Henderson Nevada Nursing Home Abuse Attorney

Henderson Nevada Nursing Home Abuse AttorneyWhen a member of the family moves into a nursing facility, we expect the nursing staff to provide them with respect, dignity and exceptional healthcare in a comfortable and safe environment. Unfortunately, overcrowding, understaffing and substandard training have all contributed to many cases of nursing home neglect and abuse. In fact, the Henderson nursing home neglect attorneys at Rosenfeld Injury Lawyers LLC have witnessed many incidences where the nursing home staff betrayed the trust placed in them by families of loved ones in their facility, resulting in their injury or death.

Many families choose to place a loved one in a nursing facility to relieve the burden of taking care of them in an undesirable setting at home. The level of care they receive at a nursing home is often taken for granted by family members hoping the loved one’s health and hygiene needs are met. Unfortunately, many nursing home residents who have become victims of abuse and neglect no longer have the capacity to speak out or the ability to defend their rights to protection.

The number of elderly individuals residing in nursing facilities throughout the United States has risen dramatically in recent years, including throughout southeast Nevada. Of the more than 2 million residents residing in Clark County, nearly 250,000 are senior citizens. Retirees have become one of the fastest-growing demographics in the Las Vegas/Henderson area, which has placed a significant burden on nursing facilities that are already overcrowded and understaffed.

Henderson Nursing Home Resident Health Concerns

The Clark County nursing home abuse attorneys at Rosenfeld Injury Lawyers LLC believe that society is measured by the level of care it provides the most vulnerable disabled, young and old citizens. Even though many of the elderly are a part of the subsidized healthcare system, receiving Medicare and Medicaid, the United States has yet to establish a system to ensure that every resident is treated with the dignity and respect they deserve, without fail. To assist families facing the undesirable choice of placing a loved one in a nursing home, our elder abuse law firm updates valuable information harvested from national databases including Medicare.gov.

We continuously review, assess and evaluate this information regarding health concerns, opened investigations, safety issues and filed complaints against nursing facilities all throughout the Las Vegas/Henderson area. Families understand the value of this information that can be used to ensure they have made the best possible decision of where to place their loved one who requires the highest level of skilled and nursing care.

Comparing Henderson Area Nursing Facilities

The list below details all of the facilities throughout the Henderson area that currently maintain average to below average ratings compared other facilities in the United States. In addition, our lawyers have published their primary concerns by posting specific cases that involve negligence, mistreatment or abuse that did or could have caused a resident harm, serious injury or death.

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PREMIER HEALTH and REHABILITATION CENTER OF LAS VEGAS
2945 Casa Vegas Street
Las Vegas, Nevada 89169
(702) 735-7179

A “For-Profit” 100-certified bed Medicaid/Medicare-participating facility

Overall Rating – 3 out of 5 possible stars

3 stars rating

Primary Concerns –

Failure to Provide Residents an Environment Free of Medication Errors

In a summary statement of deficiencies dated 09/17/2015, a notation was made during an annual licensure and certification survey by a state investigator concerning the facility’s failure to “ensure was free of a medication error rate of five percent or greater.” This deficient practice by the nursing staff at Premier Health and Rehabilitation Center of Las Vegas directly affected one resident at the facility.

Federal and state nursing home regulatory agencies mandate that all nursing facilities throughout the United States take necessary precautions and follow protocols to ensure medication errors never rise above five percent. However, the deficient practice was noted after a 09/16/2015 “Medication Administration Pass was performed with 32 opportunities observed and revealed eight errors.” This failure by the nursing staff at the facility produced a “medication error rate of 25% (percent),” which is 500 times greater than the drug error rate allowed by regulatory agencies.

The state investigator conducting a review of the medication errors at the facility noted that “on 09/16/2015 in the morning, the Licensed Practical Nurse on duty “administered the medications to [the resident] via PEG (Percutaneous Endoscopic Gastronomy) tube. The physician’s orders dated 03/19/2015 document [2 of the resident’s medication are to be given at] by mouth twice a day] and a third medication is to be given daily.” In addition, the physician’s orders on 02/16/2015 indicate the resident is to receive multivitamins with minerals orally each day. Also, the “resident’s clinical record lacked documented evidence a physician’s order was obtained for the resident’s iron supplement.”

As a part of the review, the state investigator noted that that the 09/16/2015 morning Medication Administration Pass Observation revealed that the resident “did not receive MVI with minerals as ordered” by the resident’s physician.

At 1:45 PM the same day, the Licensed Practical Nurse “confirm the observation and indicated [the resident’s medications] were administered via the wrong route, there was no physician’s order for the resident’s iron supplement, and the resident did not receive MVI with minerals as ordered.” In addition, the Licensed Practical Nurse “acknowledge the physician’s orders were not followed and these were considered medication errors.”

The state investigator conducted a 3:35 PM interview on the same day (09/16/2015) what the facility’s Director of Nursing who indicated “the nurses were expected to administer medication for the physician’s orders […and acknowledged that] the nurses should have clarified the physician’s orders for [the resident’ is] medications to indicate the route via PEG tube.” The Director of Nursing also confirmed there were no physician’s orders for the resident’s iron supplement and to discontinue MVI with minerals.”

The Licensed Practical Nurse confirmed at 7:25 AM the following morning on 09/17/2015 that “the findings and indicated the physician’s orders for MVI was not transcribed into the resident’s current MAR (Medication Administration Record).” Additionally, during the Medication Administration Pass Observation, the resident “did not receive Carvedilol as ordered […and verbalized] the medication was not available and the pharmacy would be notified.” At 2:00 PM that afternoon, the Licensed Practical Nurse “acknowledge the physician’s orders for the resident’s Carvedilol was not followed and it was a medication error.”

Our Las Vegas elder abuse attorneys recognize that failing to follow protocols when administering medications could place the health and well-being of the resident in immediate jeopardy. The deficient practice at Premier Health and Rehabilitation Center of Las Vegas might be considered negligence or mistreatment because the nursing staff failed to follow the facility’s February 2015 policy titled: Medication Management Program that reads in part:

“Procedures: Step two: Preparing the Medication Pass: Authorized licensed or certified/permitted medication by state regulatory guidelines staff must understand the eight rights for administering medication [that include] the right drug, the right route.”

DELMAR GARDENS OF GREEN VALLEY
100 Delmar Gardens Drive
Henderson, Nevada 89014
(702) 361-6111

A “For-Profit” 242-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Ensure the Residents Are Provided Environment Free of Accident Hazards and Provided Adequate Supervision to Prevent Avoidable Accidents

In a summary statement of deficiencies dated 05/08/2015, a notation was made during an annual licensure and certification survey by a state investigator concerning the facility’s failure to “ensure [a resident at the facility] had on a tab alarm in place while in bed as ordered to alert the staff when the resident transferred out of bed without assistance.” In addition, notations were made that the facility also failed “to ensure [the resident] wear a helmet to prevent injury from a fall and receive one-on-one assistance during the meal to prevent aspiration.”

The deficient practice was noted after the state investigator to her the facility on the morning of 05/12/2015 where a “Licensed Practical Nurse (LPN) verbalized [that the resident] wandered to other residents’ rooms and… was found several times sleeping on the floor and other residents’ rooms. The LPN verbalize that the tab alarm was only used when the resident was in bed.”

The state investigator reviewed the resident’s April 2015 updated care plan documenting that “the resident was found on the floor in other residents’ rooms on 01/31/2015, 03/25/2015 and 04/11/2015. The fall assessments and neurological checks for those incidents indicated that the resident sustained [some injuries].” The Care Plan also revealed that “the resident exhibited severe cognitive impairment.”

An observation of the resident was made at 7:20 AM on 05/07/2015. During that observation, the resident “was seen attached to a long (approximately two feet) black string which was attached to the call light. The resident attempted to get out of bed. [The resident’s] roommate verbalized to the resident in Spanish not to get up without help.”

Approximately 10 minutes later, “the LPN verbalized the string should have been attached to the bed, not the resident. The nurse was unable to locate the resident’s tab alarm.”

In a separate incident, a review of another resident’s medical records indicated that the May 2015 Physician Recalculation Order included: Helmet to be worn one out of bed.”

The resident was observed at 2:00 PM on 05/05/2015 “being wheeled in the hallway of the 200 Hall being taken to the bathroom. The resident did not have a helmet on. The Licensed Practical Nurse (LPN) on the unit confirm the resident did not have a helmet on and immediately retrieved the resident’s helmet from the room and placed it on the resident [… verbalizing that] the resident should always have a helmet on when out of bed […and added] the staff member who was with the resident did not usually work this unit and was not aware the helmet was required.

The state investigator also noted that the resident’s physician’s orders included one-on-one feeding assist along with “aspiration precautions. Assist with all by mouth feedings. Patient must be upright in a chair for all intake [by mouth].”

An observation was made of the resident at 8:00 AM on 05/06/2015 when “the breakfast tray was brought into the resident’s room by the Certified Nursing Assistant (CNA). At 8:05 AM, the resident was observed sitting up in her bed feeding herself breakfast. There was no staff observing the resident. The Registered Nurse was informed. A CNA was instructed to stay with the resident during the breakfast meal.”

Our Henderson nursing home neglect attorneys recognize that failing to provide a level of care necessary to ensure a resident’s safety could place the health and well-being of the resident in immediate jeopardy. The deficient practices by the nursing staff at Delmar Gardens of Green Valley might be considered negligence or mistreatment and fails to follow established procedures and protocols enforced by nursing home regulatory agencies.

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LAKE MEAD HEALTH AND REHABILITATION CENTER
1180 E. Lake Mead Drive
Henderson, Nevada 89015
(702) 565-8555

A “For-Profit” 266-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Follow Physician’s Orders and Facility Policies When Providing Care and Services to Residents

In a summary statement of deficiencies dated 04/01/2015, a complaint investigation against the facility was opened for its failure “to administer medication as ordered for [a resident at the facility” and a failure “to perform neurological checks consistently in accordance with facility policy.” These deficient practices by the nursing staff at Lake Mead Health and Rehabilitation Center affected two residents at the facility.

The complaint investigation involved a review of a resident’s 04/16/2015 clinical records that were reviewed with the facility’s Director of Nursing that indicated “on 03/28/2015 at 3:52 AM, [the resident’s] physician ordered a Personal Alarm System on at all times in bed and in a wheelchair every shift. Every day and night shift for High Risk for Falls.”

The investigation was initiated after it was revealed that the resident [sustained an unwitnessed fall that resulted in no apparent injury [on 03/30/2015.” The facility’s Interdisciplinary Post for Review document revealed that a “CNA (Certified Nurse Assistant) heard a tab alarm sounding. [The] nurse and CNA entered the room to find the resident seated on the floor. Head to toe assessment was completed. Resident with a full range of motion, all extremities. Scalp sutures intact from craniotomies” [surgical removal of a portion of skull bone to expose the brain].

The records also revealed that the patient has a history of Alzheimer’s disease and a fall with subdermal hematomas with craniotomies”. The state investigator also reviewed the resident’s 03/30/2015 Neurological Record that indicates that “the resident’s neurological status was assessed after the fall. The document stated in part frequency: every 30 minutes times four, every one hour times four. The document indicated the first neurological assessment [was performed] at 11:30 AM on 03/30/2015.” However, the state surveyor noted that even though there were “subsequent neurological assessments at 12:00 PM, 12:30 PM, 1:00 PM and 4:00 PM” there were “no neurological assessments recorded for 2:00 PM and 3:00 PM.”

A review of the resident’s Discharge Summary from the Acute Care Facility noted that the resident “had expressed multiple episodes of falls and had been getting progressively weak. A review of the resident’s MAR (Medication Administration Record) under the Individual Resident’s 07/22/2015 Control Substance Record noted that the resident’s medication “was administered on 01/27/2015 and 01/28/2015 at 12:00 AM. However, the medication “was not signed out” at those times.

The Assistant Director of Nursing was interviewed on the morning of 04/15/2015 and confirmed: “there was no documented evidence of medication was administered as ordered based on the control substance record […and] the medication should not have been signed off on the MAR (Medication Administration Record).”

Our Henderson nursing home neglect attorneys recognize that failing to follow physician’s orders when administering medication and providing care to a resident that requires neurological checks due to a fall could place their health and well-being in immediate jeopardy. The deficient practices of the nursing staff at Lake Mead Health and Rehabilitation Center may be considered negligence or mistreatment because the failures are in violation of both federal and state nursing home regulations.

JOSEPH TRANSITIONAL REHABILITATION CENTER
2035 W. Charleston Blvd.
Las Vegas, Nevada 89102
(702) 386-7980

A “For-Profit” 100-certified bed Medicaid/Medicare-participating facility

Overall Rating – 3 out of 5 possible stars

3 stars rating

Primary Concerns –

Failure to Take All Necessary Precautions to Control Infections from Spreading throughout the Facility

In a summary statement of deficiencies dated 09/03/2015, a state surveyor made a notation during an annual licensure and certification survey concerning the facility’s failure to “ensure visitors and facility staff received education and practiced the use of Personal Protective Equipment (PPE) as needed when entering [four residents’ isolation rooms at the facility].”

The deficient practice was noted by state investigator after review of a resident’s clinical record containing “A physician’s order dated 07/30/2015 for contact isolation and a physician’s orders.”

An observation of a resident’s room at 12:55 PM on 09/02/2015 revealed that the “resident’s room had a red sign posted outside the door, a banner across the doorway with a stop sign located in the middle of the banner along with a plastic container with Personal Protective Equipment (PPE) supplies outside the door.”

It was noted during the observation that “a visitor was inside the resident’s room that had been identified for contact isolation precautions and was not wearing PPE equipment, a gown or gloves on the hand. The Respiratory Supervisor confirmed the observation and verbalized the resident was in isolation.” The Respiratory Supervisor also “confirm the visitor should have had on a gown and gloves.”

An additional observation was made at 8:15 AM on 09/02/2015 of another resident whose “room had a red sign posted outside the door, banner across the doorway to stop sign located in the middle of the banner along with a plastic container with PPE supplies outside the door.” Like the other resident’s room, there was “a visitor inside of the isolation room without a gown and gloves on. Visitor ducked under the posted banner, exited the room and walked down the hallway.”

A few minutes later at 8:25 AM, the Respiratory Therapist acknowledged that the resident “was on contact isolation and the visitor should not enter the isolation room without a gown or gloves.” It was also noted that earlier that morning at 6:20 AM, a housekeeper was in an isolation room without PPE on. The housekeeper verbalized he forgot to wear a gown.”

Our Las Vegas elder abuse lawyers know that failing to follow isolation protocols increases the potential spreading infection to other residents at the facility that could cause significant harm or injury. The deficient practice of the nursing staff and employees at Saint Joseph Transitional Rehabilitation Center involve a failure to follow the facility’s 04/01/2008 (revised 12/15/2012) policy titled: Multiple Drug Resistant Organism under the Prevention and Control section that reads in part:

“The use of gowns and gloves with contact isolation. Wear gowns and gloves for interactions that may involve contact with the resident.”

TLC CARE CENTER
1500 W Warm Springs Rd
Henderson, Nevada 89014
(702) 547-6700

A “For-Profit” 255 -certified bed Medicaid/Medicare-participating facility

Overall Rating – 3 out of 5 possible stars

3 stars rating

Primary Concerns –

Failure to Take All Necessary Precautions to Control Infections from Spreading throughout the Facility

In a summary statement of deficiencies dated 07/10/2015, a state surveyor made a notation during an annual licensure and certification survey concerning the facility’s failure to “ensure the appropriate type of isolation was used for [a resident at the facility].”

The deficient practice was noted by the state investigator after review of the facility’s Nurse’s Notes between 06/09/2015 through 06/15/2015 at 3:00 AM that “reveal the resident was on droplet isolation for shingles.” In addition, a review of the resident’s 8:00 AM 06/10/2015 Wound Progress Notes indicate “the resident was on [medication] for mid-lower back shingles.”

The state investigator also reviewed the resident’s 06/12/2015 Post-Acute Progress Note documenting that “the resident was on isolation secondary to MRSA (Methicillin-Resistant Staphylococcus Aureus) nares [the nostrils].

Nurse’s Notes by the Licensed Practical Nurse/treatment nurse at 3:31 PM on July’s nine 2015 revealed that “the resident’s shingles on mid-lower back was not active and was not moist.” However, the following dated 8:29 AM on 07/10/2015, “the Nurse Practitioner indicated the droplet isolation was for the resident’s MRSA (Methicillin-Resistant Staphylococcus Aureus) nares and not for shingles. The Nurse Practitioner revealed the resident’s shingles was not active in droplet isolation was not appropriate for shingles. Contact isolation should be used for shingles.”

In an 8:15 AM 07/10/2015 interview with the facility’s Registered Nurse/Infection Control Nurse “indicated the facility only used contact and droplet for isolation was not capable of providing airborne precautions. Shingles should always be on a droplet isolation. The RN/Infection Control Nurse revealed the facility uses the guidelines from the Centers for Disease Control and Prevention (CDC) and the Association for Professionals in Infection Control and Epidemiology (APIC).” Providing an opinion, the Licensed Practical Nurse stated, “the RN/Infection Control Nurse confirmed [the resident] was on droplet isolation for shingles.”

A follow-up interview with the facility’s Director of Nursing at 9:30 AM on the same day revealed that the resident “had MRSA (Methicillin-Resistant Staphylococcus Aureus) nares and shingles. The droplet isolation was for the MRSA nares and not for shingles” which is opposite of what the Registered Nurse/Infection Control Nurse claimed during an interview. The Director of Nursing also reveal “she expected nurses to clarify the physician’s orders.”

Later that morning, two Licensed Practical Nurses “acknowledged contact isolation should be used for shingles.”

Our Henderson elder abuse lawyers recognize that failing to follow protocols and take all necessary precautions to ensure the infection is controlled increases the potential of life-threatening infection spreading throughout the facility. The deficient practice occurring at TLC Care Center might be considered negligence or mistreatment of the resident because the actions of the nursing staff does not follow the facility’s 06/01/2008 policy titled: Categories of Transmission Base Precautions and the CDC’s 2007 guidelines for Isolation Precautions under Preventing Transmission of Infection Agents in Healthcare Settings that both read in part:

“In addition to standard precautions, implement droplet precautions for an individual documented or suspected to be infected with microorganisms transmitted by droplets (large practical droplets larger than five microns in size) that can be generated by the individual coughing, sneezing, talking or by the performance of procedures such as suctioning.”

“Indicated airborne and contact as the types of isolation for shingles.”

Nursing Home Injury, Neglect and Abuse

Substandard care and training of the staff along with low-paying overcrowding have all contributed to Nevada nursing facility abuse cases. For many families, the physical signs or emotional scars of neglect and abuse are often challenging to detect. Our law firm has become very familiar with the commonality of mistreatment in nursing facilities and of handle cases that involve:

  • Untreated bedsores (pressure sores; pressure ulcers; decubitus ulcers)
  • Evidence that chemical or physical restraint is being used
  • Unexplained open cuts, wounds, welts or bruises
  • Unsanitary conditions including dirt, lice, fleas and other critters in the resident’s room or on the resident
  • Sudden or excessive weight loss or gain
  • Odor of urine and feces
  • Resident’s abnormally pale complexion
  • Poor personal hygiene
  • Injuries caused by falling
  • Unattended health issues
  • Broken/stolen personal items and torn clothing
  • Medication errors including giving the wrong drug to the right patient, the wrong drug to the wrong patient are not giving the resident one or all of their prescribed medications as per the physician’s orders
  • Wrongful death that could have been prevented

The incidences of abuse and neglect in nursing facilities are far more common than many families realize. Often times, the resident injured by mistreatment is too fragile, weak or mentally incompetent to even know what happened or speak out on their behalf. Because of that, families must identify the signs and symptoms of abuse and neglect. That often requires asking questions of the nursing staff about the level of care the family member has received in the past and is receiving.

All noticeable indicators of abuse and neglect are required by law to be a part of the resident’s medical records and Nurse’s Notes. All cases involving physical, emotional, mental or sexual abuse or allegations of abuse must be reported to the state agency within a short timeframe. Any failure to report and investigate any allegation or incident involving abuse or mistreatment could hold the facility legally liable to the resident and family members. Because of that, families will often hire a nursing home abuse attorney who specializes in cases involving disabled, injured or elder residents.

Hiring a Lawyer

The Henderson nursing home abuse attorneys at Rosenfeld Injury Lawyers LLC are guided by sensitivity to protect victimized nursing home residents and serve as their advocate for justice. Our Nevada elder abuse lawyers can be trusted to offer a sympathetic ear and dedicated focused attention in building a case for financial recompense. Our staff provides numerous legal options in an effort to lighten the burden that families face when holding those responsible both financially and legally accountable for causing their loved one harm.

Our Nevada team of seasoned attorneys provides legal representation for victims of negligence, abuse and mistreatment occurring in nursing homes throughout the Las Vegas area. We understand healthcare protocols, procedures and policies and can easily detect when anything is amiss. We guarantee to thoroughly investigate your complaint of mistreatment and build a solid case to ensure corrective action is enforced and your loved one is compensated for the harm done by others.

We encourage you to make contact with our Clark County elder abuse law office today by calling (800) 926-7565 to schedule your no obligation, free full case review. All the information you share with our law office will remain confidential to protect your loved one’s privacy. We accept all nursing home neglect cases, personal injury claims and wrongful death lawsuits through contingency fee arrangements. This means you and your family are provided immediate legal representation, advice and counsel without any payment of an upfront fee, which is only paid after we negotiate a settlement out of court or win your case in a jury lawsuit trial.

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For additional information on Nevada laws and information on nursing homes look here.

If you are looking for information on a specific facility or an attorney, please see links below to respective locality pages.

Client Reviews
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Jonathan did a great job helping my family navigate through a lengthy lawsuit involving my grandmother's death in a nursing home. Through every step of the case, Jonathan kept my family informed of the progression of the case. Although our case eventually settled at a mediation, I really was impressed at how well prepared Jonathan was to take the case to trial. Lisa
★★★★★
After I read Jonathan’s Nursing Home Blog, I decided to hire him to look into my wife’s treatment at a local nursing home. Jonathan did a great job explaining the process and the laws that apply to nursing homes. I immediately felt at ease and was glad to have him on my side. Though the lawsuit process was at times frustrating, Jonathan reassured me, particularly at my deposition. I really felt like Jonathan cared about my wife’s best interests, and I think that came across to the lawyers for the nursing home. Eric