Administrator did not feel it was a system failure but one nurse who failed to use her brain.

MADISON, TN RN fails to perform CPR on unresponsive resident.

SIGNATURE HEALTHCARE OF MADISON

FACILITY FAILED TO PROVIDE BASIC LIFE SUPPORT, INCLUDING CPR, PRIOR TO THE ARRIVAL OF EMERGENCY MEDICAL PERSONNEL, SUBJECT TO PHYSICIANS ORDERS AND THE RESIDENT’S ADVANCE DIRECTIVES.

State Findings:

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on facility policy review, medical record review, facility investigation review, and interview, the facility failed to adequately monitor and intervene for a serious medical condition when a Registered Nurse (RN) failed to perform cardiopulmonary resuscitation (CPR) on a resident who was found unresponsive with no pulse or respiration who was a full code (life-saving measures to include chest compressions, airway management, medications, and transfer to hospital) for 1 (Resident #11) per investigation of 9 records, 6 of which did not have advanced directives.

Review of facility investigation of a written statement by Licensed Practical Nurse (LPN) #1 dated [DATE] revealed. During our shift (RN #1) asked me to help her find and set up a suction machine for (Resident #11). I left her in his room after we set the machine up. A while later I was at the NS (nurses’ station) desk charting when (RN #1) came passing by with her med cart stating He died. When I asked who? She said (Resident #11) and proceeded toward the end of North Hall where her rooms are.

Review of facility investigation of an interview between the DON and CNA #5 dated [DATE] revealed .I walked past (RN #1) shortly after he passed away. All she said was she just had a patient die. That’s the only thing I knew or heard .

Review of facility investigation revealed RN #1 was suspended on [DATE] pending the investigation. Continued review revealed a note from RN #1 dated [DATE] stating she resigned.

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

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.

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