BARKLEY CENTER
LOCATED: 4747 ALBEN BARKLEY DRIVE, PADUCAH, KY 42001

BARKLEY 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 NECESSARY CARE AND SERVICES TO MAINTAIN THE HIGHEST WELL BEING OF EACH RESIDENT

LEVEL OF HARM –IMMEDIATE JEOPARDY

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

Based on observation, interview, record review, review of hospital reports, and review of the facility’s policy and procedure, it was determined the facility failed to ensure the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care for one (1) of four (4) sampled residents (Resident #1).

On 08/27/16 at 8:00 PM, Resident #1 was identified as having an accu-check (blood sugar level) of approximately four-hundred forty-three (443) milligrams/deciliter {mg/dl} (normal: 70-100 mg/dl). The resident’s temperature ranged between 99 degrees F to 101 degrees Fahrenheit (normal 98.6 F). The resident had 100 milliliters (ml) of urinary output during the 3:00 PM-11:00 PM shift and no urinary output during the 11:00 PM-7:00 AM shift on 08/27/16.

On 08/28/16 at 6:00 AM, the resident’s accu-check was four-hundred eighty-six (486) mg/dl; and, the resident had no urinary output during the 3:00 PM -11:00 PM shift. On 08/28/16, during the 3:00 PM-11:00 PM shift, the resident was identified as being non-responsive and two (2) licensed staff were made aware. However, there was no documented evidence the facility assessed the resident and the physician was notified related to the resident’s high blood sugar, no urinary output, and increased temperatures per facility policy and care plan.

On 08/28/16 at 10:00 PM, Resident #1 was found unresponsive, had an accu-check of HI (above 600 mg/ml) and a temperature of 105.4 degrees Fahrenheit. The accu-check was supposed to have been completed at 8:00 PM on 08/28/16, but was not completed until 10:00 PM. Resident #1 was sent to the emergency room (ER) and admitted to the hospital, on 08/29/16, with [DIAGNOSES REDACTED].

Interview with the ER Director on 09/07/16 at 11:00 AM, revealed Resident #1 presented to the ER on [DATE] with a chief complaint of unresponsiveness. He stated this resident responded to painful stimuli only. The ER Director stated Resident #1 arrived to the ER with purulent thick green sputum in his/her nose, mouth, and purulent drainage coming from the resident’s urinary catheter insertion site. He stated Resident #1 had an increased fever and an accu-check of six-hundred forty-eight (648) mg/dl along with an occluded indwelling urinary catheter. The ED Director stated he felt Resident #1 did not become this ill in a short period and that Resident #1’s condition changes should have been observed by the facility as this resident’s condition deteriorated.

Interview with Resident #1’s Physician on 09/01/16 at 3:45 PM revealed he was also the facility’s Medical Director. He stated he would have expected licensed staff to have assessed Resident #1 thoroughly upon noting the condition changes the resident was experiencing and to have notified him of these changes.

Interview with the Director of Nursing (DON) on 09/08/16 at 8:15 AM, revealed she expected LPN #1 to have further assessed Resident #1 with the noted changes in condition, provided the necessary care and services, notify the physician of the condition changes and follow the care plans for Resident #1.

Interview with the facility’s Administrator on 09/08/16 at 08:30 AM, revealed she would have expected staff to have provided the necessary care and services needed to take care of Resident #1. She stated she expected all staff to follow facility policy and procedures.

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.

You can make a difference. If you have 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.

Contact us through our CONTACT FORM located on our website here below or on the sidebar or call our toll free hot line number: 1-800-645-5262.

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