CENTERVILLE —
A Centerville nursing home has received a $15,000 fine from the Iowa Department of Inspection and Appeals, the department which regulates nursing homes in Iowa.
The Golden Age Nursing and Rehabilitation Center in Centerville was fined for the third time since June 2012 for the same offense: “failing to provide the minimum level of nursing care for its residents.”
Fines for a first class I or class II violations are capped by the state at $10,000 per violation. Subsequent citations for the same violation within a 12 month period can be doubled or tripled by the state. The recent citation resulted in a $5,000 fine that was tripled to $15,000.
The report stated that the nursing home “failed to provide nursing provisions with accurate assessment and timely interventions for two residents who experienced an adverse change in his/her physical condition.”
The recent report covers two deaths in November last year.
One resident, who the Des Moines Register has identified as 89-year-old Freda King, died on Nov. 29 at 7:50 a.m. The report states that King suffered a broken hip after falling at the home on Oct. 6. King was sent the hospital for treatment by her physician and returned to the nursing home on Oct. 26.
On Nov. 5, a staff member from the home found King on the floor of her room. The report states that the nurses notes from Nov. 5 at 10:30 p.m. from an LPN identified as “Staff H” said “the side rails were up on both sides of the bed. The resident did not know how he/she fell.”
The LPN notified King’s power of attorney and physician and King was transferred to an area emergency room for evaluation.
On Nov. 6 at 12:30 a.m., the emergency room, according to the report, contacted the facility nurse and stated the X-ray performed on King revealed no fractures and that the resident would be returned to the home. However, at 7:40 a.m. on the same day, King’s physician notified the nurse that the X-ray had been read incorrectly, and that King did indeed have a fractured left hip. She was transferred to an emergency room before being sent to a Des Moines hospital.
The report states that while at the Des Moines hospital, King had a Myocardial infarction, or heart attack.
At the request of family, King was sent to the hospital on Nov. 24 at 9:11 p.m.
The report states that “The hospital admission history and physical dated 11/25/12 noted the resident had been admitted hypotensive with dementia, would open eyes to stimulation but could not communicate.” The resident also had a critically high sodium level and blood urea nitrogen level.
The report cites a hospital discharge summary, dated Nov. 29, as documenting that the resident had been rehydrated and had lowered sodium levels during hospitalization. The summary said King’s mental status improved but that she remained weak and malnourished.
The report stated, from the discharge summary, that “on the morning of 11/29/12 the resident developed a wide complex tachycardia with apparent ventricular tachycardia at 190 beats per minute. Resuscitation efforts were unsuccessful and the resident [died] at 7:50 a.m. on 11/29/12. The discharge summary listed the final diagnoses acute myocardia infarction, congestive heart failure, hypernatremia, dehydration and fractured hip.”
On Dec. 6, King’s physician stated that they were unaware King had not been eating or drinking and was showing a decreased mental status.
In a Dec. 5 interview, a CNA on the staff stated that prior to King’s first fall in October, she had been totally independent. After the fall, King began to be confused about using her call light.
In another case, a 91-year-old resident identified as Mable Stafford by the Des Moines Register died on Nov. 9 after being transferred from the home to the hospital.
The reports indicate that Stafford began having trouble breathing on Nov. 3. Her daughter, identified by the Des Moines Register has Paula Stafford, requested a change in medication. A nurse, according to the report, refused to notify the resident’s physician so a change of medication could be ordered. Paula then appealed to the director of nursing. The director made contact with the physician and a new medication was ordered.
On Nov. 5, Paula ordered for Mable to be transferred to the hospital after she found Mable gray in color and continuing to have trouble breathing.
When admitted to the emergency room on Nov. 5 at 9 a.m., the emergency room notes stated that “the resident arrived in severe respiratory distress with shallow, rapid respirations at 52 breaths per minute, and oxygen saturation at 91 percent on two liters/minute of oxygen… The resident showed decreased mental status, non-responsive to questions except with moans.”
The family notified Golden Age of Mable’s death on Nov. 9.
In a Dec. 6 interview, Mable’s physician “stated that the last condition update that she had received regarding [Mable] was on Oct. 29 that stated the resident had improved. The physician stated she had not been notified that the resident had been taken to the emergency room in respiratory distress” on Nov. 5, 2012.
Golden Age was last fined $8,000 in September for the death of 64-year-old Barbara Logsdon. The report in September alleged that the nursing home failed to provide timely interventions to relieve the resident’s respiratory distress, eventually causing her death.
The Des Moines Register reported Monday that the Golden Age is owned by Stanley and Patricia Birchem of Leon, as a for-profit corporation. The Register reports that Stanley is planning on appealing the fine.
“It has all been taken care of,” Patricia Birchem told the Register. “It has been absolved or resolved. It’s gone and it’s taken care of. It was all unfounded.”
Nancy Farely, the administrator at the facility, reportedly hung up the phone when the Register attempted to contact her Monday.
Local News
January 24, 2013
Golden Age in Centerville fined after third infraction
- Local News
-
-
Pursuit that began in Marion county ends in Wayne county
A pursuit that began in Marion county Tuesday evening ended in Wayne county Tuesday night.
-
Centerville flooring business has new owners
A 65-year-old business fixture in Centerville is changing ownership as the owner has decided to retire. Ron Mitchell, owner of Mitchell's Floor Covering, has decided to retire after guiding the family-run business since moving back home from Denver,
-
69-year-old leads deputies on high speed chase
A homeless man driving a stolen vehicle May 15 in Appanoose County at 2:30 a.m. in an attempt to elude law enforcement rammed the pursuing patrol car and is now facing five class D felony charges. Roy Steed Cope, 69, has been charged by the Appanoose
- Friends raise more than $450 Friends raise more than $450 The Friends of the Drake Public Library raised more than $450 to pay for new books for the Drake Public Library from the Bake Sale for Books event Saturday, May 11. May 22 'American Cancer Society Day' DES MOINES -- In h
-
UPDATE 11:42 p.m.: Customers without power now below 1,000
Severe storms moving through the area caused over a thousand to loose power Sunday night.
-
Severe weather expected today
OTTUMWA -- Southeast Iowa will likely see the return of severe weather Sunday. Forecasters say there is a very high chance of thunderstorms this afternoon and evening and some could become severe.
- BOB volunteers complete window installation at 18-80 Club The 18-80 Club in Centerville recently received new windows with the help of local volunteers. "Our windows are in and look great," said Carla Wahl, with the 18-80 Club. "With the temp today [May 14] being in the 90's maybe they will open them up. T
- City Council budget amendment public hearing tonight The Centerville City Council at tonight's regular meeting will hold a public hearing amending the fiscal year 2013 budget, which ends June 30. The budget amendment calls for an additional $3.5 million in total revenues and other sources and an additi
-
FFA trap competition
Southern Iowa FFA trapshoot held on Sunday, April 28 at the Bloomfield Izaak Walton League and hosted by the Davis County and Centerville FFA chapters. Winners included Gabriella Buban of Wayne County at Corydon, top female. The top team was Moulton
- Centerville City Council Agenda for May 20 Centerville City Council Centerville City Council will meet Monday, May 20 at 5:30 p.m. at City Hall. Items on the agenda include approval of May 6 City Council meeting minutes, approval of April 11 Appanoose County Service Agency meeting minutes, a
- Prison term settles seven criminal cases A Centerville man facing 17 criminal counts in seven different felony, aggravated and serious misdemeanor cases in two southeast Iowa counties entered a guilty plea to three of the counts and was sentenced to state prison. The other 14 counts were di
- AC fair queen contest notice AC fair queen contest notice Contestants must be 16 to 21 years old as of Aug. 8. Contestants must be an active member of at least one worthwhile organization and be a resident of Appanoose County. Contestants must be present for the photo session,
- Work on 150th Avenue The Appanoose County Secondary Road Department reports the following road travel restrictions for 150th Avenue from 15129 150th Ave. to approximately .20 miles north of 15129 150th Ave. for a crossroad culvert replacement. Work started May 14 at 7 a.
-
Sprouse next IHCC president
OTTUMWA — The Indian Hills Community College Board of Trustees this week tabbed Dr. Marlene Sprouse to be the next president of the college. She will take over when current president Dr. Jim Lindenmayer retires in the fall. Board president John Poth
-
Loebsack calls for 'swift dismissal' in IRS targeting
WASHINGTON, D.C. — Congressman Dave Loebsack has called on President Obama to fully investigate the allegations that the Internal Revenue Service illegally targeted non-profit organizations based on ideological criteria. He also called for the swift
- More Local News Headlines
-
Pursuit that began in Marion county ends in Wayne county
