Baldwinville Skilled Nursing and Rehabilitation Center

Baldwinville

MI Elder Abuse Free Legal ConsultationDid someone you love suffer elder abuse or neglect at Baldwinville Skilled Nursing & Rehabilitation Center? Our lawyers can help.

Abuse of the elderly is not acceptable and we fight hard in these types of cases. If you suspect a nursing home or caregiver has caused harm to your loved one in someone elses’ care, contact our law firm today for a free legal consultation.

Talking to us does not obligate you to anything, but we may be able to tell you if you have a claim and the value of your case. If we accept your case, you pay no fee unless we recover for you.

About Baldwinville Skilled Nursing & Rehabilitation Center

Baldwinville Skilled Nursing & Rehabilitation Center is a for profit, 94-bed Medicare/Medicaid certified skilled nursing facility that provides services to the residents of Gardner, Winchendon, Athol, Rindge NH, Fitchburg, Jaffrey NH, New Ipswich NH, Leominster, Lunenburg, Townsend, and the other towns in and surrounding Worcester County, Massachusetts.

Baldwinville Skilled Nursing & Rehabilitation Center
51 Hospital Rd
Baldwinville, MA 01436

Phone: (978) 939-2196
Website: http://www.alliancehhs.org/Skilled-Nursing-Rehab-Baldwinville

CMS Star Quality Rating

BaldwinvilleThe Centers for Medicare and Medicaid (CMS) rates all nursing homes that accept medicare or medicaid benefits. CMS created a 5 Star Quality Rating System—1 star is the lowest rating and 5 stars is the highest—that look at three areas.

As of July 2018, Baldwinville Skilled Nursing & Rehabilitation Center in Massachusetts received a rating of 2 out of 5 stars.

Performance Area Rating
Overall Rating 2 out of 5 (Below Average)
State Health Inspections 1 out of 5 (Much Below Average)
Staffing 3 out of 5 (Average)
Quality Measures 5 out of 5 (Much Above Average)

Fines Against Baldwinville Skilled Nursing & Rehabilitation Center

The Federal Government fined Baldwinville Skilled Nursing & Rehabilitation Center $11,148 on 09/10/2015 for health and safety violations.

Fines and Penalties

Our Nursing Home Accident Lawyers inspected government records and discovered Baldwinville Skilled Nursing & Rehabilitation Center committed the following offenses:

Failed to provide and implement an infection prevention and control program.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and interview, the facility failed to provide adequate infection control practices related to keeping the Foley catheter bag off the floor at all times for 1 resident (#82), in a total sample of 20 residents. Findings

Findings include:

Resident #82 was admitted to the facility in 1/2018, with [DIAGNOSES REDACTED]. Review of the admission Minimum Data Set assessment, with an Assessment Reference Date of 1/12/18, indicated a Brief Interview for Mental Status score of 5 out of 15 (indicated severe cognitive loss). The resident required assist with bathing, dressing, hygiene, transfers and utilized an indwelling catheter.

Review of the 1/2018 and 2/2018 Physician’s Monthly Orders included the following orders: Foley catheter #16 French with a 30 milliliter balloon. Observation, on 1/31/18 11:30 A.M., found Resident #82 sitting in a wheelchair in his/her bedroom. The Foley catheter bag was not inside a cover bag. The catheter bag was hooked on the metal frame under the wheelchair seat and was lying directly on the floor. Observation, on 02/01/18 at 10:22 AM, 11:36 A.M. and 1:40 P.M., found Resident #82 sitting in a wheelchair in his/her bedroom. The Foley catheter bag was not inside a cover bag. The catheter bag was hooked on the metal frame under the wheelchair seat and was lying directly on the floor.

During an interview, on 2/1/18 at 1:42 P.M., the Surveyor told Unit Manager (UM #2) that the Foley catheter bag was observed numerous times lying on the bedroom floor under the wheelchair. UM #2 said, thank-you for telling me. Resident #82’s spouse overheard the conversation, and he/she said that the catheter bag had been like that since admission.

Failed to hire only people with no legal history of abusing, neglecting or mistreating residents; or report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, policy review and staff interview, the facility failed to ensure injuries of unknown origin were thoroughly investigated, as required, for 1 resident (#10) out of a total sample of 18 residents.

Findings include:

Resident #10, with a [DIAGNOSES REDACTED]. Review of the quarterly Minimum Data Set (MDS) Assessment of 2/5/16 indicated the resident exhibited cognitive impairment; required extensive assistance for transfers, dressing and personal hygiene, and was non-ambulatory. Review of the skin breakdown care plan of 2/10/16 indicated weekly skin checks would be conducted by the nursing staff. Review of the Progress Note of 2/22/16 indicated a CNA (Certified Nursing Assistant) noted a fresh bruise on the resident’s left abdomen/flank area measuring 4 centimeters (cm.) by 3.5 cm Further documentation indicated that the origin of the bruise was unknown. Review of the Weekly Body Check sheet of 2/24/26 inaccurately indicated that no areas of bruising were found and indicated that the resident’s skin integrity was maintained. Review of the quarterly MDS assessments of 5/6/16 and 8/5/16 remained essentially unchanged from the previous assessment.

Review of the facility’s current Abuse Prohibition Policy indicated that injuries of unknown origin including bruises require the completion of an incident report, supervisory follow-up and a comprehensive internal investigation (including obtaining staff statements). During an interview with the Director of Nurse’s (DON) on 11/9/16 at 8:20 A.M., the DON said that she was unaware of the color of the resident’s bruise and that she had no evidence of staff statements being secured, per facility policy. The DON said the facility had no evidence that a thorough investigation had been conducted, per facility policy, to determine the cause of the resident’s bruise of unknown origin. The facility failed to complete a thorough written investigation to determine the cause of the resident’s bruise.

Failed to make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Based on the environmental tour completed with the Director of Maintenance and the Maintenance Assistant, the facility failed to provide a safe environment for residents, staff, and the public, regarding the Hazardous Waste not secured behind a locked door.

Findings include:

On 11/14/16 at 10:30 A.M., the surveyor completed the environmental tour with the Director of Maintenance (DOM) and the Maintenance Assistant. The surveyor asked the DOM where the sharps containers and Hazardous waste were stored when removed from the two units in the facility. The Maintenance Assistant indicated it was his job to remove the Hazardous Waste from the facility and directed the surveyor to a garage outside the back of the building with the garage door open. As the surveyor walked into the garage, to the right side was an open cardboard box, with a red Hazard bag folded over the sides of the box, which contained 3 full sharp containers. The surveyor asked both the DOM and the Maintenance Assistant if the garage door was always kept open and unlocked. The DOM said that it was open and unlocked when either the DOM or the Maintenance Assistant was working at the facility, whether or not they were present in the garage. The DOM said he was unaware the Hazardous Waste had to be kept under lock and key.

During interview with the Administrator on 11/14/16 at 4:00 P.M., she said that the Hazardous waste should be stored behind a locked door at all times.

Failed to keep accurate, complete and organized clinical records on each resident that meet professional standards.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interviews, the facility failed to ensure the resident’s clinical record was complete and accurately documented, for 2 residents (# 1 and #12), out of a total sample of 18 residents.

Findings include:

1. For Resident #12, the facility failed to accurately document on the Treatment Administration Record (TAR) of 11/2016, that the resident had a Suprapubic Catheter, #24 French Foley, with a 15 milliliter (ml) balloon, as of 11/2/16. Resident #12 was admitted to the facility in 9/2015 with [DIAGNOSES REDACTED]. Review of a Nursing note dated 10/31/16 indicated that the Resident was scheduled for a procedure at the Hospital for the insertion of a Suprapubic Catheter on 11/2/16 with pre-operative instructions. The next Nursing note entry indicated that the Resident returned to the facility on [DATE] at 5:15 P.M. via ambulance. The [MEDICATION NAME] site was covered, scant drainage, and the urine was yellow/clear. Review of the TAR of November 3 through November 10, 2016 indicated, Foley to continuous drainage, 20 French (FR) 10 ml balloon 7:00 A.M. – 3:00 P.M. shift, and it was initialed by nursing staff on each day; however, this was the previous order for the urethral Foley catheter. During interview with the Director of Nursing on 11/10/16 at 4:00 P.M., she said the orders should have been changed and she would look into it. On 11/14/16 at 10:30 A.M., the Assistant Director of Nursing handed the surveyor some paperwork and left the conference room. The surveyor reviewed the paperwork which were order changes for Resident #12. On 1/11/16 the TAR was updated to indicate that Resident #12 had a Suprapubic catheter #24 French with a 15 ml balloon to continuous drainage, to discontinue all urethral Foley Catheter orders, to Irrigate the Suprapubic catheter with 30 ml of normal saline as needed for leakage or occlusion, and to check catheter secure every shift. During interview with the Director of Nursing on 11/14/16 at 3:00 P.M., she said that the orders should have been changed on the TAR when the Resident returned to the facility with the Suprapubic catheter.

2. For Resident #1, the facility failed to identify the correct Advanced Directives regarding the Massachusetts Medical Orders for Life-Sustaining Treatment (MOLST), on the Face Sheet in the Clinical Record, and in the Plan of Care for Advanced Directives. Resident #1 was admitted to the facility in 10/2012 with [DIAGNOSES REDACTED]. Review of the clinical record indicated that a family member was the Resident’s Health Care Proxy (7/21/16), the Health Care Proxy was invoked, and the Resident had a MOLST form dated 7/21/16 signed by the Health Care Proxy and the Nurse Practitioner.

The MOLST form indicated the following: Do Not Resuscitate (DNR), Do not Intubate and Ventilate (DNI), Do not use Non-invasive Ventilation, No [MEDICAL TREATMENT], No artificial nutrition, Use artificial hydration. On 11/7/16 at 1:30 P.M., review of Resident #1’s Face Sheet (under the section indicating Advanced Directives) indicated, There are no Advanced Directives selected for this resident.

Review of the current care plan, originally dated 7/29/15, for Advanced Directives indicated, Use artificial hydration and nutrition. During interview with the Director of Nursing on 11/14/16 at 4:00 P.M., she said that the care plan was incorrect and should have said no artificial nutrition.

Baldwinville Skilled Nursing & Rehabilitation Center, Nursing Home Neglect and Elder Abuse Lawyers

If someone you love has suffered neglect or elder abuse by a senior caregiver, nursing home, or other care facility, our lawyers may be able to help. Regardless of whether or not criminal charges are filed against an alleged abuser, you may still be able to pursue compensation in a civil claim. Compensation in elder abuse cases may be awarded if someone in the care of another suffers harm due to intentional or negligent actions (including failure to take action).

Abuse of the elderly is not acceptable and we fight hard in these types of cases. If you suspect a nursing home or caregiver has caused harm to your loved one in someone elses’ care, contact our law firm today for a free legal consultation. Talking to us does not obligate you to anything, but we may be able to tell you if you have a claim and the value of your case. If we accept your case, you pay no fee unless we recover for you.

Oftentimes, victims of abuse either cannot or will not speak up for themselves out of fear. If you notice any warning signs or symptoms of neglect of abuse an an elderly person, it is important you contact an elder abuse lawyer immediately. Not only are there statute of limitations on filing a claim, but the sooner we start helping you, the easier it will be to collect evidence and talk to any witnesses before important details are lost, hidden, or forgotten.

Boston Personal Injury Lawyers for Elder Abuse Cases

We offer a free, no-obligation legal consultation to help you understand your rights and the value of your case. Our personal injury law firm takes cases involving elder abuse and neglect. We offer legal service to clients in Massachusetts, Rhode Island and New Hampshire.


Sources:

Medicare Nursing Home Profiles and Reports – Baldwinville Skilled Nursing & Rehabilitation Center

Inspection Report for Baldwinville Skilled Nursing & Rehabilitation Center– 02/06/2018

Inspection Report for Baldwinville Skilled Nursing & Rehabilitation Center– 11/14/2016

Page Last Updated: June 5, 2018