PARIS HEALTHCARE CENTER
LOCATED: 610 DESHONG DR, PARIS, TX 75460
PARIS HEALTHCARE 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 –ACTUAL HARM
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on observation, interview, and record review, the facility failed to ensure residents received the necessary treatment and services to promote healing and prevent new pressure sores from developing for 7 of 10 residents reviewed for pressure sores. (Residents #s 1, 4, 5, 9, 14, 15, and 16)
The facility did not:
*accurately assess Resident #9’s pressure sore, did not provide off-loading, and did not communicate with the physician about worsening of the pressure sore or of the new pressure sore. Resident #9 developed one unstageable pressure sore and had another that was non-healing.
-accurately assess Resident #s 5, 14, and 1’s pressure sores, did not provide appropriate treatment for [REDACTED].
-accurately assess Resident #16’s pressure sore and did not provide off-loading,
-accurately assess Resident #s 4 and 15’s pressure sores and did not provide appropriate treatments.
These failures contributed to the development of new, avoidable pressure sores and worsening of existing pressures sores for 7 residents with pressure sores, and placed 3 additional residents with pressure sores at risk for increased healing time, infection, and discomfort.
During an interview on 12/1/15 at 4:40 p.m., the treatment nurse said she had not received any wound care training other than taking care of wounds as a home health nurse. She said she did not stage wounds and would notify the DON or ADON if she found a new skin issue, or if a resident’s wound had changed, and she would assess the wound. The treatment nurse said the charge nurses did wound care on the weekends.
During an interview on 12/1/15 at 4:50 p.m., the DON said she had not received formal training on pressure sores, but had received a directed in service on pressure sores. The DON said the weekend RN was becoming wound care certified and she would teach the staff wound care. The DON said she or the ADON observed residents’ pressure sores weekly and wounds were discussed in stand up meetings.
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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