State Findings:
Based on clinical record review, review of select facility documentation, as well as staff interview, it was determined that the facility failed to implement interventions to prevent an accident during ambulation, resulting in harm from a fall with a facial laceration requiring the resident being sent to the hospital and receiving sutures (row of stitches holding together the edges of a wound) for one of three residents reviewed (Resident 1).
Review of Restorative Nursing Status assessment dated (MONTH) 5, 2019, revealed Resident 1 has fluctuating ADL’s (activities of daily living), poor safety awareness, and a need for restorative care (program available in nursing homes that helps residents maintain any progress they’ve made during therapy treatments) for ambulation with a plan to ambulate to and from
the dining room with gait belt, hand-held assistance, and shoes or non-skid socks.
Review of facility’s incident report dated (MONTH) 17, 2019, revealed that Resident 1 experienced a fall on this date. Further review of the incident report revealed Nursing Assistant (NA) 2 was walking resident from the dining room to her bedroom after dinner. NA 2 needed to quickly assist another resident and Resident 1 lost her balance, fell to the floor onto her buttocks, then fell back and hit the back of her head on the floor. Review of the witness statement attached to the incident report revealed that NA 2 let go of Resident 1 to redirect two other residents and Resident 1 fell to the floor.
During an interview with NA 2 on (MONTH) 30, 2019, at 1:39 PM she revealed she could not remember much about the incident but recalled that she was attempting to swish another resident out of a third resident’s room and let go of Resident 1 in doing so.
During an interview with the Nursing Home Administrator on (MONTH) 30, 2019, at 1:15 PM, she revealed that NA 2 made the wrong choice to let of Resident 1 but should have instead ensured her safety before intervening with the other residents.
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.
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