GARDENDALE REHABILITATION AND NURSING CENTER
1521 E RUSK, JACKSONVILLE, TX 75766
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 MAKE SURE THAT THE NURSING HOME AREA IS FREE FROM ACCIDENT HAZARDS AND RISKS AND PROVIDES SUPERVISION TO PREVENT AVOIDABLE ACCIDENTS
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on observation, interview, and record review, the facility failed to ensure residents received adequate supervision and interventions to prevent accidents for 8 of 8 residents reviewed for supervision. (Resident #s 1, 2, 3, 4, 5, 6, 7, and 8)
1. The facility did not implement interventions to protect Resident #s 3 and 7, from being hit and attacked by Resident #1. Resident #7 was hit repeatedly in the face by Resident #1 and sustained lacerations to the face. Resident #3 was attacked by Resident #1 at least three times; being hit on the back of the head, shoved, and hit in the side of the head.
2. The facility did not implement interventions to supervise and protect Resident #2 when she injected herself with insulin, was displaying physically aggressive behaviors, and was displaying suicidal ideations.
3. The facility did not implement interventions to protect Resident #s 5 and 8 from being attacked by Resident #4. Resident #4 stabbed Resident #5’s hand with an ink pen. Resident #4 was wrestling/grappling with Resident #8.
4. The facility did not provide adequate supervision for Resident #6, who had an unsteady gait and hallucinations, was known to walk to the convenience store, sometimes in the dark.
The facility did not:
provide supervision to ensure Resident #6’s safety when he walked to a nearby convenience store;
perform safety assessments prior to allowing Resident #6 to leave unaccompanied;
implement interventions to protect and supervise Resident #6 when he went to the store;
implement the care plan to accompany Resident #6 to the store;
prevent Resident #6 from leaving alone in the dark;
implement revised safety measures when staff became aware of near-missed accidents during Resident #6’s walks to the store.
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. 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 have helped many already and we can help you and your loved one as wellby filing a state complaint, hiring a specialized nursing home attorney or helping you find a more suitable location for your loved one.
Contact us through our CONTACT FORM located on our website here below or on the sidebar or call our toll free hot line number: 1-800-645-5262.
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