CNA revealed, "I know now that I should have had another staff person with me."

LEBANON, TN Resident suffers cervical and ankle fractures during improper transfer.

LEBANON HEALTH AND REHABILITATION CENTER

FACILITY FAILED TO ENSURE THAT A NURSING HOME AREA IS FREE FROM ACCIDENT HAZARDS AND PROVIDES ADEQUATE SUPERVISION TO PREVENT ACCIDENTS.

State Findings:

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

Based on facility policy, record review and interview, the facility failed to ensure adequate supervision was provided for one of eight sampled residents (Resident #4) during a transfer with a mechanical lift. Review of the undated policy for Lift & Transfer Program indicated, Two trained persons are required to be present when using the lift. Certified Nurse Aide (CNA) #1 transferred Resident #4 using a mechanical Hoyer lift without requesting the assistance of another staff and without connecting the lift’s straps securely. Resident #4 fell from the Hoyer lift during a Hoyer lift transfer and sustained a fractured right ankle fibula and a cervical fracture to the C1 vertebrae of the neck resulting in HARM.

Review of the facility investigation documents revealed the investigation was completed by Licenses Practical Nurse (LPN) #1 and the Director of Nursing (DON). It was also signed by the Administrator and Medical Director. The facility concluded the cause of the accident was strap not secured correctly CNA#1 did not have another staff helping her.

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. You can make a difference even if your loved one has already passed away.

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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.

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