State Findings:
Based on interview and record review, the facility failed to allow the resident’s representative the right to exercise the resident’s rights to the extent those rights are delegated to the representative for 1 resident (Resident #1) of 6 residents reviewed for resident rights.
The facility failed to ensure only female aides were assigned to Resident #1 after the RP requested that only female aides provide ADL care to the resident. On 05/30/22, CNA A (a male CNA) was about to dress Resident # 1 when she fell off the bed.
This failure could place residents at risk of violating their resident rights and decrease of quality of life.
Record review of resident #1’s ER record, dated 5/30/22, revealed:
Chief Complaint: Swelling and pain to the right lower calf.
She was seen and evaluated by (MD C) and a pathologic fracture of the right tibia and fibula were noted between the middle and distal thirds. Additional fractures were noted to the proximal phalanx of the fifth toe and to the next of the second and third metatarsals.
The left foot has a decubitus ulcer stage IV, down to the bone, treated with daily wound care with [MEDICATION(S)] with limited success. Her contractures make her decubitus potential extremely high and turning on in bed, no doubt carries a risk of a fracture again, but fall out of bed remains a mystery, unwitnessed .
During an interview on 6/2/22 at 12;15 PM, Ombudsman revealed, she had suggested to the Administrator to assign a male nurse aide to Resident #1 after the incident of alleged sexual abuse a year ago.
During an interview on 6/2/22 at 4:21 PM, the DON revealed that, she was aware the RP had made a request about a year ago after the alleged incident of sexual abuse that only female nurse aides worked with Resident #1.
During a confidential interview on 6/2/22 at 9:00 AM, it was stated, the (Resident #1) experienced an injury, a fibula fracture, that might have happened from a forceful turn .the resident is contracted and bed bound and could not have fallen by herself .the family wanted the resident evaluated at the ER because of the injury to the resident’s leg and right elbow .the resident is alert, not oriented and not verbal .
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.
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