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Home  /  Nursing Home Violations  /  Westhampton Care Center Cited for Infection, Psychotropic Meds

Westhampton Care Center Cited for Infection, Psychotropic Meds

by Law Offices of Thomas L. Gallivan, PLLC 18 May2022

Westhampton Care Center received 17 citations for violations of public health code between 2018 and 2022, according to New York State Department of Health records accessed on May 13, 2022. The Westhampton nursing home’s citations resulted from a total of four inspections by state surveyors. The deficiencies they describe include the following:

1. The nursing home did not properly ensure the prevention and control of infection. Under Section 483.80 of the Federal Code, nursing homes “must establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.” A January 2022 citation found that Westhampton Care Center failed to ensure such. The citation specifically describes an instance in which a Licensed Practical Worse “did not wear appropriate personal protective equipment (PPE) when providing medications and checking blood sugar” for a resident on contact and droplet precautions. It goes on to state that the LPN “did not wear gloves while administering insulin” to the resident, and describes two separate instances in which staffers failed to wear proper PPE while tending to residents on contact and droplet precautions, in contravention of the facility’s Covid-19 policies. A plan of correction undertaken by the facility included the counseling of relevant staff.

2. The nursing home did not adequately keep residents free from the use of unnecessary psychotropic drugs. Section 483.45 of the Federal Code maintains that nursing home facilities must ensure resident drug regimens include no unnecessary medications that affect “brain activities associated with mental processes and behavior.” A September 2019 citation found that Westhampton Care Center failed to ensure such. The citation specifically describes a resident receiving psychotropic medications for whom there had been “no attempt at a gradual dose reduction” for a redacted period of time. In an interview, the facility’s Medical Director said that “a GDR should have been attempted,” while the facility’s physician said that “although the team encountered resistance from the resident’s family during the previous family meeting… regarding the GDR, a second family meeting should have been held regarding the need for a GDR of these medications.” A plan of correction undertaken by the facility included the in-servicing of relevant employees.

3. The nursing home did not provide an adequate quality of care. Section 483.25 of the Federal Code stipulates that nursing homes must ensure residents receive “treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents’ choices” that allows them to attain their highest practicable well-being. A January 2022 citation found that Westhampton Care Center failed to ensure such. The citation specifically describes a resident who was prescribed an antipsychotic medication after a fall. The resident had been recommended to receive 37.5 mg of the medication daily but was administered 12.5 mg daily, according to the citation, which states that the prescribing physician did not obtain the resident’s history for the medication usage “and did not obtain a psychiatry consult until 20 days after the gradual dose reduction when the resident started to exhibit behavioral changes.” In an interview, the facility’s Medical Director said “that they would not have made a drastic reduction from 37.5 mg to 12.5 mg and would have instead reduced the medication to 12.5 mg twice a day for a total of 25 mg daily.” A plan of correction undertaken by the facility included the education of relevant staff on psychoactive medication policies. 

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.

Posted in: Nursing Home Violations, Coronavirus, COVID-19, Falls & Fractures, Infection, Nursing Home Abuse

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