THE CAMBRIDGE HOUSE

250 BELLEBROOK RD, BRISTOL, TN 37620

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 ENSURE THAT A NURSING HOME AREA IS FREE FROM ACCIDENT HAZARDS AND PROVIDES ADEQUATE SUPERVISION TO PREVENT ACCIDENTS.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on facility policy review, review of the manufacturer’s mechanical lift operation manual, medical record review, review of the facility investigation, observation and interview, the facility failed to implement interventions for safe transfers with an assistive device to prevent accidents for 1 resident (Resident #18) of 3 residents reviewed for accidents. The facility’s failure resulted in actual physical harm for Resident #18.

Interview with Resident #18 on 5/14/18 at 12:15 PM, in the resident’s room, confirmed on the day of the incident (5/2/18) only 1 staff member (CNA #1) assisted with the transfer using the mechanical lift.

Interview with the Director of Nursing (DON) on 5/14/18 at 3:57 PM, in the DON’s office revealed Resident #18’s care plan, dated 2/28/18, was accurate, and Resident #18 required assistance of 4 staff for transfers with the mechanical lift.

Further interview confirmed at the time of the fall on 5/2/18 the facility failed to follow Resident #18’s care plan for transferring the resident using the mechanical lift and assistance of 4 persons.

Interview with the Medical Director on 5/15/18 at 9:59 AM, in the conference room, confirmed his expectation was for staff to follow the plan of care while providing care to all residents, and the facility’s failure to follow the plan of care while transferring Resident #18 with a mechanical lift resulted in an ankle fracture (actual physical harm.)

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 well by 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.

 

THE ADVERTISEMENT IS NEITHER AUTHORIZED NOR ENDORSED BY THE DEPARTMENT OF HEALTH, DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, OR ANY OTHER GOVERNMENTAL AGENCY