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Information & Ratings on Centre Crest Nursing Home, Bellefonte, Pennsylvania
Not every case of abuse and neglect occurring in a nursing facility is as obvious as a broken bone or hematoma caused by a fall or physical assault. In many incidents, the family is unaware that their loved one is being neglected, mistreated or abused by other nursing home residents, caregivers, employees or visitors. The Pennsylvania Nursing Home Law Center Attorneys have represented many injured victims residing in Centre County nursing facilities. Our team of legal experts protect our client’s rights and ensure that they are adequately compensated for their financial damages. We can help your family too.Centre Crest Nursing Home
This Long-Term Care Center is a 240-certified bed “not for profit” Home providing services to residents of Bellefonte and Centre County, Pennsylvania. The Medicare/Medicaid-participating Facility is located at:
502 E. Howard Street
Bellefonte, Pennsylvania, 16823
In addition to providing around-the-clock skilled nursing care, the facility also offers:
- Wound care
- Pulmonary care including oxygen therapy, nebulizer treatment, and tracheostomy care
- Short-term intravenous (IV) therapy
- Inpatient and outpatient dialysis
- Diabetic education and management
- Oncology including pain management and hospice services
- Urological care
- Nutritional care including enteral therapy
- Respite care
It is a legal responsibility of state and federal investigators to hold nursing homes accountable if they have violated rules and regulations that harmed or could have harmed a resident. These penalties include monetary fines and the denial of payment for Medicare services. Within the last three years, the nursing home governmental agencies have fined Centre Crest Nursing Home once involving a $31,177 fine on November 18, 2016. Additional documentation about fines and penalties can be found on the Pennsylvania Department of Public Health posted surveys website concerning this nursing home.
The Pennsylvania care home regulatory agency routinely updates their statewide nursing facility database system. The PA Department of Public Health information contains a historical list of safety concerns, incident inquiries, opened investigations, filed complaints, dangerous hazards, and health violations of every facility in each county as does Medicare.gov.
According to Medicare, this facility maintains an overall rating of one out of five stars, including one out of five stars concerning health inspections, three out of five stars for staffing issues and two out of five stars for quality measures. The Centre County neglect attorneys at Nursing Home Law Center have viewed deficiencies and safety concerns at Centre Crest Nursing Home that include:
- Failure to Immediately Notify a Resident, the Resident’s Doctor or Family Member of a Change in the Resident’s Condition Including a Decline in Their Health or Injury
- Failure to Ensure Residents Do Not Lose the Ability to Perform Activities of Daily Living Unless There Is a Medical Reason
- Failure to Provide Appropriate Pressure Ulcer Care and Prevent New Bedsores from Developing
- Failure to Ensure the Nursing Home Area Remains Free from Accident Hazards, and Residents Are Provided Adequate Supervision to Prevent Accidents
- Failure to Develop, Implement and Enforce Policies and Procedures That Prevent or Control Infections
In a summary statement of deficiencies dated March 9, 2018, a notation was made by a state investigator concerning the facility's failure to "notify the resident’s physician of medication refusals.” The investigator reviewed a resident’s Medication Administration Records (MARs) that revealed that the resident refused to take their medication six times over the course of a few weeks. However, the investigator noted that “there was no documented evidence that the nursing staff notified [the resident’s] physician of the medication refusal.” The investigator interviewed the Assistant Director of Nurses who “confirmed the above information.”
In a summary statement of deficiencies dated March 9, 2018, a state surveyor documented the nursing home’s failure to “complete restorative nursing programs.” The deficient practice involved two residents at the facility. The investigator reviewed the facility policy title: Restorative Ambulation Program that read in part:
“It is the purpose of the restorative ambulation program to promote the ability of residents to maintain or improve ambulation. The physical therapy department initially evaluates all residents to determine if the resident would benefit from therapy. The restorative nursing coordinator or designee will implement the restorative nursing program and update caregivers’ assignment to reflect recommended abilities. The caregiver will assist the resident with the restorative ambulation [and will encourage] to ambulate with the caregiver at least daily and more frequently of the resident is able.”
The documentation states that the “caregiver will notify the restorative nursing coordinator or designee [who] will review documentation.”
However, the investigator interviewed the resident who “revealed that staff is not assisting her to walk routinely.” A review of the resident’s clinical records “revealed a task kiosk restorative nursing program [involving] ambulation to/from the bathroom and 180 to 200 feet [of walking with] supervision and the use of a wheeled walker every day on the day and evening shift.”
The investigator reviewed caregiver staff documentation that revealed that “caregiver staff failed to complete the program on nine occasions [over] thirty days.” As a result, the investigator interviewed the Assistant Director of Nurses, a Licensed Practical Nurse and Restorative Nursing Program Coordinator who “confirmed that the facility documentation supported [the resident’s] report that staff failed to assist her to implement the program as designed.”
In a summary statement of deficiencies dated March 9, 2018, a notation was made by the state investigator over the nursing home’s failure to “implement interventions for pressure ulcer healing.” The deficient practice by the nursing staff involved one resident at the facility. The investigator reviewed the facility policy titled: Pressure Ulcer – Risk Assessment, Prevention of Skin Breakdown, and Skin Care Management. The policy read in part:
“Any resident with a pressure ulcer where received treatment and services [are] consistent with the resident’s goals of treatment. Typically, the goal will be one of promoting healing. The purpose of the policy includes to provide interventions to reduce the risk of skin breakdown and to provide treatment and services that promote healing and prevent infection and further skin breakdown.”
The investigator reviewed a resident’s clinical record revealing an Open Lesion Initial Report that found an open area on the left buttocks that measured 0.3 cm x 0.2 cm x 0.1 cm. “The documentation noted that current interventions in place to deter and treat skin breakdown was an alternating pressure mattress.” The investigator reviewed the resident’s Plan of Care that addressed the resident’s “pressure ulcer and the potential for skin tears.” The documentation “revealed interventions that included alternating pressure mattress to protect the skin while in bed, out of bed to wheelchair with pressure redistributing cushion, pressure relieving cushion while in a chair, and keep brief open while in bed.”
However, the investigator observed the resident and noted that “the air mattress control panel setting as static, not alternating.” At the time, the resident was “in a bedside recliner.” Subsequent observations “revealed that he was in bed [and] the air mattress control panel” had a “setting as static, not alternating.” The investigator interviewed a Nurse’s Aide who revealed that “Nurse Aides do not mess with (alter) the bed controls.” That employee “confirmed that the air mattress control panel setting was still on static, not alternating” and said that when the resident “does sit in his recliner… there was no cushion on his recliner.” The Nurse Aide “confirmed that the resident’s wheelchair has a special seat cushion.”
The investigator interviewed a Licensed Practical Nurse (LPN) who stated that “she initially believed that the Nurses’ Aides are responsible [for checking] the mattress. When informed that the interview with the Nurse Aide revealed that the Nurse Aides do not mess with the bed controls, she then stated that the Maintenance Department sets of the air mattresses.” The LPN “did not know whose responsibility it was to monitor the air mattress settings routinely and did not locate the static/alternating selection button until identified by the surveyor.” The LPN “then stated that it would be the Licensed Practical Nurses’ responsibility” and confirmed that the resident’s “air mattress control panel settings reflected static, not alternating, while he was in bed.” The LPN also confirmed that the resident’s “physician’s orders do not include settings for the mattress. However, his Plan of Care stipulated the use of an alternating air mattress as a Nurse Aide responsible position.”
In a summary statement of deficiencies dated March 9, 2018, a state surveyor documented the facility’s failure to “provide physician-ordered assistive devices to prevent an accident with injury resulting in harm (fractured ankle and tibia/fibula).” The deficient practice of the nursing staff involved one resident.”
The investigator interviewed the Assistant Director of Nurses who “confirmed that the facility does not have a policy or procedure in the prevention of resident accidents.” The investigator reviewed a resident’s clinical records that revealed that “she has a history of stroke with residual right-sided [medical problems that cause] weakness on one side of the body.” A review of the Physician's Progress Notes indicates that the resident “has had chronic numbness in her right leg from a previous stroke. A review of the resident’s Occupational Therapy Daily Treatment indicated that “the therapist placed bilateral leg rests on [the resident’s] wheelchair to facilitate increased comfort and support of her bilateral lower extremities.” The Therapy Discharge Plans and instructions indicated that the resident “was to use the Evolution Seating system with bilateral non-elevating leg rests.”
However, a review of the resident’s Incident Accident Report Investigation revealed that the resident had said that “a Nurse Aide pushed her in a wheelchair and her foot got caught under the wheelchair when the Nurse Aide was pushing her down the hall.” The resident “did not have her foot rest on when she was being transported. A witness statement indicated that a Registered Nurse saw the Nurse Aide pushing [the resident] down the hallway and the Nurse Aide verbalizing to [the resident] to ‘keep your feet up’ and ‘where are your leg rests?’”
In a summary statement of deficiencies dated March 9, 2018, a state investigator documented the nursing home’s failure to “implement an infection control program to prevent the potential spread of infection.” The deficient practice involved three residents “reviewed for infection control practices.” In one incident, surveyors observed a resident who “was not in her room.” The resident’s “oxygen concentrator was sitting beside her bed, and her oxygen mask was lying on top of her sheets [and] not bagged. The interior the mask was covered in a red substance."
Further observation revealed the resident’s “nebulizer was sitting on a metal cart in her room. The mouthpiece for the nebulizer was attached to the tubing and sitting beside the nebulizer directly on the metal cart. The mouthpiece was not covered.”
The investigator reviewed the facility policy titled: Oxygen – Administration by either Nasal Cannula or Mask that read in part:
“A dated plastic bag would be placed to the outside of the concentrator to be used as a storage place for the cannula (nasal cannula, a device that consist of a plastic tube which fits behind the ears, and a set of two [prongs] which are placed by the nose when not in use that deliver oxygen).”
The state survey team interviewed the Director of Nurses and the Nursing Home Administrator who “confirmed that the oxygen mask [and] nebulizer mouthpiece should be covered when not in use.” The investigator reminded the Administrator and Director of the facility’s policy titled: Standard Precautions that reads in part:
“All resident body fluids, other than sweat, will be considered potentially infectious. Gloves should be worn whenever exposure to urine or feces is planned or anticipated. Masks and eyewear (or face shields) should be worn during procedures that are likely to generate droplets/splashing of blood/body fluids.”
If you suspect your loved one has suffered harm through abuse, neglect or mistreatment while a resident at Centre Crest Nursing Home, call Pennsylvania nursing home abuse attorneys at Nursing Home Law Center at (800) 926-7565. Our law firm fights aggressively on behalf of Centre County victims who were mistreated while living in long-term facilities including nursing homes in Belafonte. For years, our attorneys have successfully resolved nursing home abuse cases just like yours. Our experience can ensure a positive outcome in your claim for compensation against those that caused your loved one harm. 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.
Our lawyers accept all cases involving wrongful death, nursing home neglect, or personal injury through contingency fee agreements. This arrangement postpones the requirement to make a payment to our law firm until after we have successfully resolved your claim for compensation through a negotiated out of court settlement or jury trial award. We offer every client a “No Win/No-Fee” Guarantee. This guarantee ensures that you will owe us nothing if we cannot obtain compensation on your behalf. Our team of attorneys can begin working on your behalf today to make sure you are adequately compensated for your damages. All information you share with our law offices will remain confidential.