68 |
BRANDYWINE NURSING & REHABILITATION CENTER |
85004 |
505 GREENBANK ROAD |
WILMINGTON |
DE |
19808 |
2018-04-25 |
610 |
D |
1 |
0 |
81S611 |
> Based on interviews, review of facility policy and procedure, and review of employee personnel files, it was determined that the facility failed in response to allegations of abuse, neglect, exploitation, or mistreatment to prevent further potential abuse, neglect, exploitation, or mistreatment while the investigation was in progress. The facility failed to remove four staff (E4 (UM), E7 (AD), E8 (SW#1), and E9 (SW#2)) from working in the facility while an investigation involving R2, regarding an allegation of abuse, was ongoing. Findings include: Cross refer F600, example #1 The facility policy titled, Abuse, Neglect, Mistreatment, Serious Injury, Misappropriation of Property, Injuries of Unknown Origin, last revised 10/14, stated PURPOSE: The purpose of this policy is to assure the protection, safety, and well-being of the facility residents .C. To ensure proper .Protection (of our residents) regarding abuse .REPORTING PR[NAME]EDURE: B. In case of suspected ABUSE, the Unit Manager/Supervisor shall immediately, upon receiving notification of the incident respond in the following manner: 1. Ensure resident's safety .If staff to resident abuse is suspected, staff will immediately be removed from the schedule pending investigation . 3/14/18 5:16 PM - The facility self reported an allegation of abuse for R2 to the State Agency. This incident report stated, Resident attended his/her quarterly care plan meeting and resident stated that he/she felt intimidated and abused by certain staff in the meeting .DON (E2) and Administrator (E1) interviewed the resident who confirmed his/her perception of the meeting as intimidating and that 'he's/she's always wrong.' Staff members identified have been suspended pending the investigation. Review of E4's, E7's, E8's and E9's employee personnel files lacked evidence of any suspensions related to the investigation of R2's 3/14/18 care conference . An interview with E1 (NHA) and E2 (DON) was conducted on 4/25/18 at approximately 2:30 PM. E1 and E2 were questioned regarding the lack of evidence of any suspensions or disciplinary actions for E4, E7, E8 and E9 regarding R2's 3/14/18 care conference. E1 and E2 stated that E6 (ADON) was directed to begin an investigation and the four (4) employees were suspended on 3/14/18 after they became aware of the incident. E1 and E2 stated that the four employees did not work on 3/15/18, but on 3/16/18 they returned to work, excluding E7, who had resigned. They stated that when they asked the other three employees why they were back at work, they replied that they were directed to do so by the Corporate office. The facility failed to follow their policy and procedure for the protection of a resident during an ongoing investigation of an allegation of abuse. Findings were confirmed by E1 and E2 during an exit conference on 4/25/18 at approximately 4:00 PM. |
2020-09-01 |