State Findings:
Based on observation, staff, resident, family and nurse practitioner interviews, and record review, the facility failed to provide incontinent care in a safe manner to prevent a fall from the bed which resulted in a fractured leg for 1 of 3 sampled residents reviewed for falls (Resident #1).
Review of Resident #1’s fall safety event form dated 10/08/19 revealed Nurse #2 documented Resident #1 rolled off the bed during incontinence care with the result of a distal femur fracture. Resident #1 received a scoop mattress after the fall to prevent recurrence. The report documented interventions were effective and did not contain description of the interventions except for addition of a scoop mattress after the fall.
Telephone interview with Nurse Practitioner (NP) on 10/16/19 at 11:41 AM revealed Resident #1’s fall from bed resulted in the leg fracture. The NP explained she relied on the facility to assess the number of persons required for turning and repositioning Resident #1. The NP reported best practice would be to turn a resident toward the staff member since Resident #1 had limited mobility.
Your Experience Matters
...and we want to hear it.
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
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.
If you are struggling and upset, click here to understand your options, or contact us through our contact form or call our toll free hot line number: 1-800-645-5262.
