State Findings:
Based on observations, interviews and record review, the facility failed to ensure that residents were free from neglect and received adequate supervision and assistance to prevent accidents for 1 of 1 residents (#10) reviewed for neglect and accidents in that:
1. Resident #10 was not provided supervision while on the memory unit and exited the unit to the fenced backyard unattended. The resident fell and sustained second [MEDICAL CONDITION] her legs and thighs from lying on hot rocks for approximately 1.5 hours. When found, Resident #10 had a body temperature of 107.5, was unresponsive and required immediate hospitalization . The resident died because of heat stroke.
These failures resulted in an Immediate Jeopardy (IJ) situation identified on [DATE]. While the IJ was removed on [DATE], the facility remained out of compliance at s severity level of actual harm with a scope identified as isolated until the secure unit was made safe and the entire staff was in-serviced.
These deficient practices could affect 33 residents who were ambulatory and able to wander through the exit doors of the memory unit into the outside gardens and who were at risk for falls, wandering and elopement due to cognitive deficits, lack of coordination, and unsteady gait and could result in deterioration in health, heat stroke and death.
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.
