CANYON SPRINGS HEALTH AND REHABILITATION, LLC
LOCATED: 1401 PARK AVENUE, HOT SPRINGS, AR 71901
CANYON SPRINGS HEALTH AND REHABILITATION, LLC was cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:
PLEASE NOTE: The following highlighted quoted text is only a portion of the full report/survey submitted by DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES. The full report/survey can be found here. 

FACILITY FAILED TO ENSURE STAFF IMMEDIATELY REPORTED A SUSPICION/ALLEGATION OF NEGLECT

Level of harm – Immediate Jeopardy

Complaint # (AR 381) was substantiated (all or in part) in these findings. Based on record review and interview, the facility failed to ensure staff immediately reported a suspicion / allegation of neglect to Administrator / Designee to ensure prompt investigation and to ensure residents were protected from the potential of further neglect as evidenced by staff failure to immediately report to the Administrator / Designee when Registered Nurse (RN) #1 refused to stay and assist with Cardiopulmonary Resuscitation (CPR) and Licensed Practical Nurse (LPN) #1 failed to immediately start CPR on a resident found without vital signs ([DATE]) for 1 (Resident #1) of 3 (Residents #1 through #3) case mix residents who had documentation of full code status within their resident clinical records.

Continuing: On [DATE] at 4:30 p.m., CNA #1 stated she was running behind schedule the evening of the incident ([DATE]) and at approximately 12:00 a.m. or 12:30 a.m. she started doing vital signs .She stated she went to the resident’s room and tried to get vital signs on him. She stated she was not getting anything; no pulse. She stated she hollered for LPN #1 and she said to hold on and continued to talk to RN #1. She stated she went back in a few minutes to the nurses’ station and said to LPN #1, Look. I’m not getting nothing! No respirations, no pulse, nothing! CNA #1 stated, (LPN #1 and RN #1) were still talking. (LPN #1) came in the resident’s room, looked at the resident and said, ‘He’s died ‘. CNA #1 stated LPN #1 touched the resident and checked for a pulse. She stated she could not remember if LPN #1 did vital signs or not, as that part was a little hazy. CNA #1 was asked if she was certain she had made it clear to LPN #1 there were no vital signs and she stated, I actually told her, I’m not getting nothing. She stated LPN #1 stepped out of the room and called for LPN #2. CNA #1 was asked if she knew what role RN #1 played in the incident and she replied she knew she did come into the resident’s room at some point, but she didn’t remember when. She stated LPN #1 and RN #1 did not know what to do.

Continuing:  LPN #1 was questioned about the CNA’s allegation that she had to tell her (LPN #1) more than once that the resident did not have vital signs before she (LPN #1) went to the room. LPN #1 denied the CNA told her more than once before she went into the room to check the resident. LPN #1 was asked what RN #1 said or did when she went to the resident’s door and she replied that RN #1 said she was going home and that she did not want to get in involved in the situation. She stated RN #1 then turned around and went home. She stated, I made it clear to her (RN #1) that I needed her to help me do CPR and she still turned around and went home. She stated RN #1 stayed outside the door, did not go into the room and did not assess the resident. LPN #1 was asked how much time had passed since the CNA had reported the resident had no vital signs and CPR was initiated and she replied, 3 to 5 minutes. It happened so fast. It didn’t take too much time to assess him. She was asked how nurses identify code status prior to the incident. She stated, Prior to the incident, I was not aware of what the dots meant. I knew they had the cards posted on the doors, but I didn’t know what the dots meant. I do now.

Personal Note from NHAA 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 can help you file a state complaint, hire a specialized nursing home attorney or help you find a more suitable location for your loved one.

Contact us through our CONTACT FORM located on our website here 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.