He bit off part of his tongue: Elder Justice “No Harm” Newsletter (Volume 3 Issue 9)
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine or penalty to the nursing home.
This newsletter focuses on the following “no harm” violations:
Fire prevention: Facility fails to develop a person-centered care plan for a resident with a known smoking history.
Bit off part of his tongue: Facility fails to keep resident safe after significant medication errors.
Neglected wounds: Facility fails to keep five residents free from pressure ulcers.
Smeared feces: Facility fails to provide a safe, clean, comfortable, homelike environment.
Confined alone in the shower: Facility uses involuntary seclusion on resident.
Failure to report: Facility fails to prevent and promptly report resident-to-resident abuse.