State Findings:
Based on observation, interview and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents’ choices for three (Resident #59, #85, and #497) of five residents reviewed for quality of care.
The facility failed to ensure Residents #59, #85, and #497 received treatment and care for their Central Venous Catheters, including routinely monitoring and assessing the site for infections or complications, changing the dressing and access port routinely and as needed, maintenance and monitoring of the port’s patency, and physician’s orders to establish management of the catheter. Resident #59 went without treatment for [REDACTED].#85 for over 20 days, and Resident #497 for over 10 days.
An Immediate Jeopardy (IJ) was identified on 10/16/19 at 2:55 PM. While the IJ was removed on 10/18/19 at 3:12 P.M., the facility remained out of compliance at the severity level of potential harm that is not immediate jeopardy and at a scope of pattern because the facility was still monitoring the Plan of Removal. The IJ template was given to the facility on [DATE] at 2:55 PM.
These failures could place the resident at risk for developing systemic infection, complications with blockage or restrictive access, dislodgement, collapsed lung, and [MEDICAL CONDITION].
In an interview on 10/15/19 at 2:36 PM the NP revealed she was not aware Resident #59, #85, and #497 did not have physician orders for the care and treatment of [REDACTED]. She stated the CVC line needed to be flushed before and after medication administration or every shift if the resident was not receiving medication through the line. The NP stated the dressing should be changed according to the facilities protocol or policy. She stated there were no standing orders for the facility for care and treatment of [REDACTED].
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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.
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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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