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RESIDENT SUFFERS STAGE IV BEDSORE DUE TO PROPER TREATMENT DELAYED

GOLDEN LIVING CENTER – GREENVILLE

LOCATED: 2910 MACGREGOR DOWNS, GREENVILLE, NC 27834

GOLDEN LIVING CENTER – GREENVILLE 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.

LEVEL OF HARM –ACTUAL HARM

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on observation, physician interview, physician assistant interview, staff interview, and record review the facility failed to avoid delays in obtaining an order to test for [MEDICAL CONDITION] (C. diff), in changing pressure sore treatments for wounds which were not healing, in providing protein supplementation to promote healing, in scheduling a consult with the wound clinic for debridement, in re-culturing for [DIAGNOSES REDACTED], and in addressing leakage around a rectal tube for 1 of 2 sampled residents (Resident #346) reviewed for pressure ulcers.

Before the facility provided Resident #346 with wound clinic consultation/debridement on 01/15/16 the resident’s sacral pressure ulcer deteriorated from a stage I to a stage IV pressure ulcer, and the resident’s gluteal crease/buttock deep tissue injury (DTI) opened and deteriorated/enlarged into two stage III pressure ulcers to the bilateral buttocks.

At 1:57 PM on 01/29/16 the DON reported she observed all wounds greater than a stage II weekly even though it might not be with the Treatment Nurse. She stated there was a quick decline in Resident #346’s wounds. According to the DON, zinc barrier cream to the edges and surrounding tissue of stage III and IV wounds would be appropriate, but if there was slough in the wound bed, she would expect there to be a [MEDICATION NAME] agent used on it. She stated even though she observed Resident #346’s wounds she had not observed the Treatment Nurse perform wound care on the resident. The DON also commented even though it was unusual to find DTIs to the buttocks, they could form anywhere. The DON reported she could not explain why it took so long to collect a stool sample and check for [DIAGNOSES REDACTED] or why a stool re-culture was not collected as ordered on [DATE]. She commented the referral was made to the wound clinic because Resident #346’s wounds were not healing. She remarked when a physician order [REDACTED]. She stated she was not notified that there was any trouble getting the resident an appointment at the wound clinic. The DON reported every wound was different so it could be two days to two weeks before changing treatments if wounds were not healing. According to the DON, she was not notified that the rectal tube was leaking/seeping until 01/27/16 when the surveyor was making her wound treatment observation.

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.

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3 Responses to “RESIDENT SUFFERS STAGE IV BEDSORE DUE TO PROPER TREATMENT DELAYED”

  1. cindy cummings says:

    this one should be shut down for good my mother was their 14 days some of the worst care ever seen I rubed her legs an feet down with lotion an nothing it was 8 pm 9 am the next day I saw to bed sores on her foot an angle I went the h.. off the nurse came in an when they rolled my mama over om god she looked as if she had been druged down the road a place wasa big as a freasbyshe left the same day an I lost my mama six months later due to their negilet

  2. Debra Gregory says:

    I used to visit this nursing home regularly about 5 years ago and then had an opportunity to visit again over Christmas. The smell of urine throughout the halls was like nothing I had ever experienced there before. I passed it off thinking it was a holiday week and maybe they were understaffed but after reading this I am fuming. Never again will I give a facility the benefit of doubt due to a previously held positive perception. Please keep checking on them.

  3. Charlotte says:

    I worked in a NH for almost three years as a Restorative Coordinator and saw many bad things with the residents. I reported every time I saw something and nothing was done. The state came in due to anonymous tips, nothing done. Falls and deaths due to neglect, nothing happened. The facility was constantly firing CNA’s due to build up of points. When I was in a meeting with “higher ups” they wanted me to commit fraud. When I told them that I could not do it, I was terminated. Then they fought my unemployment and I won. The arbitrator was so angry with them that she kept threatening to have them leave the arbitration. I truly believe if there was strong and compassionate leadership in these facilities then residents would not have these issues. I just hope the DON and the administrator have good insurance to the potential lawsuit the this poor patients family has a right to file

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