Seven Connecticut nursing homes have been fined by the state Department of Public Health (DPH) for lapses in care that endangered or hurt residents. Geer Nursing and Rehabilitation Center in Canaan was fined $10,000 after a resident with dementia inappropriately touched four other residents. The resident came to the facility Feb. 27, from another nursing home and had a history of sexually inappropriate behavior, according to the citation. Geer documented four incidents of inappropriate touching of other residents between Feb.
A mother’s death a day after childbirth, a patient’s brain injury and death following thyroid gland surgery, a child’s abduction, and a sexual assault involving two patients were among the incidents cited in the latest round of hospital inspection reports conducted by the state Department of Public Health (DPH). The 36 new reports, which can be found in C-HIT’s Data Mine section, cover state inspections that took place at hospitals between 2017 and earlier this year. There were several instances when objects were left in patients following surgery. At Manchester Memorial Hospital, a series of staff errors contributed to a woman’s death one day after giving birth to a stillborn baby, the DPH inspection report said. The patient delivered the baby Jan.
The state Medical Examining Board has disciplined three doctors and fined them a total of $25,500 for lapses in the care of patients. The board, meeting in Hartford on July 16, reprimanded Dr. William Guinan of South Windsor and fined him $10,000 for failing to perform PAP smears on one of his patients for six years after having diagnosed her with cancer in 2009, state records show. Guinan surgically removed the woman’s uterus and one ovary to treat the cancer, a consent order he agreed to said. In 2015, she was diagnosed with Stage III metastatic vaginal cancer. The order said Guinan had failed to adequately document a treatment plan for her in 2009, failed to instruct the patient about her long-term cancer risks and failed to review her medical history during exams over the next six years.
The state Board of Examiners for Nursing on Wednesday revoked the licenses of three nurses and disciplined six others, mostly for alcohol and drug abuse violations. The board revoked the registered nurse (RN) license of Kathryn Y. Ford of Wilton after finding that her continued practice as a nurse posed a threat to public safety, according to a memorandum of decision. Ford’s license had previously been suspended for using marijuana, cocaine and heroin to excess from January 2017 to August 2018. The licensed practical nurse (LPN) license of Presley Eze of West Hartford, who has a long history of disciplinary actions, was also revoked. State records show that Eze was high on PCP in 2011 when he brandished a sword outside the Trader Joe’s store in West Hartford, and he has been arrested four times since then, records show.
Five nursing homes have been fined by the state Department of Public Health (DPH) for errors that endangered or injured residents. Regency House Nursing and Rehabilitation Center of Wallingford was fined $10,000 for two violations. On Sept. 14, 2018, a resident suffered a calf laceration that needed 10 sutures after a wheelchair rolled into a bed frame. A nurse aide wheeled the resident in front of a bathroom door and walked to a dresser to get a comb when the wheelchair continued to roll.
Bridgeport Hospital has been sanctioned and fined $150,000 by the Centers for Medicare & Medicaid Services (CMS) after the hospital erroneously switched eight patient specimens, according to newly released documents. The errors in July 2017 resulted in two patients being given the wrong cancer diagnosis. In one case, a 41-year-old woman had a hysterectomy after being told she had cancer only to learn after the procedure that she did not. The second patient was a 66-year-old who was told that lab results were normal, only to learn later that there was a malignancy present, according to Bridgeport Hospital’s inspection report issued by the state Department of Public Health (DPH). The violations were found when DPH inspectors made unannounced visits to Bridgeport Hospital in July 2018.
Four Connecticut nursing homes have been fined by the state Department of Public Health (DPH) after inspections uncovered various violations, most of which caused injuries to residents. River Glen Health Care Center in Southbury was fined $10,000 for two instances in which staff failed to use wheelchair foot rests, injuring residents. On July 22, 2018, a resident with dementia fell from a wheelchair while being moved by a licensed practical nurse. With feet down on the floor, the resident propelled forward from the chair, fell and suffered an injury to the forehead, according to DPH. An investigation found foot rests should have been on the wheelchair but were not.
The Board of Examiners for Nursing on Wednesday revoked the licenses of three nurses and disciplined six others. The board revoked the registered nurse (RN) license of Charlene Zikaras of Milford for continuing to practice as a nurse after being told to stop by the state. Zikaras, who worked at the Stamford Ambulatory Surgical Center, had her license placed on probation for four years in December 2018 for alcohol abuse and was required to submit urine screens. On April 22, Zikaras’ urine tested positive for alcohol and on May 3 she was told to refrain from working as a nurse. Zikaras went to work on May 8, the Department of Public Health (DPH) reported.
Wanda Perez considers the price and nutritional value of everything she puts in her shopping cart, as the New Haven woman relies on the Supplemental Nutrition Assistance Program (SNAP) to buy groceries and is trying to eat healthy to manage multiple chronic illnesses. Just over 364,000 people receive SNAP benefits in the state, a number that has decreased about 4.7% in the past year. “I try to stay on top of everything that’s going on,” said Perez, a member of Witness To Hunger, which organizes SNAP users to speak about food policy and poverty. Perez lives on just over $700 in disability assistance a month, plus $192 in SNAP. Though her SNAP benefits are safe for now, proposed federal rule changes could push other Connecticut users off SNAP.
The racial disparity between white and black cancer patients in accessing timely treatments has virtually disappeared in states where Medicaid expanded under the Affordable Care Act (ACA), according to a new study. Yale Cancer Center researchers analyzed more than 30,000 health records and found that, prior to Medicaid expansion, black adults with advanced or metastatic cancer were 4.8 percentage points less likely than white adults to begin treatments within 30 days of being diagnosed. But in states where Medicaid was expanded, in 2014 or later, the percentage of black patients getting timely treatment rose from 43.5 percent to 49.6 percent. There also was a small improvement in expansion states among white patients receiving timely treatment – from 48.3 percent to 50.3 percent – bringing the post-expansion difference between the two racial groups to less than one percentage point. “Our results suggest that Medicaid expansion led to improved health equity,” said study author Amy Davidoff, a senior research scientist at Yale School of Public Health and in Yale Cancer Center’s Cancer Outcomes, Public Policy, and Effectiveness Research Center (COPPER).