Articles Posted in Infection

Hollis Park Manor Nursing Home received 39 citations for violations of public health laws between 2015 and 2019, according to New York State Department of Health records accessed on January 10, 2020. The Hollis nursing home’s citations resulted from a total of five surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not implement adequate (bedsore) pressure ulcer care. Section 483.25 of the Federal Code requires nursing homes to provide residents with a level of treatment and services that prevents the infection of pressure ulcers. An August 2018 citation found that a resident did not receive the necessary care and treatment to prevent the infection of a sacral pressure ulcer. An inspector specifically observed that “there was no dressing observed to the sacral area” on the resident’s ulcer” during care. In an interview, a Certified Nursing Assistant stated that he had removed the dressing while changing the resident; in another interview, a Licensed Practical Nurse stated that CNAs “are not to remove any dressings,” and to inform nurses if dressings become soiled or fall off the wound.

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Park Terrace Care Center received 30 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 facility was also the subject of a 2017 fine of $2,000 in connection to findings in a December 2016 survey that it did not provide adequate pressure ulcer care. The Rego Park nursing home’s citations resulted from a total of four inspections by state authorities. The deficiencies they describe include the following:

1. The nursing home did not provide adequate treatment and services for residents’ pressure ulcers and bedsores. Section 483.2 of the Federal Code requires nursing homes to residents persons who enter without pressure sores from developing them unless their condition renders such unavoidable; and that residents with pressure sores receive treatment and services adequate to promote their healing. A December 2016 citation found that Park Terrace Care Center did not properly assess and evaluate a resident who was admitted to the facility “with intact skin and a discoloration” on their left foot. The resident subsequently developed an “unstageable pressure ulcer,” according to the citation, which goes on to state that whereas the resident’s plan of care provided for the wearing of a left air boot “at all times after the pressure ulcer was identified,” this provision was not followed by staff. The citation states that this deficiency in the facility’s treatment and care resulted in “actual harm” to the resident.

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The Emerald Peek Rehabilitation and Nursing Center received 31 citations for violations of public health laws between 2015 and 2019, according to New York State Department of Health records accessed on November 26, 2019. The Peekskill nursing home’s citations resulted from a total of three inspections by state surveyors. The deficiencies they describe include the following:

1. The nursing did not provide treatment and services of a degree adequate to ensure prevention and/or healing of pressure ulcers. Section 483.25 of the Federal Code requires nursing home facilities to offer residents “care, consistent with professional standards of practice, to prevent pressure ulcers” from developing and to heal existing pressure ulcers. A January 2019 citation found “no evidence” that when a resident developed a pressure ulcer, the facility undertook actions to get rid of risk factors connected to pressure ulcer development. In response to the citation, the facility implemented a plan of correction that included weekly risk assessment and intervention audits to ensure the proper execution of preventative measures for pressure ulcer development.

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Hamilton Park Nursing and Rehabilitation Center received 9 citations for violations of public health laws between 2015 and 2019, according to New York State Department of Health records accessed on November 22, 2019. The Brooklyn nursing home’s citations resulted from a total of two inspections by state surveyors, in November 2016 and May 2018. The deficiencies they describe include the following:

1. The nursing home did not take adequate steps to care for prevent pressure ulcers and bedsores. Under Section 483.25(c) of the Federal Code, nursing homes must provide a level of care that prevents residents who enter without pressure sores from developing them unless their condition renders such unavoidable; and that residents suffering from pressure sores must receive necessary and adequate care. A November 2016 citation describes the failure by Hamilton Park Nursing & Rehabilitation Center to follow orders to provide a resident with “dry protective dressing on a sacral ulcer.” The resident was admitted to the facility with three unhealed pressure ulcers, according to the citation, and a physician ordered that one of them be treated in part with dry protective dressing. An inspector observed the resident without the required dressing, and spoke to a staff nurse, who “confirmed that she was not informed that the necessary dressing was missing and needed to be replaced.” The inspector determined in an interview with a Certified Nursing Assistant that the CNA had forgotten to inform the nurse of such.

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