seven case studies indicate nursing residence lapses

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Source:   —  April 03, 2016, at 6:30 AM

One female resident claimed another had arrive into her room four days earlier, repeatedly hit her and threw her onto the bed. She was accused of retaliating by going to the other patient’s room and threatening her with a shoehorn.

seven case studies indicate nursing residence lapses

Cops called over shoehorn threat

Asbury Park Nursing and Rehabilitation Center, Sacramento

John Lund

Officers responded to the Objective Oaks Blvd nursing residence in July two thousand fourteen to inquire into reports of a beating and an alleged follow-up threat by one resident to stab another with a shoehorn. One female resident claimed another had arrive into her room four days earlier, repeatedly hit her and threw her onto the bed. She was accused of retaliating by going to the other patient’s room and threatening her with a shoehorn. The resident told law enforcement she was only trying to frighten the other woman, not stab her. The facility was issued a deficiency for failing to report the alleged abuse to the state.

Male patient, fifty-six, punches female resident, ninety-two

Ridgecrest Regional Hospital Transitional Care and Rehabilitation Unit D/P, Ridgecrest

State and federal ownership records conflict

A 92-year-old female resident was sent to an emergency room in November two thousand thirteen after a male patient, fifty-six, struck her face twice with an open hand and once with a closed fist. The man, whose diagnoses included psychosis, was able to move freely about the hallways, tipping an 86-year-old female patient out of her wheelchair thirteen days later. A certified nursing helper told inspectors he was a “danger to the patients,” and staff members also reported being attacked. The state found the facility placed its patients and staff at risk and issued a citation and $20.000 fine, and another citation for failure to report.

Facility accused of ‘patient dumping’

Tarzana Health and Rehabilitation Center, Tarzana

Ownership status changed post incident

A mentally ill woman, whose diagnoses included bipolar disorder and anorexia, was sent to an emergency room in August two thousand twelve with the facility physician’s order for the “resident not to return to the facility below any circumstances.” The facility’s director of nursing told inspectors the patient had been exhibiting extreme agitation and physically aggressive behavior toward staff and another resident. The state’s review found that her anti-anxiety medication hadn't been administered for three days, and her personal physician expressed frustration that the facility’s medical director was trying to “dump” her at the hospital. The residence was cited and fined $2.000.

Resident unmonitored after suicide attempt

Hearts & Hands Post Acute Care & Rehab Center, Santa Cruz

A. J. Rana; Trilochan Singh

Police were summoned to the facility in October two thousand fourteen after a resident, who'd been crying earlier in the day, was seen by a certified nursing helper placing a plastic bag over her head. Police were called and the resident was placed on a 72-hour psychiatric keep and transferred to an emergency room, but she returned to the facility the following day. Health inspectors found that – despite the nursing home’s reported map to check on the woman every fifteen minutes – the director of nursing admitted three days after the incident that number one was monitoring her. The facility was issued a federal deficiency.

String of fights erupts among residents

Vernon Healthcare Center, Los Angeles

Brius Management Co; Shlomo Rechnitz; among others

The state investigated four fights involving seven residents over a six-week period in two thousand-fourteenth. Four of the seven residents were diagnosed with mental illness, including schizophrenia and psychosis. One resident punched another in the stomach. Two residents’ wheelchairs became entangled, and one resident allegedly swung at the other. Another threw a tennis shoe at a fellow patient. The state found that one of the residents also hit a certified nursing helper and punched a security guard. The facility was fined $2.000 for failing to properly report the incidents. It was fined another $60.000 for failing to supervise one of the patients, who also was scaring female patients by entering their rooms. The facility appealed both citations; the appeals remain open.

Mentally ill resident flouts smoking rules

Windsor Vallejo Nursing & Rehabilitation Center, Vallejo

Windsor Norcal thirteen Holdings LLC

Regulators declared in July two thousand fourteen that all one hundred fifty-one of the facility’s residents had been in danger after staff failed to stop a non-ambulatory resident with “a mental disorder and limited judgment” from frequently smoking in bed unsupervised. The facility’s signage at the entrance stated it was “tobacco-free and smoke-free.” Physicians’ orders stated that the woman was a “safety risk for herself, staff and other residents.” The state issued a citation and $20.000 fine after concluding that, for more than a year, staff had smelled tobacco smoke, observed ashes on linens and reported ignition of a towel – yet failed to implement the facility’s smoking policies. The fine was dropped to $13.000 on appeal.

Patient threatens staff with butter knife

Jacob Health Care Center, San Diego

Jacob Graff

The nursing residence received a federal deficiency in two thousand-fourteenth after staff failed to seek medical support for a patient, who was regularly agitated, verbally abused workers and tried to stab a certified nursing helper with a butter knife. The resident had a history of aggression, cursing and throwing things at staff. Over four consecutive days in July two thousand thirteen, the resident refused care; threw pillows, a telephone and a table on the floor; and removed his attire while threatening staff. On the fourth day, he threw a food tray and threatened to stab a certified nursing assistant. The director of nursing was unable to clarify why there had been number involvement by a physician or psychiatrist.

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