RAINBOW HEALTH CARE COMMUNITY
LOCATED: 111 EAST WASHINGTON, BRISTOW, OK 74010
RAINBOW HEALTH CARE COMMUNITY 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 NECESSARY CARE AND SERVICES TO MAINTAIN THE HIGHEST WELL BEING OF EACH RESIDENT
LEVEL OF HARM –IMMEDIATE JEOPARDY
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
On [DATE] an Immediate Jeopardy (IJ) situation was determined to exist related to the facility’s failure to intervene when a resident began showing signs and symptoms of increased intracranial pressure. The resident fell and hit her head on [DATE].
The resident expired on [DATE] due to a subdural hematoma from [MEDICATION NAME] force trauma of the head.
At 4:00 p.m., the Oklahoma State Department of Health verified the existence of the IJ situation.
At 4:02 p.m., the administrator was notified of the IJ situation related to the facility’s failure to intervene when a resident began showing signs and symptoms of increased intracranial pressure.
Based on interview and record review, it was determined the facility failed to intervene for a resident when they began showing signs and symptoms of increased intracranial pressure after a fall for one (#4) of six sampled residents who were reviewed for changes in condition. The resident fell and hit her head on [DATE] at 10:30 a.m. The resident begain exhibiting signs and symptoms of increased intracranial pressure at 3:00 p.m. 911 was called at 5:50 p.m. The resident’s physician was not notified of the symptoms of increased intracranial pressure until 6:00 p.m., when the resident was transfered by ambulance to the hospital. The resident expired on [DATE] due to a subdural hematoma from [MEDICATION NAME] force trauma of the head. The facility identified 70 residents who resided at the facility.
Review of the clinical record revealed no documentation the facility intervened or that they notified the physician when the resident first began showing signs of increasing intracranial pressure at 3:00 p.m. through 5:32 p.m. The resident had developed a headache, had an increasing blood pressure, and had developed nausea, all symptoms of increased intracranial pressure. The neurological flow sheet, dated [DATE] at 5:40 p.m., documented the resident’s blood pressure had increased to, [DATE] and her heart rate was 92. It was documented the resident had snoring respirations at 14 to 16 per minute. It was also documented the resident was in a stupor, had no movement, had pupil sizes at 2 mm and fixed, and her speech was slurred.
On [DATE] at 4:31 p.m., the DON was asked if there was documentation the physician was notified the resident was showing signs and symptoms of increased intracranial pressure. She reviewed the clinical record and stated, No, there is not. She was asked what the facility’s expectation of staff was if a resident began to show those signs and symptoms. She stated staff was expected to notify the physician of any change in condition.
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.
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