Nursing Homes Fined For Improper Cleaning Of Equipment, Lapses In Care

Five Connecticut nursing homes have been fined by the state Department of Public Health (DPH) for various violations, including several instances in which equipment wasn’t properly cleaned. In one citation, Apple Rehab Saybrook was fined $10,000 for two violations. On Sept. 4, 2018, two licensed practical nurses (LPNs) failed to properly clean and sterilize glucometers after drawing blood from multiple diabetic residents. One LPN who took blood from two residents and another who drew blood from four residents cleaned glucometers with alcohol wipes instead of germicidal wipes, the citation said.

DPH Fines Nursing Homes For Lapses In Care; Two Cases Involved Deaths

Six nursing homes have been cited by the state Department of Public Health (DPH) for lapses in care, including two cases in which residents died. DPH fined Hancock Hall in Danbury $10,000 in August in connection with three incidents, including the case of a resident who died in June from complications due to a head injury caused by a fall out of a lift, the state citation said. Four days before the death, the resident was kicking and punching two nurse’s aides who were moving the person in the lift, the citation said. A clip on the lift pad came undone and the resident slipped out of the sling and onto the floor and sustained a head injury. A review found that the aides should have stopped the lift and notified a nurse when the person became combative.

State Fines Nursing Homes For Lapses In Care, Resident Death

Five Connecticut nursing homes have been fined by the state Department of Public Health (DPH) following lapses in care, including one incident after which a resident died. Jewish Senior Services of Bridgeport was fined $3,060 after a resident with multiple sclerosis died after falling from a bed onto the floor. On June 12, 2018, a registered nurse was applying protective dressings to the resident’s coccyx, turned away to dispose of the dressing wrappers and, when she turned back toward the resident, saw the resident was starting to fall, according to the citation. The RN tried to stop the fall but couldn’t. The RN had moved the patient without help, even though the resident’s care plan called for two-staff assistance with mobility, according to the citation.

Staffing Levels, Culture Challenge Quality Of Nursing Home Care

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.

Staff Errors Result In Nursing Home Fines

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.

State Fines Four Nursing Homes

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.

State Fines Nursing Homes Following Injuries To Residents

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 Nursing Homes Fined Following Lapses In Care

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.

State Fines Six Nursing Homes After Residents Injured

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.

Beating, Medication Lapse At Nursing Homes Lead To State Fines

Three Connecticut nursing homes have been fined by the state Department of Public Health (DPH) for various violations. The Curtis Home St. Elizabeth Center in Meriden was fined $3,000 following an incident in which a resident suffered nose fractures and numerous head lacerations that required sutures and staples after being hit repeatedly on the head with a wheelchair foot pedal by another resident. On Aug. 22, 2017, a resident was found by staff in “a pool of blood all over” and another resident was standing over the resident’s bedside striking the resident, according to DPH.