Glen Arden Nursing Home: Pressure Ulcer Citation

woman-6980954__480-300x200

Glen Arden received 15 citations for being in violation of public health code between 2018 and 2022 after a total of 3 surveys by state inspectors found multiple deficiencies within the nursing home.

Glen Arden received 15 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on April 7, 2022. The Goshen nursing home’s citations resulted from a total of three surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not provide adequate pressure ulcer care. Under Section 483.25 of the Federal Code, nursing homes must provide residents with a level of care necessary to promote the healing of pressure ulcers. A September 2020 citation found that Glen Arden failed to ensure such. The citation specifically states that a nurse practitioner’s recommendations to promote the healing of a “new deep tissue injury” and scab on a resident’s toe “were not implemented timely.” In an interview, the nurse practitioner said that this lapse could potentially result in an infection. A plan of correction undertaken by the facility included the updating of the resident’s care plan and treatment of the resident’s wound. 

2. The nursing home did not adequately protect residents from the use of unnecessary medication. Under Section 483.25 of the Federal Code, nursing homes must ensure residents drug regimens’ do not include unnecessary medications, including unnecessary psychotropic drugs. A September 2020 citation found that Glen Arden failed to ensure such for one resident. The citation specifically describes a resident whose psychotropic medication dosage “was increased without justification, despite absence of behavioral symptoms.” A plan of correction undertaken by the facility included the development of a tool to audit gradual dose reduction recommendations.

drugs-7055178__480-300x200

The Goshen nursing home was cited for not properly caring for pressure ulcers, they did not protect the residents from the use of unecessary drugs, including psychotropic medication, and the nursing home did not implement proper infection-prevention measures.

3. The nursing home did not employ proper infection-prevention measures. Under Section 483.80 of the Federal Code, nursing homes must “establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.” A September 2020 citation found that Glen Arden failed to ensure such. The citation specifically states that facility staff failed to perform proper hand hygiene while caring for a resident’s pressure ulcer. The citation goes on to state that “One pair of gloves was used to open up the clean wound care supplies and the same glove was used to provide wound cleansing and apply new dressing,” in contravention of policy. According to the citation, a registered nurse failed to perform hand hygiene after removing their gloves, and did not adequately cleanse a wound that “contained slough material.” In an interview, the nurse “acknowledged the infection control breaches during the wound care, but provided no further explanation as to why she did not follow standard protocol.” A plan of correction undertaken by the facility included the “instant remediation” of the nurse.

The attorneys at the Law Offices of Thomas L. Gallivan, PLLC work diligently to protect the rights of nursing home residents.  Please contact us to discuss in the event you have a potential case involving neglect or abuse.

Contact Information