State investigations of elder abuse, ranging from neglect to emotional abuse to physical abuse, more than doubled in Connecticut between 2011 and 2017, from 3,529 to 7,196. In 2017 alone, the state Department of Social Services (DSS) received 11,123 reports of elder abuse and decided that 7,196 warranted an investigation. That year, self-neglect—when adults are unable to provide for their own basic care—was the most common type of elder abuse reported to DSS, at 30 percent, followed by neglect by others, financial exploitation, emotional abuse, physical abuse, sexual abuse and abandonment. “It’s all trending up,” Dorian Long, DSS director of social work services, said. Some of the recent cases investigated by DSS Protective Services for the Elderly are chilling.
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.
Dialysis centers in Connecticut continue to improve their overall quality of care, with 12 facilities reaching Medicare’s highest patient-care rating and just one scoring on the low end of the scale, the latest data show. That’s an improvement from the 2014 data, when six dialysis centers in the state scored low in quality-of-care ratings. Dialysis helps those with kidney failure remove waste from the body, regulate chemicals and control blood pressure. Most often, patients have their blood removed and cleaned in a machine called a dialyzer before it’s returned to the body. Another form of dialysis uses a cleaning fluid and the stomach as a filter.
The state has fined six nursing homes for various violations that jeopardized patient safety, including one in which a resident was struck by a nurse and others that resulted in residents suffering broken bones. The Nathaniel Witherell in Greenwich was fined $1,940 for two instances, the state Department of Public Health (DPH) said. On March 24, a resident with Parkinson’s disease, dementia and other diagnoses suffered a broken collarbone and broken right hip after falling onto the floor in a bathroom. The resident required supervision for standing and transfers, but a nurse aide left the resident alone for privacy, according to DPH. The resident was treated at local hospital.
The state has cited and fined three nursing homes for various violations, including mismanagement of medication. The state Department of Public Health fined Apple Rehab Rocky Hill $3,000 for seven incidents. One incident on Oct. 27, 2016, involved a resident’s hospitalization for an uncontrolled nosebleed. DPH found staff had mismanaged the resident’s anticoagulant medication prescriptions.