State Findings:
Based on observation, record review, and interview, the facility failed to ensure enteral feedings were
administered according to the physician’s orders to ensure adequate nourishment was provided for 1
(Resident #1); failed to ensure enteral feeding formula and bags were changed out timely to prevent potential
administration of spoiled product for 1 (Resident #5); and failed to ensure enteral feeding delivery bags were
dated and timed to enable staff to determine when the formula and bag should be changed out for 1
(Resident #2) of 4 (Residents #1, #2, #3 and #5) sampled residents who received enteral feedings.
Based on observation, record review and interview, the facility failed to ensure oxygen was administered only
when there was a physician order for [MEDICAL RECORD OR PHYSICIAN ORDER] #2, #5 and #7)
sampled residents who received oxygen; failed to ensure updraft tubing was dated to facilitate timely
change-out and minimize the potential for infection for 2 (Residents #2 and #5) of 2 sampled residents who
received updraft treatments; and failed to ensure nebulizer tubing and cannula were stored in a bag or
container when not in use to prevent potential contamination that could result in infection for 1 (Resident #5)
of 2 sampled residents who received updrafts
On 09/13/21 at 10:28 AM, Resident #4 stated, I got here after 5:00 PM on Friday [09/10/21]. They [facility
staff] didn’t get me any pain meds [medications] until Saturday night [9/11/21] after 11:00 PM. I kept asking
for something for pain, but they just kept saying the pharmacy hadn’t sent it yet
Based on observation, record review and interview, the facility failed to ensure staff properly wore a face
mask covering the nose and mouth; failed to ensure signage was posted outside each isolation room to alert
staff and visitors of the need to don personal protective equipment (PPE) or contact a nurse prior to entering
the room; and failed to ensure biohazardous waste was properly stored while awaiting disposal to prevent
potential transmission of COVID-19 and other communicable diseases and infections in 1 of 1 facility. These
failed practices had the potential to affect all 42 residents who resided in the facility, according to the
Resident Census and Conditions of Residents form dated 9/13/21.
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.
