LONGVIEW, TX – HIGHLAND PINES NURSING HOME

Based on interview and record review, the facility failed to ensure treatment and care was provided based on the comprehensive assessment and in accordance with standards of practice for 1 of 8 residents reviewed for assessments. (Resident #1) The facility did not immediately send Resident #1 to the hospital for emergency care when he experienced stroke like symptoms that consisted of slurred speech, left sided weakness, dizziness, and a decreased ability to transfer. Resident #1 was not sent to the hospital for approximately 21 hours where he was diagnosed with [REDACTED].

During an interview on 8/28/19 at 4:32 p.m., the administrator said on 8/12/19, Resident #1 came back inside after a smoke break and looked different than usual. The administrator said the nurse assessed the resident, and reported what she saw to the nurse practitioner, who said continue to monitor the resident. The administrator said he was not aware the resident was experiencing leftsided weakness, slurred speech, or an inability to grasp with his left hand. The administrator said he spoke to the nurse practitioner a couple days after the resident was sent out to the hospital, and the nurse practitioner reported to him the resident had a history of [REDACTED]. The administrator said it was the nurse practitioner’s responsibility to send the resident to the hospital. He said Resident #1’s decreased ability to transfer should have been reported to the nurse practitioner so she had a full understanding of each of Resident #1’s changes in condition.