AKA Careless Manner... Our dad was transferred the Manorcare AKA Careless Manner on high recommendations. It was our first family experience of touring and then admitting a family member to a SNF...so you be the judge:
took over 2 hours upon arrival for my dad to get any personal attention.
no formal care plan
100% NPO not observed! OMG 3 times while we were in dad's room Na's came in with ENSURE and Water for my dad! My dad, confused from stroke, could have seriously drowned, had he accepted it...esp. If had we NOT been there to observe.
feeding peg tube was not flushed after use, pretty basic...
failed to change simple 4x4 bandage at feeding peg tube, even after the initial change was so smelly, as they left in on without changing for over a day and a half. (Hospital recommended 2x daily)
next day, RN was asked by family 5 times in 6 hours to change bandage as the smell was getting bad again--she never did by the time we left ...then we were informed in middle of night peg tube area was infected and they sent him to ER.
2nd day I arrived at 9am and my dad was not not checked by a Na or Lpn/RN until 4pm--this was a norm...My dad was incontinent at that time, so we had to change his overly wet briefs...
not attentive to his specific needs.
during a training session with new Na's one girl wouldn't even come close enough to bed while they turned my dad on his side...what a safety issue!
saftey issues: I found my dad's bed high off ground and my dad was falling out of bed, I caught him before he fell. (He was high risk of moving, so bed was always to be left at floor level.)
failed to keep dad at recommended 30% grade for breathing and preventation of choking.
nursing supplies were just thrown into room everywhere, some on the floor, no order.
As there appears to be no set care plans and order to patient care, hence, "Careless Manner," we as a family had to station several of us there in shifts from 9am to 9pm when we could. We kept notes of care given and needed amongst ourselves so the next family member knew what to request...
After they sent him to ER, my dad spent a week in the hospital .
He is now being cared for at a professional SNF. ;)
There definitely is a management problem at this location.
PS: Manorcare was fully aware of my dad's condition, and his special needs. They visited him in the hospital prior to admitting, AND they had his hospital records for review and approval...