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32 | It is alleged that neglect / Lack of adequate care from staff resulted in resident sustaining multiple pressure injuries, specifically to feet, ankle, buttocks, hip and back. Record review revealed that resident (R1) had an order summary report at Town & Country SNF on May 24, 2022, with the following: rehab and evaluation for treatment are as follows, heel protector of heel, (TX) of coccyx, left groin, right groin, skin, bilateral heel, discoloration of bilateral lower extremities, and upper extremities as of 5/13/22. R1 was admitted to the facility on June 7, 2022. Functional capabilities assessment reflects reposition from side to side. Admissions records for Providence Home Health dated May 18, 2024, admissions diagnoses are pressure ulcer of left ankle stage 2, pressure ulcer of left heel unstageable, kidney disease, atrial fibrillation, thrombophilia, dysphagia, vascular disease, atherosclerosis of aorta, degenerative disease of nervous system, anxiety, and personal history of other diseases of circular system. Interviews with 2 of 2 staff stated that R1 had closed wounds and staff would apply ointment and/or bandages to them. Interviews conducted revealed that staff 2 of 2 stated that R1 did not have the wounds prior to entering the facility. Staff 4 of 4 stated that residents are rotated every two hours. Interview with residents stated that they are unaware of residents getting rotated because they don’t go into that resident’s room. Staff treat residents with dignity and respect.
It is alleged that staff providing care beyond the scope of the license revealed the following. No dates or times were provided of when the alleged violation took place. It was reported that staff on duty provide wound care for R1’s pressure injuries sustained while under the supervision of the facility. Interviews with 4 of 4 staff did not corroborate the allegation. All staff stated that they provided sanitation of the wound if needed by applying ointment and bandages. R1 was admitted to home health and they provided wound care. Interview with resident stated that they have never witnessed any wound care treatment being performed on any resident.
It is alleged that staff did not provide resident linens. It was reported that staff on duty denied a linen for R1 due to R1 getting the linens dirty too frequently. Interviews with 4 of 4 staff did not corroborate the allegation, it was stated that if a resident requires changing or cleaning, they provide that service right away. Interview with resident revealed the following, if clean linens are needed, they will receive them right away.
Continued on LIC9099-C |