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Information & Ratings on Carbondale Nursing and Rehabilitation Center, Carbondale, Pennsylvania
Did your loved one suffer abuse or neglect at the hands of caregivers or other residents? If so, the Pennsylvania Nursing Home Law Center Attorneys can help your family seek justice and compensation to recover your damages. Our legal team has helped countless individuals in Lackawanna County and use our skills and experience to serve your needs. Let us begin working on your case today to ensure you start on the right path for financial and health recovery.Carbondale Nursing and Rehabilitation Center
This Long-Term Care Home is a “for-profit” 115-certified bed Center providing cares and services to residents of Carbondale and Lackawanna County, Pennsylvania. The Facility is located at:
10 Hart Place
Carbondale, Pennsylvania, 18407
In addition to providing 24/7 skilled nursing care, Carbondale Nursing and Rehab Center also offers:
- Long-term care
- Short stay rehabilitation
- Physical, occupational and speech therapies
- Respite care
- Hospice services
- Recreational programs
- Pain management
- Wound care management
The investigators working for the state and federal government are legally authorized to impose monetary fines or deny payment for Medicare services if a nursing facility has been cited for serious violations of rules and regulations. Over the last 36 months, investigators have not fined Carbondale Nursing and Rehab Center but have cited them for deficiencies. Additional documentation about fines and penalties can be found on the Pennsylvania Department of Public Health posted surveys website concerning this nursing home.
Families can review comprehensive research results on the Medicare.gov nursing home database that details all filed complaints, health violations, opened investigations, safety concerns, incident inquiries, and dangerous hazards. The information is valuable to determine the level of health and medical services and hygiene care that long-term care facilities in the local community provide their residents.
According to Medicare, the facility maintains an overall rating of one out of five stars, including one out of five stars involving health inspections, three out of five stars for staffing issues and three out of five stars for quality measures. The Lackawanna County neglect attorneys at Nursing Home Law Center have viewed numerous violations, deficiencies and safety concerns at Carbondale Nursing and Rehab that include:
- Failure to Provide Appropriate Pressure Ulcer Care to Prevent the Development of New Bedsores
- Failure to Develop, Implement and Enforce Policies That Prevent Mistreatment, Neglect or Abuse of Residents
- Failure to Ensure Services Provided by the Nursing Facility Meet Professional Standards of Quality
- Failure to Develop, Implement and Enforce Policies That Investigate, Control and Keep Infections from Spreading
- Failure to Ensure Resident’s Doctor Review the Resident’s Care Plan, Rights, and Signs and Dates the Progress Notes and Orders at Each Required Visit
- Failure to Provide Each Resident Sufficient Fluids to Keep Them Healthy and Prevent Dehydration
In a summary statement of deficiencies dated June 14, 2018, a state investigator documented the nursing home’s failure to “implement an interventions plan to prevent worsening skin breakdown for [one resident].” The state investigator reviewed a resident’s clinical records that revealed that the resident “was receiving hospice services [and] required assistance with Activities of Daily Living (ADLs) and was unable to reposition himself.” The investigator documented that the resident “had a Stage IV (full thickness tissue loss with exposed bone, tendon or muscle) on his sacral area and a Stage III (full thickness skin loss where subcutaneous fat may be visible the bone or tendon are not exposed) on his buttocks area.”
The state investigator reviewed the resident’s initial Care Plan that revealed the resident “was at risk for skin breakdown as evidenced by impaired sensation, limited mobility, moisture/excessive perspiration, vascular disease and fluctuated heels.” The documentation showed interventions including skin protected on both (bilateral) heels as ordered. Further documentation guided the staff to “observe skin conditions with ADLs (Activities of Daily Living) and report abnormalities; pressure redistribution surfaces to bed; assist resident and repositioning every two hours or as needed and elevate heels on a Heels-Up cushion while in bed, and monitor skin for signs and symptoms of skin breakdown.”
However, the investigator observed the resident at various times over two days and noted that “each time the resident was observed during the observation period, the resident was positioned on his back without any positioning devices in place.” The investigator interviewed the Director of Nurses who “failed to provide evidence that the facility had consistently implemented the planned approach of repositioned the resident every two hours and as needed to prevent worsening of the resident’s pressure sores and promote resident comfort.”
In a summary statement of deficiencies dated July 28, 2017, a notation was made by a state investigator concerning the facility's failure to "implement procedures to fully screen to employees to ensure their eligibility to work in a long-term care facility.” The investigator also documented the facility’s failure “to orient one employee of the facility’s Abuse Prohibition Policy and Procedures.” The investigator reviewed the policy that read in part:
“The center screens potential employees for a history of abuse, neglect, or mistreating residents including checking with appropriate licensing boards and registries including attempting to obtain information from previous employers and current employers. Training will be provided to all employees through orientation and annual sessions on the Abuse Prohibition Policy.”
However, while reviewing an employee’s personnel file including their application for employment, their employment history, and educational background, the investigator found “no documented evidence that the employee was oriented to the facility-specific Abuse Prohibition Policy and Procedure upon hire or before resident contact.”
The investigator reviewed a second employee’s personnel file that had the application for employment and documentation of the employees work history. However, the investigator noted that “there was no documented evidence that reference verification/checks were obtained [before] hire.” The investigator interviewed the facility HR Director who confirmed that “the facility did not orient [one employee] on the facility-specific Abuse Procedures upon hire and did not have evidence of reference checks conducted on [two other employees].”
In a summary statement of deficiencies dated July 28, 2017, a state surveyor documented the nursing home’s failure to “maintain professional standards of nursing care as defined by the Title 49 Professional and Vocational Standards, Department of State, Chapter 21, State Board of Nursing during wound care provided to [one resident].”
The incident involved a resident who was receiving wound treatment with an approximate 1.0 cm x 3.5 cm x 0.1 cm open venous wound “to her left calf, and an approximate 4.0 cm x 2.0 cm x 0.1 cm open venous wound to the left shin and a 1.0 cm x 0.8 cm x 0.1 cm venous area to the back of her upper right calf.” The care was being provided by a Registered Nurse who “was observed providing the above-noted prescribed treatment to the resident at this time.”
The Registered Nurse “cleansed each area [using] the wound cleanser to the areas then used gauze pads to pat the areas over and over with the same piece of gauze, which were soiled with visible pink drainage. By using this technique, [the RN] failed to ensure the soiled gauze did not contaminate the previously cleaned wound after it had been used to clean other areas of the wounds. This improper technique was observed during the cleaning of each wound.”
The investigator interviewed the Registered Nurse immediately after the wound care who “confirmed that while cleansing the wound, the same gauze should not have been used over the clean and soiled areas of the wounds and compression wraps are to be wrapped in a distal to proximal (toes to knees) direction to promote circulation and decrease swelling.”
In a summary statement of deficiencies dated July 28, 2017, a notation was made by a state investigator concerning the facility's failure to "maintain the ice machine on both nursing units in a manner to prevent the potential spread of infection.” The investigator also documented the nursing home’s failure to “verify that two employees… were free of communicable diseases upon hire.”
The investigator conducted an initial tour of the 300 and 400 nursing units and the pantry (nourishment) room. Upon observing the ice machine, it was revealed that there was a “black substance coating the surface of the white piping in the rear of the ice machine. At the location where the piping created an air gap to the drain, there was a black substance observed in the drain and a white substance observed around the floor drain.”
Subsequent tours of the 100 and 200 nursing unit included the pantry (nourishment) room where that ice machine had a “rust-colored substance on the floor of the top of the ice machine. There was also dirt observed on the floor behind the ice machine. These observations [initiated] an interview with a Registered Nurse Supervisor and a Dietary Aide.” Additionally, the surveyor reviewed five employee health files that revealed that all employees' files “failed to contain documented evidence that these newly hired employees were free of communicable diseases upon hire and [before] resident contact.” The Human Resources Director confirmed the absence of verification of health status before the employees were allowed to make contact with residents.
In a summary statement of deficiencies dated January 16, 2018, a state surveyor documented the facility’s failure to “ensure the physician writes, signs and dates Progress Notes at each visit with the resident.” The deficient practice by the doctor involved three residents at the facility. In one incident, documentation including the Progress Note revealed that the three residents’ physicians were “in to examine the resident.” However, “there was no written Physician Progress Notes” included in the documentation of any of the three residents as required by law.
In a summary statement of deficiencies dated September 12, 2017, a state investigator noted the deficient practice concerning the nursing home’s failure to “implement measures to promote adequate fluid intake and hydration status for a resident at risk for dehydration.” The investigator reviewed the resident’s Clinical Record and Annual MDS (Minimum Data Set) Assessment that revealed the resident “was moderately, cognitively impaired, requires the maximum assistance of staff for Activities of Daily Living, including transfers and toileting.” The documentation revealed that the resident “did not ambulate in his room and had a Foley catheter for urine output.” The documentation revealed that the resident “was prescribed and received multiple antibiotic therapies treatment” for their condition.
The investigator reviewed the resident’s nutritional assessment that indicated that the resident’s “fluids needs were 209 mL of fluids per 24-hour” according to the physician’s orders. The resident’s lab report revealed the resident “was positive for symptomatic infection due to the bacterium” that produced symptoms including “watery diarrhea, fever, nausea, and abdominal pain.” The resident’s doctor prescribed an oral antibiotic for 14 days. However, during a review of the resident’s fluid intakes and output record, it was revealed that their “fluid intake was below his estimated daily needs” for four days.
Additionally, “there was no documented evidence at the time of the survey… that the nursing staff had informed the dietitian or notified the physician of the resident insufficient fluid intake” until the fifth day. The resident’s fluid intake and output records “revealed no evidence that the physician or dietitian was notified that the resident was not meeting his estimated fluids needs.” The surveyor also noted that there was “no documentation that the physician or the dietitian were notified of the resident’s fluid intake was below 2749 mL per 24 hours for five consecutive days.”
If you and your family believe your loved one has suffered injuries or harm while a resident at Carbondale Nursing and Rehab Center, contact Pennsylvania nursing home abuse lawyers at Nursing Home Law Center at (800) 926-7565 now. Our law firm fights aggressively on behalf of Lackawanna County victims of mistreatment living in long-term facilities including nursing homes in Carbondale. Let our skilled attorneys file and handle your abuse compensation claim against all those who caused your loved one harm. Our years of experience ensure a successful resolution. Contact us now to schedule a free case review to discuss how to obtain justice and resolve a financial compensation claim. Let us fight aggressively on your behalf to ensure your rights are protected.
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