State Findings:
Based on record review and interviews, the facility failed to ensure two (#19 and #12) of seven residents reviewed, out of 30 sample residents, were free from resident-to-resident physical abuse.
Specifically, the facility failed to protect Residents #19 and #12 from the following:
-On 11/17/2020, Resident #40 grabbed Resident #19 by her arm and struck her on her face. Resident #40 was cognitively intact and Resident #19 had severe cognitive impairment. Documentation in nursing notes further revealed Resident #19 was physically abused by other residents on 12/7/2020 and 1/16/21. No injuries were documented, however there was no documentation that the 12/7/2020 and 1/16/21 incidents were reported to the nursing home administrator or the State Agency (cross-reference F609).
-On 1/18/21, Resident #4 hit and pinched Resident #12 and pulled at her arm hair, causing bruising. Both residents had severe cognitive impairment. This incident occurred after Resident #4 had complained for several days about having Resident #12 as a roommate, asked staff to move her to a different room, and verbally abused Resident #12 until her behavior escalated to physical abuse.
These failures contributed to residents experiencing verbal and physical abuse, bruising, and the potential for psychosocial harm.
The facility failed to ensure Resident #65’s bruising to her left inner thigh and right upper arm
were timely and properly identified, assessed and documented.
Based on record review and interviews, the facility failed to provide dementia care services for three (#19, #4 and #12) of five residents reviewed out of 30 sample residents. Specifically, the facility failed to assess, develop and implement dementia care interventions to address:
-Resident #19’s intrusive behaviors that put her at risk for abuse and contributed to her physical abuse from Resident #40 and other residents;
-Resident #12’s repetitive yelling out that put her at risk for abuse and contributed to her physical and verbal abuse from Resident #4; and,
-Resident #4’s psychosocial distress and verbal/physical aggression, which contributed to her behavior escalation and verbal/physical abuse against Resident #12.
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.
