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Information & Ratings on Caring Heart Rehabilitation and Nursing Center, Philadelphia, Pennsylvania
Abuse and mistreatment occurring in nursing facilities are growing problems across America. According to statistics, the elderly, disabled and most vulnerable are abused at one-third of all nursing facilities nationwide. If caregivers, other residents, visitors, and employees harmed your loved one, the Pennsylvania Nursing Home Law Center Attorneys could help. Our law firm has provided legal representation, advice, and counsel to many Philadelphia County residents who are victims of nursing home mistreatment. We can hold those responsible for your harm financially and legally accountable to ensure your family is adequately compensated for your damages.Caring Heart Rehabilitation and Nursing Center
This Nursing Center is a Medicare/Medicaid-participating “not for profit” facility providing services and cares to residents of Philadelphia and Philadelphia County, Pennsylvania. The 269-certified bed Long-Term Care Nursing Home is located at:
6445 Germantown Avenue
Philadelphia, Pennsylvania, 19119
In addition to providing skilled nursing care, the facility also offers short-term rehabilitation, long-term care, respite care, and hospice services.Financial Penalties and Violations
The state and federal investigators have the legal authority to penalize any nursing home that has been cited for a serious violation that harmed or could have harmed in nursing home resident. Typically, these penalties include imposed monetary fines and denial of payment for Medicare services. Within the last three years, investigators fined Caring Heart Rehabilitation and Nursing Center once for $3,941 on October 21, 2016. Additional documentation about penalties and fines can be found on the Pennsylvania Department of Public Health posted surveys website concerning this nursing facility.
A list of incident inquiries, dangerous hazards, filed complaints, health violations, safety concerns, and opened investigations on statewide long-term care homes can be reviewed on database websites including the Pennsylvania Department of Public Health and Medicare.gov. Many families use this data to determine the best facility to place a loved one who requires the highest level of hygiene assistance and skilled nursing care.
According to Medicare, the facility maintains an overall rating of one out of five stars, including two out of five stars concerning health inspections, one out of five stars for staffing issues and three out of five stars for quality measures. The Philadelphia County neglect attorneys at Nursing Home Law Center have found serious deficiencies and safety concerns at Caring Heart Rehab and Nursing Center that include:
- Failure to Hire Only People with No Legal History of Abusing, Neglected or Mistreated Residents and Report and Investigate Any Act of Abuse, Neglect or Mistreatment
- Failure to Develop, Implement and Enforce Policies That Prevent Mistreatment, Neglect or Abuse of Residents
- Failure to Develop, Implement and Enforce Policies and Investigate, Control and Keep Infections from Spreading
- Failure to Notify the Resident or Provide Reasons for Transfer Discharge
In a summary statement of deficiencies dated November 17, 2017, a notation was made by a state investigator concerning the facility's failure to "implement established procedures for investigation of Incident/Accident Reports to rule out neglect for [two residents at the facility]. The state investigator reviewed the facility policy titled: Incident/Accident Report that read in part:
“It is the policy of the facility to complete a report on all incident/accidents [that] may include, but is not limited to, abuse or suspect to resident abuse.”
“The definition of incident/accident includes any unusual occurrence or unexpected, unintended event that may or may not result in injury.”
“Procedures for completing investigations [concerning] incident/accidents, which included completing an Incident/Accident Report; obtaining witness statements from all relevant parties; notifying the attending physician, which is to include directions given by the physician and preventative measures that have been implemented.”
The policy also states that once the Director of Nurses “has completed a review, the forms shall be forwarded to the Medical Director and Administrator (Nursing Home Administrator) for review and signatures.”
The state investigator reviewed a resident’s clinical records revealing that the resident was diagnosed with a medical condition that causes the inadequate flow of blood that led to a pool of blood in the legs and a skin rash caused by contact with certain substances. The medical records also showed a bacterial skin infection and Type II diabetes along with chronic venous hypertension within ulcer of the left lower extremity.
The surveyor observed the fourth floor Cliveden Nursing Unit that “revealed a strong pungent noxious odor coming from [the resident’s] room. Clutter and debris were noted on the floor next to [the residents] bed.” The surveyor interviewed the Nurse Manager who “revealed the odor from the resident’s room was coming from [the resident’s] leg wound. The investigator observed a Licensed Practical Nurse (LPN) performing wound care treatment on the resident when there were “multiple flies flying around [the resident]. An odor was emitting from the resident’s left lower leg.” A review of the facility’s pest control logs revealed that “staff observed flies and there were roaches in the room, on the resident’s bed dresser… and excessive flies were observed in the room.”
The investigator reviewed Progress Notes documented by a Certified Nursing Assistant Practitioner who recorded “evaluated left lower extremity, clean dead skin, exudate today, some dead maggots and water. Maggot infestation of lower left extremity wounds; continue local wound care and cleaning. Increased to two times a day, secondary to copious drainage.” A review of the resident’s Progress Notes documented by the resident’s physician revealed “no changes, still with maggots in the left foot wound.”
The state investigator interviewed the Nurse Manager who revealed that “she was not aware that the Certified Registered Nurse Practitioner or the Physician had documented that the resident had maggots/larvae in the resident’s left leg/foot.” The investigator interviewed the physician by phone who “confirmed that the resident had maggots in the wound.”
As a result of the findings, the investigator interviewed the facility Director of Nurses. The Director “stated that she was not aware that the Certified Registered Nurse Practitioner or the Physician had documented that the resident had maggots/larvae in the left leg/foot.” The Director “confirmed that the facility had not [investigated the problem] to rule out neglect related to [the resident’s] wound care treatment.” The investigator asked the Director “if she had the opportunity to speak with the Certified Registered Nurse Practitioner who wrote the Progress Note related to the resident’s maggots in the resident’s wound.” The Director “confirmed that she had not spoken with the Certified Registered Nurse Practitioner.” The investigator documented that the facility “failed to implement established procedures for investigation of incident/accident reports to rule out neglect.”
In a summary statement of deficiencies dated November 17, 2017, a state surveyor documented the nursing home’s failure to “implement policies and procedures for screening employees [to] prevent abuse, neglect or mistreatment” of residents. The investigator informed the facility of the Protective Services of Older Adults Act that “requires applicants for employment in a long-term care facility, who have not resided in the Commonwealth of Pennsylvania for two years immediately preceding the date of application, to submit to a criminal background check by the Federal Bureau of Investigation.”
The surveyor also said that the “Protective Services for Older Adults Act permits provisional employment for 90 days if the employee has submitted the proper application for the criminal background check and provided the facility with proof of the application.”
The survey team reviewed the personal records of the Licensed Practical Nurse that “revealed the employee has lived out-of-state in the past two years. During an interview with a human resources employee, it was “confirmed that the employee had not resided in the Commonwealth of Pennsylvania for less than the required two years [before] employment by the facility.” The human resources employee confirmed “that a background check was not submitted to the Federal Bureau of investigation” as required by law until after the employee had been in contact with residents providing care.
In a summary statement of deficiencies dated November 17, 2017, a notation was by a state investigator concerning the facility's failure to "develop, implement and maintain an Infection Prevention and Control Program [to] prevent, recognize and control, to the extent possible, the onset and spread of infection within the facility.” The deficient practice by the nursing staff involved five residents.
In one incident, the resident “was admitted to the facility from an acute care hospital.” The hospital discharge records show that the patient had a complicated course of Clostridium difficile infection. The instructions at discharge from the hospital revealed that the facility needs to provide “physical therapy and the completion of antibiotics for Clostridium difficile infection.”
The investigator reviewed the facility Infection Control Policy that reads in part: “Contact precautions will be instituted for any resident who has an active infection or requires more extensive infection control measures.”
In the section of the policy labeled Conditions or Infections Required Contact Precautions, it lists residents with diarrhea caused by [Clostridium difficile] or anyone with profuse incontinence as one of the conditions requiring contact precautions.” The state investigator observed the resident and the resident’s room “where there was a plastic bin used a hold contact precautions supplies (gowns, gloves) at the room entrance.”
However, during an interview with the Nursing Aide, it was revealed that “she was verbally told of [that] the resident was no longer on isolation precaution but that she is still using the contact isolation procedures because she was unsure if they were really discontinued.” The investigator reviewed the resident’s Care Plan that revealed that “the resident’s infection was not noted on the Care Plan nor were the necessary interventions and timelines for [the infection] present in the Care Plan.” The plastic bin for the contact caution supplies was not removed from the resident’s doorway until “nine days after the need for contact precautions ended. The facility failed to maintain an infection control program that clearly addressed the requirements for [the resident] related to [their Clostridium difficile] infection.”
In a summary statement of deficiencies dated October 21, 2016, a state surveyor documented the facility’s failure to “ensure one resident had the opportunity to appeal the decision of being discharged from therapy services.” The investigator reviewed the resident’s Clinical Records and Progress Notes revealing that the resident’s “last coverage day (last day eligible to receive therapy services).” A Progress Note revealed that a social worker had a phone conversation with the resident’s “daughter indicating about the last coverage day [where] the daughter would have to take the resident home… upon discontinuation of therapy services.”
A review of the resident’s Notice of Medicare Non-Coverage (notice to one or more family members that indicate services are about to end) “did not indicate that [the social worker] offered or explained to [the resident’s] daughter the opportunity to appeal the decision of [the resident] being discharged from therapy services.” The investigator interviewed the Social Worker who confirmed that the resident “and family [were] not offered the opportunity to appeal the decision of the resident being discharged from therapy services as required. The facility failed to ensure that [the resident] had the opportunity to appeal the decision of being discharged from therapy services.”
If you believe your loved one was mistreated, neglected or abused as a resident at Caring Heart Rehab and Nursing Center, call Pennsylvania nursing home abuse attorneys at Nursing Home Law Center at (800) 926-7565 today. Our law firm fights aggressively on behalf of Philadelphia County victims who have been mistreated while living in long-term facilities including nursing homes in Philadelphia. Allow our seasoned abuse injury attorneys to file your claim for compensation against every party responsible for causing harm to your loved one. Our years of experience can ensure a successful financial resolution to make sure your family receives the monetary recompense they deserve. 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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