State Findings:
Based on observation, interview, record review, and review of the facility’s policies, it was determined the facility failed to have an effective system in place to ensure adequate monitoring of pressure ulcers for seven (7) of nine (9) sampled residents (Residents #1, #7, #13, #48, #54, #57, and #67). Skin assessments were not completed weekly per facility policy to ensure the identification of new pressure ulcers. In addition, the facility failed to systematically investigate and analyze to determine underlying causes, which led to facility acquired pressure ulcers (new and worsened).
The facility failed to identify and prevent new pressure ulcers for Residents #1, #13, #54, and #67. In addition, the facility failed to follow physician’s orders [REDACTED].#7, #48, and #57.
The facility’s failure to provide the necessary treatment and services, consistent with the professional standards of practice, to promote healing, prevent infection and prevent new pressure ulcers from developing has caused or is likely to cause serious injury, harm, impairment, or death to a resident. Immediate Jeopardy was identified on 04/10/19 and the facility was notified of the Immediate Jeopardy on 04/10/19.
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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.
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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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