In The News:
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on observation, interview and record review, the facility failed to provide adequate supervision and assistance to prevent an accident for 1 of 26 residents reviewed for accidents. (Resident #35)
The facility did not prevent Resident #35 from falling during toileting. Resident #35 was at risk for falls and was
identified to require 2-person maximum extensive assistance during toileting and transfers. Resident #35 was left alone on the toilet and was found some time later on the floor, unresponsive. She was admitted to the hospital with [REDACTED]. Interventions were not implemented, and the resident fell again 2 more times, with one of the times requiring another hospital stay.
During an interview on 12/12/18 at 08:16 a.m., CNA C said Resident #35 leaned to her right side when she was up. She said she transferred Resident #35 to the commode on 9/10/18 while passing breakfast trays. She said she left the resident on the commode alone and went to pass 2 or 3 more meal trays to other residents. CNA C said when she returned, she found the resident lying between the commode and the wall, in a fetal position with her head tucked underneath her body. She said she left the resident as she was and went to get help. She said they could not tell if Resident #35 was breathing because of the way her head was tucked under her body. She said they did not want to move her because they thought her neck was broken, so they pulled her forward a little to see if she was breathing and she took a big gasp. CNA C said the resident was unresponsive.
During an interview on 12/12/18 at 8:35 a.m., LVN B said she was the nurse taking care of Resident #35 when she was found on the floor in her bathroom (on 9/10/18). She said she was in the dining room monitoring breakfast when someone came to get her because Resident #35 was on the floor. She said when she walked in Resident #35’s bathroom, the resident was on the floor in a fetal position between the commode and the wall. LVN B said she was unsure of the extent of her injuries and the resident was unable to tell her what happened. She said when EMS arrived they placed a C-Collar on her neck and placed her on a back board to transfer her to the hospital. She said Resident #35 leaned to her right side when she was up and should not have been left alone on the commode.
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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
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