GOLDEN LIVING CENTER-WEST SHORE
LOCATED: 770 POPLAR CHURCH ROAD, CAMP HILL, PA 17011
GOLDEN LIVING CENTER-WEST SHORE 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 HIRE GIVE PROPER TREATMENT TO RESIDENTS WITH FEEDING TUBES TO PREVENT PROBLEMS (SUCH AS ASPIRATION PNEUMONIA, DIARRHEA, VOMITING, DEHYDRATION, METABOLIC ABNORMALITIES, NASAL-PHARYNGEAL ULCERS) AND HELP RESTORE EATING SKILLS, IF POSSIBLE
LEVEL OF HARM –ACTUAL HARM
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on resident and staff interview, and clinical record review, it was determined that the facility failed to provide nutrition to meet the resident’s needs for one of 32 residents reviewed (Resident 2) and failed to provide evidence that a resident’s insertion site was examined consistently to prevent or resolve possible skin irritation or local infection for one of 32 residents reviewed (Resident 19).
Review of Resident 19’s physician’s orders dated June 24, 2015, revealed that the staff were to cleanse the ([DEVICE]) PEG tube with soap and water and pat dry every shift. Further review of Resident 19’s Treatment Administration Record for October 2015, revealed that on October 7, 2015, on the day shift, there were no initials in the provided spaces to indicate that the PEG tube site was cleansed per the physician’s order.
Interview conducted on October 22, 2015, at 10:00 a.m., with NA 1 (a Nurse Aide) revealed that, she was assigned to Resident 19 and that on October 17, 2015, between 7:00 a.m. and 7:45 a.m., she gave a partial bed bath to the resident and that she did not wash around the resident’s PEG tube site. As she was getting the resident ready for lunch around 10:30 a.m., she noticed a maggot roll down the resident’s stomach. Resident 19 stated, Maybe this is why my stomach has been burning.
An interview conducted on October 22, 2015, at 10:10 a.m., with LPN 6 revealed that she was called to Resident 19’s room by NA 1. She lifted the gauze around the PEG tube site and saw crawling objects, tannish in color approximately 1 cm (centimeter) long, around the PEG tube site. LPN 6 revealed that the moving objects were crawling out of the PEG tube insertion site and that she removed more than 10 moving objects.
An interview conducted on October 22, 2015, at 10:40 a.m., with RN 1 revealed that she was informed by LPN 6 of bugs on Resident 19. She got gloves, gauze, and saline Q-tips and went to Resident 19’s room. She lifted the drainage gauze around the PEG tube and worm-like looking bugs were crawling all around the PEG tube and the surrounding tissue. They were gray, white in color and approximately a half inch long. She removed the bugs on the skin with the saline dampened gauze. She saw more bugs inside the PEG tube insertion site. When the site was sprayed with normal saline the worms came to the surface and were then wiped away. The ADON was at the facility and gave permission to send Resident 19 to the hospital.
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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