Life Care Center of Stoneham

Carelife Stoneham

MI Elder Abuse Free Legal ConsultationDid someone you love suffer elder abuse or neglect at Life Care Center of Stoneham? 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 Life Care Center of Stoneham

Life Care Center of Stoneham is a for profit, 94-bed Medicare/Medicaid certified skilled nursing facility that provides services to the residents of Melrose, Winchester, Wakefield, Woburn,  Reading, Malden, Medford, Saugus, Arlington, and the other towns in and surrounding Middlesex County, Massachusetts.

 

Life Care Center of Stoneham
25 Woodland Rd,
Stoneham, MA 02180

Phone: (781) 662-2545
Website: http://lifecarecenterofstoneham.com/

CMS Star Quality Rating

Carelife StonehamThe 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, Life Care Center of Stoneham received a rating of 4 out of 5 stars.

Performance Area Rating
Overall Rating 4 out of 5 (Above Average)
State Health Inspections 3 out of 5 (Average)
Staffing 3 out of 5 (Average)
Quality Measures 5 out of 5 (Much Above Average)

Fines and Penalties

Our Nursing Home Accident Lawyers inspected government records and discovered Life Care Center of Stoneham committed the following offenses:

Failed to properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and staff interview, the facility failed to accurately assess for catheter migration and signs of complications of a Peripherally Inserted Central Catheter (PICC) for 1 sampled resident (#14) out of a total of 17 sampled residents.

Findings include:

1. For Resident #14 the facility failed to ensure that external PICC measurements and upper arm circumference was obtained.

Resident #14 was admitted to the facility in 8/2017 with [DIAGNOSES REDACTED].

On 8/30/17, review of the hospital discharge summary indicated that a PICC line was inserted while hospitalized for [REDACTED]. Review of the facility policy titled Central Vascular Access Device Dressing Change indicates the following:

A. Length of external catheter is obtained 24 hours post insertion or upon admission, during dressing changes, upon suspicion in change of length, or if signs or symptoms of complications are present.

B. For PICCs, upper arm circumference is obtained during insertion procedure, upon admission if no insertion measurement available, then weekly, if signs or symptoms of complication are present to compare to baseline measurement to detect possible catheter-associated venous [MEDICAL CONDITION]: a 3 cm increase in arm circumference and [MEDICAL CONDITION] were associated with upper-arm [MEDICAL CONDITION] (blood clot). Review of Resident #14’s August Catheter Treatment Record indicates that there is a physician order for [REDACTED]. Documentation indicated that the catheter dressing was changed on 8/23/17 and 8/28/17. The documentation failed to indicate external catheter length or upper arm circumference.

During an interview on 8/30/17 at 7:30 P.M., Nurse #4 said that PICC line measurements should be taken during weekly dressing changes to determine if the PICC line had migrated or had signs of other complications. She was unable to locate any PICC line measurements. During an interview on 8/30/17 at 7:45 P.M., Director of Nursing (DON) confirmed that the PICC line had not been measured per facility policy and physician order.

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 observation, record review and staff interview, the facility failed to ensure that it was free of a medication error rate of 5 percent or greater. Two of six licensed nurses (Nurse #1 and Nurse #2) made errors that affected 2 non-sampled residents (NS#1, NS#2) while administering medications on 1 of 2 units observed. There were a total of 3 errors with 27 opportunities. The facility had an error rate of 11.11%.

Findings include:

1. For NS #1, the facility failed to administer [MEDICATION NAME] (an antidiabetic medication used to treat diabetes) with meals as ordered. Review of the physician’s orders [REDACTED].#1 had an order for [REDACTED]. During observation of a medication pass on 8/30/17 at 4:10 P.M., on the 1st floor unit with Nurse #1, she poured NS #1’s 5:00 P.M. medications including [MEDICATION NAME]. Review of the meal truck delivery times indicated that the dinner meal would not be delivered until 6:05 P.M., 1 hour and 55 minutes after administration.

2. For NS #2, the facility failed to ensure that staff administered the correct medication that was ordered by the physician, and failed to administer medication at the correct time.

A. Review of the physician’s orders [REDACTED].#2 had an order for [REDACTED]. During observation of a medication pass on 8/31/17 at 9:33 A.M., on the 1st floor unit with Nurse #2, she poured 9:00 A.M. medications, which included one multivitamin tablet (not multivitamin with minerals, per the physician’s orders [REDACTED].

B. Review of the physician’s orders [REDACTED].#2 had an order for [REDACTED]., 2:00 P.M., and 10:00 P.M

During observation of a medication pass on 8/31/17 at 9:33 A.M., on the 3rd floor unit with Nurse #2, she poured 9:00 A.M. medications which included Tylenol 1000 mg (not ordered until 2:00 P.M.).

During an interview on 8/31/17 at 10:00 A.M., Nurse #2 said that she had made two medication errors and needed to call the physician. During an interview on 8/31/17 at 10:10 A.M., the Director of Nurses (DON) said that Nurse #1 thought he was within the medication window of one hour before or after ordered time, Nurse #1 did not consider that the medication needed to be taken with meals.

Failed to store, cook, and serve food in a safe and clean way

Based on observation and staff interview, the facility failed to ensure that 1 of 2 nourishment kitchens, the activity room refrigerator and the main kitchen equipment were properly maintained in a sanitary and safe condition. Sanitary conditions must be present in healthcare food service settings to promote safe food handling and to avoid potential contamination.

Findings include:

1. On 8/29/17 at 8:30 A.M. the first floor kitchenette was observed and findings include:

a. The microwave was found with built on food particles throughout walls, ceiling and cooking plate. There was dried liquid and a white sticker stuck to the bottom of the microwave plate. The outside of the microwave had dried food and liquid stuck on it.

b. The refrigerator had a white plastic bag of food labeled with a resident’s name that was dated 8/16/17, a plastic bag of food with no label or date on it. Under this second plastic bag there was a chalky, white build.

c. The bottom drawer of the freezer had melted popsicles on the bottom and other popsicles placed above the sticky melted popsicle.

2. On 8/29/17 at 8:45 A.M., the activity room refrigerator was observed and multiple items were found to be opened, exposed to elements and/or expired. These items include:

a. A maroon plastic dish with a clear plastic cover labeled 11/22 AS. The contents inside were a yellowish, brown pureed substance.

b. A box with a block of cream cheese that was left open with no date and in the box was also a block of opened butter with no date.

c. Thickened lemon water with expiration date of 5/19/17. d. 2 bottles of half and half. One that expired 7/10/17 and the other expired 8/15/17. e. The produce drawer was sticky and soiled with spilled, dried liquid and an old rotten piece of fruit.

f. A plastic bag with a styrofoam container of food unlabeled and undated. g. An open can of ensure.

h. 2 Yogurt containers, one which expired 6/21/17 and the other expired on 2/22/17.

i. Buttermilk container which expired 3/27/17. There was a yellow, crusty build up stuck underneath the container of buttermilk on the shelf of the refrigerator. On 8/31/17, at 7:30 A.M., the kitchenettes and activity room refrigerator were observed and findings were the sams as stated above.

In an interview on 8/31/17 at 8:55 A.M., the Administrator stated that the facility does not have a policy for maintaining and cleaning the kitchenettes or the refrigerator in the Activity Room. He stated that the Activity Room refrigerator is the responsibility of the Activity Dept. He stated that Housekeeping is responsible for cleaning the outside of the appliances, while the dietary staff follow a workflow to maintain the inside. In an interview on 8/31/17 at 9:02 A.M., the Activity Director stated that she believed Housekeeping was responsible for cleaning the refrigerator in the Activity Room.

2. On 8/31/17 at 8:20 A.M. during the tour of the Main Kitchen with the Dietitian and the Food Service Director (FSD), the Surveyor observed the following:

a. The ice scoop holder had particles of dirt floating in the melted ice water. The FSD indicated that the ice scoop holder was not presently on the cleaning schedule.

b. A set of cutting boards: 3 green, 2 red and 1 small white board had deep scratches in the surface and stains. The condition of the cutting boards would prevent adequate cleaning and sanitizing.

c. Thirty of 60 meal trays were in poor condition with the tray corners worn and/or broken with the metal underneath the surface of the trays exposed. The condition of the meal trays would prevent adequate cleaning and sanitizing. The FSD indicated that one case of 12 trays was on order.

Failed to maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Based on observations and staff interview, the facility failed to ensure that opened, undated and/or expired medications were removed from use and discarded on 1 of 2 units.

Findings include:

The Centers for Disease Control recommends that multi-dose medication vials should always be discarded whenever sterility is compromised or questionable. In addition, the United States Pharmacopeia (USP) General Chapter 797 recommends if a multi-dose vial has been opened or accessed (e.g., needle-punctured) the vial should be dated and discarded within 28 days unless the manufacturer specifies a different (shorter or longer) date for that opened vial.

1. During an inspection of the 2nd floor medication room on 8/31/17 at 8:49 A.M., with Nurse # 3 the following was noted:

A. Two vials of folic acid multi dose vial solution were opened and not dated.

B. Vancomycin (antibiotic) solution expired 7/18/17.

C. Vancomycin solution expired 8/17/17.

D. Vancomycin solution expired 8/24/17.

E. Novolog 70/30 insulin, was opened and not dated.

F. Lantus insulin was opened and not dated.

During interview on 8/31/17 at 9:45 A.M., Nurse #3 stated that multidose vials should be dated once opened and discarded after 28 days. She also stated that expired medications should be removed.

During interview on 8/31/17 at 10:10 A.M., Director of Nursing (DON) stated multidose vials should be labeled when opened to determine expiration date.

Life Care Center of Stoneham, 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 – Life Care Center of Stoneham

Inspection Report for Life Care Center of Stoneham – 08/31/2017

Page Last Updated: April 16, 2018

Leave a Reply

Your email address will not be published. Required fields are marked *

Call Now Button