New Strain On State Nursing Homes: Keep Patients Out Of Hospitals

At the Fresh River Healthcare nursing home in East Windsor, the chance that a short-stay patient will end up back in the hospital within 30 days of arriving at the facility is less than eight percent. Meanwhile, 12 miles away at the Greensprings Healthcare and Rehabilitation nursing home in East Hartford, more than a third of patients who came from hospitals will be readmitted in 30 days. The wide swing in nursing home patients’ re-hospitalization rates has a lot to do with the condition patients are in when they are discharged from inpatient stays, as well as the planning that goes into the transition to other care. The federal government has been penalizing hospitals since 2012 for high rates of patients returning within 30 days of discharge. But now, nursing homes (or skilled nursing facilities) also are being held accountable for hospital readmissions.

Five Nursing Homes Fined

The state Department of Public Health has fined five nursing homes for various violations, including two in which residents went missing. Blair Manor in Enfield was fined $3,000 after a resident with dementia and neurocognitive disorder left the facility. Staff noticed the resident was missing around 7:20 p.m. on Oct. 4, 2016. According to the Department of Public Health (DPH) citation, earlier that day five staff members separately witnessed the resident saying he was going to leave the facility and packing his belongings, but none reported it to their supervisors.

Nursing Homes Fined After Resident’s Death, Care Lapses

State health officials have fined five nursing homes at least $1,500 each in connection with residents who were abused or injured and one who died in July after being outside in sweltering heat for hours. On Aug. 10, Gardner Heights Health Care Center in Shelton was fined $3,000 in connection with a resident who died after being outside in a garden for more than three hours on July 27 in 95-degree weather, according to the state Department of Public Health (DPH) citation. The resident, who frequently sat in the garden, was in good condition at 2:30 p.m. that day but at 5 p.m., was found to be unresponsive and died about 40 minutes later, the citation said. A review of video at the home could not substantiate that the resident had been checked by staff between 2:30 and 5 p.m., the citation said.

Two Nursing Homes Fined Following Resident’s Injury, Medication Error

State health officials fined two nursing homes following incidents in which residents were injured and suffered complications after doctors’ orders were not followed. Apple Rehabilitation of Middletown was fined $1,635 by the state Department of Public Health (DPH) following an incident December in which a resident chewed an index finger until bone was exposed. The resident had osteoporosis and dementia, and a care plan noted that the resident had a habit of chewing the right index finger, according to DPH. On Nov. 30, 2015, a physician directed staff to keep the resident’s right hand covered with a sock to prevent chewing.

Three Nursing Homes Fined Following Falls, Medication Error

Three nursing homes have been fined more than $1,500 each by the state Department of Public Health in connection with residents who fell, broke bones or received the wrong medication. On June 21, Pilgrim Manor of Cromwell was fined $1,930 in connection with three residents who were hospitalized with injuries. One resident suffered a broken hip while being moved that required hospitalization on Dec. 28, DPH’s citation said. The state found that the home failed to complete a thorough assessment when the resident complained of pain and could not bear weight on a leg.

Nursing Homes Fined After Resident’s Death, Undocumented Injuries

The state has fined an Avon nursing home where a resident died and a Bristol home where staff did not document how 10 residents suffered a total of 47 injuries. In all, four nursing homes were recently fined by the state Department of Public Health (DPH) for various violations. Apple Rehab Avon received two fines, totally $5,625, connected to a March incident in which a resident died and a nurse misinterpreted the medical file to contain a Do Not Resuscitate (DNR) Order, according to documents. In the first citation, the facility was fined $3,000. According to the citation, on Feb.

State Fines Two Nursing Homes

The state has fined two nursing homes in connection with staff failing to follow notification procedures for changes in residents’ conditions and for a resident who fell and broke a bone. Evergreen Health Care Center in Stafford Springs received two citations and fines, totaling $3,890. In one citation, Evergreen Health was fined $2,360 for failure to follow facility procedures and notify a physician on condition changes of two residents. On March 1, a resident with heart failure, anxiety and dementia complained of seeing spots out of the left eye. A neurological assessment was done, which produced normal results, but the resident continued to complain of a sight problem, according to the state Department of Public Health (DPH).

Antipsychotic Use On The Decline In State Nursing Homes

Connecticut still ranks high among states in the use of antipsychotic drugs for elderly nursing home residents, but its rate of use has dropped 33 percent since 2011 – a bigger decline than the national average — new government data show. The data released in June by the Centers for Medicare & Medicaid Services (CMS), show that nursing home residents in Connecticut, many with dementia, are still more likely to be given antipsychotics than their counterparts in 31 other states. But the state’s usage has fallen in the last 4 ½ years at a greater rate than the average drop of 27 percent, and it is now about the same as the national average — 17.4 percent. That’s down from 26 percent in 2011. CMS has been working with states for the past five years to address the overuse of antipsychotic medications in nursing homes.

Nursing Homes Fined Following Lapses In Care

Four nursing homes were recently fined by the state in connection with incidents in which residents were hospitalized, fell, broke a bone or were burned. On May 6, Sharon Health Care Center was fined $2,320 in connection with two residents who were burned when they were served hot food, the citation from the state Department of Public Health said. On Sept. 19, one resident was burned on the hand by hot pureed egg, the citation said. The resident was eating without help even though the care plan called for assistance during meals.

Five Nursing Homes Fined Following Two Deaths, Lapses In Care

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.