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ROCKWALL, TX – RESIDENT FOUND DEAD IN WOODED AREA FROM HYPOTHERMIA; SECURE UNIT NOT STAFFED AT THE TIME OF ELOPEMENT

ROCKWALL NURSING CARE CENTER

LOCATED: 206 STORRS, ROCKWALL, TX 75087

ROCKWALL NURSING CARE 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 MAKE SURE THAT THE NURSING HOME AREA IS FREE FROM ACCIDENT HAZARDS AND RISKS AND PROVIDES SUPERVISION TO PREVENT AVAOIDABLE ACCIDENTS

LEVEL OF HARM – IMMEDIATE JEOPARDY

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on observation, interview and record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for one (Resident #1) of four residents reviewed for accidents and supervision. 1. The facility failed to have staff present at all times on the male secure unit to supervise and monitor Resident #1. No staff were on the unit on [DATE], when CNA C and LVN B, who were responsible for caring for residents on the secured unit, left to assist residents off the unit. Resident #1 was left unsupervised during the timeframe that he eloped. 2. The facility failed to have a care plan to address Resident #1’s exit seeking behaviors with specific interventions to prevent elopement. 3. The facility failed to repair an exit door to the secure unit which had a slight delay in closing. 4. The facility failed to have all entrances/exits monitored to prevent elopements. Two exit/entrance doors did not alarm or alert staff if someone entered or exited unless the person was wearing a wander guard. Resident #1 eloped from the secure unit on [DATE] and was missing for more than seven hours. He was found deceased . Hypothermia was a contributing factor to his cause of death. An Immediate Jeopardy (IJ) was identified on [DATE].

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 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.

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