WINDRIDGE NURSING AND REHABILITATION CENTER
LOCATED: 2530 NORTH ELM STREET, MIAMI, OK 74354

WINDRIDGE NURSING AND REHABILITATION CENTER was cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:

PLEASE NOTE: The following highlighted quoted text is only a portion of the full report/survey submitted by DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES. The full report/survey can be found here.

FACILITY FAILED TO IMMEDIATELY TELL THE RESIDENT, THE RESIDENT’S DOCTOR AND A FAMILY MEMBER OF THE RESIDENT OF SITUATIONS (INJURY/DECLINE/ROOM, ETC.) THAT AFFECT THE RESIDENT.

LEVEL OF HARM –ACTUAL HARM

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on observation, interview, and record review, it was determined the facility failed to notify the physician in a timely manner when a resident expressed a desire to die and later attempted suicide for one (#2) of one sampled resident who had expressed a desire to die. The DON stated there had been no other residents who had attempted suicide. Findings:

Resident #2 was admitted to the facility on [DATE] and had [DIAGNOSES REDACTED].

An admission assessment, dated 05/06/16, documented the resident was cognitively intact and required limited to total assistance with ADLs.

A nurse’s note, dated 05/10/16 at 1:41 a.m., documented the resident had stated she did not want to go to [MEDICAL TREATMENT] anymore and she wanted to die because she was ready to die. The note documented she kept asking for help from the nursing staff to help her to die. The note documented the resident asked how long after she stopped going to [MEDICAL TREATMENT] would it take for her to die.

A Medicare note, dated 05/11/16, documented the resident had not wanted to go to [MEDICAL TREATMENT] and the resident’s daughter had been there that morning and talked to the resident. The note documented the resident had agreed to go to [MEDICAL TREATMENT] after her daughter had talked to her.

A nurse’s note, dated 05/12/16 at 5:57 p.m., documented the resident’s physician had been there earlier that day and new orders had been received.

A physician’s progress note, dated 05/12/16, documented an order for [REDACTED]. The clinical record did not contain any documentation the physician had been notified of the resident’s verbalization of wanting to die prior to the visit on 05/12/16.

A nurse’s note, dated 05/13/16 at 6:37 p.m., documented at 4:00 p.m. the resident had been found by staff with the call light wire wrapped around her neck and was pulling it tightly. The note documented the resident stated she was sick of being sick. The note documented the SS director and DON had been notified and the resident’s family was at the bedside.

A nurse’s note, dated 05/13/16 at 7:00 p.m., documented the resident had been sent to the hospital for an evaluation.

On 06/07/16 at 11:45 a.m., the resident was observed in bed with the head of the bed up. The resident was feeding herself lunch.

On 06/09/16 at 4:40 p.m., the DON was asked when should you call the physician for a resident who is talking about wanting to die. She stated the physician should be called if a resident is threatening to kill themselves. The DON was asked if she thought the physician should have been notified when the resident expressed a desire to die and was asking the staff to help her die. She stated yes, the staff should have called the physician. The DON was asked if the staff had notified the physician. She stated she would have to check.

At 5:16 p.m., the DON stated she could not find any documentation the physician had been notified.

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 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.

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.