State Findings:
Based on interview, record review, review of the facility’s policy and video footage, it was determined the facility failed to have an effective system in place to ensure adequate supervision for five (5) of thirty-two (32) sampled residents (Resident #103, #40, #95, #111 and #133).
On 06/02/19 at approximately 6:41 PM, Resident #103 exited the facility without staff awareness in his/her wheel chair through Exit Door A when a visitor entered the facility, held the door open and allowed Resident #103 to self-propel through the exit door. The resident self-propelled seven hundred and sixty-seven (767) feet in his/her wheel chair to the back of the facility to a maintenance shed, near exit Door C. At about 6:42 PM, Licensed Practical Nurse #12 walked to Exit Door A and silenced the alarm. However, she did not go outside to check if a resident had exited the facility per the facility policy, instead she returned to her unit.
Interview with Certified Nursing Assistant (CNA) #14, on 06/08/19 at 12:27 PM, revealed she left the facility after her shift which ended around 6:30 PM and went to the employee parking lot where she encountered Resident #103 near a double parking garage. The facility’s failure to provide adequate supervision to ensure resident safety has caused or is likely to cause serious injury, harm, impairment, or death to a resident. Immediate Jeopardy (IJ) was identified on 06/14/19 and was determined to exist on 06/02/19. The facility was notified of the IJ on 06/14/19.
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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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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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