HospitalInspections.org

Based on record review and interview, one of one patient (patient #2) did not receive care in a safe setting. Patient #2 was found to have a unexplained bruise on her chin that she did not have on admission.

Findings included:
1) The nursing assessment for patient #2 included a skin assessment. There was no documentation of a bruise on the patient's chin.
2) The medical record for patient #2 included that on day 2 of her stay (09/22/11) the patient was found on one knee in her room. She had a bruise on her chin.
3) In an interview with the surveyor on 12/13/11 at 1230 employee #3 stated that the patient did not have the bruise on her chin when she was taken to her room and placed in her bed.
4) In an interview with the surveyor at 1500 on 12/14/11 employees #1 and #2 confirmed that on day 2 of her admission the patient had an unexplained bruise to her chin that was not there on admission.

Facility Policy
Patient ' s Rights, NS500.15, Reviewed 06/10
" ...III. Basic Rights for all Patients ...
3. You have the right to a clean and humane environment in which you are protected from harm ... "