King David Center for Nursing: Pressure Ulcer Citation

hands-4344708__340-300x200

King David Center for Nursing and Rehabilitation has received 23 citations for being in violation of public health code since 2018 after state inspectors found multiple deficiencies within the Brooklyn nursing home.

King David Center for Nursing and Rehabilitation has received 23 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on March 19, 2022. The Brooklyn 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. Section 483.35 of the Federal Code stipulates that nursing homes must ensure residents receive a level of care consistent with professional standards to prevent the development of pressure ulcers unless clinically unavoidable. A November 2021 citation found that King David Center for Nursing and Rehabilitation failed to ensure such. The citation specifically describes two residents identified as at risk for pressure ulcers who “were not provided with preventive skin care to prevent skin breakdown and pressure ulcers upon admission.” The citation goes on to describe one resident with a pressure ulcer, whose Certified Nursing Assistant Accountability Sheet “did not reflect any evidence that the resident was turned and positioned every two hours,” and for whom there was no documentation that other interventions were implemented. A plan of correction undertaken by the facility included the in-servicing of all relevant staff. 

hospice-4135835__480-300x200

The nursing home was cited for not providing ulcer care to those residents who needed it, they did not protect the residents from psychotropic medications being administered to those who did not take them or need them, and the nursing home failed to treat the residents with respect or give them the privacy they are entitled to and deserve.

2. The nursing home did not adequately protect residents from the unnecessary use of psychotropic medications. Section 483.45 of the Federal Code stipulates that residents who have not used psychotropic medications should not be given them unless medically necessary, and that those receiving them should receive gradual dose reductions and other interventions to discontinue their use. An April 2019 citation found that King David Center for Nursing and Rehabilitation failed to ensure such. The citation specifically describes a resident receiving an antipsychotic medication for whom the facility failed to attempt a gradual dose reduction. The citation states further that the medication “was administered without evidence that the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record.” A plan of correction undertaken by the facility included the in-servicing of the facility’s physician on including gradual dose reductions and indications for use and continued need.

3. The nursing home did not ensure residents’ dignity. Section 483.10 of the Federal Code stipulates that nursing homes must treat residents “with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life.” A November 2021 citation found that King David Center for Nursing and Rehabilitation failed to ensure such. The citation specifically describes a resident whose “Foley catheter bag was uncovered and exposed to public view.” The citation states further that the facility’s policy “did not indicate how staff would assist residents with Foley catheter care to maintain their dignity and privacy,” though the resident’s care plan included interventions for the positioning of their catheter bag and tubing “below the bladder level and away from the door.” A plan of correction undertaken by the facility included the review and revision of the facility’s policy “to indicate how staff would assist residents with catheter care to maintain dignity and privacy.”

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