Negligence and mistreatment in nursing homes often go unobserved until of caregiver's unexpectable actions results in abuse, injuries or harm. Often, mistreatment is caused by a lack of proper supervision, a failure to train the nursing staff or bad hiring practices that lead to serious problems occurring in the facility.
Our nursing home neglect affiliated attorneys in Arkansas have represented many Pulaski County nursing home victims who were injured at the hands of their caregivers, other residents, employees, and visitors. If your loved one was harmed, contact us today so we can begin working on your case to ensure your family is adequately compensated for their damages and those responsible for causing your loved one harm are held legally accountable.
This Medicare/Medicaid-participating long-term care (LTC) center is a "for-profit" 140-certified bed home providing cares to residents of Little Rock and Pulaski County, Arkansas. The facility is located at:
2821 W Dixon Rd
Little Rock, Arkansas, 72206
(501) 888-4200
The investigators working for the state of Arkansas and the federal government have the legal authority to impose monetary fines and deny payment for Medicare services if the nursing home has been cited for serious violations of established regulations and rules. Within the last three years, state and federal nursing home regulators imposed four separate monetary fines against Madison Healthcare and Rehabilitation Center, including a $6143 fine on June 17, 2016, and $1170 fine on June 17, 2016, a $28,334 fine on November 17, 2016, and a $11,050 fine on February 5, 2018 for a total of $46,697.
Also, the Nursing Home received fourteen formally filed complaints and self-reported one serious issue that resulted in a citation within the last thirty-six months. Additional documentation about fines and penalties can be found on the Arkansas Adult Protective Services website concerning this nursing facility.
Comprehensive research results can be reviewed on the Arkansas Department of Public Health and Medicare.gov nursing home database systems that detail all safety concerns, incident inquiries, opened investigations, filed complaints, dangerous hazards, and health violations. Many families use this information to determine the level of medical, health and hygiene care long-term care facilities in the local community provide their residents.
According to Medicare, this facility maintains an overall rating of one out of five stars, including one out of five stars concerning health inspections, one out of five stars for staffing issues and two out of five stars for quality measures. The Pulaski County neglect attorneys at Nursing Home Law Center have found serious deficiencies, hazardous violations and safety problems at Madison Healthcare and Rehabilitation Center that include:
In a summary statement of deficiencies dated September 14, 2017, the state investigator noted the facility's failure to "ensure a transfer was conducted with two-person assistance using a sheet." The inspector said that "this failed practice has the potential to affect thirty-seven residents who required assistance for transfers."
A review of the resident's Brief Interview for Mental Status report shows that the resident "was totally dependent on two-plus people for transfers, was not steady - only able to stabilize with assistance for surface-to-surface transfers and used a wheelchair for mobility."
An observation was made of a Certified Nursing Assistant (CNA) on the afternoon of September 11, 2017, who "transferred the resident from the bed to a wheelchair. The resident was in a sitting position on the bed. The CNA, without the assistance of a second staff member, grasped around the resident's chest with his arms under the resident's arms and lifted the resident up off the bed and placed him into the wheelchair that had been positioned by the bed. The CNA did not apply a gait belt, and no transfer board or sheet was used during the transfer."
The state investigator interviewed the CNA approximately thirty-five minutes later and "asked how the staff knew what method to use to transfer a resident. The CNA stated this information was on the closet care plans. At this time, the Nurse's Aide Information Sheet [was] located inside the resident's closet and was reviewed by the surveyor." The information posted on the inside of the closet door stated "sheet transfer times two staff." The investigator then interviewed the Director of Nursing and asked how the resident "was supposed to be transferred. The Director of Nursing stated, 'a transfer sheet with two people.'"
In a separate summary statement deficiencies dated April 20, 2018, the state surveyors noted the Nursing Home's failure to "ensure the environment was as free of hazards as possible, as evidenced by a failure to store potentially hazardous chemicals in a secure location." The deficient practice involved the 600 Hall in the facility with a failure "to prevent potential access by cognitively impaired, independently mobile residents. The failed practice had the potential to affect forty-two mobile, cognitively impaired residents according to the list provided by the Administrator on April 3, 2018."
The state survey team also noted the facility had failed to "ensure a fall was evaluated for causative factors to facilitate the ability to develop interventions to address those causative factors and minimize the risk for further falls/injuries." This deficient practice involved one resident at the facility who "had falls in the last 30 days. The failed practice had the potential to affect twenty-one residents who had falls in the last 30 days."
In a third summary statement of deficiencies dated March 9, 2017, the state investigator documented the facility's failure to "ensure hazardous chemicals, cleaning items, topical medications, and personal care products were stored in a secure location to prevent potential access by cognitively impaired, independently mobile residents" residing on the 300, 500 and 600 Halls at the facility.
The investigator also said that the facility's failure "had the potential "to affect four residents who had wandering behaviors (including one resident who resided on the 300 Hall, two residents who reside on the 500 Hall, and one resident who resided on the 600 Hall)."
In a summary statement of deficiencies dated February 5, 2018, a notation was made by a state surveyor concerning the nursing home's failure to "ensure resident was free from staff neglect." This failure was "evidenced by the failure of the facility van driver to apply a seat belt to secure a resident in a wheelchair during the van transport to prevent injury." The deficient practice by the nursing staff involved one resident "was transported via the facility van. This failed practice resulted in past non-compliance at a level of Immediate Jeopardy, which caused or could have caused serious harm, injury or death."
The incident involved the resident who "slid out of the wheelchair during transportation, resulting in a close maxillary sinus fracture [and other serious injuries]." The deficient practice "had the potential to cause more than minimal harm to sixteen residents who were transported in a wheelchair via the facility van."
In a summary statement of deficiencies dated November 17, 2016, the state investigator noted the facility's failure to "ensure a resident-to-resident altercation resulting in injury was reported to the Office of Long Term Care (OLTC) by 11:00 AM, the next business day, as required by state law." The deficient practice by the nursing staff involved one resident-to-resident altercation that occurred in the last three months.
This failed practice had "the potential to affect three residents who were involved in the resident-to-resident altercation (per the list provided by the Administrator on November 17, 2016, there were no other resident to resident altercations in the past three months)." A review of the resident's medical records shows that the resident has "behaviors for the resident at risk for physical illness or injury in one of the three of the past seven days."
The state investigator reviewed the OLTC Incident and Accident Report, Division of Medical Services (DMS) Form 7734. The form revealed that "on November 3, 2016, [the resident] went into [another resident's room] and approach the resident's wheelchair leg and started punching and shaking it very hard. Another resident rolled over to try and help and told [the aggressive resident] to leave [the other resident] alone."
The aggressive resident "then grabbed her by the arm and shoved the wheelchair back by the bed and [while] twisting her arm, dug in his fingernails and tried to bite her. She raised her fist and struck him in the back of the head to get away from [the aggressive resident]." The commotion was overheard by a Certified Nursing Assistant (CNA) who "went into the room and separated the residents." The CNA then escorted the aggressive resident "to the nurse's station and notified the Licensed Practical Nurse (LPN) of the incident and pointed out [that the aggressive resident] was bleeding from the back of the head."
The nursing staff notified the Medical Director and received orders "to send the [aggressive] resident to the emergency room for evaluation of the head wound." The documentation shows that the Administrator and Pulaski County Sheriff's office were notified. The sheriff's office filled out a report in the resident "was sent to the hospital for treatment."
The facility Administrator told the state survey team, "I need to let you know I messed up - I take responsibility. I contacted the police on the incident, but I did not report [the incident] to the OLTC last night [on November 16, 2016]." The Administrator said that "I completed the reportable [documenting form] and submitted to the O LTC. In-services have already been done. The report to OLTC was made thirteen days after the incident occurred."
In a summary statement of deficiencies dated April 20, 2018, the state investigators documented that the facility had failed to "ensure resident funds were conveyed to the party responsible for administering the resident's estate within thirty days after the resident's death or discharge." The deficient practice by the nursing staff involved eleven residents "who were deceased or discharged and had a remaining balance in their trust funds. This failed practice has the potential to affect forty-one residents who had resident trust accounts."
The investigator found numerous open resident trust fund accounts and individuals who once resided at the facility and now were deceased or discharged. Involving numerous incidents, the investigator asked the Business Office Manager why many residents "still had an open resident trust on account." The Business Office Manager responded that "she did not know."
In a summary statement of deficiencies dated March 9, 2017, a state investigator noted the nursing home's failure to "ensure staff wash hands or change gloves after providing incontinent care, [before] handling a package of disposable peri-wipes that could be used on other residents, to prevent potential cross-contamination and spread of infection." The deficient practice by the nursing staff involved one resident "who required assistance with incontinent care. This failed practice had the potential to affect forty-two residents who required assistance with incontinent care."
The state investigator observed two Certified Nursing Assistants (CNAs) who "entered the resident's room, performed hand hygiene and donned gloves. The CNAs provided incontinent care for the resident." One CNA, "wearing soiled gloves, gathered trash, cleaned supplies, [grabbed] the package of peri-wipes and carried them out of the room." That CNA then "placed the package of peri-wipes on top of the paper towel dispenser in an employee bathroom, then washed her hands."
The state investigator asked the CNA "where do you store the peri-wipes?" The CNA "grabbed the peri-wipes off the top of the paper towel dispenser, unlocked the front shower room on the 600 Hall and placed the contaminated package of wipes in the wall storage bin. Neither the storage bin nor the peri-wipe package was labeled with a specific resident's name." The surveyor asked the CNA "how do you know those are [that resident's] wipes?" The CNA replied, "they're not; I just grab some."
If you suspect your loved one is being abused or neglected while a resident at Madison Healthcare and Rehabilitation Center, call the Arkansas nursing home abuse lawyers at Nursing Home Law Center at (800) 926-7565 now. Our network of attorneys fights aggressively on behalf of Pulaski County victims of mistreatment living in long-term facilities including nursing homes in Little Rock. Our nursing home attorneys have successfully resolved many financial compensation claims for victims of mistreatment in nursing homes. 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 network of attorneys accepts all nursing home abuse lawsuits, personal injury claims, medical malpractice cases, and wrongful death suits through a contingency fee arrangement. This agreement will postpone your need to make a payment for our legal services until after our attorneys have resolved your case through a jury trial award or negotiated out of court settlement. We provide all clients a "No Win/No-Fee" Guarantee, meaning you owe us nothing if we are unable to obtain compensation on your behalf. Let us begin working on your case today to ensure your family is adequately compensated for the damages that caused your harm. All information you share with our law offices will remain confidential.
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