State Findings:
Based on interviews and record reviews, the facility failed to ensure residents had the right to be free from neglect for 1 of 6 residents (CR #1) reviewed for neglect in that:
The facility failed to ensure CR #1, who was admitted to the facility post-craniectomy with part of his skull removed, had a baseline care plan to address his health status. They had no interventions in place to prevent injury to his brain.
The facility failed to ensure CR #1 had fall interventions in place to prevent a head injury. CR #1 was found on the floor with his head at the foot of the bed. The resident was placed back in back with a mechanical lift and expired less than 30 minutes later.
An Immediate jeopardy (IJ) was identified on [DATE]. While the IJ was lowered on [DATE], the facility remained out of compliance at a scope of isolated and severity of actual harm that is not immediate jeopardy due to the facility requiring more time to monitor the plan of removal for effectiveness.
This failure placed residents at the facility at risk of neglect leading to injury or death.
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.
