Fejervary Health Care cited by state
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By Ann McGlynn | Tuesday, September 23, 2008 |
A Davenport nursing home with a history of problems again faces state fines for inadequate resident care, regulators said.
Fejervary Health Care, 800 E. Rusholme St., was fined a total of $7,500 during the state’s most recent visit in July, records from the Iowa Department of Inspections and Appeals show.
The issues involved a resident who was missing for more than three hours before employees realized it, a resident who required additional monitoring because of inappropriate sexual behaviors and a resident who was wheeled in to the cafeteria to wait for breakfast for more than two hours, some of that time in the dark.
A representative from Fejervary could not be reached for comment.
According to the documents:
A resident was known to staff as one who attempted to leave the nursing home. Staff members posted the resident’s picture at the nursing station. An alarm also alerts staff to residents attempting to leave. Between April and June, the resident tried to leave unsuccessfully six times. The resident was successful on the seventh attempt in June.
On that day, staff members went to get the resident for breakfast about 7:30 a.m. and realized the resident was not there. Staff searched the property, and then the area around the nursing home by car. The police were called 45 minutes after the discovery, about
8:15 a.m.
A hospital called at 8:30 a.m. to tell Fejervary the resident was there. A Medic EMS ambulance picked up the resident, in a wheelchair, from a street near Fejervary shortly after 4 a.m. The resident flagged the ambulance down and complained of trouble breathing.
Interviews with staff members afterward indicated alarms went off about the time the resident left the building, then shut off after a few minutes. Two employees were outside. Two others were in rooms getting residents up for the day.
The center’s early morning routine also prompted a fine, for failure to allow the residents a choice about what time to get out of bed in the morning. Night-shift employees were responsible for ensuring residents who required assistance were up and cared for by the end of their shift at 6:30 a.m.
One resident, for example, was pushed in a wheelchair into the dining room at 5:20 a.m. The staff member left the resident there, in the dark for about 10 minutes before the lights were turned on. The resident sat with their head bent forward, chin to chest, with eyes closed, remaining in the wheelchair. Breakfast began at 7:30 a.m.
Interviews with staff members revealed they begin getting residents awake and cared for at 4 a.m. and that “not all residents like it when staff got them up that early.”
Fejervary also was cited for inadequate monitoring of a resident who displayed inappropriate sexual behaviors. The resident inappropriately touched fellow residents of the opposite sex, the state said. The resident then molested his new roommate.
The center ultimately forced the resident to leave the facility.
Fejervary also was cited for a resident who fell from a lift after the sling tore.
The center was fined $3,500 two years ago after a resident left the facility without permission.
In October 2004, Fejervary was named to a list of “special-focus facilities,” or nursing homes that were struggling to be in state compliance.
In July 2004, the center was fined $500 after maggots were found on the foot wound of a diabetic resident while he was undergoing dialysis. It was also fined $350 that summer for failure to prevent a pressure wound and $100 for not having the documentation necessary to prove a criminal background and abuse check had been done on an employee, state records show.
Fejervary was fined $3,000 in May 2003 after a resident left the building. The two alarms that sounded when the resident wandered away were turned off by the nursing home staff, according to state records.
Another Davenport home on the state watch list, Meadow Lawn, closed last year. A Muscatine, Iowa, home, Riverbend Nursing and Rehabilitation, was acquired by new owners.
Ann McGlynn can be contacted at (563) 383-2336 or amcglynn@qctimes.com. Comment on this story at qctimes.com.
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