Wonda Marchbanks Reaction Paper

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

On this date worker interview, Mr. Ronald Darty, son of Ms. Linda Darty for the purpose of conducting a PARN interview. When worker arrived Ms. Darty was in a hospital, bed located in the living room and did not respond to worker. However, worker and Mr. Darty exited the room and the interview was conducted in a bedroom located in the back of the trailer. Mr. Darty stated he is 42 years old 4/29/75 and has lived with his mother for 42 years. He promised her when she got sick he would never put her in a nursing home. However, recently he isn’t able to provide the level of care she requires. Mr. Darty stated she has a bedsore on her back and when he changes her or rotates her, she screams out in pain. Mr. Darty stated he sleeps in the living

CCIB LPA received a call from Theodore and his girlfriend, Linda Lubert. Theodore and Linda were in a skilled nursing (rehab) facility until May 9th, 2015. They were given 24 hours to move and ended up at this facility. When they arrived, they were not appraised, given any care plan or schedule. Both need assistance getting up, dressed and with hygiene, they have to beg for staff to help them. The doors to their rooms are locked at night and they are not allowed out of them. This happens during the day sometimes as well. Since he has arrived he has had to wait five days for assistance with showering, staff say they do not have time or the towels are in the dirty laundry. Both Theodore and Linda have noted that their medications are not being

Apparently, the place was in state that the nurse was not able to sit down in his home. There was all kinds of debris on the floors, counters etc. He had a lot of dirty clothes piled up and it was quite unsanitary. The nurse left very emotional due to the state of his trailer/RV. The good news is that Mr. Adams will continue with the DIP program so we can help him that way. In the meantime though, I wanted to see if you were aware of his situation and if there might be anything additional that we could do to help Mr. Adams?

SC met with Pa, for scheduled RA HV in Pa's home on 03/1/2016. The completed both the LCD and CMI assessment. Pa appeared clean, appropriately dressed in PJ's and sitting on the couch SC in the home. Present in the home were the Pa visiting nurse Scott from Millennium home care. He was on the phone trying to order the Pa medicines. Also Pa’s aide was present from the agency aide. Pa appeared weak and in discomfort. The SC asked Pa if she okay and she reported that she is in a lot of pain. The SC asked if she is taking her medications and she reported that she ran out that’s why the nurse is helping now. The SC asked the Pa how did that happen and she stated that when she saw her PCP in January for her post hospital and rehab discharged he

Service Coordinator (SC), Jennifer Stoker met face to face with provider, Aiesha Crayton and consumer Jonathan at his group home. Jonathan informed SC he has change his mind he don’t want his own apartment. SC asked why he changed his mind. Jonathan noted Aiesha told him that she couldn’t pay a staff member to live in his apartment with him. He noted Aiesha could be his provided but it will not be 24 hour care for him at his apartment. Aiesha noted she also talk with him about the amount of money he would have to pay for the apartment. Aiesha noted the apartment he want was 700 dollars. Jonathan noted he check would cover the rent but he would have money to pay his other bills. Jonathan noted he really was not going to move out. He was

Ms. Drake has been diagnosed with morbid obesity and has difficulty caring for herself. The victim could do more but chooses not to and doesnt suffer from any mental imcapacities. On 10/07/15 the victim was discharged from Winston Medical Center and became angry. Ms. Winston wants to remain admitted to receive care from the hospital but refuses recommendations that have been made for nursing home care. The victim has wheelchair and wheel chair ramp accessibility at her home and her daughter also assists in making sure her basic needs are met. Ms. Drake is non compliant with the care she needs at this time. It is the hospital's professional opinion that the victim does not live alone and chose nursing home placement to help with her ADLs.

Reporting party (RP) states that her mother is a 95 year old resident (identifying information not provided) who has purchased a life-time contract over 15 years ago. The resident is currently residing in the newly added memory unit known as Maggie's Place. RP is the residents POA and stated that for the last year (especially the last 4 months) the facility has ignored her requests to be notified of medical appointments, medical information such as resident's medications and any changes to her health condition. RP often receives calls at odd times informing her of unexplained bruising or falls that occurred days prior with no explanation; she was assured that the nurse would contact her but she is never contacted. Over the past 2 months,

Client Contact: Ms. Steed came into the office to schedule a HV (Home Visit). The writer introduced herself to the client as her new Housing Specialist. The Housing Specialist then asked Ms. Steed when would she like to meet and she said that she would be available on Monday, June 6, 2016 at 9:30am. The client reported that she has just been hired at Barnes Jews Hospital in the housekeeping department. Ms. Steed said that she was very excited to start her new job. She also stated that she was interested in moving into a one or two bedroom apartment due to her sisters moving out of their three bedroom apartment. She expressed that the three bedroom apartment was too expense for just her to maintain. I told her that I would look into her possibly moving into a one or two bedroom apartment. I asked if there were any repair issues in her current apartment she stated that she didn’t have any home repair concerns at this time.

On 3/1/2016 SC met with Pa and completed monitoring home visit at his apt. The Pa home was clean and orderly. All utilities appeared to be in good working order (the Pa was TV was on and the heat came on 3 times during the visit). The focus of the visit was on Pa’s new aide from the agency. The Pa said the agency replaced his previous aide/niece Iyesha with a male aide from the agency and he like him so far. The Pa reported that he like the new aide and that Iyesha was not doing what she was supposed to be doing that’s why she is no longer working for him. The SC observed no changes in her appearance since the last visit. The Pa reported no change in his medical condition or any falls, no hospitalization, ER visits, Surgeries, was reported. The

CCIB received an Emergency Response Referral (0894-5505-1608-6072737) stating her mother Charleen has had several UTI’s due to a visiting nurse is only at the facility one a month to do urine test if necessary. RP went on to say that the facility would always puthe water bottles across the room which Charleen couldn’t get to due to she was bedridden. Also the RP mentioned 9/17/2017 that resident Maria (94) who is somewhat ambulatory was begging for water. RP reported that Charleen’s legs are severely bruised and she keeps getting open cuts on her legs. LPA Abram contacted the RP on 2/28/2018 and she stated that the bruising was explained by the facility that her mom was banging her legs on the bed rails. In addition, the per call stated that

In the case of our 65 year old patient she has been place in a rehabilitation center due to a fall in her home that resulted in her having a hip replacement. The housing representative of the complex inquired whether or not this patient would be returning to her home.

SC received phone call from provider Moravia home health care Sherri Hill RN. Requesting that the SC call the provider to discuss the Pa’s scare plan. SC called the provider and spoke with Sherri Hill. Sherri reported that the Pa call the office on 3/21/2016 and reported that aide/ niece Iysha Gayman did not show up for her evening shift and does not want her to work for him anymore. Sherri reported that she called Iysha to enquire about the why she did not show and informed her that the Pa does not want her to continue to work for him. The Nurse reported that Iysha became upset and used disrespectful language at that time Sherri reportedly end the call with Iysha. According to Sherri a short time after she received another call from Iysha

Ms. Dellamae Taylor (number # 8909436) and (Care # 435023) arrived to the Manor on 7/10/2015 with her children (Female 9), (Male 3), (Male 7) and (Male5). The client was complaining because there no light in the unit, the mattresses are all ripped and her bed's rails are loose. Ms. Dellamae Taylor also stated that her unit was dirty when she arrived to Manor. On 7/14/2015 client came with her Preventive worker to advocate on her behalf, Ms. Yasmin Scott preventive worker asked when the client will receive her new mattresses. Client also stated that she will go back to the path if the manor staff doesn't make the repairs. Client also stated that she would sue another shelter because her apartment is not suitable for her and her children stay

Reporting party (RP) stated that he has been residing at this facility for the past 5 days. RP stated that he fills out a food request form for the next day, but he is not served anything that he has requested. RP stated that he is a diabetic and he is vegetarian. RP stated that he requested a meatless chef salad with eggs and a grilled cheese sandwich for dinner. RP was served lettuce and cantaloupe for dinner. When RP asked the server (unknown, Asian woman) what happened to his meal, the server told him that if he does not like it he can leave. RP stated that this is the answer for all of his complaints. RP stated that other residents enter his room and go through his drawers at night. RP stated that he had some nuts on top of his dresser