State Findings:
Resident #5 voiced concerns to staff of Resident #4 wandering into his room but no follow-up was provided by the facility.
Since admission on 2/18/22, the resident wandered around the unit. The facility failed to address the wandering and provide appropriate personalized-centered interventions. In addition, the facility failed to implement safety measures when the family declined to move the resident to
a secured unit to prevent the resident from wandering into other resident rooms.
Due to the facility failures, Resident #4 wandered into Resident #5’s room on 4/3/22 and an altercation ensued with Resident #4 having a fall which resulted in a left wrist fracture, left hip fracture, and bruise to scalp (see hospital documentation).
Cross-reference F600 the facility failed to prevent a resident to resident altercation by implementing appropriate safety measures to prevent Resident #4 from wandering into other resident rooms.
Although, the facility documented moving the resident to a secured unit on 3/9/22, there was no additional follow-up to include safety measures put in place to deter the resident from wandering into other resident rooms to prevent abuse (cross-reference F600).
Resident #4 wandered into Resident #5 room on 4/3/22 where an altercation occurred and Resident #4 was subsequently sent to the hospital. Resident #5 had previously voiced concern to the facility staff that Resident #4 would wander to his room to use his bathroom (cross-reference F600).
The DON was interviewed on 4/26/22 at 11:30 a.m. She said initially the staff thought Resident #4 fell in Resident #5’s room. She said the staff were unaware there was an altercation until Resident #5 emailed the corporate office and the ombudsman. She said Resident #4 had a wrist and hip injury from the accident and returned from the hospital and was no longer mobile.
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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.
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
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