second interview with R#112 on 3/22/17 at 11:43 a.m., she stated that the nurse who abused her was working today. R#112 stated it was the nurse who had administered her medications this morning. R#112 stated that the nurse came in today and said Get up! R#112 stated she tried to sit up. and the nurse said Get up! If you don’t sit up, I’m going to give you a shot! I do not suppose to get shots so I just sat up! The Licensed Practical Nurse (LPN KK) was observed at the medication cart outside of R#112’s room. LPN KK confirmed that she was assigned to care for residents on this hall (300 hall, on which R#112 resides). LPN KK fit the description provided by R#112 as the alleged perpetrator. The facility’s former Administrator was immediately informed of this incident by the surveyor.
During an interview with the Senior Care Partner on 3/28/17 at 4:24 p.m., she confirmed that R#112 began to cry during the interview for the grievance of 2/11/16. She stated that she reported this to the former Administrator because the nature of the grievance was an allegation of abuse. She stated that she was not sure what the former Administrator did after she reported the allegation of abuse to her.
Review of the State Survey Agency Complaint and Incident Tracking System during the survey revealed no evidence of an entity self-report related to this incident of 2/11/16.
Personal Note from NHA – 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 have helped many already and we can help you and your loved one as well by filing a state complaint, hiring a specialized nursing home attorney or helping you find a more suitable location for your loved one.
Contact us through our CONTACT FORM located on our website here below or on the sidebar 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.