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Vanceburg, KY – Whirlpool Tub Never Disinfected Since Purchase Three Years Prior; Residents in Immediate Jeopardy; Facility Fined $230,000

GOLDEN LIVINGCENTER – VANCEBURG

Located: 58 Eastham Street, Vanceburg, KY 41179

GOLDEN LIVINGCENTER – VANCEBURG 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. The full report/survey can be found here.

WARNING: THE FOLLOWING CAN BE DISTURBING TO SOME READERS.

FAILURE TO MONITOR THE DISINFECTION OF FACILITY’S WHIRLPOOL TUB

Record review revealed Resident #2 and Resident #4 both had infections and utilized the whirlpool tub. Resident #2 had a Decubitus Ulcer that was cultured and revealed the ulcer contained two (2) organisms.

Continuing: Resident #4 had a history of Methicillin Resistant Staphylococcus Aureus (MRSA) and Vancomycin Resistant Enterococci (VRE) and had Decubitus Ulcers on the buttocks.

Continuing: Cultures performed on the Decubitus Ulcers were positive for Acinetobacter Species.

Continuing: There was no documented evidence the facility ensured the resident was no longer infectious prior to receiving the w/p tub bath. 

Continuing: Interview with the Maintenance Director revealed he had never refilled the disinfectant in the system in the three (3) years he had been employed by the facility. 

INFECTION CONTROL, PREVENT SPREAD, LINENS

Based on observation, interview, record review, and review of the facility’s policies, it was determined the facility failed to have an effective  infection control program designed to provide a safe, sanitary environment to help prevent the development and transmission of disease and infection as evidenced by failure to have a system in place to monitor the disinfection of the facility’s whirlpool (w/p) tub and failure to develop and implement effective policies and procedures for the disinfection of the w/p tub. 

Continuing: Review of the facility’s Bathing Report revealed Resident #2 had received twenty-four (24) w/p tub baths since his/her admission, both prior to the culture of the Decubitus Ulcer and on 01/24/13
after the culture was completed.

Continuing: Review of the facility’s Bathing Report revealed Resident #4 was noted to have received a total of fourteen (14) w/p tub baths to include a w/p tub bath on 03/30/13, however, record review revealed there was no documented evidence the facility ensured the resident was no longer infectious prior to receiving the w/p tub bath 03/30/13.

Continuing: Interview, on 05/25/13 at 10:50 AM, with CNA #1 revealed she had never used the w/p tub disinfecting system to disinfect the tub. She stated she “wiped it out.” However, was unable to say what she “wiped it out” with. She stated she had never been shown how to disinfect the w/p tub and was unable to tell if there was disinfectant in the disinfecting system. 

Continuing: Interview, on 05/26/13 at 3 37 PM, with the Administrator revealed she came to the facility in September 2012. She stated she knew the w/p tub was purchased in 2008. Per interview, she was not aware the w/p had not been disinfected until 05/14/13 when staff indicated to her that they had never used the w/p tub disinfecting system since the purchase of the tub.

ADMINISTRATION/RESIDENT WELL-BEING

Based on observation, interview, record review and review of the facility’s policy, it was determined the facility’s Administration failed to ensure the facility was administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable, physical, or psychosocial well-being of each resident.

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.

Share your story with us, spread the word and HELP STOP THE ABUSE AND NEGLECT! 

Contact us through our CONTACT FORM located on our website here 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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One Response to “Vanceburg, KY – Whirlpool Tub Never Disinfected Since Purchase Three Years Prior; Residents in Immediate Jeopardy; Facility Fined $230,000”

  1. Rachelle Bombe says:

    This is horrific. I would rather be dead than end up in a nursing home.

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