Blueberry Hill Rehabilitation and Healthcare Center

Blueberry Hill Rehabilitation Healthcare Center

MI Elder Abuse Free Legal ConsultationDid someone you love suffer elder abuse or neglect at Blueberry Hill Rehabilitation and Healthcare 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 Blueberry Hill Rehabilitation and Healthcare Center

Blueberry Hill Rehabilitation and Healthcare Center is a for profit, 132-bed Medicare/Medicaid certified skilled nursing facility that provides services to the residents of Beverly, Danvers, Salem, Peabody, Marblehead, Swampscott, Middleton, Ipswich, Lynn, Lynnfield, Saugus, North Reading, Gloucester, Wakefield, Reading, and the other towns in and surrounding Essex County, Massachusetts.

Blueberry Hill Rehabilitation and Healthcare Center
75 Brimbal Ave,
Beverly, MA 01915

Phone: (978) 927-2020
Website: http://blueberryhillrehab.com/

CMS Star Quality Rating

Blueberry Hill Rehabilitation Healthcare CenterThe 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, Blueberry Hill Rehabilitation & Healthcare Center in Beverly, Massachusetts received a rating of 3 out of 5 stars.

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

Fines Against Blueberry Hill Rehabilitation and Healthcare Center

The Federal Government has not fined Blueberry Hill Rehabilitation & Healthcare Center in the last 3 years.

Fines and Penalties

Our Nursing Home Accident Lawyers inspected government records and discovered Blueberry Hill Rehabilitation and Healthcare Center committed the following offenses:

Failed to honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and interview, the Facility failed to ensure residents were provided services to maintain dignity and quality of life for 2 Residents #60 and 95 from a sample of 32 Residents.

Findings include:

Review of the Facility policy titled Quality of Life-Dignity, dated 8/2016, indicated staff would promote, maintain, and protect resident privacy during assistance with personal care and during treatment procedures, and staff would help residents keep urinary bags covered.

1. The Surveyor observed, at 10:35 A.M, on 12/20/17, Nurse #1 and another staff member attempted to bring Resident #60 into the bathroom located in the Balch dining room while he/she was seated in a large reclining wheelchair. The wheelchair did not fit through the door of the bathroom, so the door was left open. Nurse #1 was observed, checking Resident #60’s capillary blood sugar, then administering an injection to Resident #60 while other residents seated in the dining room watched through the open door of the bathroom.

2. Resident #95 was admitted to the facility in 11/2015 with [DIAGNOSES REDACTED]. Review of the resident’s most recent (NAME)ual MDS dated [DATE] indicated the resident was cognitively intact and required assistance with transfers, dressing, toileting and personal hygiene.

During interview 12/20/17 at 8:49 A.M., the surveyor observed a urine drainage bag on the floor beside the resident’s bed. The resident has a [MEDICATION NAME] stoma exiting his/her left abdomen that drains urine into a drainage bag. The policy titled Urinary Catheter Care dated April 2016 to prevent urinary tract infections:

1. Use standard precautions when handling or manipulating the drainage system.

2. Maintain clean technique when handling or manipulating the catheter, tubing or drainage bag.

3. Be sure the catheter tubing and drainage bag are kept off the floor.

Failed to develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation and staff interview, the facility failed to follow their Call Light policy and failed to follow the plan of care for call light accessibility for 2 residents (#51 and #222) from a sample of 32 residents.

Findings include:

Review of the Facility procedure titled, Answering the Call Light and dated 4/2016, indicated that when the resident is in bed or confined to a chair, be sure the call light is within easy reach of the resident.

1. Resident #51 was admitted to the facility in 8/16 with [DIAGNOSES REDACTED]. The most recent quarterly MDS dated [DATE] indicated the resident required supervision for most activities of daily living.

The surveyor observed Resident #51 sitting in a chair beside his/her bed 12/18/17 at 12:14 P.M. The resident’s call light cord was clipped onto the bedsheet at the head of the bed.

The call light was curled on the floor and not within easy reach of the resident. The surveyor observed Resident #51 sitting in a chair beside his/her bed 12/19/17 at 9:24 A.M., 12/20/17 at 9:25 A.M. and 1:20 P.M. with his/her call light clipped onto the bedsheet at the head of the bed. The call light was curled on the floor and not within easy reach of the resident.

The surveyor observed Resident #51 in bed 12/21/17 at 7:48 A.M. and 12/22/17 at 7:25 A.M. with the call light remaining on the floor and not within easy reach of the resident. The surveyor observed Resident #51 sitting in a chair beside the bed 12/22/17 at 9:00 A.M. with the call light on the floor out of reach of the resident. During interview 12/22/17 at 11:10 A.M. with Unit Manager #1 observing the resident’s call light on the floor, she said the call light should not be on the floor and should be within reach at all times to the resident.

2. Resident #222 was admitted to the Facility 7/2017, [DIAGNOSES REDACTED]. The Care Plan, dated 7/27/17, indicated Resident #222 required assistance to transfer and toileting, and for staff to encourage use of the call bell for assistance. The Minimum Data Set (MDS) evaluation, dated 10/6/17, indicated Resident #222 required extensive assistance for bed mobility, transfers, and toileting.

The Surveyor observed, at 9:18 A.M., on 12/20/17, Resident #222 was heard yelling from his/her room. Resident #222 was in his/her bed. The Surveyor interviewed Resident #222 at 9:20 A.M., on 12/20/17. Resident #222 said he/she would rather use the call bell to get staff assistance, however he/she did not know where his/her call bell was located. It was observed, the call bell was clipped to the wall, out of reach of Resident #222.

Failed to provide appropriate pressure ulcer care and prevent new ulcers from developing.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, record review and staff interview the facility failed to promote healing and prevent worsening of a deep tissue injury for 6 days for 1 Resident (#6) from 32 sampled residents.

Findings include:

Resident #6 was admitted to the facility in 11/2012 with [DIAGNOSES REDACTED]. Review of the most recent Quarterly MDS dated [DATE] indicated the resident’s cognition was severely impaired and he/she required an extensive assist of two persons for bed mobility, transfer, dressing and toileting.

Resident #6 was observed lying supine in bed on 12/18/17 at 8:15 A.M. A specialty mattress was in place and foam boots were on both lower extremities. He/she was sleeping. Record review indicated that a skin observation was recorded 8/24/17 at 12:45 A.M. by Nurse #2 and indicates that the right heel is dark, nonblanchable and measured 4 centimeters (cm) by 5 centimeters. There was no corresponding nursing progress note regarding the observation, no treatment for [REDACTED]. On 8/30/17 at 10:23 A.M., a skin observation of dark blisters noted to both heels, was recorded (6 days after the initial observation of a deep tissue injury).

During interview with Consultant Nurse #1 she said interventions should have occurred immediately upon identifying a change in skin integrity to the resident’s right heel. Currently Resident #6 has had a Stage IV pressure wound of the left heel for a duration of more than 104 days, requiring daily dressing changes. He/she is medicated for pain three times daily.

Failed to ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Based on observation and interview the Facility failed to ensure expired medications were not available for administration in 1 of 3 medication rooms, and in 2 of 3 medication carts sampled.

Findings include:

1. During an inspection of the Cabot unit medication room on 12/21/17, at 11:01 A.M., the Surveyor observed the following:

-2 packages of Sinus Rinse with an expiration date of 11/2016.

-1(NAME)needle set with an expiration date of 11/2016

-1 central line kit with an expiration date of 10/31/17 During an interview with Nurse #4 on 12/21/17, at 11:07 A.M., she said that they should not be in there and she would just destroy them.

2. During an inspection of the Balch unit medication cart on 12/21/17, at 11:12 A.M., the Surveyor observed the following:

-1 vial of Humalog insulin open and without a date. 3. During inspection of the(NAME)unit medication cart on 12/21/17, at 11:41 A.M. the Surveyor observed the following:

-1 open bottle of Olopatadine eye drops open and without a date.

Review of manufacturers instructions indicated that the eye drops are to be discarded 28 days after opening.

During an interview with Nurse #3 on 12/21/17, at 11:45 A.M., she said she did not know that it expired after 28 days of opening the bottle.

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

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews, and records reviewed, the Facility failed to maintain an infection control program designed to prevent the development and transmission of infection for 3 of 32 sampled residents (#60, #109 and #95).

Findings include:

Review of the facility Policy titled Infection Control Guidelines for All Nursing Procedures, dated 4/2016, indicated the following: * Staff would wash their hands for ten to fifteen seconds using soap and water before and after direct contact with residents. * Resident -Care Equipment- When possible, dedicate the use of a non-critical resident-care equipment items such as a stethoscope to a single resident (or cohort of residents) to avoid sharing between residents.

1. Resident #60 was admitted to the Facility 6/2006, [DIAGNOSES REDACTED]. The Surveyor observed, at 10:35 A.M., on 12/20/17, Nurse #1 and another staff member tried to bring Resident #60 into the bathroom located in the Balch dining room while he/she was seated in a large reclining wheelchair. The wheelchair did not fit through the door of the bathroom, so the door was left open. Nurse #1 was observed, checking Resident #60’s capillary blood sugar, in the community used bathroom. Nurse #1 was then observed reaching into her pocket with her gloved hand, removed a syringe from her pocket, and without performing hand hygiene, administered an injection to Resident #60.

2. Resident #95 was admitted to the facility in 11/2015 with [DIAGNOSES REDACTED]. Review of the resident’s most recent (NAME)ual MDS dated [DATE] indicated the resident was cognitively intact and required assistance with transfers, dressing, toileting and personal hygiene.

During interview 12/20/17 at 8:49 A.M., the surveyor observed a urine drainage bag on the floor beside the resident’s bed. The resident has a [MEDICATION NAME] stoma exiting his/her left abdomen that drains urine into a drainage bag.

The policy titled Urinary Catheter Care dated April 2016 to prevent urinary tract infections:

1. Use standard precautions when handling or manipulating the drainage system.

2. Maintain clean technique when handling or manipulating the catheter, tubing or drainage bag.

3. Be sure the catheter tubing and drainage bag are kept off the floor. Interview with CNA #2 said the drainage bag should not be on the floor. It should be attached to the bedside when in bed.

3. For Resident #109, the facility failed to ensure proper infection control practices were followed while providing care for the resident who was on contact precautions for a [MEDICAL CONDITION] Resistant Staph Aureus(MRSA) infection in his/her sputum. Resident #109 was admitted to the facility in October 2014, with [DIAGNOSES REDACTED]. Review of the resident’s most recent significant change Minimum Data Set assessment (MDS), dated [DATE], indicated that the resident was cognitively intact, dependent on staff for transfer, bathing and eating. The resident was also coded as having a feeding tube.

A. On 12/19/17 at 2:30 P.M., during medication pass observation, Nurse #3 prior to entering the resident’s room donned with full personal protective equipment (PPE) (mask with face shield, gown and gloves). Prior to administering the resident’s medications via his/her gastrostomy tube ([DEVICE]) Nurse #3 took her personal stethescope out from under her PPE gown and placed the stethoscope on the resident’s abdomen to check for proper [DEVICE] placement. Once she administered the resident’s medications, Nurse #3, again using her own stethoscope, placed the stethoscope on the resident’s upper chest in close proximity to the resident’s [MEDICAL CONDITION] and began to assess the resident’s lung sounds. Once Nurse #3 was finished using her stethoscope, without disinfecting the stethoscope, she placed it in her uniform blouse pocket. Nurse #3 disposed of all PPE, performed hand hygiene and left the resident’s room. Nurse #3 went to the Nurses’ Station desk and took the contaminated stethoscope out of her pocket, rested the stethoscope on the desk and then began to disinfect the stethoscope.

During interview, on 12/19/17 at 2:40 P.M, Nurse #3 said that the resident was on precautions because [MEDICAL CONDITION] in his/her sputum. She said that staff had to wear masks, gloves and gowns when working with the resident. She said that she didn’t really think much about using her own stethoscope in the precaution room. She said they don’t have a designated stethoscope in Resident #109’s room and she said she doesn’t know where she would find an extra stethoscope. She said she should not have put the stethoscope in her pocket or on the desk prior to disinfecting it. B. On 12/20/17 at 11:00 A.M., the surveyor observed Certified Nursing Assistant # 1, as she entered Resident #109’s room, without donning any PPE. She began providing assistance to the resident by touching his/her bed sheets and then came to the door with a towel in her hand. The surveyor heard her call out for assistance to another staff member. During interview, on 12/20/17 at 11:10 A.M., CNA # 1 said that she was new to the facility and wasn’t sure what she needed to don before entering the resident’s room. She continued to say that she did not know what precautions the resident was on and she saw that the PPE container (hanging on the resident’s door) didn’t have any precaution gowns so she just went in the room. She said she should have asked someone before heading into the resident’s room.

4. The surveyor was on the Balch Unit 12/21/17 at 9:43 A.M. and observed CNA #3 exit a resident room with gloves on both hands dragging a bag of soiled linens on the floor. The bag was dragged behind the CNA as he/she walked down the hallway to the dirty utility room.

Blueberry Hill Rehabilitation and Healthcare 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 – Blueberry Hill Rehabilitation and Healthcare Center

Inspection Report for Blueberry Hill Rehabilitation and Healthcare Center – 12/22/2017

Page Last Updated: July 14, 2018