ISDH IJ/SSQC Update

There were two events in April that resulted in one IJ citation and two SSQC citations.  The first event involved the failure by an LPN to recognize the code status of a resident after the resident was found without pulse or respirations, leading to a F155 citation at the IJ level.  The resident had elected to be Full Code and all records and documentation was correct that the resident was Full Code, however the LPN did not recognize this code status.  This particular citation, F155, marks the 4th time in the past 6 months that a citation, either F155 or F309, has been issued for failure to properly follow a resident’s election for to be Full Code.  The second event in April involved a series of abuse and misappropriation allegations that the ISHD found to not have been properly reported internally or to authorities and that were not thoroughly investigated.  These events resulted in citation of F225 and F226, both at the SSQC level.  Several of the issues cited by the ISDH involved alleged abuse, verbal and physical, that could also be described as rude behavior and rough treatment or handling of residents.  There was also an allegation of misappropriation of resident property that took place 3 months prior to the citation being issued.  The details of these particular issues are important to read as many of them could be mistaken or thought to be poor customer service rather than patient abuse and neglect.

To read the April 2567s and a summary of the 2015 IJs and SSQCs, click here.