Harborview Center for Nursing and Rehabilitation

MI Elder Abuse Free Legal ConsultationDid someone you love suffer elder abuse or neglect at Harborview Center for Nursing 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 Harborview Center for Nursing and Rehabilitation

Harborview Center for Nursing and Rehabilitation is a for profit, 80-bed Medicare/Medicaid certified skilled nursing facility that provides services to the residents of Hingham, Norwell, Scituate, Weymouth, Hull, and the other towns in and surrounding Norfolk County, Massachusetts.

Harborview Center for Nursing and Rehabilitation focuses on 24 hour care, respite care, hospice care and rehabilitation services.

Harborview Center for Nursing and Rehabilitation
Address 1 Chief Justice Cushing Hwy,
Cohasset, MA 02025

Phone: (781) 383-9060
Website: https://www.harborviewcare.com/

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, Harborview Center for Nursing and Rehabilitation in Cohasset, Massachusetts 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 3 out of 5 (Average)
Quality Measures 3 out of 5 (Average)

 

Fines and Penalties Against Harborview Center for Nursing and Rehabilitation

Our Nursing Home Injury Lawyers inspected government records and discovered Against Harborview Center for Nursing and Rehabilitation committed the following offenses:

Failed to immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on record review and staff interview, the facility failed to notify the physician of a recommendation of a psychiatric consultant to alter treatment for one Resident (#6) in a total sample of 10 Residents.

Findings include:

For Resident #6, the facility failed to document that the primary care physician was notified of a recommendation to start [MEDICATION NAME] (a dissolvable form of [MEDICATION NAME], an antipsychotic)

Resident #7 was admitted to the facility in 6/2017 with [DIAGNOSES REDACTED]. Clinical record review indicated that the Resident had occasional refusal/non-compliance with taking [MEDICATION NAME] 10 milligrams daily. The Resident was seen by psychiatry on 6/29/17 with the following recommendation:

1. Change [MEDICATION NAME] to [MEDICATION NAME] for easier administration/assist with compliance.

Further clinical record review indicated that the [MEDICATION NAME] had never been implemented, nor had there been any documentation within the clinical record addressing the recommendation by the psychiatric consultant. Also, the physician notes did not indicate knowledge of the recommendation.

On 8/9/17 at 2:30 P.M., the Director of Nursing said that the facility failed to notify the physician of the recommendations of the psychiatric consultant.

Failed to use equal practices about transfer, discharge and providing services for all residents, regardless of payment source.

Based on interviews and observations the facility staff failed to provide equal access to telephone service for one unit with 20 residents out of total census of 38 Residents.

Findings include:

Upon entrance to the Facility, the Director of Nurses said the North Unit was mostly long term care residents and the South unit was predominantly short term residents.

During the Resident group meeting held on 08/09/17 at 11:00 A.M., three Residents from the North Unit said that they did not have phones in their rooms. Resident #9 said the Residents on the South unit had been provided telephones and free phone service. Resident #9 said there was a cordless phone at the nurses station but it was often busy. Resident #4 said the battery on the cordless phone would often not be charged.

A tour of the North Unit was conducted on 08/10/17 at 8:00 A.M. Each room was observed to not have a telephone. A Family member of Non- sampled Resident #1 said the Resident had a phone that the family paid for months ago, but they had disconnected as the Resident was no longer able to use the phone.

An interview with the Administrator was conducted on 08/10/17 at 11:15 A.M. The Administrator said the Facility pays for service and provided telephones to Residents on the South unit. He said the Residents on the North unit would just need to ask for the telephone and the Facility would provide it, but that no Residents had asked since he had been there. The Administrator confirmed that the Residents on the South unit did not have to ask for telephones.

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

Based on record review and interviews the Facility staff failed to screen 2 out of 5 newly hired employees through the nurse aid registry prior to employment in accordance with the facility abuse prevention policy.

Findings include:

Review of the Facility Abuse, mistreatment, neglect, and misappropriation of property Policy indicated all applicants for employment needed to be called in to the nurse aid registry prior to hire. Employee files were requested on 08/10/17 at 8:05 A.M.

1. Review of the employee file for Employee #1 did not include documentation that the nurse aid registry was checked prior to the hire date of 05/08/17.

2. Review of the employee file for Employee #2 did not include documentation that the nurse aid registry was checked prior to the hire date of 05/02/17.

The human resources representative was interviewed on 08/10/17 at 12:00 P.M. He said he was unsure where the mailed verification of nurse aid registry was located for these two employees and that he would have to keep looking.

No further documentation was provided to the surveyor prior to the completion of the survey.

Failed to make sure services provided by the nursing facility meet professional standards of quality.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on record review and staff interview, the facility failed to ensure the nursing staff provided services in accordance with professional standards of quality for 2 Residents (#6 and #8) out of a total sample of 10 Residents.

Findings include:

1. For Resident #6, medications were left at the Residents bedside without an order or an assessment for the medications to be left with the Resident unsupervised. Resident #6 was admitted to the facility in 6/2017 with [DIAGNOSES REDACTED].

On 8/9/17 at approximately 7:53 A.M. Surveyor observation indicated a plastic cup with several medications on the over bed table of the Resident (just finishing breakfast). The Resident began to take the medications out of the cup and self administering the medications.

When medication nurse #1 was questioned about the medications left on the over bed table of the Resident she said that she had just left the medications with the Resident a couple of minutes ago and that she was just in there The following medications were left at the Residents over bed table to self administer:

1. Multivitamin with minerals tablet Give one tab daily at 8:30 A.M.

2. [MEDICATION NAME] (for appetite) 800 milligrams (mg) daily at 8:30 A.M.

3. Senna Laxative tablet 8.6 mg Give one tablet two times a day at 8:30 A.M. and 8:00 P.M.

4. [MEDICATION NAME] (an antipsychotic)10mg Give one tablet daily at 8:30 A.M.

5. Eliquis 5 mg (blood thinner) Give one tablet two times a day at 8:30 A.M. and 8:00 P.M. At approximately 8:00 A.M. on 8/9/17, The Director of Nursing (DON) was made aware of the issue with the medications at the bedside and that the Resident self administered the above medications without nursing supervision or assessment for the medications to be left with the Resident unsupervised

2. For Resident #8 the facility failed to reconcile medications upon return from a medical leave of absence according to policy and professional standards.

Resident #8 had an original admission to the facility in 3/2017 with [DIAGNOSES REDACTED]. Clinical record review indicated the Resident was receiving Vitamin B12 1 milliliter (ml), 1000 micrograms (mcg) IM monthly on the 16th day of the month. The Vitamin B12 was initially ordered on admission in 3/2017. The Resident was sent out on a MLOA (medical leave of absence) in 6/2017 and was readmitted to the facility in 7/2017 post hospitalization .

The policy regarding medication reconciliation is completed any time an individual is admitted to the Skilled Nursing Facility. This includes: New admissions, readmissions from home or hospital, respite stays etc .When a Resident is admitted to the facility the list of all medications ordered upon admission (readmission) should be compared and reconciled with all other medications the individual was taking during the previous admission to the facility.

Documentation from the discharging hospital summary indicated the Resident had been receiving Vitamin B12 1000 mcg tablet, one tablet daily while in the hospital. There was no information on the discharge summary addressing the injectable Vitamin B12. The nurse who readmitted the Resident to the facility failed to obtain a clarification order for the Vitamin B12 from the physician.

There was no documentation within the clinical record indicating a medication reconciliation was completed, and there was no documentation in reference to either restarting the the injectable Vitamin B12 or continuing with the Vitamin B12 tablets. On 8/10/17 at 11:00 A.M., Unit Manager #1 said that the Vitamin B12 was not clarified/addressed on the Resident’s readmission to the facility.

Failed to provide care by qualified persons according to each resident's written plan of care.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on staff interview and record review the facility failed to follow the medical plan of care for 2 Resident (#6 and #8) in a total sample of 10 Residents.

Findings include:

1. For Resident #6 the facility failed to complete weekly skin checks as ordered by the physician.

Resident #6 was admitted to the facility in 6/2017 with [DIAGNOSES REDACTED]. Clinical record review indicated that the Resident had a current physicians order for weekly skin checks to be performed.

Further clinical record review of the Treatment Administration Records (TAR) indicated that the order for the weekly skin checks had not populated to the TAR for 6/2107, 7/2017 and 8/2017 resulting in the weekly skin checks not being performed weekly as ordered by the physician’s orders [REDACTED].>On 8/9/17 the Director of Nursing said that the weekly skin checks had never populated onto the TAR resulting in the weekly skin not being performed as per the physicians order.

2. For Resident #8 the facility failed to administer Vitamin B12 Intramuscularly (IM) as ordered by the physician.

Resident #8 had an original admission to the facility in 3/2017 with [DIAGNOSES REDACTED]. Clinical record review indicated the Resident had a physician’s orders [REDACTED]. The Vitamin B12 was initially ordered on admission 3/6/17.

Further clinical record review of the Medication Administration Record [REDACTED]. On 8/10/17 at 11:00 A.M., Unit Manager said that the Vitamin B12 was not given as per the physician’s orders [REDACTED].>

Failed to provide necessary care and services to maintain the highest well being of each resident

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Based on interview and record review the facility staff failed to provide appropriate care and services related to weekly skin assessments 3 residents (#2, 7 and 8) in a total sample of 10 residents.

Findings include:

Review of the facility’s skin risk assessment policy (revised date of 2/2014) indicates a skin assessment is to be performed weekly or more frequently if indicated. Staff are to perform skin inspections with daily care and to notify the nurse if any skin changes are identified. The nurse will then proceed with completing a skin assessment form and to document notifications (physician, family guardian) and change in orders, care or treatments.

1. For Resident #2, the facility failed to monitor, assess, report, and document impaired skin integrity to assure treatment and avoid any reoccurrence. During the facility tour on 8/8/17 at 9:30 A.M. Resident #2 was observed lying in bed wearing night clothes with lower legs visible. A reddened, roundish area was noted on the Resident’s left lower extremity. Medical record review indicated Resident #2 was a long term admission since 2014 with [DIAGNOSES REDACTED].

Review of the quarterly MDS assessments dated 7/17/17, indicated the Resident had impaired communication and decision making skills, behaviors, and an invoked health care proxy. For activities of daily living, the assessment indicated Resident #2 was dependent for all care needs and at risk for pressure areas development. Resident #2 has involuntary movements at times associated with medical condition and at increase risk for potential skin impairment. Resident #2’s plan of care to maintain skin free of pressure, redness, blisters or discoloration included to follow facility policy for prevention and treatment of [REDACTED].

Review of physician orders, indicated that weekly skin checks are to be performed on shower days (every Sunday). During interview, Nurse #3 said that the certified nurse aides document skin checks on the Bath and Skin report on bath days and then co-signed by the Nurse to verify accuracy and completeness of skin check. The report stated that all findings are to be forwarded to the unit nurse manager, treatment nurse and physician. On 8/8/17, an impaired skin area was observed on Resident #2’s lower extremity which was visible upon entering the Resident’s room while positioned in bed. Review on 8/9/17 of recent bath and skin reports for Resident #2 included the following dates: 6/4/17, 6/18/17 and 7/19/17. There were no other bath and skin reports completed for review.

Review of nursing documentation dated 7/1/17 thru 8/10/17, failed to identify that Resident #2 had any impaired skin areas. A nurses note dated 8/6/17, indicated skin intact, barrier and moisturizer with skin care.

During interview on 8/9/17 at 1:30 P.M., Nurse #3 was not aware Resident #2 had any impaired skin. After observing Resident #2’s left lower extremity, Nurse #3 agreed that it appeared red with healing (scab), and should have been reported to the nurse, assessed and addressed.

Interview (8/9/17) with the Director of Nurses (DON) at 4:00 P.M. said that an investigation would be done as well as staff in-service and re-education. Nurse #3 and DON had no explanation why skin and incident policy and procedures were not followed. On 8/10/17, the DON provided an incident report that identified the area measuring 0.5 x 0.6 dry gray scab on left shin with dark pink tissue surrounding area, no drainage. 2. For Resident #7, the facility failed to monitor, assess, report, and document impaired skin integrity to assure treatment and avoid any reoccurrence.

During the facility tour on 8/8/17 at 8:45 A.M. Resident #7 was observed seated in a wheelchair. The Resident was dressed for the day, had completed breakfast and sitting idle in the front lobby. Observation of Resident #7’s right top hand darkened, impaired skin tear areas were visible approximately one half inch round, Medical record review on 8/10/17, indicated Resident #7 was admitted for long term care with [DIAGNOSES REDACTED].

Upon return from hospital, nursing documentation dated 6/6/17 indicated Resident #7 had fragile dry skin areas to lower extremity and monitoring right foot (resolving [MEDICAL CONDITION]), with a red coccyx. Review of the quarterly MDS assessment dated [DATE], indicated Resident #7 had impaired decision making skills, inattentive behaviors, with an invoked health care proxy. For activities of daily living, the assessment indicated Resident #7 required extensive assistance for most care needs with functional limitation on one side, non ambulatory and at risk for pressure areas development.

The plan of care included approaches to monitor skin weekly and monitor Resident #7 self propelling in wheelchair for risk of bumping into objects. Current physician orders, indicated that weekly skin checks are to be performed on shower days (every Thursday). During interview on 8/9/17, Nurse #3, said that the certified nurse aides document skin checks on the Bath and Skin report on bath days and co-signed by a Nurse to verify accuracy and completeness of skin check. The report stated that all findings are to be forwarded to the unit nurse manager, treatment nurse and physician. For Resident #7, the only Bath and Skin reports available were dated 7/20/17 and 7/27/17, which indicated all skin intact. There was no current (8/2017) reports, (for Thursdays dated 8/3/17 or 8/10/17). Review of nurses’ progress notes failed to include any entry since 7/20/17. The areas on Resident #7’s right hand observed on the morning of 8/8/17, had not been noted, assessed or reported.

During interview on 8/10/17 at 10:25 A.M., Nurse #3 was not aware Resident #7 had an area on his/her hand. After observing Resident #7’s right hand, agreed the Resident may have bumped it or injured the area which should have been reported, assessed, treated and investigated. The Director of Nurses was made aware. Nursing staff failed to follow facility policy for prevention and treatment of [REDACTED]. 3. For Resident #8, the facility failed to monitor, assess, report, and document impaired skin integrity to assure treatment and avoid any reoccurrence.

Resident #8 was admitted to the facility in 3/2017 with [DIAGNOSES REDACTED]. During a facility tour on 8/10/17 at approximately 9:00 A.M. Surveyor observed Resident #8’s top of the left hand. The area had a 3 centimeter (cm) healing crescent moon shaped scabbed over a skin tear.

Clinical record review indicated a current physician order [REDACTED].M. the Unit Manager said that the certified nurse aides document skin checks on the Bath and Skin report on bath days/evenings and are co-signed by a Nurse to verify accuracy and completeness of skin check. The bath skin report specifically addresses open [MEDICAL CONDITION], cuts, laceration, and skin tears. The report stated that all findings are to be forwarded to the unit nurse manager, treatment nurse and physician.

For Resident #8 the Bath and Skin report dated 8/8/17 indicated all skin intact. The area on Resident #8’s left hand observed by Surveyor had not been noted, assessed or reported. During interview on 8/10/17 at 12:00 P.M. the Unit Manager said she was not aware Resident #8 had an area on his/her hand. After observing Resident #8’s left hand, the Unit Manager agreed the area should have been reported, assessed, treated and investigated.

Harborview Center for Nursing 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 – Harborview Center for Nursing and Rehabilitation

Nursing Home Inspection, Safety and Deficiency Reports – Harborview Center for Nursing and Rehabilitation

Page Last Updated: December 1, 2017

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