KINGSTON, PA – MANORCARE HEALTH SERVICES-KINGSTON

Facility fails to implement necessary measures to prevent the development and worsening of multiple pressure areas.

MANORCARE HEALTH SERVICES-KINGSTON

200 SECOND AVENUE
KINGSTON, PA

FACILITY FAILED TO PROVIDE APPROPRIATE PRESSURE ULCER CARE AND PREVENT NEW ULCERS FROM DEVELOPING.

Manorcare Health is also on the NHAA Watchlist because they have caused ACTUAL HARM to residents and had unsafe staffing levels despite large revenues. Visit the NHAA Watchlist page for Manorcare Health to learn more.

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.

State Findings:

Based on observations, clinical record review and staff and resident interviews, it was determined that the facility failed to provide care consistent with professional standards of practice to accurately assess and identify skin impairments and implement measures to prevent the development of pressure sores, promote healing of existing pressure sores and prevent new pressure sores from developing for two residents (Resident 56 and 54) out of five sampled with pressure sores.

An observation of the resident’s wounds was conducted on January 15, 2020, at approximately 9:30 AM accompanied by the DON and Employee 10, RN. Observations, which were confirmed by the Director of Nursing at the time, revealed that the wounds were not consistent with the description in nursing progress notes or the skin alteration sheets. Observations revealed that the pressure areas were deep tissue injuries (a unique form of pressure ulcer. The National Pressure Ulcer Advisory Panel defines a deep tissue injury as A pressure-related injury to subcutaneous tissues under intact skin. Initially, these [MEDICAL CONDITION] have the appearance of a deep bruise) and were unstageable due to slough (dead white blood cells, [MEDICATION NAME], cellular debris and liquefied devitalized tissue) present in the wound beds. The Director of Nursing and Employee 10, RN Unit Manager, conducted skin assessments at this time in order to accurately document the measurements and description of the pressure areas observed.

Interview with Employee 8, nurse aide, on January 15, 2020 at 10:00 AM revealed that the facility had been aware of the appearance of Resident 56’s pressure sores, but did not accurately document their appearance in the clinical record and skin alteration records and also did not identify them as pressure sores, but other forms of skin damage such as abrasions.

Interview with the Director of Nursing on January 15, 2020 at approximately 2:00 PM confirmed that the measurements and description of the resident’s wounds observed that morning were not consistent with the facility’s skin alteration records. The DON verified that the facility was unable to demonstrate the implementation of necessary measures to prevent the development and worsening of multiple pressure areas.

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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.

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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

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