State Findings:
Based on interviews, record reviews and facility policy review, it was determined that the facility failed to protect residents from physical, sexual, and verbal abuse for five (5) (Residents #35, #8, #58, #54, and #87) of five (5) sampled residents reviewed for abuse by Resident #85 and Resident #6. Specifically, Resident #85 knocked down Resident #35 down on 08/21/2021, and knocked Resident #8 down on 08/22/2021, resulting in a femur fracture.
Resident #6 had multiple episodes of verbal and physical aggression towards other residents. Resident #6 exposed himself/herself, sexually during an activity, to Resident #58 and Resident #87. Staff reported that when Resident #6 came into the common area, other residents left due to the resident’s behaviors. Staff indicated they were fearful Resident #6 would hurt another resident. The Director of Nursing (DON) indicated Resident’s #6’s behaviors created a stressful environment for the other residents.
It was determined the facility’s non-compliance with one or more requirements of participation caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was identified at 483.12 (Freedom from Abuse, Neglect, and Exploitation) at a scope and severity of K.
The Immediate Jeopardy (IJ) was determined to exist on 04/01/2021 when Resident #6 was yelling and cursing at another resident and the facility failed to investigate the allegation of verbal abuse. The Director of Nursing (DON) and Nursing Home Administrator (NHA) were notified of the IJ and were provided the IJ Template on 08/26/2021 at 12:00 PM. AN acceptable Removal Plan was received on 08/27/2021. The IJ was determined to be removed on 08/27/2021, before exit. after the survey team performed onsite verification that the Removal Plans had been implemented. Noncompliance remained at the lower scope and severity of pattern E, no actual harm with potential for more than minimal harm that was not immediate jeopardy.
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...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.
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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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