Nursing home fined for neglect

The Palm Beach Post had an article about  nursing home neglect that really pissed me off.  The nursing home resident that was neglected was a bilateral amputee with bed sores on his stumps and buttocks.  When a state inspector saw him, he was sleeping unattended in a wheelchair on the front walkway of the Azalea Court nursing home in West Palm Beach.  She noticed a lit cigarette smoldering on a towel covering the resident’s left stump. A 1-inch hole had burned into the towel and the edges of the fabric were glowing red. “Smoke was actively rising from the towel,” according to the inspection report. The man had been labeled a “safe smoker.”  The patient had been found asleep with a lighted cigarette on prior occasions. Two weeks earlier, a nurse found the man sitting outside the facility, sleeping with a lit cigarette in his mouth.

The incidents reflect the nursing home’s “intentional or negligent failure to provide adequate and appropriate health care,” state officials said in a complaint that called for a $31,000 fine against Azalea Court. As part of a settlement agreement, the fine was lowered this year to $11,000.

Azalea Court was also fined $5,000 this year when after state inspectors last year found maggots crawling out of the leg cast of a resident. That fine was initially $10,000. Azalea Court has appealed both fines to an administrative law judge.

The Florida Agency for Health Care Administration also has cited Azalea staff last year for failing to respond to an alarm connected to the front door of the facility that signals if people are leaving the facility.  In addition inspectors interviewed six residents who said they were scared to voice grievances with the facility for fear of retribution.  This is a common complaint in most nursing homes.  Residents are scared that the care will get worse if they complain or get a nurse in trouble.
 

Maggots found in resident's case

State regulators have fined a West Palm Beach nursing home $16,000 after a patient was found injured on the floor with maggots crawling out of his leg cast.

The state issued the fine in March against Azalea Court.  The nursing home somehow denies responsibility and has appealed the penalty.  They will probably either argue that the maggots were benficial or that the family put them there so they can sue!

An August 2008 report states that the 120-bed facility failed to provide the necessary care and services to a resident with the cast on his lower leg, which led to an infestation of maggots. The report says the patient's leg was supposed to be treated every three days, but the documentation proved that the nursing home only cared for the wound about once a week.

If this isn't evidence of neglect and understaffing, I'm not sure what it!

Maggots found in resident's eye

This story really upset me.  I can't imagine the excuses the nursing home will use to explain this neglect away.  Florida police began investigating why an 82-year-old man from the University Center West nursing home was so severely neglected, he ended up in the hospital.

The man was taken to the hospital suffering chest pains and difficulty breathing.  What doctors found was so alarming, they had to call DeLand police.

Doctors told police the hospice patient had bed sores, his breathing tube was infected, and they found maggots in his left eye.

JoAnn Grasso, the administrator of the nursing home, declined to comment specifically on the case.

Former University Center West employee Monique Miller said she was not surprised.

"I haven't seen maggots — but bed sores, yes," Miller said. "That doesn't surprise me at University Center West. No, it does not, because I've seen it several times."

Miller said supervisors at the home are lax and allow unhealthy conditions to continue until its too late.

"You have to be half dead for them to send you out to the hospital, because they're afraid to lose money, or their beds will be empty," Miller said. "That's scary. It's very scary. You have to watch it. You have to be very careful when you put a family member in a nursing home — all nursing homes."

Maggots found in resident's ear

I saw this article about a woman who was a resident of a Tennessee nursing home where they found maggots in her ear. How could this happen?  Who is checking her?  It is disgusting and unacceptable.  I'm surprised the facility isn't claiming it is part of her care and treatment!

A Health Department investigation revealed that a resident at Johnson City nursing home had maggots in her ear because of a hygiene problem at the facility.

Records show the woman suffered from dementia and needed assistance with dressing, eating and bathing. But attendants at the Lakebridge Health Care Center had not washed her hair since July 23 when they found the maggots on August 4.

The state found the home deficient in providing daily hygiene to patients and is requiring a plan of action to fix the problem.  A Lakebridge administrator says that the woman did have her hair washed regularly, but that staff had failed to always record it.   The Administrator should know the Nurse's Axiom:  If it wasn't documented, it wasn't done." All nurses are trained this way and most good facilities have a written policy to that effect.

 

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