State Findings:
Based on observations, interviews, and record reviews, it was determined the facility failed to ensure residents were not neglected and care was provided timely for three (#3, 9 and #10) of six sampled residents reviewed for neglect.
For resident #3, there was a delayed notification of the physician when the resident’s condition worsened. The physician ordered antidiarrheal medication, which was not administered as ordered and the resident’s skin started breaking down. The physician ordered labs, which were never obtained. The resident’s condition worsened and the physician ordered a diuretic medication, which took over 7 hours to administer. Also, records documented a lack of fluid intake monitoring during the time the resident experienced loose stools. On [DATE] at 12:58 a.m. the resident expired in the facility. The DON (director of nurses) identified 106 residents resided in the facility.
On 08/07/19 at 8:09 a.m., the resident was observed sitting in his bed with approximately three inches of loose brown liquid stool enclosed between his upper thighs. The room smelled strongly of bowel movement, and the top sheet covering the resident had an approximately three inch watery brown stain above the resident’s upper thighs. The resident’s fingernails were noted to have about two millimeters of a brown substance under each fingernail.
At 8:48 a.m., CNA #3 (certified nurse aide) entered the room and said, You are covered (with bowel movement). She stated the resident was completely soaked and had not been changed all night. The resident said, I’ve been laying in pee and (explicit term for bowel movement) all night. CNA #3 was asked what made her think the resident had not been changed during the night. She stated it was not the first time the resident had been found in this condition after the night shift. The resident stated he told the administrator he was not being provided incontinent care at night and he was often left sitting in liquid stool, but nothing gets done.
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...and we want to hear it.
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.
If you are struggling and upset, click here to understand your options, or contact us through our contact form or call our toll free hot line number: 1-800-645-5262.
