SAN SABA REHABILITATION
2400 WEST BROWN STREET, SAN SABA, TX 76877
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 PROTECT EACH RESIDENT FROM ALL TYPES OF ABUSE SUCH AS PHYSICAL, MENTAL, SEXUAL ABUSE, PHYSICAL PUNISHMENT, AND NEGLECT BY ANYBODY.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on interview and record review, the facility failed to ensure each resident was free from neglect for 1 of 4 residents reviewed for neglect (Resident #1).
The facility did not initiate CPR for Resident #1 when she was found with no pulse. Resident #1 was a full code. Resident #1 was pronounced dead in the facility on [DATE].
A telephone interview on [DATE] at 3 p.m. LVN B stated she was passing morning medications about 5:15 a.m., when LVN A called her over to Resident #1’s room to help her check Resident #1’s pulse. LVN B went to the room and found Resident #1 cold and clammy, with vomit on her. LVN A asked LVN B if she knew if she was a full code or DNR, so LVN B went to the nurses’ station to check status. LVN B returned to Resident #1’s room and informed LVN A that Resident #1 was a full code. LVN B stated she recalled that LVN A asked CNA C to help clean up Resident #1 and heard LVN A say she was going to call the DON and Resident #1’s husband. LVN B stated she returned to passing morning medications so she was uncertain what happened after this. LVN B stated there was no discussion about starting CPR or calling 911 or EMS. LVN B stated there was no discussion about calling the DON to clarify what to do. When asked why CPR was not started, LVN B stated because Resident #1 did not have a pulse
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.
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 have helped many already and we can help you and your loved one as wellby filing a state complaint, hiring a specialized nursing home attorney or helping 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.