State Findings:
Based on observation, interview, and record review, the facility failed to ensure the rights of residents to be free from neglect for 1 of 3 residents (resident #1) reviewed for hydration, change in condition and abnormal values.
1.The facility failed to monitor Resident #1 fluid intake from [DATE] through [DATE] to ensure she was adequately hydrated. Resident #1 entered the facility at risk for dehydration.
2.The facility failed to consult with the Attending Physician when Resident #1 had a change of condition and was not taking in fluids. The facility failed to reassess interventions for resident #1 regarding weight loss.
3.The facility failed to ensure abnormal lab results received on [DATE] and [DATE] were promptly reported to the physician. Resident #1 was hospitalized on [DATE] with [DIAGNOSES REDACTED]. Resident #1 expired in the hospital on [DATE].
These failures resulted in an identification of an Immediate Jeopardy (IJ) on [DATE]. While the IJ was lowered on [DATE], the facility remained out of compliance at a level of actual harm with a scope identified as a pattern.
This failure affected one resident and placed an additional 2 residents with hydration concerns at risk for dehydration that were on [MEDICAL CONDITION] medications.
In an interview on [DATE] at 5:47 p.m. Hospital Nurse Manager stated that she was told patient was covered in feces and bruises. Stated that there was an APS referral and DR was the admitting physician. Stated that she was told Resident #1 had while yellow plaque, moaning and did not respond to any questions, severally dehydrated. Stated that the nursing home sent resident to the hospital because she was unresponsive. Stated that hospital staff stated that she came for dehydration.
Stated that she worked at a nursing home and that she knows you can’t make people drink but they should have done some kind of intervention. Stated that Resident #1 had abnormal lab values. Stated that resident’s mucus membranes were cracked, skin turgor not good, mouth was inflamed, nutrition not adequate, BUN was 82 and [MEDICATION NAME] was 2.2 meaning resident was in kidney failure.
Your Experience Matters
...and we want to hear it.
NHAA is here to assist families, residents, and the community by sounding the alarm on issues like those found above. This nursing home and many others across the country are cited for abuse and neglect.
If you have or had 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 have helped many already and we can help you and your loved one as well by filing a state complaint, hiring a specialized nursing home attorney or helping you find a more suitable location for your loved one.
You can make a difference, even if your loved one has already passed away.
Please give us a call at 1-800-645-5262 or fill out our form detailing your experience.
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.
If you are struggling and upset, click here to understand your options, or contact us through our contact form or call our toll free hot line number: 1-800-645-5262.
