State Findings:
Based on record review and interview, the facility failed to provide care and services to prevent the development of an avoidable pressure injury, for 1 (R #1) of 4 (R #s 1, 2, 3 and 4) residents that were reviewed for pressure ulcers. This deficient practice caused harm to R #1 by creating a Deep Tissue Injury (DTI) due to facility staff not monitoring the residents air mattress.
On 08/19/19 at 3:42 pm, during an interview, LPN (Licensed Practical Nurse) #1 stated R #1’s wound was a deep tissue injury on 06/03/19. She stated it was discovered when she turned her (R #1) on 06/03/19 and a blackened area had spread over her buttock area. The LPN stated she discovered this doing wound care on her other re-opened pressure wound. The LPN stated the bed malfunction from the afternoon of Sunday (06/02/19 until Monday morning (06/03/19) contributed to the DTI. She stated the Promat mattress should have been checked to make sure it was plugged in and turned on. She also stated it was off for about a day. The LPN stated the Certified Nursing Assistants (CNAs) and nurses are supposed to be making sure the machine is functioning and working. The LPN stated the mattress moving up and down possibly bumped the cord off the wall.
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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.
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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