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.
 

Resident burned to death in nursing home

MSNBC had a story about the citation and fine received by a nursing home for failing to supervise a resident while smoking causing wrongful death.  The state Department of Public Health announced an "AA" citation -- the most severe penalty under state law -- against
the Lemon Grove Care and Rehabilitation Center, based on inadequate care causing a patient's death.

The citation stems from an incident in March, 2008, when a 76-year-old resident was left unattended by the staff in a designated smoking area and caught fire. By the time the staff became aware of the situation, the man was engulfed in flames.  It is unclear how long the man was left unattended or why the staff was not attentive while residents were in the designated smoking area.

Dr. Mark Horton, director of the Department of Public Health, said the Lemon Grove center failed to protect the health and safety of its residents by not providing adequate resident supervision, resulting in the patient suffering fatal injuries.  The CDPH said its citation process -- which ranges from "B" to "AA," is part of its ongoing enforcement efforts to improve the quality of care provided to residents of the state's 1,400 skilled nursing facilities.

The Lemon Grove facility was also fined $80,000.

 

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