State Findings:
Based on interviews, observations and record reviews the facility failed to ensure residents were free from neglect for 6 of 6 residents (#2, #3, #4, #5, #6 and #7) whose care was reviewed for neglect, in that:
The facility’s structure to prevent abuse were not implemented when:
1. The facility failed to put interventions in place to manage Resident #1’s aggressive behaviors to protect the resident and other residents from incidents of abuse.
2. The failure of not having interventions in place for Resident #1’s aggressive behaviors led to an incident where resident #1 seriously injured Resident #3, resulting in Resident # 3 not wanting to come out of his room to avoid Resident #1.
3. The facility failed to protect Residents #2, #4, #5, #6 and #7 from abuse after they revealed they were afraid of Resident #1’s aggressive behaviors and did not feel safe and free from abuse in the facility.
These failures resulted in identification of an Immediate Jeopardy (IJ) on 02/19/2019. While the IJ was removed on 02/22/2019, the facility remained out of compliance at a level of actual harm with a scope identified as a pattern until interventions were put in place to protect residents from Resident #1’s repeated incidents of aggressive behavior and staff were trained on behavior strategies (dealing with residents with agitation and those with inappropriate behavior/suspicious paranoia and agitation) and abuse and neglect. This deficient practice could affect the residents at the facility and place them at risk for physical and/or psychosocial harm.
During an interview on 02/20/19 at 4:55 PM with Psychiatric NP, he revealed that he believed the facility does not meet Resident #1’s needs due to [MEDICAL CONDITION] violent behaviors. He further revealed Resident #1 residing in the nursing facility was unsafe and inappropriate. NP stated he recently adjusted the dosages on Resident #1’s psychiatric medications about two weeks ago and Resident #1 needs a more suiting long-term care living arrangement.
During an interview on 02/21/19 at 8:22 AM the Administrator confirmed there was no documentation of any interventions for Resident#1’s behavior. The Administrator further confirmed there was no behavior monitoring.
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.
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