State Findings:
Based on a review of clinical records, select incident and accident and information submitted by the facility and staff interviews, it was determined that the facility failed to provide necessary supervision with activities of daily living, consistently implement identified and individualized safety measures and maintain an environment free of potential accident hazards to prevent falls and accidents for two residents out of 25 sampled residents (Residents [AGE] and 28).
Review of a resident incident report dated October 20, 2019, at 1:48 AM revealed that the resident was found lying on the floor face down on the bathroom floor after attempting to self-transfer from the toilet to her chair. Employee 4 (nurse aide) and Employee 5 had helped the resident to the bathroom,but then the employees left the resident alone in the bathroom.A review of a statement from Employee 4 dated October 20, 2019, indicated that Employee 4 entered the resident’s room at 1:10 AM with Employee 5. Employee 4 and Employee 5 assisted the resident from the bed to the wheelchair and then to the toilet. Employee 4 exited the resident’s room. At 1:20 AM the nurse came to get the employee to help get the resident off the floor.
A review of a statement from Employee 5 dated October 20, 2019, indicated that Employee 5 entered the resident’s room at 1:10 AM with Employee 4. Employee 4 and Employee 5 assisted the resident from the bed to the wheelchair and then to the toilet. Employee 5 exited the resident’s room with Employee 4. At 1:20 AM the nurse came to get the employee to help get the resident off the floor.
An interview with Director of Nursing (DON) on January 14, 2019, at approximately 11:30 AM confirmed that the staff failed to provide sufficient assistance and supervision with transfers and toileting, as planned for the resident, to prevent a fall.
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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.
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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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