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Springfield nursing home cited after resident dies
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SPRINGFIELD, Mo. (AP) - A Springfield nursing home was cited after investigators determined employees had not adequately addressed the needs of a patient who later died.
Christian Health Care: Springfield East received the state's most severe noncompliance citation, partially as a result of the resident's death, the Springfield News-Leader reported Saturday. In March, the Missouri Department of Health and Senior Services temporarily revoked the facility's ability to receive Medicaid and Medicare payments for new residents.
However, the sanction has since been lifted and the facility is now in compliance with the law, said William Koebel, program manager in the department's section for long-term care regulation.
Koebel said the citiation followed an investigation into the Feb. 17 death of a resident, who has not been identified.
According to the investigators' report, the resident began vomiting a dark, foul-smelling substance the night of Feb. 16 and continued to be sick throughout the night.
The report said the resident complained of being sick and asked to be transferred from a bed to a wheelchair. According to the report, the patient's requests initially were denied, but an employee finally helped the patient sit up in bed. At that point, the report says, “the resident began to make gurgling sounds as if his/her lungs were filled with fluid.”
The resident died shortly after 7 a.m. Feb. 17.
A doctor at the facility who was not on call the weekend of the death told investigators that the resident might have suffered a hearth attack.
“The physician said he would expect staff to notify him if a resident had dark, foul smelling (vomit),” the report said.
Besides not notifying a doctor, the Department of Health and Senior Services found fault with Christian Health Care for not adequately reporting changes in vital signs and failing “to provide appropriate nursing interventions to address the change in condition” of the resident who died.
The investigation, completed March 5, also found deficiencies in the care of other patients, including giving “inconsistent insulin dosage” to one patient and failing to obtain a urinalysis on a patient who might have been suffering a urinary tract infection.
After the department cited the facility, it had 23 days to fix glaring deficiencies, Koebel said. The 120-bed Christian Health Care facility did this, and sanctions were lifted April 15.
A woman who answered the phone at the care facility on Saturday said the home had no comment.
Christian Health Care: Springfield East received the state's most severe noncompliance citation, partially as a result of the resident's death, the Springfield News-Leader reported Saturday. In March, the Missouri Department of Health and Senior Services temporarily revoked the facility's ability to receive Medicaid and Medicare payments for new residents.
However, the sanction has since been lifted and the facility is now in compliance with the law, said William Koebel, program manager in the department's section for long-term care regulation.
Koebel said the citiation followed an investigation into the Feb. 17 death of a resident, who has not been identified.
According to the investigators' report, the resident began vomiting a dark, foul-smelling substance the night of Feb. 16 and continued to be sick throughout the night.
The report said the resident complained of being sick and asked to be transferred from a bed to a wheelchair. According to the report, the patient's requests initially were denied, but an employee finally helped the patient sit up in bed. At that point, the report says, “the resident began to make gurgling sounds as if his/her lungs were filled with fluid.”
The resident died shortly after 7 a.m. Feb. 17.
A doctor at the facility who was not on call the weekend of the death told investigators that the resident might have suffered a hearth attack.
“The physician said he would expect staff to notify him if a resident had dark, foul smelling (vomit),” the report said.
Besides not notifying a doctor, the Department of Health and Senior Services found fault with Christian Health Care for not adequately reporting changes in vital signs and failing “to provide appropriate nursing interventions to address the change in condition” of the resident who died.
The investigation, completed March 5, also found deficiencies in the care of other patients, including giving “inconsistent insulin dosage” to one patient and failing to obtain a urinalysis on a patient who might have been suffering a urinary tract infection.
After the department cited the facility, it had 23 days to fix glaring deficiencies, Koebel said. The 120-bed Christian Health Care facility did this, and sanctions were lifted April 15.
A woman who answered the phone at the care facility on Saturday said the home had no comment.
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