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Local care centers cited for violations

Laura Prather

Issue date: 4/26/07 Section: News
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Charisse Pappas, public information coordinator for DHSS, said it is the inspector's job to make sure a nursing home obeys the rules and regulations set forth by the state and federal governments.

"Each resident must receive the necessary care and services to attain or maintain the highest practicable physical, mental and psychosocial well-being," Pappas said in an e-mail. "The facility must promote care for residents in a manner that maintains and enhances each resident's dignity and respect."

According to DHSS, the most common deficiency in Missouri nursing homes in 2007 was a failure of services to residents to meet professional standards. This deficiency refers to errors with medication or not following orders given by a resident's doctor.

Other common violations include inadequate care for residents who need daily living assistance, food sanitation deficiencies and disregard for the residents' dignity.

The majority of violations found at Twin Pines were because of deficiencies in quality of care, according to the report of its last inspection Dec. 29, 2006.

"The facility failed to assess one resident with a Foley catheter and a history of urinary tract infections in a timely manner," according to the inspection report.

In addition to the improper changing of Foley catheter and leg bags for one resident, the facility also failed to update another resident's wheelchair to prevent him or her from falling out of it and injuring himself or herself.

Both violations led to moderate harm and, in the first deficiency, prolonged discomfort.

Preferred Family was the only nursing home to have Class III violations, according to the report of its last inspection Dec. 7, 2006.

One such violation was because of the lack of a written procedure in the case of fire or any type of evacuation. This deficiency correlates with another violation in which a resident was left inside the building during an emergency fire evacuation. The inspection also revealed a failure in the facility to conduct one of 12 mandatory fire drills during 2006.
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