MANORCARE HEALTH SERVICES-AKRON
FACILITY FAILED TO PROVIDE APPROPRIATE PRESSURE ULCER CARE AND PREVENT NEW ULCERS FROM DEVELOPING.
State Findings:
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, staff interviews, resident interview, and record review, the facility failed to ensure one resident (Resident #49) had pressure ulcer prevention interventions in place, failed to timely assess a change in skin integrity, and failed to implement wound treatment in a timely manner. Actual harm occurred when Resident #49 was discovered with three unstageable pressure ulcers to his heels.
Review of the admission Minimum Data Set 3.0 (MDS) assessment, dated 12/10/18 revealed Resident #49 was cognitively intact and required extensive assistance of two staff for bed mobility and transfers. The assessment indicated the resident had no pressure ulcers.
Interview on 12/17/18 at 2:20 P.M. with Resident #49 revealed he told the Nurse Practitioner (NP), the last time she saw him that he had a black spot on his foot and she told him to tell Registered Nurse (RN) #240. Resident #49 stated RN #240 was going to check it on 12/14/18 but did not look at it. Resident #49 stated no one had addressed his concern of the black spot on his foot and he had not received any [MEDICATION NAME] powder for his groin.
An additional observation on 12/17/18 at 2:45 P.M. of Resident #49’s heels with RN #240 revealed two pressure areas on the left foot and one pressure area on the right foot. RN #240 verified that the areas were related to pressure.
Interview on 12/17/18 at 3:07 P.M. with Certified Nurse Practitioner (CNP) #223 revealed Resident #49 was one of her residents and she had seen him on 12/10/18. CNP #223 stated Resident #49 told her that his heel hurt, and she told him to tell RN #240. CNP #223 stated she spoke to the nurse about his heels and asked if he had any open areas. CNP #223 said she had not documented anything on her progress notes about the concern with is heels. CNP #223 stated Resident #49 wore compression stocking for his [MEDICAL CONDITION] and staff put them on and take them off daily and should have noticed any change in skin condition of his heels. CNP #223 verified she did not look at Resident #49’s heels.
Your Experience Matters
...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.
