My mom has been in a skilled nursing home for 8 years. For the first few years things were great. Then there was a huge change in personnel. Many left. Things changed and not for the good. I developed a rare spinal condition that impairs my mobility. I couldn't visit as often. I have managed weekly visits. Mom had two injuries to each hand within a week. The last gash required steri-strips but because it wasn't reported mom received no wound care. The nurse was notified by the CNA who did nothing!! No documentation or incident report, no wound treatment. It was like it never happened. Sounds like someone doesn't want anybody to know anything. Now I am worried all the time. I am all my mom has near by. I am a mandated reporter. I believe in it. My siblings, who are across the country, don't want me to report due to reprisal, like discharge. Would you report to your state authorities?
You arrive for your weekly visit and find that there are four cuts on your mother's hands. Two cuts per hand. One of them looks nasty but has not been treated. There is nothing on her file about anything relevant.
The idea, here, is primarily to ensure that she does not sustain further injuries. That is what matters.
1. Get the nasty cut treated.
2. Find out what happened. If you get nothing from the staff except dumb insolence or helpless panic, you will have to figure it out yourself. What is she scraping or hitting or knocking her hands against? What is causing these injuries?
3. Put right whatever the cause of the cuts is. If you really can't find it (there's a limit to what could be doing it - fingernails, bolts on wheelchairs or commodes, bed frames, door frames, the underside of dining tables - look closely at what she comes into contact with) then consider options such as cotton gloves.
4. Require an explanation from the SNF of how this came about, why it was not documented and managed as it ought to have been, and how this situation will be prevented in future.
If I found that I was prevented from following these steps, or if God forbid I returned the following week and found more injuries, THEN I would get external authorities involved, certainly.
Meanwhile I'd probably think it a good idea to start researching alternative nursing homes anyway. You never know when you might need one, after all.
Your siblings are across the country and you are already doing all you can. Are there any local friends or neighbours you might recruit as extra visitors, just temporarily?
I'd find another safe place for Mom before calling in the authorities though, as there might be retaliation. But once Mom is safe somewhere else, definitely involve them. You might also report to Medicare as well; I don't know the frequencies of their reviews, but perhaps a special review might be in order for a noncomforming facility.
WHY WAS I NOT CALLED WHEN THIS HAPPENED? WHY ARE YOU ALLOWING MY MOTHER TO BE HURT AND THERE IS NO FOLLOWUP NO PHONE CALL TO ME?
Ask her doctor that you want a her to be evaluated for Palliative care and/or Hospice care. Perhaps that is what the Skilled Nursing Home is supposed to do.
when my mother was in the hospital, for what, I don't recall, too many times, I went to visit her in the morning before going to work. I found her naked leaning over her bed and asleep... And she was near the nursing station. I yelled and I was very mad, what the Hell,,, Never have I seen anything like that before. They were quick to fix that, how long was she there like that? No idea. The guy I was screaming at, quickly admitted that he just clocked in, he just got there. Really? that's an excuse?
Did you ask why there were injuries? And demand an explanation. Is mom totally disabled? Perhaps they got someone working who doesn't know how to maneuver or handle people correctly....
My hsopice nurse says she can personally by herself handle a 275 pound man without creating brusies or marks.
I post notes, document, yell if I have to. I do try to be nice but nobody hears nice, lawsuit and report seems to get their attention. But still won't meet my demands- like a 1-2 day suspension of the nurses that I reported the injuries to and still did nothing. Not even wound care or incident report.
As to staffing, there are state mandated standards. I don't recall if it was something like a 1:11 ratio or more or less, but that was a question I learned to ask before placement (after a bad experience at one hospital related rehab facility).
I'm sorry to learn that you've experienced poor and frustrating care, but there are some very good facilities available. After several rehabs, I found a top notch religious affiliated place for my father.
Resident: nurse ratio
Resident: CNA ratio*
The numbers were insane:
32:1 nurse and 16:1 CNA- Ohio
44:1 nurse and 44:2 CNA- Tennessee
50:2 nurse and 15:3 CNA- New York
66:2 nurse and 66:4 CNA- Illinois
50:1 nurse and 30:1 CNA- Georgia
60:1 nurse and 60:3-4 CNA- Nebraska
https://nurse.org/articles/nurse-staffing-unsafe-long-care-facilities/
My friend told me about Arnicare.. Cream and pill form...supposed help heal the bruising.