LOUISVILLE, KY- SENECA PLACE

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

Reasonably accommodate the needs and preferences of each resident.

Based on observation, interview, record review, and facility policy review it was determined the facility failed to ensure reasonable accommodation of needs for five (5) of sixty-nine (69) sampled residents (Residents #14, #54, #56, #82, and #445).

Interviews revealed the facility moved Resident #14 from a room with an accessible rest room to a room in which the rest room door did not accommodate the resident’s wheel chair. Interviews revealed the resident reported to the facility on [DATE] he/she could not get into the bathroom immediately after the facility transferred him/her to a new room. However, the facility did not address the need to use the bathroom until 02/13/2021 when the facility provided Resident #14 with a bedside commode. Resident #14 had to use a brief when the facility did not respond for twenty-four (24) hours. Resident #14 stated he/she felt invisible and uncared for by the facility.

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, review of the clinical record, and review of facility policy it was determined the facility failed to provide a safe, clean, comfortable, and homelike environment.

The entire perimeter of the facility, and into the parking lot, contained copious discarded cigarette butts. Discarded cigarette butts were also in the C/D courtyard. Additionally, the facility failed to provide appropriate disposal devices for the discarded cigarette butts to prevent fires.

The shower rooms for one (1) of four (4) units, E and F Halls, were filled with non-bathing materials. The E Hall tub contained a ladder, a lift sling, and a trash bag with unknown materials. The F Hall tub had a standing oscillating fan.

The facility placed Resident #248 on a one to one (1:1) observation after he/she eloped from the facility. The resident was taken to a staff’s office for 1:1 observation.

The C/D Unit courtyard was accessible to Resident #8, who frequented the courtyard. Two (2) gates in the courtyard did not have locks; and one (1) gate opened to a set of stairs to the basement. One side of the stairs had items stored, including a propane tank, and strip of nails used in a nail gun. The second gate opened to a storage area of yard equipment.

Not hire anyone with a finding of abuse, neglect, exploitation, or theft

Based on interview, record review, and review of the facility’s policy it was determined the facility failed to ensure staff were not listed on the Kentucky (KY) Nurse Aide Abuse Registry for five (5) of six (6) Registered Nurse Applicants (RNA) and one (1) Licensed Practical Nurse Applicant (LPNA). The facility did not check the KY Nurse Aide Abuse Registry for five (5) RNAs until after their employment began.

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, record review, and review of the facility policy it was determined the facility failed to develop or implement the resident care plan for sixteen (16) of sixty-nine (69) sampled residents, Residents #8, #23, #28, #33, #39, #46, #54, #60, #82, #84, #85, #90, #248, #445, and #447.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Based on observation, interview, record review, and review of the facility’s policy, www.timeanddate.com and Googles Maps, it was determined the facility failed to provide an environment that was free from accident hazards as possible for four (4) of sixty- nine (69) sampled residents (Residents #8, #28, #90, and #248).

The facility assessed Resident #248 to be at risk of wandering and elopement on [DATE], and initiated care plan interventions on [DATE] which included to maintain a safe environment. The facility utilized a wander management system, Accutech. However, the facility did not place a wander bracelet on the resident. On [DATE], Resident #248 exited the facility without staff knowledge. Around 5:30 PM, staff from another facility discovered Resident #248 on the ground in the parking lot adjacent to the facility. Staff from the other facility contacted the Long Term Care (LTC) facility’s staff and informed them a resident was in the parking lot. The LTC facility staff was unaware Resident #248 had eloped from the facility until they were notified by staff
from the other facility.

The facility failed to ensure the C/D Unit garden tow (2) patio gates were secure. The gates led to a stair case and a storage area with a depressed window encasement. Resident #8, who was assessed to have dementia and required supervision with transfers, accessed the locked door with the door code and went outside unsupervised.

Resident #90, has the diagnosis of PICA (an eating disorder). The facility failed to ensure adequate
supervision, and failed to secure boxes and packages of food, and supplies for resident care were removed from the room, not assessable to Resident #90

In addition, the facility failed to ensure non-skid strips were placed to the floor for Resident #28 after a fall.

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. This nursing home and many others across the country are cited for abuse and neglect.

You can make a difference. If you have 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 can help you and your loved one file a state complaint, hire a specialized nursing home attorney or help you find a more suitable location for your loved one.

Contact us through our CONTACT FORM located on our website here below or on the sidebar or call our toll free hot line number: 1-800-645-5262.

You can make a difference even if your loved one has already passed away.