Hollis Park Manor Nursing Home has received 19 citations for violations of public health code between 2018 and 2021, according to New York State Department of Health records accessed on March 11, 2022. The Hollis nursing home’s citations resulted from a total of three surveys by state inspectors. The deficiencies they describe include the following:
1. The nursing home did not implement adequate measures to prevent elopement. Section 483.25 of the Federal Code requires nursing homes to ensure residents receive adequate supervision to prevent accidents. A February 2020 citation found that Hollis Park failed to ensure such. The citation specifically describes an incident in which a resident “activated an alarmed door” and eloped from the facility undetected. According to the citation, it took three hours for facility staff to become aware the resident was missing. A review of surveillance footage showed that after the resident left the facility through an alarmed door, a Registered Nurse Supervisor looked through a window on the door and reset the alarm, but did not open the door or check the area outside it. In an interview, the RNS said she “did not open the alarming door and did not search the parking lot,” adding that the nursing home “had no protocol to open the alarming door.” She stated further that after checking on the door, she directed the facility’s nurses to perform a headcount, and the nurses reported back “that all the residents were accounted for.” A plan of correction undertaken by the facility included the review and revision of the facility’s policies regarding alarms and elopement.
2. The nursing home did not adequately provide residents with a sanitary environment. Section 483.10 of the Federal Code stipulates that nursing homes must provide residents with “a safe, clean, comfortable and homelike environment.” An August 2018 citation found that Hollis Park failed to ensure such. The citation states specifically that the facility did not ensure the provision of “housekeeping and maintenance services necessary to maintain a sanitary, orderly interior,” and further that it “did not provide residents with a clean and homelike environment.” It goes on to describe windows with dirt, debris, and bird droppings on their exteriors. The windows in question were in the dining and activity rooms on multiple floors. In an interview, the facility’s administrator said that the facility’s maintenance director had been fired, and that “there are no records to reflect when the last time the windows were cleaned.” A plan of correction undertaken by the facility included the cleaning of the windows and the in-servicing of maintenance staff.
3. The nursing home did not provide adequate pressure ulcer care. Section 483.25 of the Federal Code stipulates that nursing homes must provide residents with necessary care to heal pressure ulcers and to prevent the development of new ulcers. An October 2018 citation found that Hollis Park failed to ensure such. The citation specifically describes observations that a resident with a stage 3 pressure ulcers on their sacral area had no dressing on the wound. In an interview, a certified nursing assistant attested that he had removed the dressing from the wound when he “changed the resident.” A licensed practical nurse said in an interview that CNAs “are not to remove any dressings,” and that placing a diaper over the wound area—as had been the case with the resident in question—posed an infection risk. The LPN attested further that had she been aware the wound no longer had dressing, she would have been able to put a protective barrier between the wound and the resident’s diaper until she changed the dressing. A plan of correction undertaken by the facility included the education and disciplining of the CNA in question.
The attorneys at the Law Offices of Thomas L. Gallivan, PLLC work diligently to protect the rights of nursing home residents. Please contact us to discuss in the event you have a potential case involving neglect or abuse.