SILER CITY CENTER
LOCATED: 900 W DOLPHIN STREET, SILER CITY, NC 27344
SILER CITY 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 GIVE RESIDENTS PROPER TREATMENT TO PREVENT NEW BED (PRESSURE) SORES OR HEAL EXISTING BED SORES.
LEVEL OF HARM –IMMEDIATE JEOPARDY
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on record review, observation and staff and resident interview, the facility failed to closely monitor the skin and protect the skin from rubbing against a knee brace which resulted in the development of an unstageable pressure ulcer to the right medial knee for 1 (Resident #25) of 2 sampled residents with pressure ulcers. Findings included:
The resident’s weekly skin integrity reports were reviewed. The report indicated that on 9/18/15, Resident #25 was noted to have an unstageable pressure ulcer on the right medial knee. The ulcer had 90% slough and 10% granulation measuring 1.5 centimeter (cm) x (by) 5.3 cm. On 10/16/15, the report indicated that the ulcer on the resident’s right medial knee had 80% slough and 20% granulation measuring 1 cm x 5 cm.
On 10/20/15 at 2:15 PM, interview with administrative staff #1 was conducted. She stated that Resident #25 had developed an unstageable pressure ulcer on the right medial knee. She indicated that the pressure ulcer was from the resident’s knee brace. Administrative staff #1 stated that Resident #25 was re-admitted to the facility on [DATE] with a brace to her right leg to support the stump
On 10/22/15 at 10:15 AM, administrative staff #1 was interviewed. She stated that the skin breakdown that Resident #25 experienced on her knee from the use of the knee brace could have been avoided. She indicated that when the resident was admitted, the nurse should have called the physician and obtained an order for [REDACTED] records.
On 10/22/15 at 10:35 AM, the resident’s knee brace was observed. The brace was white and made of a hard plastic material. The front part of the brace that was protecting the resident’s stump was padded but the rest of the brace had no padding on it.
On 10/22/15 at 10:50 AM, Nurse #1 was interviewed. She stated that a doctor’s order should have been obtained for Resident #25 on admission for the use of the brace including the instruction on how and when to apply it. She also stated that the application and observation of the resident’s skin to prevent the skin from breakdown should have been completed by staff and documented in the resident’s medical records.
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.
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