GOLDEN LIVINGCENTER-KIRTLAND was recently cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:
PLEASE NOTE: The following text is only a portion of the full report/survey submitted by DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES. The full report/survey can be found here.
THE FACILITY FAILED TO ENSURE NECESSARY CARE AND SERVICES WERE PROVIDED
Level of harm – ACTUAL HARM
Based on observation, interview and record review, the facility failed to ensure necessary care and services were provided to Resident #138 in a manner to prevent harm, which resulted in a fractured left arm. The facility also failed to ensure care and services were provided to prevent falls for Resident #31 and Resident #165.
Continuing: The two STNA’s involved in the incident were STNA’s #205 and #206. Review of the personnel record for STNA #205 revealed a 05/07/14 Separation Action Form with the reason of incomplete certified nursing assistant training. Further comment indicated the STNA took the certification test three times and did not pass.
Continuing: Review of the grievance log dated 05/02/14 indicated the family of resident #138 no longer wanted the STNA’s to work with the resident after the fracture occurred. The staff failed to follow facility policy and the residents care plan that indicated when the resident is resistive to care the staff are to stop providing care, and alert the nurse to the behavior. The STNA’s continued care of the resident which resulted in a fracture left femur.
Full Article & Source:
KIRTLAND, OH – FRACTURED ARM OF RESIDENT RESULTED FROM UNTRAINED AIDE