Golden Living Center-Wedgemere

Golden Living Center-Wedgemere

MI Elder Abuse Free Legal ConsultationDid someone you love suffer elder abuse or neglect at Golden Living Center-Wedgemere?  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 Golden Living Center-Wedgemere

The Golden Living Center-Wedgemere is a for profit corporation with 94 beds. It is a Medicare/Medicaid certified skilled nursing facility that provides services to the residents of Taunton, Raynham, Middleboro, Berkley, Dighton, Rehobeth and the surrounding towns in Bristol County, Massachusetts. The nursing home offers short-term care and long-term care.  According to Forbes, Golden Living was the 144 Largest Private Company in the United States in 2016. Golden Living has approximately 42,000 employees and generated overall 3.05 Billion in sales in 2015. They currently own and operate 16 Nursing Homes in Massachusetts.

Golden Living Center-Wedgemere
146 Dean Street
Taunton, MA 02780

Phone: (508) 823-0767

CMS Star Quality Rating

The 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 2017, The Golden Living Center-Wedgemere received a rating of 1 out of 5 stars.

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

Fines for Safety Violations

The Federal Government fined Golden Living Taunton $29,673 in 2015 for health and safety violations. The nursing home was also fined $2,275 in 2013 and $7,053 in 2012.

Offenses and Complaints Against Golden Living Taunton (Golden Living Center-Wedgemere)

Government records indicate that the Golden Living Center in Taunton, Massachusetts committed the following offenses:

07/28/2015 Provide necessary care and services to maintain the highest well being of each resident

Based on record review, observation and interview with staff the facility failed to monitor and evaluate non-healing surgical sites and non-pressure related skin wounds for 2 residents with these skin issues. The facility failed to follow their policy for skin integrity by failing to formally review residents’ skin on a weekly basis and failing to implement the skin integrity program as outlined in their policy. As a result, the facility failed to properly address residents’ decline in skin integrity and failed to coordinate actions that would promote healing.

A review of the facility’s policy and procedure titled Skin Integrity Guidelines, approved 4/27/15, indicated the facility was to provide a comprehensive approach for monitoring skin conditions, to decrease pressure and/or wound formation by identifying residents who were at risk, implementing appropriate interventions, and to promote healing of wounds of any etiology.

The Skin Integrity Guidelines indicated the facility would develop a routine schedule to review residents with wounds or at risk on a weekly basis, the Director of Nurses or designee would be responsible to implement and monitor skin integrity program and this was monitored weekly. The interdisciplinary plan of care would address problems, goals and interventions directed toward prevention of pressure ulcers and/or skin integrity concerns identified. The Skin Integrity Guidelines indicated the the licensed nurses would be responsible for performing a weekly skin evaluation/observation using the Weekly Skin Review form. The licensed nurse was to document weekly using the Wound Evaluation Flow Sheet.

During the follow-up re-certification survey from 9/1/15 – 9/3/15, the survey team was informed that the facility had a nurse designated as the wound nurse who provided weekly inspections, measurements, dressing changes and evaluated treatments of the wounds in the facility. This same nurse also functions as the facility’s Minimum Data Set (MDS) assessment coordinator. After a wound observation on 9/2/15, the Director of Nursing was asked for a list of residents with pressure and non pressure areas that the facility reviewed on a weekly basis. The Director of Nurses said 8 residents were reviewed weekly at the risk meeting for skin issues, i.e. 6 residents with pressure areas, 1 resident with a surgical wound and 1 resident with a non pressure area.

During the follow-up survey, a Resident had a non pressure area that was not on the Director’s list for weekly review. Following observation of Resident’s wound, the Director was asked to conduct a skin check on all residents and to provide a comprehensive list of residents in the facility with any wounds based on this skin check.

On 9/3/15 at 9:30 A.M., the Director of Nurses provided a list of 18 residents with non pressure skin integrity issues that had not been reviewed on a weekly basis as outlined in the Skin Integrity Guidelines, not reviewed by the Wound Nurse and not identified on Wound Evaluation Flow Sheets as outlined in the facility’s policy. This list of 18 residents included the 3 sampled residents as follows in the examples below.

For Resident #26, the facility failed to promote healing of a surgical wound which was evaluated by a wound specialist on 9/15/14 that identified wound tunneling and made the recommendation for continued treatment and evaluation. Although documentation by nursing staff consistently and continuously identified drainage from the wound, the facility took no action to evaluate the wound or the effectiveness of the treatment, and failed to consider the possible high risk of infection.

Resident #26 had lived at the facility since 7/2010. Review of the clinical record indicated, at some point in the resident’s medical history, a surgical procedure was performed on the right knee. Review of past medical progress notes revealed a note dated 9/9/14, written by Nurse Practitioner #1, that indicated she evaluated the resident’s right knee wound and found it to be red, swollen with significant purulent drainage but no fever. The note said that the resident had history of similar in the past and then healed, now reoccurring. On exam, Nurse Practitioner #1 described [DIAGNOSES REDACTED] and what appeared to be a depression below the patella, and tenderness of the medial joint. Nurse Practitioner #1 wrote that she was concerned about the depth of the wound and the history of having a right total knee replacement on the same knee. Nurse Practitioner #1 wrote orders for antibiotic treatment, continue dressing changes, check laboratory work, wound clinic consult and CLOSE monitoring as the knee might need orthopedic follow-up. The wound clinic consult was on 9/16/14, and the written report described the wound as 0.6 x 0.5 x 1.5 cm with 3.5 cm deep tunneling at 12 o’clock on the wound. The note indicated the wound was packed at the clinic and recommended to continue daily packing and dressing. The recommendation was to return to the wound clinic in two weeks for evaluation and treatment with the physician. Nurse Practitioner #1 wrote a note on 9/16/14 that the wound clinic recommendations were reviewed, and ordered that staff continue with the wound packing and dressing and follow-up with the wound clinic in 2 weeks. Per review of the resident’s record, there was no documentation located related to further consultation at the wound clinic. Review of the treatment sheets revealed that the treatment order for the knee was changed on 10/20/14 to cleanse the right knee with normal saline followed by a dry protective dressing daily and as needed every evening shift. Per review of the record, this treatment continued unchanged for 9 months through 7/28/15.
Review of the nurse’s notes on 7/7/15 revealed that the nurse did the right knee dressing change and described the area as pinpoint protruding sac of tissue, surrounding skin discolored. The nurse also noted yellow odorless drainage, with no redness or warmth to the site.

Review of the medical practitioners’ progress notes from 4/14/15 through 7/22/15 indicated no reference or documentation of the status of the right knee wound. Review of the nurse’s notes revealed that on 7/28/15, the nurse documented a change in condition for the resident, due to non-productive cough and congestion, and the right knee with increased purulent drainage. The nurse wrote that during the right knee dressing change, the dressing had a large amount of purulent drainage with no odor. The nurse noted that while cleansing the area, the nurse pushed down on the wound and a large purulent pouch came out and a pinpoint area was present with a red center. The nurse wrote that the physician was in the facility at the time and was advised. The physician gave an order to increase the right knee dressing from once daily to twice daily, but did not change the treatment. There was no physician progress notes [REDACTED]. There was no evidence that the physician, any of the medical practitioners, Director of Nurses or Wound Treatment Nurse examined and evaluated the open wound with purulent drainage following the nurses’ observation and change in treatment order. From 7/28/15 through 9/1/15, the status of the right knee wound was documented in the nurses’ notes 11 times. All of these notes describe the knee with varying amounts of drainage, from scant to moderate to large amounts. The most current note on 8/28/15 said that the right knee had a moderate amount of yellow drainage and the wound was red with no odor. There was no documentation the facility followed their policy for the nurse to complete a Weekly Skin Evaluation or Wound Evaluation Flow Sheet, in order to evaluate the progress and healing of the wound.

Review of the medical progress notes from 7/8/15 through 9/1/15 revealed no mention of the status of the right knee. During the orientation tour on 9/1/15 at approximately 8:15 A.M., the Director of Nurses provided no information about Resident #26 that indicated the resident had any wounds or skin issues.

During interview with the facility’s designated wound nurse on 9/2/15 at 9:15 A.M., the Wound Nurse said that she only assessed and observed wounds that were due to pressure. The Wound Nurse said that for pressure wounds she completed weekly assessments and documented a wound summary that included measurements and descriptions of wounds. The Wound Nurse said that these weekly wound assessments were not done for non-pressure related wounds, such as this resident’s open wound, and that the nurses wrote a note as needed after treatments or dressing changes.

Review of the record for Resident #26 revealed no weekly Wound Evaluation Flow Sheets for the right knee wound, as outlined by the facility’s policy. During interview with the Director of Nurses and the Administrator on 9/2/15 at 12:30 P.M., the Director of Nurses said she was unaware the resident had any skin problem on the right knee, and had not seen the resident’s right knee.

Resident #26 was observed on 9/2/15 at 1:30 P.M. for the dressing change of a nonpressure area located just below the right knee area over a surgical scarred area. The surveyor observation was made with the Director of Nurses, the Wound Nurse and the Regional Field Services Clinical Director.

The right knee area was observed larger in size than the left leg with the right knee skin tissue slightly protruding with a depression below the knee cap (patella) over the covered wound dressing. The nurse removed the protective dressing that was saturated with serous drainage. The wound center had a small open protrusion that looked rimmed with surrounding skin that was taut, shiny and had a discoloration on one side of the wound that was darkened with a brownish/ black color. The Director of Nurses asked if the knee area was hurting and the Resident described it as a dull pain. The surveyor asked the Director of Nurses and the Wound Nurse how are the Resident’s pulses to the leg and both checked the right leg and said the Resident had positive popliteal and foot pulses. During interview on 9/2/15 at 2:15 P.M., following the wound observation, the status of the knee wound based on the observation was reviewed with the Director of Nursing and the Wound Treatment Nurse. No additional information was provided during survey.

07/08/2015 nursing facility failed to provide care by qualified persons according to each resident's written plan of care.

Based on record review and interview with staff, the facility failed to provide necessary care and services to maintain adequate bowel function for 2 Residents (#11 and #15) in a total sample of 18 Residents

09/09/2014 The nursing home failed to make sure services provided by the nursing facility meet professional standards of quality.

Based on record review and staff interview, the facility failed to correctly reconcile medications for a new admission resulting in an omission of a medication for over 3 months for a Resident.

09/09/2014 The nursing facility failed to make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so.

Based on record review, observation and staff interview, the facility failed to ensure that residents maintained acceptable parameters of nutritional status based on a comprehensive nutritional assessment and provide adequate interventions and evaluating their effectiveness to prevent further significant weight loss for 1 Resident.

Golden Living Center-Wedgemere Nursing Home Abuse Attorney

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.

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