Five nursing homes have been fined at least $1,000 each by the state Department of Public Health in connection with lapses in care, residents who fell and broke bones and two residents who died. On Dec. 2, Water’s Edge Center of Health & Rehabilitation in Middletown was fined $1,160 in connection with a resident who died within days of falling out of bed at the home on Nov. 16. Though a care plan called for two staffers to turn the resident in bed, only one nurse’s aide was turning the resident when the fall occurred, DPH’s citation said.
The growing number of children and teens exposed to traumatic events in everyday life has forced the state’s crisis intervention teams to respond to a broader range of behavioral and mental health issues, and those teams often serve as a bridge until at-risk youth find appropriate outpatient or inpatient services. Sixty-four percent of Connecticut’s youth who use Emergency Mobile Psychiatric Services (EMPS), the state’s mobile crisis intervention team, have experienced one or more traumatic incidents, such as domestic violence, cyber-bullying, physical assaults, or gang warfare, experts report. Research shows childhood exposure to violence, physical or sexual abuse, and other traumatic events can cause chronic health and behavioral health problems, and such exposure is associated with increased involvement with the child welfare and criminal justice systems.
“The number of children who have been exposed to trauma is a significant concern. It’s a common occurrence among young people,” said Jeffrey Vanderploeg, vice president for mental health initiatives for the Child Health and Development Institute of Connecticut (CHDI). He is director of the EMPS Performance Improvement Center, which is housed at CHDI.
Candid online posts describing the challenges of breastfeeding fill the Facebook page of Breastfeeding USA’s Connecticut chapter. The daily stream of anecdotes, questions and comments alternate in tone from exasperated to celebratory. “Small victory for today. I actually breastfed in the open with my husband and day care provider in the same room (with a nursing cover, of course), but I haven’t done that yet, so I feel good about it. “
Seven Connecticut nursing homes have been fined by the state Department of Public Health in connection with lapses in care, including one sexual assault of a resident by another resident and two cases in which residents died. Other cases involved residents who developed pressure sores, one who sustained a cut on the forehead during a fall and another who left a home and wandered across the street. The Kent Ltd. of Kent, which is owned by Apple Rehab, was fined $1,195 on April 4 in connection with two residents for whom CPR was delayed or stopped without a doctor’s order, records show. On May 5, 2013, there was a delay of nine minutes in starting CPR on an 88-year-old resident while a supervisor was notified and while equipment was gathered, records show.
Three Connecticut nursing homes have been fined more than $1,000 each by the state Department of Public Health in connection with incidents in which residents broke a leg, developed pressure sores or were injured during a fall. On April 8, Touchpoints at Farmington was fined $1,300 in connection with a dementia patient who broke a leg after getting agitated, DPH records show. On Aug. 14, the resident had been found in a hallway in the early morning, with one nurse’s aide reporting that the resident had struck another resident, records show. Two nurse’s aides put the resident back in bed and he or she became combative, kicking a wall, bed and table for five to 10 minutes until the aides reported hearing a “pop” or “snap,” records show.
Four Connecticut nursing homes have been fined by the state in connection with cases of a resident dying after a fall, another being burned, others who broke a leg, hip or cervical bone and one who was sexually abused by a visitor. In two of the citations released this week, the state Department of Public Health fined Elm Hill Nursing Center of Rocky Hill a total of $2,250 for the cases of a broken hip, the sexual abuse that was not properly reported and a resident who fell and was unresponsive. That patient died in a hospital after the fall, DPH spokesman William Gerrish said Friday. On Sept. 10, Elm Hill was fined $1,020 in connection with the case of a resident with dementia who fell Feb.
A Durham nursing home has been fined $2,000 for lapses in patient care in connection with an outbreak of viral respiratory illnesses at the home in April, in which four patients died of pneumonia. Nearly half of the home’s 43 residents were sickened during the outbreak, state records show. The state Department of Public Health released details of the citation and fine against Twin Maples Health Care Facility on Friday. It also released details of fines against an East Hampton home and a Danbury home. Twin Maples officials did not report the illnesses as an outbreak until April 24, nine days after 10 percent of the residents had symptoms, the state citation said.
As the Malloy administration seeks to expand home health care options and reduce reliance on nursing homes, a new national report shows Connecticut ranking in the bottom-quarter of states on several key indicators of home health quality, including the percentage of home care patients who show improvement in mobility and who avoid hospitalizations.
Multi-million dollar initiatives to help at-risk and parenting teens across Connecticut call for “evidence-based” and “culturally appropriate” approaches – the mantra of experts assisting Hispanic youth, who have the highest number of teen births in the state.