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Swansea Rehabilitation Health Care Abuse and Neglect Attorneys
Mistreatment in nursing homes is often the result of the nursing staff, doctor, employee or other caregiver failing to provide the best services according to established standards that result in wrongful death, serious harm or injury. Other times, the victim is physically or sexually assaulted by other residents or intimidated and embarrassed by others. When a patient is harmed, the law provides every family an avenue to receive financial compensation through a civil claim.
If your loved one was mistreated while residing in a St. Clair County nursing facility, contact the Illinois Nursing Home Law Center attorneys for immediate legal assistance. Our team of Chicago nursing home neglect lawyers has successfully resolved cases like yours. We use the law to hold those responsible financially accountable. Let us begin working on your claim now.Swansea Rehabilitation Health Care
This long-term care (LTC) facility is a "for profit" 94-certified bed long term care center providing services to residents of Swansea and St. Clair County, Illinois. The Medicare/Medicaid-participating home is located at:
1405 North Second Street
Swansea, Illinois, 62226
In addition to providing around-the-clock skilled nursing care, Swansea a Rehab & Health Care Center also offers other services involving:
- Memory care
- Alzheimer’s/dementia care
- Behavioral services
- Aggression management
- Symptom management
- Depression management
- Recuperative stays
- Respite care
- Substance dependency
- Coping skills care
- Adult life skills training
When investigators working for the federal government identify severe violations of nursing home rules and regulations, they can penalize the facility by a denial of payment for Medicare services or impose monetary fines.
During the last three years, nursing home regulatory investigators imposed two massive monetary fines against Swansea Rehabilitation Health Care due to substandard care. These penalties include a $20,243 fine on January 19, 2016, and a $104,540 fine on July 12, 2016, for a total of $124,783.
Also, the facility received thirty-two formally filed complaints that resulted in citations. Additional information about penalties and fines can be reviewed on the Illinois Department of Public Health Nursing Home Reporting Website concerning this nursing facility.Swansea Illinois Nursing Home Safety Concerns
To be fully informed on the level of care nursing homes provide, families routinely research Medicare.gov and the Illinois Department of Public Health website database systems. The sites post a comprehensive list of filed complaints, safety concerns, opened investigations, health violations, incident inquiries, and dangerous hazards. This information provides valuable content to make a well-informed decision of where to place a loved one who requires the highest level of health care and hygiene assistance.
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 three out of five stars for quality measures. The St. Clair County neglect attorneys at Nursing Home Law Center have found serious deficiencies and safety concerns at Swansea Rehabilitation Health Care that include:
- Failure to Provide Every Resident an Environment Free of Accident Hazards and Provide Adequate Supervision to Prevent Avoidable Accidents
- Failure to Ensure Residents Receive Proper Treatment to Prevent New Bedsores or Heal Existing Pressure Sores
- Failure to Have a Registered Nurse on Duty Eight Hours a Day and a Director of Nursing on a Full-Time Basis
- Failure to Provide and Implement an Infection Protection and Control Program
In a summary statement of deficiencies dated September 21, 2017, the state investigative team documented that the facility had failed to “implement interventions that were implemented after a fall for one of four residents reviewed for fall risk.”
The survey team reviewed a resident’s Nurse’s Notes dated August 3, 2017, that shows that the resident was noted “to be lying on the floor at the foot of her bed, upon physical assessment, the resident noted to have sustained a two-inch by six-inch bruised, laceration to the left side of her abdomen. These notes continue, on August 4, 2017, stating that the interdisciplinary team discussed the event of August 3, 2017, where the resident stated she fell.”
The investigation “revealed the resident was attempting to self-transfer from the bed to the wheelchair. Intervention [included the] wheelchair removed from the resident’s room to prevent the resident from attending this activity.” A review of the resident’s Care Plan dated August 3, 2017, shows that the “staff to place a wheelchair in the hallway when not in use.”
However, observations of the resident’s room at 2:00 PM on September 18, 2017, showed “two wheelchairs in the resident’s room. One was located three feet from her bed.” At that time, the resident “was in her bed sleeping.” There were “no staff or visitors present in the area at the time.”
The following day on September 19, 2017, at 10:00 AM, “two wheelchairs were in [the resident’s] room with one located three feet from her bed. Again, no staff or visitors were present in the area at the time.”
On September 21, 2017, at 10:30 AM, the Administrator said that “he surmised that the wheelchair was left in [the resident’s] room, as noted above, because [the resident’s] frequent visitor sits in [the resident’s] wheelchair when she visits [the resident].”
The Administrator said that “he felt the staff are following the Care Plan properly.” The investigators reviewed the facility’s Fall Prevention Policy that reads in part:
“After resident fall, the unit nurse will assess the resident who had a fall [and what the staff on duty will do] to help identify circumstances of the event and appropriate interventions.”
The facility’s Fall Policy also documents that “any new intervention will be placed on the Certified Nurse’s Aide Assignment Worksheet and all falls will be discussed in the Morning Quality Assurance meetings Monday through Friday and any new interventions will be written on the care plan.”
In a separate summary statement of deficiencies dated April 18, 2018, the state surveyor noted that the facility “failed to assess, supervise and ensure safety interventions were in use to prevent falls.” The deficient practice by the nursing staff involved one of five residents “reviewed for falls.”
The state investigative team reviewed the resident’s Care Plan dated July 14, 2017, that shows that the resident “has high-risk factors for falls and [the resident] will have no fall through admission review and Care Plan. The plan further documents, on September 11, 2017, a seat belt was added for safety and positioning.”
The matrix for providers dated August 2017 reveals that the severely cognitively impaired resident “had a fracture with an injury.” The November 6, 2017 Nurse’s Notes shows that the resident was “observed sliding out of her chair. Some bruising of the arm was noted. An x-ray was ordered, and the daughter notified. The Director of Nursing notified. No fracture was found on the x-ray.”
However, the Nurse’s Notes “had no documentation of whether the seat belt was fastened around [the resident] at the time of the fall. The Nurse’s Notes had no documentation of an incident report or investigation report.”
Observations were made of the resident “sitting in her wheelchair up by the Nurse’s Station with her seat belt fastened around her” on April 17, 2018, and April 18, 2018.” The Administrator stated that “the process is to do an incident report and investigate and that should be in the Nurse’s Notes.” The Administrator said that “he had nothing else to give [the surveyor] regarding [the resident’s] falls.”
A few minutes later, the MDS Coordinator said that “the Care Plans are being updated now, [saying] she is new, and she is trying to get caught up.”
That same morning, the Administrator said that “in the interdisciplinary team meeting, the intervention for [the resident] was to have a seat belt and be closer to the Nurse’s Station.” The investigators reviewed the facility’s policies and procedures titled: Fall Prevention revised on September 3, 2015, that reads in part:
“To provide for resident safety, and to minimize injuries related to falls, decrease falls and still [respect] each resident’s wishes/desires for maximum independence and mobility.”
“All staff must observe residents for safety. Interventions will be implemented for residents. The Unit Nurse will place any new interventions in the CNA Assignment Worksheet.”
In a summary statement of deficiencies dated February 28, 2018, the state investigative team documented that the facility had failed to “provide treatment, turning and repositioning for two of three residents reviewed for pressure ulcers.”
A review of one patient’s MDS (Minimum Data Set) Assessment shows that the resident “was totally dependent on staff for all activities of daily living. The MDS documented [the resident] was at risk of developing pressure ulcers and had unhealed pressure ulcers and ulcer treatments.” The resident also used a “pressure reducing device for a chair, a pressure reducing device for a bed and [participated in a] turning and repositioning program.”
The resident’s Care Plan dated February 19, 2018, shows “reposition per positioning schedule. Offload pressure to any areas of concern per protocol.”
The resident’s Wound Notes dated February 19, 2018, shows two areas “sheer wound sacrum (site one) [measuring] 1.0 cm x 3.0 cm x 0.2 cm, moderate serous exudate, 100% granulation tissue. Sheer wound of the left buttocks (site 2) [measuring] 1.0 cm x 1.0 cm centimeters with moderate serous exudate. Continued calcium alginate, once daily, dry protective dressing.”
The state surveyor conducted continuous 15-minute observation intervals on February 22, 2018, from 12:12 PM through 3:51 PM. During this time, the resident “sat in his wheelchair without the benefit of turning or repositioning or offloading of his sacral/coccyx area.”
At the end of the continuous observation at 3:51 PM, the surveyors noted that CNAs transferred the resident “using a mechanical lift.” Both Certified Nursing Aides removed the resident’s “saturated incontinent briefs.” At that time, the resident “had a dressing on its coccyx without a date,” so there was no way to decipher how long the dressing had been on the wound.
In a summary statement of deficiencies dated February 28, 2018, the state investigative team noted that the nursing home “failed to provide a Registered Nurse (RN) to serve as a Director of Nursing on a full-time basis from February 5, 2018, through February 15, 2018.” This failure “has the potential to affect all sixty-six residents in the facility.”
The Administrator told the surveyors that the previous Director of Nursing “was terminated on February 5, 2018.” The Administrator said that the previous Director of Nursing “was supposed to work [on that day] but she did not show up and did not call [in to say] that she was not coming to work.” The Administrator said that the new Director of Nursing would “start working on February 16, 2018.”
The Administrator stated that “they were actively hiring for a Director of Nursing position, so they should not be written up for not having a Director of Nursing for a few days when the position was not filled.” The Administrator said that “the facility does not have a policy that addresses the Director of Nursing position.”
In a summary statement of deficiencies dated September 21, 2017, a state investigative team noted the nursing home's failure to “follow isolation precautions to prevent the spread of infection.” The deficient practice by the nursing staff involved one of fifteen residents “reviewed for infection.”
A review of the resident’s MDS (Minimum Data Set) Assessment revealed that the resident “requires extensive assistance of one staff or hygiene.” The resident’s Laboratory Report dated September 17, 2017, revealed that the resident had a VRE (vancomycin-resistant enterococci) infection, which is a highly contagious bacterial strain that is resistant to the antibiotic vancomycin.
The resident’s Nurse’s Notes dated September 18, 2017, showed that the resident “began antibiotic therapy related to VRE and [that the resident] was on contact isolation.” The notes also documented that the resident “came back with vancomycin-resistant enterococci and was going on contact isolation.”
Observations were made of a Certified Nursing Assistant (CNA) providing the resident incontinent care on the morning of September 19, 2017. The CNA entered the resident’s “room and did not don a gown or gloves.” The CNA “left the room and came back with [another CNA], and they both entered [the resident’s] room. Neither [CNAs] donned gowns or gloves.” One CNA “left the room, and came back with supplies, but did not don gloves or gown.” The other CNA “was observed shutting the door to begin care, and neither [CNA] had on gowns or gloves.”
The state investigators interviewed the Infection Control Nurse two days later who said, “Yes. I expect the CNA to put on gowns and gloves before entering an isolation room.”
Do you suspect that your loved one suffered harm or injuries while living at Swansea Rehabilitation Health Care? If so, contact the Illinois nursing home abuse and neglect lawyers at Nursing Home Law Center at (800) 926-7565 now. Our network of attorneys fights aggressively on behalf of St. Clair County victims of mistreatment living in long-term facilities including nursing homes in Swansea. Contact us now to schedule a free case review to discuss how to obtain justice and resolve a financial compensation claim.
Let our skilled attorneys file and handle your neglect or abuse compensation claim against all those who caused your loved one harm. Our years of experience ensure a successful resolution. Our lawyers accept all cases involving wrongful death, nursing home neglect, or personal injury through a contingency fee agreement. This arrangement postpones the need to pay for legal services until after we have resolved your case through a negotiated out of court settlement or jury trial award.
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