Dighton Care and Rehabilitation

Dighton Care and Rehabilitation

MI Elder Abuse Free Legal ConsultationDid someone you love suffer elder abuse or neglect at Dighton Care and Rehabilitation? 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 Dighton Care and Rehabilitation

Dighton Care and Rehabilitation is a for profit, 30-bed Medicare/Medicaid certified skilled nursing facility that provides services to the residents of Rehoboth, Taunton, Somerset,  Swansea, Raynham, Norton, Attleboro, Seekonk, Fall River, and the other towns in and surrounding Bristol County, Massachusetts.

Dighton Care and Rehabilitation
907 Center St,
North Dighton, MA 02764

Phone: (508) 669-6741

CMS Star Quality Rating

Dighton Care and RehabilitationThe 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 2018, Dighton Care and Rehabilitation in Dighton , Massachusetts received a rating of 5 out of 5 stars.

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

Fines Against Dighton Care and Rehabilitation

The Federal Government has not fined Dighton Care and Rehabilitation in the last 3 years.

Fines and Penalties

Our Nursing Home Accident Lawyers inspected government records and discovered Dighton Care and Rehabilitation committed the following offenses:

Failed to develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property.

Based on review of facility abuse policy, employee files and staff interview, the facility failed to follow their policy and complete a Nurse Aide Registry check for 2 of 4 employees, prior to employment.

Findings include:

Review of the facility Abuse Prevention Policy on 10/11/17 indicated that all potential employees are screened for history of abuse, neglect and mistreatment during the hiring process. Part of the screening included inquires into the State Nurse Aide Registry and results of the screening would be recorded.

Four Employee files were reviewed with the following results: Employee A was hired on 6/27/17 with a Nurse Aide check on 7/3/17. There was a delay in obtaining the registry check by 6 days. Employee B was hired on 9/12/17 and there was no documented evidence that a Nurse Aide Registry check was completed.

Interview with the Director of Nurses on 10/11/17 at 1:30 P.M. said that he was not aware that there was a late request for a CNA Registry check for Employee A, and for Employee B he used the on line system to check the nurse aid registry check, however no results were generated. He was not aware that he had to use the telephone system to request a nurse aide registry check for Employee B.

Failed to provide housekeeping and maintenance services.

Based on observation, staff interview and review of the facility maintenance log, the facility failed to provide effective maintenance services in the main kitchen.

Findings include:

During the initial kitchen tour on 10/10/17 at 9:00 A.M. the Surveyor observed several areas that were in disrepair.

1. The cook’s cabinets were observed to be badly scratched, worn and gouged. The shelves, on the interior of the cabinets, were made of wood and where difficult to clean.

2. The spray nozzle on the cook’s sink was noted to be leaking and had limited water pressure.

3. There was a panel of wood on the wall, to the left of the cook’s sink, that was made from a porous material and was difficult to clean. The Food Service Supervisor said that panel absorbed water if they tried to wipe it down and was not the appropriate surface for a kitchen.

4. A small storage area, approximately 3 feet by 2 feet, was observed to have a large piece of paneling missing on the back wall, exposing the studs. On the lower left hand side, on the same wall, there was a metal pipe coming out of the wall, with wires exiting the pipe. The wall on the left side of the storage area had a piece of metal mesh over a hole approximately 2 feet by 2 feet, exposing a large waste pipe. The Food Service Supervisor said that these holes have been there for 4 years.

5. To the right of the storage area were 6 horizontal wooden shelves that were painted, however raw wood was exposed through the paint.

6. In the Diet aide section of the kitchen there was a two unit sink. The spray nozzle was leaking when the Surveyor attempted to use it.

7. In the lower cabinet, to the left of the sink, where 3 wooden draws. All 3 draws were split horizontally and the face of the draws were separating from the draw.

8. A wooden panel, located below the dish machine, was badly stained and rotted by the water from the dish machine. The Food Service Supervise said that when the wooden panel gets wet it caused the dish machine to tilt to the left side. The Food Service Supervisor said when this happens the dish machine company needs to come in and level the machine in order for the machine to work properly.

9. The interior of the lower base cabinets, located to the left of the dish machine, was badly rotted. The base was particle board and was breaking down.

10. The main kitchen and pantry ceiling were in need of paint. Both ceilings had food and grease splatters.

11. Behind the two door refrigerator unit there was a large hole in the wall approximately 2 feet by 4 feet. There was a piece of board covering approximately 2 feet by 3 feet but there was still an opening on the bottom and top of the board. The Surveyor asked were does the hole go to and she took the Surveyor around the corner to a closet and the FSS and the Surveyor could look through the closet into the kitchen. The FSS said that she put the board up herself because staff several years ago would enter the kitchen thru the closet when the kitchen was closed.

The FSS was interviewed during the tour on 10/10/17 at 9:00 A.M. and 10/11/17 at 9:00 A.M. The Surveyor asked if there was a system in place to identify maintenance issue to the Maintenance Director for any repair needs and she said no. She said that she speaks directly with the Maintenance Director, but did not have a system to document or tracking when the requests were made or repairs completed.

The Administrator was interviewed on 10/11/17 at 1:00 P.M. and said that there was a Maintenance log/book, located by the nurses’ stations, that should be used by all departments. Review of the maintenance log indicated that there were no entries from staff identifying maintenance issues for the kitchen.

Failed to keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medication pass observation, staff interview and record review, the facility failed to ensure that the medication error rate was 5% or lower. On 10/10/17 & 10/11/17, a medication pass observation was conducted on the unit (facility has one unit) with 2 licensed staff on two shifts (7-3 and 3-11) with 2 errors out of 27 opportunities resulting in a 7.4% error rate.

Findings include:

On 10/11/2017, at 7:35 A.M., the medication pass observation was conducted with Nurse #1. Nurse #1 prepared medications for Non-Sampled Resident A which included: *[MEDICATION NAME] ([MEDICATION NAME]-XL) ER (extended release), (an antihypertensive) 100 milligrams (mg) 1 tablet by mouth daily.

*Potassium Chloride ER 20 MEQ (milliequivalence), a Potassium supplement, 1 tablet by mouth twice daily. Nurse #1 crushed all medications including [MEDICATION NAME] ER and Potassium Chloride ER and administered them in applesauce to Non-Sampled Resident A at 7:40 A.M. Nurse #1 explained to the Surveyor that all the medications administered to this Resident could be crushed.

On 10/11/17 at 8:00 A.M., following the medication pass observation, the Surveyor reviewed the above medications in the Nursing 2017 Drug Handbook. Both the [MEDICATION NAME] ER and Potassium Chloride ER were listed as medications that cannot be crushed.

On 10/11/17 at 8:30 A.M., the facility Director Of Nurses was informed by the Surveyor on the above errors involving extended release medications that were crushed and administered to Non-Sampled Resident A.

Failed to have a program that investigates, controls and keeps infection from spreading.

Based on observation, staff interview and facility policy review, the facility failed to ensure that glucometers were properly disinfected between use on 2 Residents (#3 and #8) of 10 sampled Residents.

Findings include:

The Evercare Glucometer facility policy states: The meter should be disinfected between use on multiple Residents. Wipe the surface of the meter, front and back with DISPATCH cleansing towel until completely wet. Let stand for 5 minutes. Allow to air dry. The Dispatch cleanser towels contain 1:10 dilution of bleach and detergent for disinfection. On 10/10/17 at 4:20 P.M., a medication pass observation was conducted with Nurse #2. There were 2 Residents (#3 and #8) who were having capillary blood glucose (CBG) levels obtained to determine if sliding scale insulin was to be administered based on parameters set by the physician.

Nurse #2 gathered the glucometer case, which contained the glucometer, lancets, alcohol wipes and test strips and proceeded to Resident #3. After entering the room, Nurse #2 performed hand hygiene, applied nonsterile gloves and performed the CBG test on the Resident. After completing the test, Nurse #2 removed her gloves and performed hand hygiene. Nurse #2 then entered the room of Resident #8 with the same glucometer case. Nurse #2 then used an alcohol wipe to cleanse the glucometer prior to performing the CBG on Resident #8. After performing hand hygiene and applying nonsterile gloves, Nurse #2 performed the CBG on Resident #8.

On 10/10/17 at 4:25 P.M., the Surveyor asked Nurse #2 what she used to clean the glucometer between Residents. Nurse #2 explained that she used an alcohol wipe. On 10/10/17 at 4:30 P.M., the Director of Nurses was asked if alcohol wipes were the facility practice for glucometer disinfection between Residents. The DON said that the facility policy was to use the DISPATCH towels for disinfecting the glucometer between use for multiple Residents.

Dighton Care and Rehabilitation, 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 – Dighton Care and Rehabilitation

Inspection Report for Dighton Care and Rehabilitation – 10/11/2017

Page Last Updated: June 5, 2018

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