State Findings:
Complaint # (AR 486) was substantiated (all or in part) with these findings.
Based on record review and interview, the facility failed to ensure basic life support measures, including cardiopulmonary resuscitation (CPR) were provided to attempt to revive 1 (Resident #1) of 1 case mix resident who experienced cessation of vital signs and was a full code. This failed practice resulted in past noncompliance at the level of immediate jeopardy, which caused or could have caused serious harm, injury or death to Resident #1, who had a documented full code status and did not receive CPR upon cessation of vital signs, and had the potential to cause more than minimal harm to 36 residents who had physician’s orders [REDACTED]. The Administrator was notified of the Past Immediate Jeopardy on [DATE] at 3:25 p.m.
On [DATE] at 12:25 p.m., the Administrator was asked if LPN #1 was currently CPR certified. The Administrator stated, She was hired on [DATE] .She is currently active with her CPR certification. She just didn’t think she needed to do CPR .
The Facility Investigation Report for Resident Abuse, Neglect, Misappropriation of Property and (&) Exploitation of Residents in Long Term Care Facilities, Division of Medical Services (DMS) form 762 Form documented, .Date and Time of Discovery: [DATE] Time 11:30 AM . The administrator, medical director, and law enforcement were notified. The nurse was suspended on [DATE] pending completion of an investigation. The director of nursing interviewed (LPN #1) on [DATE] regarding her documentation on [DATE] involving the death of (Resident #1). (LPN #1) was not able to explain why CPR was not initiated or EMS (emergency medical services) called after she found her patient unresponsive and without a pulse. It was concluded that she failed to follow the full code physician order [REDACTED]. Staff assigned to the hall on [DATE] were interviewed and with no additional findings noted. An in-service was conducted educating all current nurses and any new hires on resident code status. An audit was conducted on code status orders for all current residents to ensure accuracy with no negative findings. The facility will conduct random mock codes to ensure that staff has the appropriate knowledge on how to check code status and carry out CPR when indicated
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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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