FOUNTAIN CIRCLE CARE & REHABILITATION CENTER
LOCATED: 200 GLENWAY ROAD, WINCHESTER, KY 40391

FOUNTAIN CIRCLE CARE & REHABILITATION CENTER was cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:

PLEASE NOTE: The following highlighted quoted text is only a portion of the full report/survey submitted by DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES. The full report/survey can be found here.

Facility failed to provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on 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 staff provided immediate basic life support, including Cardiopulmonary Resuscitation (CPR) prior to the arrival of emergency medical personnel, as per physician’s orders [REDACTED].#1).

On [DATE], Resident #1 was admitted to the facility with an Advance Directive/Informed Consent Form, which stated, Full Code. On [DATE], per staff interview and record review, at approximately 5:45 PM, Registered Nurse (RN) #1 observed Resident #1 to be unresponsive and cold to the touch with absence of respirations and heartbeat. RN #1 was not knowledgeable of the facility’s protocol when a resident was found unresponsive and called out to Licensed Practical Nurse (LPN) #1, who came to the resident’s room. However, neither RN #1 or LPN #1 immediately checked the resident’s code status. RN #1 then overhead paged for a nurse from other units to call Unit B Hall immediately. Staff interviews revealed RN #1 subsequently called the Director of Nursing (DON) at approximately 6:07 PM and the DON directed her to check the resident’s chart for code status. After RN #1 identified the resident was a Full Code, 911 was called, and CPR was initiated at approximately 6:08 PM, approximately twenty-three (23) minutes after the resident was found with absence of respirations and heartbeat. RN #1 performed three (3) to five (5) chest compressions, and then stopped CPR. Review of the Emergency Medical Response Report revealed Emergency Medical Services (EMS) received a call on [DATE] at 6:08 PM and arrived on scene at 6:14 PM to find Resident #1 in [MEDICAL CONDITION] with no efforts at CPR or oxygenation. EMS transported Resident #1 to the Hospital where the resident was pronounced dead on [DATE] at 6:53 PM.

Additional interview with RN #1, on [DATE] at 6:20 PM, revealed she was in a panic mode and called the DON and was told to go do a code at which time RN #1 informed the DON, the resident was already dead. RN #1 stated the DON said I don’t care, call 911 and go do CPR. RN #1 further stated she called 911, hung up the phone, and grabbed the code cart, but she left it outside the resident’s room. Per interview, when RN #1 walked into the resident’s room, SRNA #1 and SRNA #2 had the resident lying flat in the bed and were cleaning the resident. RN #1 stated she put on gloves and told the SRNAs the DON told her to do CPR on the resident. RN #1 further stated she pushed on the resident’s chest about three (3) or four (4) times and stopped. Continued interview with RN #1, revealed the resident was cold and she felt like it was wrong to continue with CPR because it had been about twenty (20) minutes since she found the resident unresponsive. RN #1 stated she stopped CPR, went to the nurse’s station, and called the resident’s son to inform him she thought the resident had passed away. Continued interview with RN #1, revealed after she left the resident’s room, nobody was performing CPR on the resident. Further interview with RN #1, revealed once she initiated CPR, she should have continued CPR until EMS arrived.

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. This nursing home and many others across the country are cited for abuse and neglect.