DIVERSICARE OF NICHOLASVILLE
LOCATED: 100 SPARKS AVENUE, NICHOLASVILLE, KY 40356

DIVERSICARE OF NICHOLASVILLE 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 PROVIDE NECESSARY CARE AND SERVICES TO MAINTAIN THE HIGHEST WELL BEING OF EACH RESIDENT

LEVEL OF HARM – IMMEDIATE JEOPARDY

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on observation, record review, interview and review of the facility’s policy/procedure, the facility failed to have an effective system to ensure the necessary care and services related to the assessment, care, monitoring, evaluation and treatment of [REDACTED].#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14 and #16). Interview and record review revealed [MEDICATION NAME] cream, a treatment for [REDACTED]. #5, #6, #7 and #9. On 07/27/14, seventeen (17) additional resident (Residents #1, #2, #3, #4, #8, #10, #11, #12 and #14, and unsampled Residents A, B, C, D, E, F, G and H) were also treated with [MEDICATION NAME] for Scabies. However, there was no documented evidence on 07/27/14, the facility ensured the Scabies Policy was followed, to include placing the seventeen (17) residents in contact isolation and performing decontamination of resident areas. In August 2014, Residents #6 and #7 were again treated for [REDACTED]. On 09/10/14, Resident #6 was also treated with [MEDICATION NAME] (an oral medication for treatment of [REDACTED]. Additionally, Resident #9 was treated again while hospitalized between 01/03/15 and 01/06/15 for Scabies, and again at the facility on 01/11/15. Five (5) of the sixteen (16) sampled residents, Resident #1, #2, #6, #7 and #11, developed skin related bacterial infections and required the administration of topical and/or oral antibiotic medication. Topical antibiotic ointment was ordered for Resident #2 on 07/27/14, Resident #11 on 08/01/14 and Resident #1 on 01/26/15. Oral antibiotics were ordered for Resident #6 on 09/10/14 and Resident #7 on 12/01/14. Observation revealed numerous residents scratching areas on their bodies, with some of the residents observed to have dark reddish spots, which appeared to be blood, on their clothing and bedding. Further observation revealed none of these residents were in contact isolation. Review of the facility’s Census and Condition form revealed five (5) residents were identified to have rashes on 01/22/15. However, after the facility conducted a skin assessment sweep of residents, a total of fourteen (14) residents were identified to have rashes, with thirteen (13) of the fourteen (14) residents identified residing on the B wing of the facility, and one (1), Resident #13 residing on the A wing. Review of the Comprehensive Care Plans for Residents #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12 and #14 revealed no documented evidence their care plans were revised for monitoring the effectiveness of the scabies treatment to ensure eradication of the contagious Scabies infestation. Additionally, during the Partial/Extended Survey, Resident #16, who resided on A wing and was not identified to have a rash during the facility’s skin assessment sweep, was observed by the State Survey Agency to have itching and a rash. Per interview, Resident #16 had experienced the rash for approximately two (2) weeks. The facility’s failure to have an effective system in place to ensure residents received the necessary care and services regarding Scabies treatment was likely to cause serious injury, harm impairment or death to a 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.

Contact us through our CONTACT FORM located on our website here below or on the sidebar 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.