Federal officials have fined Paradigm Healthcare Center of New Haven $63,700 for several lapses in care that included one case of a resident’s wound deteriorating so badly that 50 maggots crawled out of the person’s toe. The resident had the toe amputated in September, and state records show there was no evidence that the resident’s wound had been monitored weekly – as required – between July 17 and Sept. 3. Helen A. Mulligan, a spokeswoman for the Centers for Medicare and Medicaid Services in the Boston regional office, said Friday that CMS imposed the fine of $4,550 a day – or $63,700 – against Paradigm from Oct. 14 to Oct.
Five nursing homes have been fined by the state Department of Public Health (DPH) in connection with incidents that left residents with burns, bruises and broken legs. On April 16, Orange Health Care Center was fined $1,090 in connection with a resident who fell March 21 and broke a leg and ribs, the DPH citation states. The home issued a warning to an aide, saying the resident should not have been left alone on a toilet, the citation states. The fine was also imposed in connection with a resident with a traumatic brain injury who was found in a wheelchair outside on the main road unattended on March 22, the citation states. The resident was not injured.
Six nursing homes were cited by the state Department of Public Health following lapses in care, including an accidental medication overdose, falls that resulted in injuries and failing to monitor residents. Paradigm Healthcare Center of Torrington was cited and fined $1,160 in March after a January incident in which a resident being treated for hypertension, chronic pulmonary disease and lymphoma was given an accidental overdose of medication. A nurse mistakenly gave the resident 2.5 milliliters of morphine sulfate, 10 times the 0.25-milileter dose ordered by the treating physician, records show. The overdose resulted in lowered blood pressure and slowed breathing in the resident, who was taken to the emergency room and later discharged back to the center. Officials at the facility did not return a phone call seeking comment.
The state Department of Public Health has penalized six nursing homes for lapses in care that contributed to residents’ injuries. In one case, a resident of Middlesex Health Care Center of Middletown who was cognitively impaired and known to have an “obsession” with shaving her legs was found with multiple lacerations on her legs. The resident obtained a razor from an unlocked room, a DPH inspection report says. After the incident, the facility changed its practice and locked up razors, while also adopting interventions to address the resident’s obsessive behavior. The home was fined $1,350 by the state.
Two nursing homes, in West Haven and Waterbury, face fines from the state for incidents in which staff members reportedly were abusive towards residents, while four other homes have been cited for other care lapses that led to resident injuries.