License Being Reported By Admin

[Lina561]

I work for a Florida state nursing home, my administrator has told other nurses that she's reporting licenses for neglect on falls if the fall paperwork is not complete in full detail. It's been said that she reported a CNA and an LPN yesterday.

I'm not sure if it's a scare tactic or she really did report and also can she get anywhere doing that?

She doesn't have an RN or any other health experience, if I understand correctly, I thought that she's supposed to confront said nursing staff to complete forms properly and if not write them up, but I'm not entirely sure.

Other nurses are saying that her reporting licenses to Florida state board for paperwork not complete to get a hit on licenses "doesn't work that way". I'm a fairly new nurse and she's always calling the police on staff for skin tears that were undetermined how harm was done, it's scary working here with all the talk about what she's doing. Anyone have any insight? 

[Been there,done that, ASN, RN]

I have insight.  The administrator is a nut job. Who knows if she can get anywhere. You need to get outta Dodge.

[JKL33]

Agree. Not much more to say about it.

[NRSKarenRN, BSN, RN]

Look up your facilities Florida Agency for Health Care Administration inspection report to see what issues the state has with company to give insight into what complaints to the state and facility corrective actions needed.  May offer insight into Admin. statements.

https://ahca.myflorida.com/health-care-policy-and-oversight/inspection-reports-for-health-care-providers

Falls are required to be reported to the state along with Medicare/Medicaid when payer so it is imperative that falls report be objective and accurate as info needs to be started within 1 business day and report sent to state in 15 days per Florida regs.

FALL AND ACCIDENT PREVENTION IN NURSING HOMES FACT SHEET

The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities

Florida Regulation SNF: 400.147 Internal risk management and quality assurance program.—

Quote

7) The nursing home facility shall initiate an investigation within 1 business day after the risk manager or his or her designee has received a report pursuant to paragraph (1)(d). The facility must complete the investigation and submit a report to the agency within 15 calendar days after the adverse incident occurred. The agency shall develop a form for the report which must include the name of the risk manager, information regarding the identity of the affected resident, the type of adverse incident, the initiation of an investigation by the facility, and whether the events causing or resulting in the adverse incident represent a potential risk to any other resident. The report is confidential as provided by law and is not discoverable or admissible in any civil or administrative action, except in disciplinary proceedings by the agency or the appropriate regulatory board. The agency may investigate, as it deems appropriate, any such incident and prescribe measures that must or may be taken in response to the incident. The agency shall review each report and determine whether it potentially involved conduct by the health care professional who is subject to disciplinary action, in which case the provisions of s. 456.073 shall apply.

(8) Abuse, neglect, or exploitation must be reported to the agency as required by 42 C.F.R. s.

Any deviation from a facilities "standards of care"  that staff are educated about may be reported to board of nursing; however its rare for incomplete falls assessment to result in license action unless it resulted in patient harm. 

See what disciplinary actions Florida BON takes: Many nurses facing discipline by the board claim they did not know.

Punitive language from Admin staff rarely gets the results they want I.e completed falls assessment form, more often incident not reported to management.  Linking fall prevention and reporting to = quality care gets better staff buy-in, IMHO. Better to contact employee to discuss issues with a form, whats missing or how to improve documentation wording is the way to go.

U.S. Nursing Homes Fail to Report Many Serious Falls, Bedsores: Study

Do the best you can during your shift remembering that care is a 24hr responsibility.  Thank you for being a concerned nurse and caring for our Seniors... will be my turn to be a SNF resident in the near future since had falls in my own home last year.  Following PT exercise program hoping to delay fall/surgery/SNF stay.

?

[Peachpit]

Find another job asap. This Administrator is Trouble with a capital T. 

Anyone can report a nurse to the BON - doesn't mean the report has merit or will go anywhere but just to work under the constant threat of that..no way..there are WAY too many other employers and this Administrator is going to find herself working alone at this facility if she doesn't stop this manipulative, controlling scare tactic approach.

[mmc51264, BSN, MSN, RN]

If she is your supervisor, reporting the staff is telling on herself. never heard of such a thing

[sleepwalker, MSN, NP]

Right now sound like it's just a rumor. I would try and verify this actually happened to someone for the reason you stated. If you can't verify it I'd ignore it as nothing but rumor mill BS. If you can verify it happened I'd find a new position ASAP and move on from some extremely poor management and a hostile work environment. 

Comes down to what you can actually verify for me. 

[klone, MSN, RN]

She calls the police on skin tears? 

[canoehead, BSN, RN]

What a knob. Report away! Good luck with staffing though.

[sideshowstarlet, BSN, RN]

Do you not have patients who take blood thinners? If she CALLS THE POLICE about skin tears, what would she do about a bruise? And not that incomplete fall paperwork should get anyone reported to the BON, but I'm actually curious about how extensive your documentation requirements after a fall are? Did this non-nurse administrator manage to design a form that is concise and asks about all the information she could possibly need to know? I wonder if this admin has some sort of backstory- like did she used to work at a different place where she got in trouble for not noticing and reporting a staff member who was abusing patients and now she's going overboard in the opposite direction? 

[Snatchedwig, BSN, CNA, LPN, RN]

I would go part-time or PRN until this lady gets fired. That job is so high turnover, it won't be long.

[vintagegal, BSN, DNP, RN, NP]

Looks like she has too much time on her hands. Maybe if she was helping the staff instead of threatening them, the residents just might have better health outcomes.
 

What goes around comes around...