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Winchester, KY – Unsafe Environment, Care Plans Not Followed, Physician Orders Not Followed; Multiple Care Deficiencies Cited

FOUNTAIN CIRCLE CARE & REHABILITATION CENTER

Located: 200 GLENWAY ROAD, WINCHESTER, KY 40391

FOUNTAIN CIRCLE CARE & REHABILITATION CENTER was cited in January of 2014 and September 2013 by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:

The following highlighted text is only a portion of the full report(s)/survey(s). The full report(s)/survey(s) can be found here and here.

January 2014 Survey/Report

SERVICES BY QUALIFIED PERSONS/PER CARE PLAN

Based on interview, record review, and review of the facility’s policies, it was determined the facility failed to ensure a safe environment was provided by qualified persons in accordance with each resident’s Plan of Care

Continuing: The facility failed to ensure the care plan for Resident #1 was implemented. Resident #1 ‘s Comprehensive Care Plan revealed the resident’s whereabouts were to be monitored on an ongoing basis and the goal was the resident would not elope from the facility. On 01/15/14 Resident #1, who resided on a secure unit, eloped from the facility on 01/15/14 through a newly installed window and was found by the Deputy Sheriff approximately four (4) tenths of a mile from the facility. (Refer to F323) The facility’s failure to have an effective system in place to ensure implementation of care plan interventions was likely to cause serious injury, harm, impairment, or death. Immediate Jeopardy was identified on 01/23/14, and was determined to exist on 01/15/14.

FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES

The facility failed to have an effective system to ensure residents had a safe environment

Continuing: The facility’s failure to ensure residents had a safe environment was likely to cause serious injury, harm, impairment, or death to a resident. Immediate Jeopardy (IJ) was identified on 01/23/14 and was determined to exist on 01/15/14.

September 2013 Survey/Report

TREATMENT/SVCS TO PREVENT/HEAL PRESSURE SORES

Based on observation, interview, record review, and review of facility’s Pressure Ulcer Guideline, , it was determined the facility failed to ensure a  resident does not develop pressure sores unless the individual’s clinical condition demonstrates that they were unavoidable and a resident receives necessary treatment and services to promote healing, prevent infection and prevent new pressure sores from developing

Continuing: Resident #2 had a Physician’s Order for heel protectors to bilateral feet while in bed for prevention and this was an intervention on the resident’s plan of care. However, observation on 08/07/13 revealed the heel protectors were not applied while Resident #2 was in bed.

RECORDS-COMPLETE/ACCURATE/ACCESSIBLE

Based on interview, record review and review of the facility’s policy, it was determined the facility failed to maintain clinical records on each resident in accordance with accepted professional standards and practices that are complete, accurately documented and systematically organized

COMMITTEE-MEMBERS/MEET QUARTERLY/PLANS

Based on observation, interview, and review of facility’s policies and audits, It was determined the facility failed to maintain a Quality Assessment and Assurance (QA) program that developed and implemented plans of action to correct quality deficiencies. This was evidenced by repeated deficiencies related to the facility’s failure to ensure a safe, clean, comfortable and homelike environment.

Continuing:Based on observation, interview, and review of facility audits, it was determined the facility failed to ensure a safe, clean, comfortable and homelike environment within the facility.

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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