LOUISVILLE, KY- LYNDON WOODS CARE & REHAB

The Department of Health & Human Services conducted an inspection of the facility. The following highlighted decencies listed below were found in a 132 page public survey.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Based on observation, interview, record review and review of the facility’s policy, it was determined the facility failed to ensure residents were treated with dignity and respect for two (2) of ninety-four (94) sampled residents (Residents #14 and #821).

Resident #14’s toilet was non-functional and had been non-functional frequently for the past year. Resident #821 was observed with a catheter bag hanging from a wheelchair without a dignity bag.

Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Based on interview, review of the medical records, and review of the facility’s admission packet, it was determined the facility failed to assist residents to formulate an Advanced Directive upon admission for three (3) of ninety-four (94) sampled residents, (Residents #32, #90, and #91).

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.

Observation on 05/19/2023 at 9:41 AM, revealed room [ROOM NUMBER], Resident #23’s room, revealed bleach wipes and incontinent supplies in the windowsill, drawers removed from the bedside nightstand, papers inside the nightstand frame laying on the floor, papers laying in the floor in front of nightstand, cap noted inside night stand, multiple holes noted in wall, overbed table top lying on floor against wall at end of bed, bed footboard off bed and lying on commode in bathroom, one night stand drawer facing noted laying on commode, large oval mirror in bathtub, call/alarm system in Jevity box in bathtub, bathroom light noted not to work, electrical plug-ins and vents partially pulled out from wall.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Based on observation, interview, record review, and facility policy review it was determined the facility failed to ensure residents were protected from physical abuse, including resident to resident abuse, for thirty (30) of ninety-four (94) sampled residents (Residents #17, #19, #35, #36, #47, #48, #49, #56, #57, #59, #67, #69, #74, #76, #80, #81, #86, #88, #89, #91, #92, #93, #102, #110, #112, #131, #132, #138, #140, and #144)

Resident #80 suffered significant injury as a result of abuse.

The facility failed to provide adequate supervision to ensure Resident #80 was protected from abuse by Resident #48 on [DATE]. Resident #48, who had a history of physical and verbal abuse towards other residents’

Resident #48 punched Resident #80, in the face, on [DATE] at 6:43 PM, causing Resident #80 to fall.

Resident #80 was tearful upon assessment stating his/her hip was hurting. There was no documented evidence the facility performed a thorough assessment of Resident #80. Even though the Nurse Practitioner gave an order for an x-ray on [DATE] at 7:42 PM, the facility failed to obtain an x-ray until over twelve (12) hours later. Resident #80 was admitted to the hospital on [DATE] for a fracture to the right femoral neck with lateral displacement requiring surgery.

(a). On [DATE], at 6:43 PM, Resident #48 hit Resident #80 in the face causing him/her to fall to the floor.

However, an x-ray was not obtained until [DATE] at 8:06 AM. The x-ray results revealed Resident #80 had sustained a fractured right hip, which required surgical intervention to repair the fractured hip.