Articles Posted in Elder Population Studies

Northern Metropolitan Residential Health Care Facility received 17 citations for violations of public health code between 2016 and 2020, according to New York State Department of Health records accessed on February 13, 2020. The Monsey nursing home’s citations resulted from a total of two surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not implement proper steps to care for pressure ulcers and bedsores. Section 483.25 of the Federal Code stipulates, among other things, that nursing home facilities must provide residents with the necessary treatment and care to promote the healing of pressure sores. A March 2017 citation found that Northern Metropolitan Residential Health Care Facility did not ensure the provision of necessary care and treatment to a resident with a sacral pressure ulcer. The citation states specifically that the nursing home “did not ensure that a protein supplement was administered to the resident as ordered by a Nurse Practitioner to promote wound healing.” In an interview, one of the facility’s Registered Nurses stated that the supplement “was not correctly picked up” and as such was not given to the resident. The citation describes this deficiency as having the “potential to cause more than minimal harm.”

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DRY Harbor Nursing Home received 25 citations for violations of public health laws between 2015 and 2019, according to New York State Department of Health records accessed on December 19, 2019. The Maspeth nursing home’s citations resulted from a total of three inspections by state surveyors. The violations they describe include the following:

1. The nursing home did not ensure necessary treatment and care of bedsores / pressure ulcers. Section 483.25 of the Federal Code requires nursing homes to ensure that residents with pressure ulcers receive “necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing.” A January 2019 citation found that one of DRY Harbor Nursing Home’s Licensed Practical Nurses “did not practice acceptable standards and wound care techniques” for a resident suffering from a stage 3 pressure injury. Among other findings, an inspector observed the LPN removing the resident’s diaper and rubbing the wound site with gauze after running saline over the wound, contravening the best practice of patting areas dry to prevent tissue damage. The inspector also observed the LPN applying “two parallel strip amounts” of medical creams a gauze strip, instead of mixing the creams together. According to the citation, the LPN then put the same diaper back on the resident, later informing the inspector that “using a clean diaper would have been referable in keeping with infection control practices.”

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Webcams are becoming popular in nursing rooms across the country as families see it as an easy way to check on their loved ones and prevent neglect and elder abuse. Driven by the increased use of security cameras across the country and their reduced prices, webcams are popping up across the country and, when used discreetly, can sometimes catch cases of horrific elder abuse. The legality of webcams inside of nursing homes is sometimes questionable. A Minnesota court ruled in 2017 that a family had a right to set up a webcam in their loved one’s room after nursing home staffers kept unplugged and moving the camera – apparently not wanting to be recorded. Since 2017, seven states have passed legislation allowing families to place webcams in nursing home rooms.

While states move to legalize the use of webcams, privacy advocates have some concerns about the widespread use of webcams in elder living facilities. First, since nursing home residents are particularly vulnerable and prone to cognitive impairments then the decision to set up a webcam usually falls on their guardian or family. Given the serious privacy implications of being constantly filmed, family members would hopefully consult their loved one. Unfortunately, studies reported by Medical Xpress show that families tend to value “keeping the peace” over discussing these important matters.

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