West Revere Health Center

West Revere Health Center

MI Elder Abuse Free Legal ConsultationDid someone you love suffer elder abuse or neglect at West Revere Health 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 West Revere Health Center

West Revere Health CenterWest Revere Health Center is a for profit, 140-bed Medicare/Medicaid certified skilled nursing facility that provides services to the residents of Chelsea,Winthrop, Boston,  Everett, and the other towns in and surrounding Suffolk County, Massachusetts.

West Revere Health Center focuses on 24 hour care, respite care, hospice care and rehabilitation services.

West Revere Health Center
133 Salem Street
Revere, MA 02151

Phone:  (781) 322-4861
Website: http://westreverehc.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, Health Center in West Revere, Massachusetts received a rating of 2 out of 5 stars.

Performance Area Rating
Overall Rating 2 out of 5 (Average)
State Health Inspections 2 out of 5 (Below Average)
Staffing 3 out of 5 (Above Average)
Quality Measures 4 out of 5 (Below Average)

Fines Against West Revere Health Center

The Federal Government fined West Revere Health Center $16,088 on August 28th, and $6,582 on September 7th, 2016 for health and safety violations.

Fines and Penalties

Our Nursing Home Abuse Attorneys inspected government records and discovered West Revere Health Center committed the following offenses:

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

Based on records reviewed and interviews, for one of 2 sampled personnel files (Certified Nurse Aide (CNA) #1), the Facility failed to implement a written policy regarding the screening of all employees for employment.

Findings include:

The Facility’s Abuse Prohibition: Screening Policy and Procedure indicated that: the Nurse Aide Registry is checked prior to employment for all facility employees; and, the person responsible for hiring will ensure that the request for the required criminal background check (CORI (Criminal Offender Record Information)) has been submitted prior to the date of initial orientation.

1. There was no documentation at the time of survey that a Massachusetts Nurse Aide Registry check was completed prior to CNA #1’s date of hire in December 2015.

2. There was no documentation at the time of survey that a CORI check was submitted prior to CNA #1’s date of hire in December 2015. The Surveyor interviewed the District Director of Clinical Operations (DDCO) at 4:41 P.M. on 09/07/16. The DDCO said that the Facility’s administrative staff were aware some employees’ Nurse Aide Registry checks and/or CORI checks were not completed timely, and the Facility was working to correct the problem.

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 records reviewed and interviews, for one of 3 sampled residents (Resident #1), the Facility failed to ensure that Resident #1 was assessed after being lowered to the floor by Certified Nurse Aide (CNA) #1, prior to being assisted back to bed. The Facility also failed to ensure that Nurse #1 reported the incident to oncoming shift nurses, Resident #1’s respresentative or the physician, which was not in accordance with the Facility’s Accidents/Incidents Policy & Procedure, that the physician and/or responsible party were notified, and that Nurse #1 provided accurate written and verbal statements regarding the incident. Resident #1 sustained fractures of his/her right leg.

Findings include:

Pursuant to Massachusetts General Law (M.G.L.), chapter 112, individuals are given the designation of Registered Nurse and Practical Nurse which includes the responsibility to provide nursing care. Pursuant to the Code of Massachusetts Regulation (CMR) 244, Rules and Regulations 3.02 and 3.04 define the responsibilities and functions of a Registered Nurse and Practical Nurse respectively. The regulations stipulate that both the Registered Nurse and Practical Nurse bear full responsibility for systematically assessing health status and recording the related health data.

The Facility’s Accidents/Incidents Policy & Procedure, revised 08/2016, included that:  should an employee witness an accident, the employee should not move the resident/patient until he/she had been assessed for possible injuries; – the supervisor must be informed of all accidents or incidents in the event that medical attention may be required; and, – in the event of a resident related accident or incident, the nurse’s responsibilities included: to notify the PCP (Primary Care Physician) or the resident’s/patient’s personal or attending physician, and notify the responsible party and/or family.

Resident #1 was admitted to the Facility in September 2013 with [DIAGNOSES REDACTED]. The Fall Risk Assessment, dated 06/01/16, indicated that Resident #1 was at high risk for falls.

Resident #1’s Plan of Care, updated May 2015, indicated that he/she did not use side rails, and required the assistance of two persons or was dependent for all aspects of care.

Resident #1’s care plan for Activities of Daily Living, revised 02/10/16, indicated that Resident #1 was to be repositioned with the assistance of two persons. The Facility’s internal investigation file indicated that on 07/24/16 during the 3:00 P.M. to 11:00 P.M. shift, CNA #1 attempted to reposition Resident #1 in his/her wheelchair, but Resident #1’s legs buckled and CNA #1 lowered him/her to the floor. The investigation indicated that on 07/25/16, CNA #3 observed increased pain, swelling and bruising of Resident #1’s right lower leg, the physician was notified and ordered x-rays, and the responsible party was notified.

The Surveyor interviewed the Director of Nurses (DON) at 3:53 P.M. on 09/07/16. The DON said that during the investigation into the cause of Resident #1’s injury, CNA #1 told her that while repositioning Resident #1 in his/her wheelchair on 07/24/16, she had to lower Resident #1 to the floor and notified Nurse #1 and Nurse #2.

The Surveyor interviewed CNA #1 at 2:54 P.M. on 09/08/16. CNA #1 said that while repositioning Resident #1 in his/her wheelchair on 07/24/16, she had to lower Resident #1 to the floor because his/her legs buckled. CNA #1 said she notified Nurse #1 and Nurse #2 that Resident #1 was on the floor, and the three of them went to Resident #1’s room. CNA #1 said Nurse #1 and Nurse #2 observed Resident #1 on the floor, and Nurse #1 became angry and said that she hated falls because of all of the work and reports that had to be done. CNA #1 said she then grabbed Resident #1’s legs while Nurse #1 grabbed one of Resident #1’s arms and Nurse #2 grabbed the other arm, and the three of them lifted Resident #1 into bed. CNA #1 said neither Nurse #1 nor Nurse #2 assessed Resident #1 prior to lifting him/her off of the floor, or after placing him/her into bed.

The Surveyor interviewed Nurse #3 at 3:00 P.M. on 09/07/16. Nurse #3 said that on 07/24/16, she went to Resident #1’s room as she heard that Resident #1 fell . Nurse #3 said she observed Resident #1 on the floor, sitting on his/her buttocks. Nurse #3 said she also observed CNA #1, Nurse #1 and Nurse #2 in the room with Resident #1 while he/she was on the floor.

The Surveyor interviewed CNA #2 at 3:25 P.M. on 09/07/16. CNA #2 said she responded to a call light in Resident #1’s room, and observed Resident #1 on the ground, lying on his/her back. CNA #2 said she went to get a nurse, and returned to Resident #1’s room with Nurse #1 and Nurse #2. CNA #2 said she watched CNA #1, Nurse #1 and Nurse #2 pick Resident #1 up off of the floor by his/her extremities and put him/her into bed. CNA #2 said she did not observe Nurse #1 or Nurse #2 assess Resident #1 prior to moving him/her.

The Progress Note dated 07/24/16, electronically signed by Nurse #1, did not indicate any documented assessment of Resident #1 by Nurse #1.

The Accident/Incident Report and Investigation Form Falls, dated 07/26/16 and documented as signed by Nurse #1, indicated that CNA #1 told Nurse #1 that Resident #1 fell . The form indicated that Nurse #1 observed Resident #1 lying face down in bed, holding onto a side rail. The form indicated that Nurse #1 did not consider it a fall, did not observe Resident #1 on the floor, and documented that Resident #1 did not fall.

A written statement, dated 07/26/16 and documented as signed by Nurse #1, indicated that CNA #1 reported to her that Resident #1 fell , but that she could not confirm that Resident #1 fell . The statement indicated that Nurse #1 spoke with the Weekend Supervisor, but did not indicate whether she notified the Weekend Supervisor of CNA #1’s report that Resident #1 fell.

A second written statement, dated 08/04/16 and documented as signed by Nurse #1, indicated that she performed a pain assessment and skin check on Resident #1 but did not document her findings. The statement indicated that when Nurse #1 arrived on scene, she observed Resident #1 lying face down holding the other side of the bed. The statement indicated that Nurse #1 did not observe Resident #1 on the floor. The statement indicated that Nurse #1 did not call or notify anyone because CNA #1 did not report that Resident #1 fell . The statement indicated that Nurse #1 conducted a pain assessment and skin check on Resident #1 but did not document her findings.

A third written statement, dated 08/05/16 and documented as signed by Nurse #1, indicated that she observed Resident #1 lying halfway across the bed, with his/her legs straight out behind him/her. The statement indicated that Nurse #1 assessed Resident #1 twice but did not document her findings.

The Surveyor interviewed Nurse #1 at 1:47 P.M. on 09/13/16. Nurse #1 said no one told her that Resident #1 fell . The Surveyor repeatedly asked Nurse #1 if she had documented anywhere that she was told that Resident #1 fell , Nurse #1 said she had not, even when asked if she had documented on specific documents that she was told Resident #1 fell . Nurse #1 said she did not perform any pain assessments or skin checks on Resident #1 on 07/24/16. When asked by the Surveyor if she had assessed Resident #1 on 07/24/16 for pain, any problems with range of motion, check his/her skin, check his/her vital signs, or any assessments like that, Nurse #1 said she had not because she did not know anything was wrong with Resident #1. Nurse #1 said she did not recall if she had reported anything to the Weekend Supervisor, but thought that she had told her that CNA #1 said she was trying to put Resident #1 to bed by herself. Nurse #1 said she did not notify anyone of anything because no one told her that Resident #1 fell , or words to that effect, which was inconsistent with the Accident/Incident Report and Investigation Form Falls and written statement, dated 07/26/16 and documented as signed by Nurse #1.

The Surveyor interviewed the Weekend Supervisor at 10:58 A.M. on 09/19/16. The Weekend Supervisor said, and her written statement dated 08/23/16 indicated that, she was not made aware by any staff member that Resident #1 had fallen, or was lowered to the floor, on 07/24/16.

Written statements, dated 07/25/16 and 08/05/16 and documented as signed by Nurse #2, as part of the Facility’s internal investigation. The statements indicated that CNA #1 notified Nurse #1 and Nurse #2 that Resident #1 was on the floor. Nurse #2 said, and the statement dated 08/05/16 indicated that, Nurse #2 observed Resident #1 on the floor in his/her room.

The Surveyor interviewed Nurse #2 at 11:13 A.M. on 09/15/16. Nurse #2 said, and her written statement dated 08/05/16 indicated that, she observed Resident #1 on the floor of his/her room while Nurse #1 and CNA #1 were present.

Nurse #1 inconsistently reported and/or documented how Resident #1 was positioned when she observed Resident #1 in his/her room, who was in the room with her, whether or not she was told that Resident #1 fell , whether she conducted any assessment of Resident #1, and whether she reported the incident to anyone.

There was no documentation at the time of survey that Resident #1 was assessed after being lowered to the floor by CNA #1, prior to being lifted into bed, or after being lifted into bed; that the Weekend Supervisor was notified of CNA #1’s report that Resident #1 fell ; or, that Resident #1’s physician and/or responsible person were notified of Resident #1 being lowered to the floor on 07/24/16. On 07/25/16 during the 7:00 A.M. to 3:00 P.M. shift, CNA #3 observed increased pain, swelling and bruising of Resident #1’s right lower leg. Nurse #4 then notified the physician, who ordered x-rays, and also notified the responsible party.

The Radiology Report, for date of service on 07/25/16 and electronically signed by the radiologist at 5:33 P.M. on 07/25/16, indicated that Resident #1 sustained non-displaced [MEDICATION NAME] fractures of the right distal tibia and fibula (fractures of the two lower leg bones of the right leg, closest to the ankle, when the bone cracks part or all of the way through but does not move).

Failed to make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents

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

Based on records reviewed and interviews, for one of 3 sampled residents (Resident #1), the Facility failed to ensure that Resident #1 was repositioned with the assistance of 2 persons as required by his/her plan of care. While being repositioned in his/her wheelchair by Certified Nurse Aide (CNA) #1 on 07/24/16 during the 3:00 P.M. to 11:00 P.M. shift without the assistance of a second staff person, Resident #1 was lowered to the floor, and was assessed the following day and determined to have sustained fractures of his/her right leg.

Findings include:

Resident #1 was admitted to the Facility in September 2013 with [DIAGNOSES REDACTED]. The Fall Risk Assessment, dated 06/01/16, indicated that Resident #1 was at high risk for falls. Resident #1’s Plan of Care, updated May 2015, indicated that he/she did not use side rails, and required the assistance of two persons or was dependent for all aspects of care.

Resident #1’s care plan for Activities of Daily Living, revised 02/10/16, indicated that Resident #1 was to be repositioned with the assistance of two persons.

The Facility’s internal investigation indicated that on 07/24/16 during the 3:00 P.M. to 11:00 P.M. shift, CNA #1 reported she was repositioning Resident #1 in a chair by herself and realized she could not do it, and lowered Resident #1 to the floor because Resident #1’s legs buckled. The investigation indicated that Nurse #2 said she told CNA #1 that the residents assigned to her all required 2 persons for care. The investigation indicated that CNA #1 said she knew Resident #1 required the assistance of 2 persons for care.

The Surveyor interviewed CNA #1 at 2:54 P.M. on 09/08/16. CNA #1 said that on 07/24/16 during the 3:00 P.M. to 11:00 P.M. shift, she was standing in front of Resident #1 trying to lift him/her to reposition him/her in his/her wheelchair. CNA #1 said she had to lower Resident #1 to the floor because his/her legs buckled. CNA #1 said Nurse #4 told her approximately 10 months prior to the date of interview that Resident #1 required the assistance of 2 persons with care. CNA #1 said she also obtained information on what a resident’s care needs were from the resident’s Plan of Care.

The Surveyor interviewed Nurse #4 at 4:17 P.M. on 09/07/16. Nurse #4 said CNA #1 was aware Resident #1 required the assistance of 2 persons for care, and that Resident #1’s care needs were documented on the Plan of Care. Nurse #4 said that Resident #1 had required the assistance of 2 persons with care for approximately the duration of CNA #1’s employment at the Facility.

CNA #1’s Personnel File indicated that she was hired approximately 10 months prior to the date of survey. The Surveyor interviewed CNA #2 at 3:25 P.M. on 09/07/16. CNA #2 said CNA #1 was aware that Resident #1 required the assistance of 2 persons with care. The Surveyor interviewed Nurse #4 at 4:17 P.M. on 09/07/16. Nurse #4 said CNA #1 required constant supervision to make sure that she was doing her job.

The Surveyor interviewed the Director of Nurses (DON) at 3:53 P.M. on 09/07/16. The DON said CNA #1 told her that Resident #1 required the assistance of two persons for care.

The Surveyor interviewed Nurse #2 at 11:13 A.M. on 09/15/16. Nurse #2 said CNA #1 was not a safe CNA, that she always had to be supervised and/or corrected. Nurse #2 said she frequently told CNA #1 to check residents’ care cards, to ask someone if she had questions, or to ask for help. Nurse #2 said CNA #1 did not like to follow residents’ care plans. Nurse #2 said CNA #1 knew Resident #1 required the assistance of two persons with care.

The Surveyor interviewed the Weekend Supervisor at 10:58 A.M. on 09/19/16. The Weekend Supervisor said CNA #1 knew that Resident #1 required the assistance of two persons with care, but that she also had access to Resident #1’s care card if she was not sure. The Weekend Supervisor said Resident #1’s care card indicated that he/she required the assistance of two persons with care.

The Radiology Report, dated 07/25/16, indicated that Resident #1 sustained non-displaced tranverse fractures of the right distal tibia and fibula (fractures of the two lower leg bones of the right leg, closest to the ankle, when the bone cracks part or all of the way through but does not move).

West Revere Health 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.


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Page Last Updated: November 18, 2017

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