Quaboag Rehabilitation and Skilled Care Center

Nursing home lawyers

MI Elder Abuse Free Legal ConsultationDid someone you love suffer elder abuse or neglect at Quaboag Rehabilitation & Skilled Care 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 Quaboag Rehabilitation and Skilled Care Center

Quaboag Rehabilitation and Skilled Care Center is a for profit, 147-bed Medicare/Medicaid certified skilled nursing facility that provides services to the residents of Ware, Spencer, Palmer, Charlton, Leicester, Southbridge, Belchertown, Holden, Oxford, Wilbraham, and surrounding Worcester County, Massachusetts.

Quaboag Rehabilitation & Skilled Care Center
47 E Main St,
West Brookfield, MA 01585

Phone: 508-867-7716
Website: http://quaboagonthecommon.com/

CMS Star Quality Rating

Nursing home lawyersThe 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, Quaboag Rehabilitation and Skilled Care Center in West Brookfield, 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 4 out of 5 (Above 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 Quaboag Rehabilitation and Skilled Care Center committed the following offenses:

Failed to Allow residents to easily view the results of the nursing home's most recent survey.

Based on observation and Resident Group interview, the facility staff failed to post notice of the availability of the most recent survey results and failed to keep those results in a prominent location, readily accessible to residents.

Findings include:

During tour on 8/22/17 and 8/23/17, the surveyor was unable to find postings for the location of survey results.

During the Group interview, on 8/23/17 at 10:00 A.M., the residents were asked if they knew where the previous survey results were kept for review by residents. The residents said they did not know.

During an interview on 8/24/17 at 8:30 A.M., the Receptionist said she did not know the location of a posting for the availability of the survey results, but led the surveyor to a binder where they were kept, in the middle drawer of a console table.The table was located in a vestibule at the main entrance. Therefore, to access the survey results, residents had to exit the front door and enter the vestibule.

During tour of all 3 nursing units and the facility entrance lobby on 8/24/17 at 8:40 A.M., the surveyor and Administrator failed to locate postings of how to access the survey results. The Administrator said the posting may have been taken down during painting renovations that were currently underway in the front lobby. She said the survey results are kept in one location, the table in the vestibule at the main entrance.

During an interview, on 8/24/17 at 9:30 A.M., the Administrator said she spoke with the painter and confirmed that the posting was taken down approximately 1 week ago, so the area could be painted. She said the posting had been located in the enclosed bulletin board in the entrance lobby, (the only posting for the entire facility). The posting directed residents and visitors to the survey results binder located in the entrance vestibule.

Failed to provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality.

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations and interviews, the facility staff failed to provide care in a manner that maintained or enhanced the resident’s sense of dignity, self-esteem, and self-worth for 2 Residents (#13, #19) in a total of 24 sampled residents.

Findings include:

1. For Resident # 19 the facility staff failed to maintain privacy when discussing personal and medical information while in a common area. Resident #19 was admitted to the facility in 8/2017 for post surgical care for a right [MEDICAL CONDITION].

Review of the admission Minimum Data Set (MDS) assessment, dated 8/15/17, indicated the resident had severe cognitive impairment with a score of 4 out of 15 on the Brief Interview for Mental Status (BIMS).

During an observation on 8/23/17 at 11:25 A.M., the surveyor overheard Nurse #2 address Resident #19 by name and discuss his/her medical and discharge information, across the nursing desk in front of 3 other residents, 3 staff members and the surveyor. The resident was seated across from the nurses station in a wheelchair and Nurse #2 was seated behind the counter at the nurses station. The nurse projected her voice loud enough for the surveyor, seated at the back of the nurses station, to learn the resident’s name, status of his/her surgical incision, date of the last orthopedic appointment, time frame for discharge home and the resident’s request to be discharged home with a family member versus a companion. At no time did the nurse lower her voice, get up to relocate in close proximity to the resident, or attempt to take him/her to a private area for the discussion.

During an interview on 8/24/17 at approximately 8:00 A.M., Nurse #2 said she had been redirecting the resident all day, but at that time, did not take the resident to a private area for the conversation. She said she should not have discussed that information with the resident where others could hear.

2. For Resident #13 the facility staff failed to maintain dignity while providing care during a transfer and toileting. Resident #13 was admitted to the facility in 11/2011 with a [DIAGNOSES REDACTED]. Review of an Activities of Daily Living (ADL) careplan, indicated an intervention dated 1/3/12, that the resident required an APEX (standing) lift and 1 assist with transfers. On 8/23/17 at 3:00 P.M., three surveyors, the Ombudsman, several residents and Unit Manager (UM) #1 were at the nurses station on the Dementia Specialty Care Unit. Resident #13 emerged backwards, from his/her room, in a standing lift pushed by a certified nurses aide (CNA). The CNA pushed the standing lift from the resident’s room (with the resident facing backwards) beyond the nurses station, halfway down the hallway and turned into another resident room, without knocking, to use the bathroom located within that room. At the time of the observation, one of the beds in the room was occupied by a resident of the opposite gender.

On 8/23/17 at 3:10 P M., the CNA emerged from the bathroom, with Resident #13 in the standing lift, pushed him/her backwards down the hall, around the nurses station, and into the activity area to a straight back chair. During an interview on 8/23/17 at 3:15 P.M., UM #1 said the resident required a standing lift (APEX) for transfers. She said the only bathroom that would accommodate the size of the lift, was the bathroom the surveyor observed being used. When the surveyor pointed out that the room was occupied by 3 residents of the opposite gender, she said the residents didn’t mind.

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 observations, interviews and record review, the facility staff failed to follow the plan of care relative to specific eating instructions and the setting of a specialized mattress for 1 sampled resident (#12), in a total of 24 sampled residents.

Findings include:

Resident #12 was admitted to the facility in 10/2009 with [DIAGNOSES REDACTED]. Review of the Quarterly Minimum Data Set (MDS) Assessment, dated 8/1/17, indicated Resident #12 had impaired vision, required assistance of 1 staff for eating, required total assistance of 2 staff for bed mobility, and was on a mechanically altered diet. a. Review of the Nutrition/Swallowing care plan, reviewed 8/15/17, indicated the resident was at an increased nutritional risk due to chewing/swallowing difficulties and decreased ability to eat on his/her own related to tremors. The following interventions in place included: provide adaptive equipment with meal per OT (Occupational Therapy). Review of the Activities of Daily Living (ADL) care plan, reviewed 8/15/17, indicated the following interventions: dycem placed under lip plate at all meals, utilize a left angled built up spoon and fork for all meals, place cups on the right side of his/her plate, and to remove the leg rests at the dinner table while he/she is eating. Review of the current care card indicated the following instructions: dycem under dinner plate, left angled dinnerware, place cups on the right side of dinner plates, and to remove leg rests at the dinner table.

During an observation on 8/22/17 at 12:45 P.M., Resident #12 was seated in the unit dining room in his/her wheelchair with the leg rests in place. The resident had a red lip plate and built up utensils in front of him/her. There was no dycem under the lip plate and the leg rests were not removed- as care planned.

During an observation on 8/23/17 at 12:10 P.M., the resident was seated in the unit dining room in his/her wheelchair with the leg rests in place. The leg rests were not removed- as care planned. A red lip plate was positioned in front of him/her. There was no dycem under the lip plate- as care planned. The resident had 3 beverages in thermal cups with covers positioned at 11 o’clock, 12 o’clock and 1 o’clock, and red built up utensils were provided. The surveyor observed the resident feeding self with the built up spoon, and observed the lip plate sliding on the table towards the resident during the meal.

During an observation on 8/24/17 at 8:45 A.M. with Unit Manager (UM) #3 present., Resident #12 was seated in the unit dining room in his/her wheelchair with leg rests in place. The leg rests were not removed during the meal- as care planned. A red lip plate was observed on the table. No dycem was present under the lip plate- as careplanned. The resident was provided regular utensils, and not adaptive utensils as care planned.

During an interview and review of the current plan of care on 8/24/17 at 8:45 A.M., UM #2 said that Resident #12 had instructions for the removal of the leg rests during meals, was to be provided dycem under his/her plate, had instructions for the placement of cups and required the use of adaptive utensils. UM #2 said that nursing staff checks the resident meal trays for accuracy prior to service. She further said that different staff members may serve resident meals, but all staff should know what the resident needs are.

b. Review of the Skin Integrity care plan, reviewed 8/15/17, indicated the resident was to utilize an air mattress which was set at 200. Review of the physician’s orders [REDACTED].

During an observation on 8/22/17 at 3:00 P.M., Resident #12 was lying in bed with his/her eyes closed. An air mattress was in place, and was set at 160, not 200, as ordered by the Physician.

During an observation on 8/24/17 at 7:00 A.M., Resident #12 was lying in bed with his/her eyes closed. An air mattress was in place, and was set at 160, not 200, as ordered by the Physician. During an interview on 8/24/17 at 8:45 A.M. UM #2 said that the resident’s air mattress was set at 160 and not 200 as ordered by the Physician.

Failed to keep accurate, complete and organized clinical records on each resident that meet professional standards

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and record review, the facility staff failed to ensure a complete and accurate medical record for 1 sampled resident (#12), in a total of 24 sampled residents.

Findings include:

Resident #12 was admitted to the facility in 10/2009 with [DIAGNOSES REDACTED]. a. Review of the resident’s Positioning care plan, reviewed 8/15/17, indicated the use of a belted lap buddy (a cushion that fits into the wheelchair frame to assist with positioning) for positioning/safety due to poor trunk control with the [MEDICAL CONDITION] process. The care plan further indicated to ask Resident #12 to release the lap buddy on Fridays on the 7:00 A.M. to 3:00 P.M. shift, and to document as ordered. Review of the current Physician’s Orders did not indicate an order for [REDACTED].>Review of the current Medication Administration Record [REDACTED].

During an observation on 8/23/17 at 9:40 A.M., Resident #12 was seated in a wheelchair in the living room during chair exercises with activities staff present. The resident was dressed, well groomed and had a lap buddy positioned on his/her lap which was fastened around the arms of the wheelchair. During an observation on 8/23/17 at 12:10 P.M., Resident #12 was seated in his/her wheelchair in the unit dining room during lunch. The resident was dressed, well groomed and had a lap buddy positioned on his/her lap. During an interview on 8/24/17 at 8:30 A.M., Resident #12 said that the lap buddy was like a table that the facility staff created for him/her to use. During an interview on 8/24/17 at 11:53 A.M., the Director of Nurses (DON) said that there was a clarification order for the use of [REDACTED].

b. Review of the Skin Integrity care plan, reviewed 8/15/17, indicated the resident was to utilize an air mattress which was set at 200. Review of the Physician’s Orders, dated 8/2017, indicated an order to utilize an air mattress set at 200, and to monitor for its function and placement every shift. During an observation on 8/22/17 at 3:00 P.M., Resident #12 was lying in bed with his/her eyes closed. An air mattress was in place, and was set at 160, not 200, as ordered by the Physician. During an observation on 8/24/17 at 7:00 A.M., Resident #12 was lying in bed with his/her eyes closed. An air mattress was in place, and was set at 160, not 200, as ordered by the Physician.

Review of the Treatment Record, dated 8/2017, indicated an order to utilize an air mattress set at 200, and for staff to monitor for the function and placement every shift. Further review of the treatment sheets indicated that each nursing shift was signing off that this treatment was completed. During an interview on 8/24/17 at 8:45 A.M. UM #2 said that the resident’s air mattress was set at 160 and not 200 as ordered by the Physician.

Quaboag Rehabilitation and Skilled Care 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 – Quaboag Rehabilitation and Skilled Care Center

Inspection Report for Quaboag Rehabilitation and Skilled Care Center – 08/25/2017

Page Last Updated: May 7, 2018

Leave a Reply

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

Call Now Button