| 7411 |
PREMIER ESTATES OF CRETE, LLC |
285170 |
830 EAST 1ST STREET |
CRETE |
NE |
68333 |
2015-04-21 |
223 |
K |
1 |
0 |
GGVC11 |
Licensure Reference Number: 175 NAC 12-006.05 (9) Based on record review and interview, the facility failed to provide interventions to protect four residents (Residents 3, 7, 8 and 11) that voiced feelings of fearfulness related to the administrator yelling profanity towards staff in a manner that could be witnessed by all residents. The facility had a census of 59 residents. Findings are: A. Review of a Concern Form dated 3/13/15 filed by Resident 3 revealed the following, To: DON (Director of Nursing) Tonight before supper what (the administrator) did was uncalled for yelling on the walkie (at) all the nurses in a drill sergeant tone telling you to get off your (profanity) should've at least closed the door to your office You need to call corporate and ask for a different boss because (administrator) is very unprofessional because of cussing and yelling .(the administrator) does not treat you guys right and needs to go. Further review of the same Concern Form revealed, describe the Action that has been taken: 3/16/15 faxed/scanned to (Human Resources) and 3/19/15 Ombudsman here. Interview with Resident 3 on 4/7/15 at 9:38 AM revealed a few staff were always grouchy towards residents but that Resident 3 felt it was because of the way the administrator treated them. Resident 3 went on to describe an incident that occurred on March 13th in the afternoon. The administrator came into the facility and noticed call lights were going off and had not been answered. The administrator had an outburst and started yelling and using profanity towards staff. Resident 3 continued to report that several residents overheard this exchange because they were gathered outside of the dining room waiting for the next meal to be served. Resident 3 continued to state that this was not an isolated incident and that Resident 3 had personally heard the administrator yell and use profanity while walking the hallways at the facility. Resident 3 described feeling scared and living in a hostile environment. Resident 3 stated someone from the corporate office did call and interview (Resident 3) about these concerns. Resident 3 stated after the phone call (Resident 3) was afraid of causing problems. Resident 3 further stated that the administrator was scheduled to transport Resident 3 somewhere the following day and that Resident 3 felt nervous to be alone with the administrator. B. Review of a Concern Form dated 3/13/15 filed by Resident 7 revealed, continued verbal assaults against the staff will cause ramifications in the future, such as, lower moral, lowered ability to care for the clients on March 13th, 2015 (the administrator) shouted at one particular (staff) passing meds (medications) to the point of (staff) breaking down and crying .I will likely need to talk to (the administrator's) supervisor because this is one incident that is snowballing and will continue. (The administrator's) iron fisted way of running a nursing home is beyond belief. Further review of the same Concern Form revealed, describe the Action that has been taken: 3/16/15 faxed/scanned to (Human Resources) and 3/19/15 Ombudsman here. Interview with Resident 7 on 4/7/15 at 10:00 AM revealed the administrator dresses down the staff in front of the residents. When asked if the administrator had ever spoken to a resident in that manner, Resident 7 responded, (the administrator) doesn't have to, (the administrator) just makes sure we overhear (the administrator) doing it to the staff. Resident 7 explained that overhearing this makes Resident 7 nervous about what the administrator will do if any of the residents do something wrong at the facility. Resident 7 further explained that the administrator had been overheard yelling at staff on more that one occasion but over time it had gotten worse. Resident 7 recalled an incident that occurred on the 13th of March. Resident 7 stepped into the hallway after hearing the administrator yell at a staff member. Resident 7 then followed the administrator down the hall towards the (administrator's) office. The administrator went into the office and slammed the door. Resident 7 ended the interview by stating I want to get out of here. C. Review of a Concern Form dated 3/20/15 filed by Resident 8 revealed, in my opinion (the administrator) acted unprofessional, rude and demeaning to the aides, the DON and to the residents. (The Administrator) also said what the (profanity) is all these call lights on in (this hallway). Further review of the same Concern Form revealed, describe the Action that has been taken: 3/20/15 fax/scanned to (Director of Customer Service). On 4/7/15 at 9:12 AM, Resident 8 was interviewed to determine if any abuse had ever occurred at the facility. Resident 8 responded, mentally, the administrator had been abusive by the way (the administrator) treated the staff in front of the residents. Resident 8 went on to recall an incident when the administrator was yelling in the hallway and using profanity towards staff members and in general when walking the hallways. Resident 8 heard the administrator use profanity while standing directly outside of Resident 8's room. Resident 8 reported feeling fearful every time the administrator went on another tirade which occurred almost on a daily basis. Resident 8 reported the administrator should not be allowed to talk to staff in that manner in front of the residents at the facility. D. Review of a Resident Council Concern form dated 3/26/15 revealed several residents were inquiring about the administrators behaviors and being allowed to yell like that in the hallways. Resident 11 requested that some one apologize to a family member visiting that overheard the administrator using profanity towards a staff member and was upset. The form also stated, Action Taken: (corporate employee) given a copy. Interview with the State Long-Term Care Ombudsman on 4/7/15 at 8:10 AM revealed a group of resident's had requested to meet to discuss concerns they had regarding the facility administrator. Residents voiced at this meeting that the administrator used vulgar language towards staff and all residents present reported feeling fearful of the administrator. E. Review of a Concern Form dated 3/31/15 filed by Resident 11 revealed, Description of Concern: (The administrator) yelling out loudly at (staff member) Interview with Resident 11 on 4/7/15 at 12:45 PM revealed the administrator had yelled and called staff names in front of a family member that was visiting Resident 11. Resident 11 reported feeling embarrassed and fearful of the administrator. Resident 11 went on to say the most recent episode of the administrator yelling out at staff had just occurred earlier that same day. Resident 11 continued on to say, I am going to move because when (the administrator) is here everyone is uptight and it just feels different when (the administrator) is around. Review of the facility's Abuse and Neglect Prohibition policy revised June 2013 reveals, Verbal abuse is defined as the use of oral, written, or gestured language that willfully includes disparaging and derogatory terms to residents or their families, or within their hearing distance regardless of their age, ability to comprehend, or disability. Interview with the Division Director of Operations on 4/7/15 at 4:45 PM revealed the corporate office was aware of these concerns the resident's had made and had concluded that the staff were the only ones that were being affected. The Division Director of Operations further reported the facility administrator had been suspended while an internal investigation could be conducted. The immediate jeopardy was abated when observation on 4/7/15 at 4:50 PM revealed the facility administrator had left the facility grounds. |
2018-04-01 |