Inadequate Staffing Case Study

The reporting party (RP) stated that 92 year old resident Delora Lovelock DOB: 1/15/24 was residing in the facility from 5/15/2015 to 6/4/2015. Prior to admission the facility was informed that the resident had a broken femur and could not bear weight. The resident required two caregivers to transfer. Initially the facility assessed the resident and accepted her into the facility. Subsequently the resident was not provided the care necessary. The resident was transferred by one caregiver that resulted in the resident's trip to the emergency room where she was diagnosed with contusions to her ribs. The RP stated that prior to admission that the caregivers were trained in transferring resident however the caregiver had no idea how to transfer a resident from bed to

In Summary: On 08/25/2016 at 2000 hours, R/o's were dispatched to St. Anthony Hospital (2875 W 19th St, Chicago, IL 60623) in regards to a battery victim with a broken jaw that was in room number 387. Upon arrival, R/o's spoke with the victim Veraza, Rafael (M/W DOB 04/16/2000), along with his mother and father on scene.

The reporting party (RP) stated on 6/8/16 client Jacqueline Cazarez and her mother (a name not provided) met at the office. The client's mother discussed the reason she no longer wanted her daughter to attend the day program. The mother disclosed that strange things were happening to her daughter. According to the mother, last week the client arrived home with a scrape on her knee. On 6/7/16 the client arrived home with big bruises under her right arm and right leg. The bruises were observed by the RP. The mother is not happy with the treatment her daughter is receiving at the day program. Subsequently the mother is aware that her daughter has behavior issues and agrees that she is not perfect. The mother disclosed that the transportation driver

As I (Ofc.S.Diaz) was walking from store to store I (Ofc.S.Diaz) notice a person on the ground in front of Nando Peri Peri when I approached the person (Ms.Janet last name not given 65yrs old female) she was laying down on her face when she looked up I (Diaz) notice her nose was bleeding severe I ask another pedestrian to call 911 for Ms.Janet as the pedestrian was on the phone with 911 Ofc. P. Diddy and I (Diaz) kept talking to Ms.Janet. Ms.Janet had told us she was walking from carter store when she trip on her own foot and fell she believes it was her own shoes being loose that cause her to fall.Laurel Volunteer Rescue Squad came and took Ms.Janet to laurel hospital..

The reporting party (RP) stated she is the conservator for her nephew Michael McKinnon is not allowed to make or receive phone calls. According to the RP the facility staff members are to assist Michael to make a telephone call to his family every Sunday. The RP stated the facility staff refuse to assist Michael to use the phone. The RP stated the phone is located in the kitchen which is off limits to the residents. The RP stated she received a text from the facility stating that Michael is receiving a 30 day notice. The RP stated the facility is retaliating against Michael due to persistent involvement in his care. According to the RP the facility is doctoring and falsifying Michael's records in an attempt to justify the eviction. The RP stated

The reporting party (RP) stated resident Jennifer Carpenter has extreme mental illness. The RP stated the resident has examined by her physician who stated the resident needs a higher level of care. According to the RP the resident does not bath and her hair is matted to her head. The RP states the resident leaves the facility late at night without notification and is returned by the local police. The RP stated the resident gave her notice to vacate during a manic episode. According to the RP the resident stated she was being poisoned by the facility. When the RP asked the resident about the notice the resident did not remember giving notice. The RP stated the resident was given notice she need to vacate the facility by 8/21/15. The RP stated

During the time of the claimant met with Jessica McClellan and Supervisor Jovany Villanueva, he alleged that the claimant never reported or complained about her alleged injuries that she had in her claim. He states prior to the claimant being called into the office on 2-21-15, he had not seen or heard the claimant complain of being injured at work prior to when being called into the office. The claimant did not attempt to either contact him or anyone else he is aware of that knew of the claimants injuries.

The reporting party (RP) stated his father Norman Wiekamp DOB: 12/3/41 was a resident of the facility. According to the RP the resident became agitated with the lack of care he was received, tossed a pillow at a caregiver on 9/5/16. The facility informed the RP that due to the resident's behavior he required one on one care. The RP was informed the incident was videotaped, however when the RP requested to view the recording he was forbidden. Consequently the resident was issued a 30 day notice on 9/16/16. The facility hired a one on one caregiver effective 9/5/16 through 9/21/16. The RP stated he moved his father to Sunrise Westlake Village on 9/21/16. The RP stated the facility is requesting the resident pay for the caregiver. The RP believes

Randy came in today, 11/6/17 with a spiral fracture to his left leg. The nurse practitioner (Shunnia) and doctors (Dr. Stock, and Dr. Rulewitz) are concerned while how Randy’s leg is broke. Mom (Kendal) said Randy and another sibling was playing there was water on the floor from the icemaker. The family moved into the home last week. The child fell. The incident took place today. Reporter stated the child’s leg look like someone twisted it. It is unknown if someone did twist the child’s leg. Mom thought it was the child’s foot. His fracture is on the front of his tibia from his knee to his ankle. Randy went to another unknown clinic and he was sent to North MS Medical center. He is in pain. Reporter informed mom she would have

The administration is also in charge of maintaining communication between the various units within an organization to ensure that all these separate units work together to provide overall results as a single unit.

The reporting party (RP) arrived at the facility on 6/9/16 at 7:40AM in response to male resident Douglass Gass DOB: 7/3/42 "911" call. The resident had fallen at approximately 11:00PM the night before. Consequently the resident was non-ambulatory and sustained minor injuries. The resident was treated and transported to the VA Hospital in Westwood. The RP disclosed that the resident was the "911" caller who stated he had been on the floor the entire night and no caregiver responded to his aid. During the conclusion of the call a caregiver appeared and was of the ongoing incident. The RP state several concerning conditions were observed. The facility was in violation of several Fire Code items. The resident and his roommate had no operable signal system.

REPORTER: The reporter/ Care Manager (Linda) called with concerns for the victim, Gary. Gary utilizes a wheelchair and he can not walk a long distance; Gary can perform his daily ADL’s. Lisa lives in the household with Gary, and she is his caretaker. The reporter went to visit the home today (03/09/2016) and noticed that the victim was outside in the road sitting in a chair with a shoes or a shirt on. Gary reported that Lisa (medical POA/daughter) put him out of the home. Gary and Lisa got into an argument because Gary accused Lisa of taking his 1600 dollars. Gary reported that Lisa didn’t purchase him any diapers or any other necessities; Lisa didn’t buy him anything. Gary said Lisa got into his face and he pulled her hair. The reporter spoke

Tanglewood’s recruiting methods are different and diverse in each of their regions, and by assessing these methods there are chances of improving and additionally uniting the operations of this company. Some improvements come from creating ztarget demographics, some come from looking into the methods of recruitment, and some come by addressing issues brought forth by those already with the company. By evaluating Tanglewood’s recruiting methods and creating a guide for it to adhere by, this company can develop a recruiting service that matches their unique company culture.

A continuous concern that continues to present itself within the healthcare environment is adequate staffing on nursing units. Most hospital organizations try their very best to accommodate staffing needs, though many units remain understaffed for an unspecified amount of time. Inadequate staffing can negatively affect patient outcomes, lead to nurse burnout, and decrease patient satisfaction scores. Combating this issue will require a great deal of effort, as many geographical face nursing shortages when seeking new graduates and qualified candidates. Employees may begin to feel that they are unable to pursue personal goals within a healthcare organization, due to inability to transfer as a result of staffing shortages. This often results in nursing seeking employment or career advancement outside of the organization or geographical area, which further intensifies ramification associated with inadequate staffing.

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