State Findings:
Based on interview and record review it was determined for 2 (R#3 and R#9) of 10 sample residents that the facility failed to provide care and treatment in accordance with professional standards of practice, the person centered care plan, and the residents’ choices.
Specifically, facility nursing staff had been instructed, by the facility Director of Nursing (DON), to call the DON to get permission to send a resident to the hospital, despite the nursing staff’s assessment and clinical judgement that the resident needed to be discharged . These calls to the DON resulted in a delay of treatment for [REDACTED].
Additionally, staff were waiting for extended periods of time to contact the DON when a change in condition had been identified further delaying medical treatment.
1.) Resident 9 (R#9)
Facility staff failed to notify the physician regarding laboratory values obtained for R#9, on [DATE], and facility staff failed to send R#9 to the hosptial, on [DATE], in a timely manner despite R#9 experiencing a change in condition because the staff did not have the facility’s Director of Nursing’s permission to send the resident to the hospital even though staff felt the resident should have been sent. R#9 was sent to the hospital four hours after the staff felt he should have been sent, where he was diagnosed with [REDACTED]. R#9 expired at the hopital 5 days after his admission to the hospital.
2.) Resident 3 (R#3)
Facility staff did not call Emergency Medical Services for transport to the hospital, on [DATE], after R#3 experienced a change in condition and after a family member requested the resident be sent to the hospital but instead called the facility Director of Nursing to get permission to send R#3 to the hospital thus causing the family member to call Emergency Medical Services herself to have the resident sent to the hospital. Additionally, facility staff stated that the facility Director of Nursing had to give staff permission to send residents to the hospital despite the Nursing staff assessments and judgements if they felt the residents needed to be sent.
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.
