Hi, Looking for someone who has had a similar experience as my state's local aaa office nor the main office can help. I am the DON of a facility that reports absolutely everything that could even remotely be construed as abuse: the demented lady that state "the father of the would be child slipped in the the night with his friend and 12 men raped her", I mean EVERYTHING. My thought process is that I would rather report and withdraw than not report and get tagged.
Recently while I was on vacation, a resident fell and sustained a hematoma. She is a long term resident with no fall history, no attempts at self transfer in the 9 months shes been with us, alert and oriented, transfers and ambulates with contact guard/supervison.
Nurse aide assisted to bathroom and left her to do her thing. By history she has always used the call bell when she was done. This time she leaned over to adjust her O2 tubing and fell. Minor injury, hospital eval and back in 3 hours.
I instructed the ADON via phone to report. DOH questioned if the the facility had followed the plan of care or was neglect suspected. I instructed the ADON to state plan of care was followed and no neglect or PB 22 needed. They accepted the report.
ADON also reported to Area Agency on Aging. They investigated and wanted to substantiate abuse against the nurse aide for not staying in the bathroom with the resident. I stood behind the nurse aide stating, he would not have needed to stay in the bathroom with the resident as that is not her plan of care.
She ended up not tagging the nurse aide. She substantiated neglect against ME as the DON, for not educating staff to stay with the resident. I am appealing and the road blocks are considerable, no one can even tell me who this is reported to, how it impacts my license nothing!
Anyone have similar experience??????
We don"t have an AAA in Massachusetts. Everything here gets reported to the Department of Public Health. I've not heard of the DON getting cited for something like this. I, too, report everything. I had one woman fall 4 times with a trip to the hospital each time. Alert, oriented and demanded to have privacy in the bathroom. DPH didn't even come out to investigate.There has to be a process to follow to appeal an unfair tag. Can you call the AAA and ask them? They would have to tell you. I'd start by making a copy of the care plan and any PT notes and falls risk assessment. I'd repeat to them what you said here...that she's been with you for 9 months and never attempted to self transfer. How can they tag you for your CNA following the plan of care? Please let me know how you make out. PM me if you want.
Have you tried speaking to your ombudsman?
Last edit by CapeCodMermaid on Jan 24, '12
: Reason: more to say