State Findings:
Facility was fined $21, 567 on 9/16/2022 and $23, 342 on 4/27/2022
-During an interview with Resident #117 on 9-12-22 at 9:32am, the resident stated she was concerned about her privacy because her privacy curtain did not extend all the way around. The resident stated she had reported the issue to a nurse but could not remember the nurse’s name.
Observation of the privacy curtain occurred on 9-12-22 at 9:32am. The observation revealed the curtain was not wide enough to extend all the way around the resident exposing either the resident’s roommate window which had the blinds pulled up or the door while staff performed care to Resident #117.
-Based on observations, interviews, and record reviews, the facility failed to complete a Level II Preadmission Screening and Resident Review (PASRR) when Resident #17 was diagnosed with a new mental illness. This deficient practice affected Resident #17, 1 of 3 sampled residents reviewed for PASRR.
During an interview with the Director of Nursing (DON) on 09/14/22 at 10:18 AM, she stated when a resident had a new mental illness diagnosis, the DSS should initiate a Level II PASRR screening. Per the DON, if the screening was not completed as needed, the facility may not be able to meet the resident’s needs. According to the DON, Resident #17 had psychiatric services routinely, had not had any issues with behaviors, and was stable at this time. The DON reported the previous DSS was responsible for the PASRR, and she could not say why the Level II PASRR screening was not done for Resident #17. The DON also acknowledged the facility did not have a policy to address the PASRR.
-Based on interviews, record review, and facility policy review, the facility failed to supervise residents that required supervision while smoking, ensure residents assessed to wear a smoking apron were provided one, and failed to ensure independent and supervised residents had a safe place to discard cigarette butts after smoking for 3 of 3 residents reviewed for smoking (R #110, R #74, and R #21). Failed to ensure Resident #74 smoked in designated area, and used the trash can
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 IJ began on 09/12/2022 when Resident #21 was observed unsupervised while smoking, without wearing a smoking apron, and threw a lit cigarette into a trash can.
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.
