State Findings:
Based on observations, interviews, record review, and facility document and policy review, it was determined the facility failed to report an injury of unknown origin for one (Resident #2) of one resident within the required timeframe following identification of the injury.
On 09/26/2022 at 9:46 AM, an observation was made of Resident #2’s left arm. Around the area of the elbow, there were five small, round areas of discoloration that were purple in color. Four of the areas of discoloration were observed to be in a line under the elbow and one larger, round area of discoloration was observed above the elbow. Resident #2 was unable to state how the areas of discoloration occurred.
Further review of the clinical record revealed a Progress Note, dated 09/27/2022 at 4:14 PM, that contained documentation regarding fading bruises that looked like fingerprints. Per the note, the resident was interviewed and new orders were received to protect Resident #2’s arms.
Based on observations, interviews, record review, and facility policy review, it was determined the facility failed to ensure the oxygen tubing and nasal cannula were stored in a sanitary manner when not in use for one (Resident #9) of four sampled residents.
A review of Resident #9’s Comprehensive Care Plan, dated 04/12/2022, revealed Resident #9 had oxygen therapy related to a history of pulmonary embolism and respiratory failure. The oxygen settings were documented as set at two liters per minute via nasal cannula.
The following observations were made of Resident #9’s oxygen tubing:
– 09/26/2022 at 10:11 AM: Resident #9 was out of the room, and the oxygen tubing and nasal cannula was connected to the oxygen concentrator and observed on the floor beside the bed.
– 09/27/2022 at 8:42 AM: Resident #9 was out of the room, and the oxygen tubing with the nasal cannula was coiled and uncovered on the top of the oxygen concentrator.
– 09/27/2022 at 3:00 PM: Resident #9 was observed lying on top of their bed in their room, and the nasal cannula that was previously observed on top of the concentrator uncovered was now in use by the resident for oxygen therapy. A second nasal cannula, with tubing, was observed uncovered in the seat of Resident #9’s wheelchair.
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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.
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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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