SIGNATURE HEALTHCARE AT JACKSON MANOR REHABILITATION & WELLNESS
LOCATED: 96 HIGHWAY 3444, HOUSTON, ANNVILLE, KY 40402
SIGNATURE HEALTHCARE AT JACKSON MANOR REHABILITATION & WELLNESS 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; OR 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 interview, record review, and review of the facility’s policy it was determined the facility failed to ensure allegations of abuse were thoroughly investigated, failed to ensure residents were protected from further abuse, and failed to report allegations to state agencies as required, for one (1) of two (2) sampled residents (Resident #2). Facility staff reported to the former Director of Nursing (DON) and the former Assistant DON on [DATE] that Resident #1 was observed to take Resident #2’s hand and place it on his/her private part and rub himself/herself. The facility failed to conduct an investigation related to the alleged incident, failed to protect residents from further abuse, and failed to report the alleged incident to state agencies.
The facility’s failure to ensure allegations of abuse were thoroughly investigated, failure to ensure residents were protected from further abuse, failure to ensure abuse allegations were reported to state agencies, as well as failure to review/revise residents’ plans of care when inappropriate sexual behavior was observed, has caused or is likely to cause serious injury, harm, impairment, or death to a resident. Immediate Jeopardy was identified on [DATE], and was determined to exist on [DATE]. The facility submitted an acceptable Allegation of Compliance (AOC) on [DATE] alleging the Immediate Jeopardy was removed on [DATE]. Based on the State Survey Agency’s (SSA) validation of the AOC it was determined the Immediate Jeopardy was removed on [DATE] prior to the SSA initiating the investigation on [DATE]; therefore, it was determined to be Past Immediate Jeopardy.
Interview on [DATE] at 3:45 PM with the Assistant Business Office Manager revealed she had witnessed Resident #1 take Resident #2’s hand and place it on his/her private part and rub himself/herself on [DATE]. She stated she felt the incident was potential abuse and immediately reported the incident to the former DON and the former ADON. Further interview revealed the former DON stated that the family is aware of it. She stated she did not report the incident to the former Administrator, because she reported it to the former DON and former ADON, like I had been trained to do. The Assistant Business Office Manager stated she never witnessed the former DON or former ADON take any action related to the incident.
Interview on [DATE] at 5:10 PM with the former ADON revealed she and the former DON were notified on [DATE] that Resident #1 had placed Resident #2’s hand on his/her private part and was observed to rub himself/herself. She stated she did not report the incident immediately to the former Administrator because the Assistant Business Office Manager had stated she was reporting the incident to the former Administrator. However, the former ADON stated she and the former DON followed up with the former Administrator the following day, on [DATE]. She stated the former Administrator just walked out of the room and never acknowledged that we had told him anything.
Interview was attempted with the former Administrator on [DATE], [DATE], and [DATE] and he was unable to be reached. Interview on [DATE] at 4:30 PM with the Regional Vice President (RVP) revealed the former Administrator and/or former DON should have followed the facility’s policy when allegations of abuse were identified. She stated when the allegation was reported to administrative staff they should have protected the residents involved as well as other facility residents, reported the alleged incident to state agencies, and investigated the incident as required.
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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