State Findings:
The Department of Health & Human Services conducted an inspection of the facility. The following highlighted decencies listed below were found in a public survey
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Based on observation, interview, and record review, the facility failed to ensure Care Plan interventions were implemented and followed to maintain nutritional status and help prevent significant weight loss and failed to ensure the responsible party was notified of weight loss for 1 (Resident #55) of 4 (Resident #54, R #55, R #63, and R #79) sample residents with excessive weight loss per the Resident Matrix provided by the Director of Nursing (DON) 12/27/22 and corrected on 12/30/22.
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Based on observation, record review and interview, the facility failed to ensure staff did not stand over residents while they assisted with meals and failed to ensure staff did not allow a resident to eat food that had been touched by another resident which failed to promote resident’s dignity for (Resident #69) of 3 (Resident #33, #69, #85) sampled residents who required assistance with meals and received their meal trays in the unit dining room. This failed practice had the potential to affect 19 residents who required assistance with eating as documented on a list provided by the Director of Nursing (DON).
Reasonably accommodate the needs and preferences of each resident.
Based on observation, record review and interview the facility failed to ensure the call light was placed within reach to meet the needs of 1 (Resident #248) of 17 (Residents #7, R #15, R# 21, R #24, R #54, R #55, R #57, R #63, R #67, R #72, R #74, R #79, R #80, R #85, #247, R #248, R #249) sample residents reviewed. This failed practice had the potential to affect 71 residents according to a list provided by the Director of Nursing (DON) on 12/29/22 at 5:05 pm.
Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Based on observation, interview, and record review, the facility failed to ensure a homelike environment was provided for residents living on the North Hall secure unit.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Based on observation, interview, and record review, the facility failed to ensure assistance with Activities of Daily Living (ADL) was provided to 1 (Resident #9) of 13 (Residents #2, R #7, R #9, R #44, R #59, R #60, R #61, R #74, R #79, R #80, R #81, R #85, and R #248) sample residents who were dependent on staff for ADL care per the ADL Care List provided by the Director of Nursing (DON) on 12/29/22.
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.
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