Stamford Hospital has been fined $55,000 by the state for allowing a phlebotomist to draw blood at a Southington facility before obtaining a certificate of approval to operate. A state Department of Public Health (DPH) inspection at Feel Well Health Center in Southington on or around Jan. 26 found that a phlebotomist who had contracted with Boston Heart Diagnostics in Massachusetts was conducting venipuncture, or puncturing a patient’s vein to draw blood, before Stamford Hospital obtained the necessary written certificate to operate the blood collection facility, according to a consent order signed Sept. 7 by the hospital and DPH. The phlebotomist was collecting and sending specimens to Boston Heart for laboratory analysis and was being paid by Boston Heart to do so, the consent order said.
In 2018, the state took the unusual step of issuing a consent order requiring a New Haven nursing home to hire an independent nurse consultant and implement minimum staffing ratios after inspections at the facility uncovered numerous lapses in care and safety violations. The order, agreed to in April by the Advanced Center for Nursing and Rehabilitation and the state Department of Public Health (DPH), tasked the independent nurse consultant with assessing the staff’s ability to do their jobs and evaluating how care is delivered. The minimum staffing ratios ordered are 30 patients to one licensed nurse on all shifts, on most units; 10 patients to one nurse’s aide on the first shift; 12 patients to one nurse’s aide on the second shift; and 20 patients to one nurse’s aide on the third shift. Officials at the facility didn’t return calls seeking comment. It isn’t often that DPH mandates staffing or requires nursing homes to hire consultants, but the order reflects a broader emerging problem affecting the care provided at many nursing homes: insufficient staffing levels and caregivers who lack training.
Various violations that jeopardized patient safety, including two that preceded patient deaths and several involving the improper use of restraints, have taken place at Connecticut hospitals, according to the most recent hospital inspection reports released by the state Department of Public Health (DPH). The reports, which can be found in C-HIT’s Data Mine section, cover inspections that took place at hospitals between 2016 and this year. Some of the violations resulted in injuries to patients, while others showed lapses in protocols and procedures. Bridgeport Hospital was cited for 26 violations, including an incident in which a patient with a diagnosis of an ovarian mass suffered a burn during surgery. Hartford Hospital was cited for 60 violations, including two violations that preceded patient deaths.
In May 2017, Maura B. Gallagher entered Stamford Hospital for a Cesarean section for her unborn fraternal twins. According to a lawsuit filed by her family, Gallagher was 38 and an avid skier who was dedicated to her family, which included her fiancé, Max Di Dodo. There were signs that her pregnancy was challenging. At a little over 37 weeks, Gallagher, of New Canaan, showed signs of a low platelet count. The condition, known as thrombocytopenia, affects 7 to 12 percent of pregnant women.
The state Department of Public Health (DPH) has fined four nursing homes following staff errors and lapses in care earlier this year. Gardner Heights Health Care Center in Shelton was fined $3,480 after a resident who was known to have difficulty swallowing choked on a lasagna noodle. The resident choked in a dining room on April 24. Staff performed the Heimlich maneuver several times with no success, according to DPH. When the resident subsequently was suctioned, a three-inch-long lasagna noodle was removed; the resident soon became more responsive, had improved color and began talking again.
Four Connecticut nursing homes have been fined by the state Department of Public Health (DPH) for various violations that hurt or endangered residents. Orchard Grove Specialty Care Center in Uncasville was fined $3,480 after a resident with multiple sclerosis developed severe blisters following a moist-heat treatment. On April 7, the resident had a fluid-filled blister that measured 8 by 6 centimeters on the right shoulder, as well as a red rash on the left shoulder. Two days later, the resident had “multiple areas of large fluid-filled blisters” on both shoulders that were oozing, according to the citation. An investigation found the blisters were caused by a treatment administered by an occupational therapist during which moist heat was applied with hydrocollator packs.
Why do so many pregnant women and young mothers die? Your guess is as good as our government’s. We simply don’t know. Even the statistics we have aren’t current, though from all indications the U.S.’s mortality rate is rising, as it is in Afghanistan and Sudan. But in the U.S., the rate has risen by 136 percent between 1990 and 2013.
The state Department of Public Health (DPH) has fined four nursing homes for violations that resulted in injuries to residents. Marlborough Health and Rehabilitation Center was fined $3,270 after a resident suffered two leg fractures when a nurse aide failed to transport the resident properly. The resident, who had Alzheimer’s disease and other diagnoses, was screaming in pain with a swollen left leg on Nov. 27, 2017, and an X-ray at the facility showed a broken left femur. The resident was transferred to a hospital, according to DPH.
Six Connecticut nursing homes have been cited and fined by the state Department of Public Health (DPH) for violations, including one instance in which a resident died after a series of staff errors. St. Camillus Center in Stamford was fined $6,000 after a resident died and video footage at the facility subsequently showed staff waited 10 minutes to administer CPR after finding the resident unresponsive. On Feb. 16, 2018, a resident with lung cancer was found sitting on the floor.
The state Department of Public Health (DPH) has fined six nursing homes for various violations that endangered or injured residents. Masonicare Health Center in Wallingford was fined $3,900 after a resident developed a severe pressure ulcer. On June 12, 2017, a resident who suffered incontinence and was a risk for skin breakdown was diagnosed with an unstageable deep tissue injury in the lower back. An advanced practice registered nurse determined the resident had the wrong type of mattress and recommended the use of a pressure-reducing cushion, according to DPH. Once the resident received the cushion, it was under-inflated on multiple occasions and documentation from May through August failed to show staff were monitoring its inflation, according to the citation.