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[Shelbyville Times-Gazette]
Shelbyville, Tennessee ~ Saturday, October 11, 2008
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Nursing home admissions suspended

Friday, June 27, 2008

Tennessee Commissioner of Health Susan Cooper on Wednesday suspended new admissions to Bedford County Nursing Home and fined the nursing home $3,000 following the death last month of a resident.

The resident had been taken in for a bath on May 25. The technician did not have her properly restrained, according to BCNH Director Wayne Schumann, and she fell out of her lift chair onto a tile floor and hit her head. She was taken to the local emergency room and then transported by helicopter to Vanderbilt University Medical Center, where she died.

The nursing home self-reported the incident to the state.

The nursing home has also been given a federal civil penalty of $6,550 per day, beginning on the day of the incident, until the federal authorities find that violations have been corrected. The federal regulators say the facility must improve its training of employees in the use of the lift chair. Schumann said employees had been trained in the use of the chair and that the technician, who has since been terminated, simply did not follow the proper procedures.

Schumann said the death was a one-time incident and claims there are no ongoing problems with the county-owned facility. He faxed a 56-page response to regulators on Wednesday.

"It's just an unfortunate thing," said County Mayor Eugene Ray on Thursday. "We're doing all we can to rectify the situation."

The state says the ban on new admissions was based on "conditions found during a complaint investigation and survey conducted June 2 through June 23. During the survey, surveyors found violations of resident protection, administration, nursing services and staff training standards."

Ray said he does not blame Schumann or BCNH management for the incident.

"It's not part of the program," said Ray.

"We have had a number of people come by, and [they] are concerned," Schumann said. He recently had a meeting with cognizant residents of the home.

Schumann said he does not take the incident lightly.

"It's very serious," he said. "It's the worst thing that can happen."

The nursing home is licensed for 107 beds and adjoins the soon-to-be-vacant Bedford County Medical Center. Originally, the hospital and nursing home were operated together. The county sold the hospital to Community Health Systems, which is in the process of moving it to a new facility on U.S. 231. The county kept the nursing home, which it said was self-supporting and profitable.

Some commissioners have proposed in recent months that the county sell, or at least investigate selling, the nursing home, especially when preliminary figures made it seem like it would be much more expensive to operate the nursing home without the hospital next door. But other commissioners have strongly objected to the idea, saying that the quality or availability of care might suffer under a private operator. Later figures made it look much more affordable than previously thought to separate the nursing home's infrastructure from the hospital's, and a financial plan was drawn up for needed improvements.

The state health commissioner may suspend admissions to a nursing home when conditions are determined to be, or are likely to be, detrimental to the health, safety or welfare of the residents. The order to suspend admissions remains effective until conditions have been and continue to remain corrected, according to a state news release. A copy of the order must be posted at the public entrance where it can be plainly seen.

The nursing home has the right to a hearing regarding the suspension of admissions before the Board for Licensing Health Care Facilities or an administrative judge.


Comments
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traveler13--not to change the topic, but what experience did you have to cause you to be so down on BC? I am not a native here, but I was raised in an adjacent county and at the time never thought I would move here. I have lived here now for many years and my experience has not been all bad.

-- Posted by stardust on Wed, Jul 9, 2008, at 10:48 AM

Typical of Bedford County and especially Shelbyville. Check around- you'll find Bedford County and especially Shelbyville has the worst of the worst and yet has so many people that will tell you how much better it is than anywhere else. And how much better they are than you. This nursing home is run in typical Bedford County fashion. With self-centeredness and cold indifference. Don't be surprised now.

-- Posted by traveler13 on Wed, Jul 9, 2008, at 6:32 AM

Interesting Story. Could have been Anywhere, USA.To the patients' family, please accept my deepest sympathy.Sad for everyone, from the patients family,the caregivers, the staff at the nursing home, the Administration, and the community. I can only hope many will learn something from this tragedy,and "Walk The Talk", with their new found knowledge.None of us is as smart as all of us. I pray that the anger I have read in many comments, will heal, and to move forward, will require some joint efforts to improve quality care for the residents of your nursing home.Team approaches may take longer, though usually, it adds more value and produce better results in the long run.No team is too small.Great things usually start with an idea of a dedicated individual,and can grow with committed individuals. Rita

-- Posted by Rita from Gansevoort,NY on Sat, Jul 5, 2008, at 8:06 PM

I am responding to the person that said they can't take them to the potty everytime they need to go. My granny is in BCNH and she has had a skin break down where she was left sitting in her own poop and pee for hours. I have seen them take up to 30 minutes to change somebody. And futhermore my granny has got skin tears and everything else at the fault of the tech's. I have seen bruises. Just think about this how would you like to be in the nursing home and have to cry because you couldn't get up and go to the bathroom and somebody wouldn't come help you go or change your diaper because you waited so long you went in your pants. That is embarassing for the residents to be in that position. I think that they should be held accountable for thier actions. It's not fair that things go unnoticed and then things like this happen. I have seen them do good with my granny also but more times than I can count it was bad. I just wished they could get this fixed so the patients can have a safe and secure environment to live in.

-- Posted by mj37 on Fri, Jul 4, 2008, at 11:15 PM

Both my comments were aimed at defending the jobs of Nurses and CNAs and I would think that you would want others to encourage your adminstrators to provide you with more help.

Some of your comments, however, have caused me to question whether I should continue to defend you. I do work in LTC facilities and have worked as a CNA so I do know the challenges.

I have concerns when I am attempting to speak to the administrator and/or the social worker regarding my parent and am being brushed off or they do not follow through with what they have told me they would take care of. I see both sides but it is my responsibility to see that my parent gets the best care possible and I will do everything within my power to do so. Sorry if it causes your job to be more difficult

These were my comments:

""The blame is on the entire system for Long Term Care and the individual administrations only if they don't provide the necessary staff/facilities for a high quality of life.

-- Posted by stardust on Tue, Jul 1, 2008, at 3:36 PM

Blame cannot be placed on any individual. The tech was probably in a hurry because he/she had too many residents to care for.

-- Posted by stardust on Mon, Jun 30, 2008, at 11:01 AM ""

-- Posted by stardust on Wed, Jul 2, 2008, at 3:13 PM

Parenting, Mom and all others who mean well.

There is no competition between Glen Oaks and BSNH. We are in the same field-care. If you have read my words, I said that the accident conditions are not standard for BCNH.

We are not in manufacturing or sales. We can't just let a substandard product be put on the shelf. Those of us who are dedicated to the patients always have to pitch in and do extra. Most people would quit a job that paid poorly and required extra - Every Day. It cannot be a job for us - it is a calling. Many of us have been tempted to do other things, but then who would take care of your parents or you.

Those of us who are here for more than a paycheck take pride in our work. When people who are ignorant of the conditions and every day complexities want to lump all of us into one pile and make incorrect and inflammatory presumptions about us, you are asking way too much to ask for silence.

An untruth unchallenged allows the teller to think they are right, but more importantly- all who hear it may take it as truth. I don't know what you did or do for a living, but I doubt you would do as you are asking us to do when broad, generalized untruths are maliciously cast about you.

I have said my peace to those who had cast stones in ignorance. I have seen others come forward to do so as well.

There are many who cannot or will not think about the subject beyond their narrow perspective. When this perspective is also tainted by ignorance it can be contagious because people want to take the easiest way out, if it sounds right and they have no other knowledge or understanding of it they are likely to grab on and not consider anything that takes more thought. What I have seen in these people just reinforces peoples views of small town people. That also saddens me.

I would not ask anyone to not defend themselves from slanderous ignorance indefinitely. We who dedicate our life to cleaning, feeding and attempting whatever is in our power to comfort our residents don't need to be told about the exceptions and where the focus should be- we live it every day. In placing those of us who sincerely try to care for our residents below family members you do us a disservice. You should realize that the residents become our family as well. During the easy times of life, blood family shares their hours. During many of the worst times we are there sharing in the pain. How many other career fields cause you to grieve and shed tears? In leaving this board I will ask you as seemingly reasonable individuals to look at it from our perspective - those of us who do everything we can everyday to take care of your loved ones and maybe someday you.

-- Posted by bedco4evr on Wed, Jul 2, 2008, at 2:32 PM

Their is always room for improvement, we all are human and we all are going to make mistakes. Their is no "Perfect LTC facilities" but some are better organized than others, and better ran than others. This is what we need to be striving for improvements.

Arguing back and forth, and telling each other off is not accomplishing nothing but anger and hostility to each other, and to all Nursing Home Facilities. Caring for one resident at home can be a trying task, especially if untrained. CNA's don't care for just one resident, they care for 12-15 residents a day, it is a tiring, sometimes stressful and emotional job. And pay is very low for the type of work these people have to do. CNA's will have their good days and bad days. Each resident is different and some need extra special care than others depending on their abilities and disabilities.

Criticism is hard to take, but sometimes it is needed for improvements, But there is a right way and a wrong way about doing things. We need to help support these Nursing Homes because they are Very Much So Needed. If their are things we see that could be improved it would help if this was told to the Administrators so they can try and make these improvements. Positive things brings about positive things. This is a Accident that happened, It should not have happened if it was properly done. This facility is taking measures to improve its flaws and other facilities can check to improve any flaws they may have as well.

Let's stop the arguing, accept the fact that accidents and errors are going to be made, also lets know their is room for improvements and family members have a right to ask the facility to improve something and the facility needs to care enough to look into the improvements. We have to communicate with each other, (Family members and Facility Staff) this is the only way things can get better.

My prayers to the families of these 2 residents, and the staff for this tragic loss.

-- Posted by Momof3&3step&1gran on Wed, Jul 2, 2008, at 1:02 PM

As a 54 year old man who is going to have to have some type of healthcare facility to go into I read all of these comments and they litterally make me sick. These family members are just stating concerns that they have over their family and you all are trying to make them appear like they have no clue what is going on.

The incident at BCNH is tragic. There was absouluty no reason for it to occur. Had the staff member taken the time required to do something properly it never would have happened.

Being "short-staffed" no excuse for not doing your job. You are payed to come in to do that job.

In my line of work if I came to work and we were short-staffed it makes no difference. We still pitch in together and get the job done.

The 2 nursing homes that have been mentioned here it seems as the 2 of you are fighting to see who's better.

It shouldn't be who's better it should be let's take care of our community together.

My deepest sympathy goes out to all of the family who has lost a loved one in this horrible "accident".

-- Posted by parenting_101 on Wed, Jul 2, 2008, at 9:52 AM

Grow up little child.

-- Posted by bedco4evr on Wed, Jul 2, 2008, at 9:11 AM

BEDCO4EVR--- I DON'T AND HAVE NOT WORKED ANYWHERE NEAR A NURSING HOME SINCE 2000; SO IF THERES A PROBLEM, CHECK YOURSELF, NOT ME!!!! I JUST RIDE AROUND ON MY HIGH HORSE ALL DAY, RAILING AGAINST THOSE I DONT KNOW, BEING A SAVIOR OF THE NURSING HOME INDUSTRY!!!! YOUR THE SO CALLED NURSE DO YOUR JOB-- AND DONT TELL ME YOUR "SORRY IF THE TRUTH HURTS", FROM READING YOUR COMMENTS, YOU KNOW NOTHING ABOUT ME AND WOULDN'T KNOW THE TRUTH IF IT HIT YOU IN THE HEAD! THE ONLY THING THAT HURTS ME IS THE LOSS OF MY LOVED ONE. AND YOU DON'T HAVE TO LET ANYTHING PASS DUE TO MY LOSS-- AND IT'S PEOPLE LIKE YOU THAT GIVE NURSES A BAD NAME!

-- Posted by b_sudberry on Wed, Jul 2, 2008, at 8:33 AM

Melicious--I don't know what you mean by where I get my information.

The only comments I have made are based on my own observations since I have a family member in LTC.

I also am POA for my parent and have to take care of all financial/medical accounts. I have done and continue to do research regarding other facilities and options so I am very aware of what is happening.

-- Posted by stardust on Tue, Jul 1, 2008, at 7:54 PM

Stardust,

I work at Glenn Oaks right now, and Im not sure how you get your information, but there was just a large group of new Techs added to the staff.

-- Posted by Melicious on Tue, Jul 1, 2008, at 6:58 PM

Additionally, it makes me extremely upset to read the comments of Schumann and Ray in the paper. Quotes: "Schumann said the death was a one-time incident and claims there are no ongoing problems with the county-owned facility." "Schumann said employees had been trained in the use of the chair and that the technician, who has since been terminated, simply did not follow the proper procedures." "Ray said he does not blame Schumann or BCNH management for the incident." "During the survey, surveyors found violations of resident protection, administration, nursing services and staff training standards." So in reading these comments, I wonder why both Ray and Schumann do not hold anyone in management responsible, but Schumann with Ray's blessing decided to relieve the DON of her duties. Also, if you analyze the survey results comment, these areas fall flat at the feet of the Administrator, namely resident protection, ADMINISTRATION, and staff training standards. Who in the world other than the administrator himself should be in charge of administration, resident protection and staff training standards? But no, Schumann and Ray pass the responsibility to others when their own shortcomings are exposed. Truly disgusting that the people who provide the direct patient care under some of the most trying circumstances are the ones who take the blame. I have had a parent and grandparent both at BCNH in the past and the employees were always very helpful, but it was always obvious that the necessary funding and support was never adequate for the amount of work these employees had to provide. If someone as hard working and dedicated to giving patient care as the DON was is asked to step down, then the administrator needs to be shown the door as well because he will never come close to being the type of health care provider than the one he asked to leave.

-- Posted by FmrResident on Tue, Jul 1, 2008, at 5:43 PM

Some facts to remember in this unfortunate and horrible tragedy. The tech had been trained to perform the task properly but made the mistake of not folowing the proper procedure. If this is the case why should the DON be relieved of her duties? If she was held accountable for another's failure to follow proper protocol, why was the Administrator not held accountable as well? Another fact that should be known by all is that the DON has given her heart and soul to both the hospital and nursing home. Those of you who know her understand the tremendous feelings and care that she provides to everyone. It is disgusting to me that she is being made a scapegoat in this tragedy and the Administrator and Mayor go along with this show to take the heat off of themselves. Much like the military, when something bad happens they always find a scapegoat or two to court martial and the generals keep their stars. I realize the situation can't be reversed, but the people of Bedford County need to truly understand where the weak links are and they start at the top.

-- Posted by FmrResident on Tue, Jul 1, 2008, at 5:13 PM

The point is that Healthcare agencies are just now starting to address the conflict families face when making decisions regarding care for their elderly parents. Unfortunately, the options now being offered are too late for many. If the options had been there a few years ago, my family would definitely have taken advantage of them. Many Residents are unable to stand up or walk and require 2 people to assist with transferring them and this was not financially possible a few years ago.

Also, when these elderly were young, there were not as many 2 income families, so someone could be at home to take care of them. My granny lived with us but she did not require assistance for daily living skills.

My parent pays all but $40 of Social Security Income and all of Military Pension. The house will also be taken eventually. Remember that these folks as long as the rest of us have been paying into the govt for many years.

Many family members are at the NH several times a week if not every day and do attempt to provide "care" during those visits even though they are paying the NH.

The blame is on the entire system for Long Term Care and the individual administrations only if they don't provide the necessary staff/facilities for a high quality of life. It is also on the family if they can provide the care at home and are unwilling to do so. Some of us are unable to do so and we don't want to be attacked for choosing the NH for care.

-- Posted by stardust on Tue, Jul 1, 2008, at 3:36 PM

The root of this topic's sensitivity is that many people do not place a loved one in a nursing home or skilled care facility simply because they no longer CAN take care of that person. Many place them there because they no longer WANT to take care of that person.

If your parents are in their 60s or 70s, ask them how many times their grandparents "went to a nursing home." Most likely, they'll tell you, "They didn't." Family took care of family.

Thankfully, our society has a place like BCNH where elder care is provided. And, correct me if I'm wrong, but isn't this county-owned and operated facility required to accept indigent patients? Families seem to think they're entitled to free care even when they are financially capable of paying. Many of the county commissioners are so keen on selling this facility because it is a financial burden. It's seems like it is more of a community blessing since it provides food, shelter and social interaction for several folks who would otherwise get neither because we no longer take care of our elderly at home. We pay, in some cases we don't, other people to do this for us.

What if these incidents had taken place in the residents' homes or the home of another family member? Would it have been any less tragic? No, not if the end result were the same. But it's so much easier when we have someone to blame.

While you're placing blame on the staff and administration, consider this: Think about the residents who long to see a family member stop by and check on them. I'm sure there are more than we want to know about for whom it's been many moons since they've had a visit like that. Who takes care of these people? Who shops for them, gets their favorite candy or other items they want? Who gathers the residents for outings, putting them in the car and taking them to community events so that they can enjoy intercation and fellowship with the community in which they used to work and live? Who gives them a kind "hello" in the morning and a sweet "good night" in the evening. Who sits beside there bed and holds their hands as their final hour is drawing near? Who's holding their hands when they leave this world and meet Jesus?

The answer: the members of the BCNH staff. They do all of these things. Admonish them if you must but they do so much that so many of us are unwilling to do. The circle of life folks. Think about it. Maybe even consider being a part of it. But don't portray all of these people to be insensitive, incompetent, unconcerned and uncaring people.

-- Posted by mollies_mom on Tue, Jul 1, 2008, at 1:52 PM

I never said that nobody should be held at fault. My direct quote was "People need to quit attacking other people and focus on what is or was the cause of these accidents."

The facility is being held at fault for both incidents. From my understanding the CNA has been fired and so has their DON. They are paying MASSIVE fines for their staff being undertrained. My whole point in either of my comments to show that THIS COMMUNITY NEEDS TO SHOW SOME SUPPORT FOR THE PEOPLE CARING FOR THEIR LOVED ONES.

Not every accident results in death, but rest assured the ones that do are going to get as much press coverage as possible. It's never the good things that get announced to the world it's the bad.

What about the time that CNA did something above and beyond her calling for your mom? What about the time she went out of her way to make sure that mom was taken care of?

Rest assured, I know that we are paid(VERY POORLY I MIGHT ADD)to care for your loved ones and we aren't doing anyone any favors by being there, but as an instructor of mine once said "If you are in it for the money, you're sitting in the wrong pew"

My heart aches for the thought of losing a loved one this way and yes I do belive that the facility needs to be held accountable, but in all reality what would these family members do without all of the folks at BCNH or Glen Oaks?

-- Posted by nurse_01 on Tue, Jul 1, 2008, at 12:52 PM

Nurse_01,

The whole point of your comment was to not shift blame onto anyone. So then, who is to be held responsible? The nursing home is a managed health care system that makes money; people pay to be there. Do not act like you're doing the people there any favors by giving them the care they, or their families, pay for. Yes, someone should be held responsible. It's a cop out to say that accidents happen when there is no reasonable amount of training or evidence that the facility has even tried to educate its staff on the equipment that they use. If this incident were to happen anywhere else; say, the Walmart distrubtion center. If someone would have been killed because someone operated a piece of equipment they were not trained to operate, I would imagine that the administration and management would have a lot to answer to. Why? Because they are held accountable.

In my opinion, it is absolutely the responsbility of the management and directors of the nursing homes to offer training and education on ALL of the equipment that their staff will come in contact with. If they're not, then it is not fair to the patient nor their families. So, yes, someone is to be held responsible. And let this be a lesson to all of us in the medical field: know your equipment and your skills.

-- Posted by muckraker on Tue, Jul 1, 2008, at 12:13 PM

This whole issue has gotten totally off track. People need to quit attacking other people and focus on what is or was the cause of these accidents.

I as mentioned before have worked at both facilites and have had loved ones at both and other facilities.

Let me tell you, we in Bedford County have the cream of the crop in nursing home facilites. No, things aren't perfect in either facility. Call lights go off to long, cokes are taken away from patients, fine dinining is taken away, they don't get money for winining bingo, they change administrators frequently, and ACCIDENTS HAPPEN.

ATLEAST OUR LOVED ONES AREN'T LYING IN BED WITH DECUBITIS ULCERS AS DEEP AS OUR FISTS FROM LYING IN THEIR OWN URINE AND FECES.

ATLEAST OUR LOVED ONES KNOW THAT THEY ARE LOVED AND CARED ABOUT HERE AND FEEL AS IF THEY HAVE A FAMILY EVEN WHEN THEIR FAMILY CAN'T BE THERE.

KNOW THAT IN THIS AREA THE 2 NURSING HOMES WE HAVE AVALIBLE ARE SOME OF THE BEST. THEY AREN'T PERFECT BY ANY MEANS, BUT ATLEAST THEY ARE TAKEN CARE OF TO THE BEST OF THAT FACILITIES ABILITY.

Take note people, you all seem to be focusing on the bad things that happen. It's never the good that get smeared all over the paper, it's only the bad and that's when we all jump on our high-horses and ride in like the galliant knight attempting to save humanity.

I KNOW FROM PERSONAL EXPERIENCE FROM BEING PART OF THE STAFF AND BEING THE FAMILY MEMBER THERE, THAT THINGS ARE HARD ON BOTH SIDES OF THE FENCE.

-- Posted by nurse_01 on Tue, Jul 1, 2008, at 11:13 AM

Brandy Sudberry, We are all sorry about your loss, but no one made you the savior of the nursing home industry. You may have been a tech at Glen Oaks BACK THEN! YOU AREN'T NOW! AND I'M SORRY TO TELL YOU BUT YOU DON'T KNOW EVERYTHING! Sorry if the truth hurts, but rather than railing against people I don't know multiple times a day, I take care of people every day.

As far as calling out people-THIS IS STILL AMERICA! SO YOU GO TALK DOWN TO SOMEONE ELSE! People like you think you can trash care workers because the stereotypes in public allow it and as long as you are part of the gang you are right. DON'T MISTAKE SILENCE BY THE MAJORITY OF US (WHO DAILY GIVE THE CARE) AS EITHER WEAKNESS OR THAT YOU ARE RIGHT! Just because you had a loss at another facility doesn't give you the right to to talk about mine. If you were such a great tech why didn't fix everything. I will stay anonymous because that allows me to hear all the degrading comments people like you and Fairbanks make in person to people you think are of the same mind.

IF ANYONE WITH A FAMILY MEMBER AT ANY NURSING HOME THINKS THEIR LOVED ONE CAN GET 1 TO 1 CARE 24/7 THEN THEY EITHER NEED TO WISE UP OR DO TAKE THEIR LOVED ONE HOME!

HOW OLD ARE YOU? THE MORE YOU SPEW THE MORE YOU SHOW YOUR IGNORANCE! MAYBE YOU WERE ONE OF THOSE SLACKER EMPLOYEES THAT WE ARE NOW BETTER OFF BECAUSE YOU ARE GONE.

EITHER WAY GET OFF YOUR HIGH HORSE. SYMPATHY WILL ONLY GO SO FAR. I WORK EVERY DAY TO CARE FOR PEOPLE WHOSE FAMILIES CAN'T OR WON'T!

I have read many of your prior ignorant comments and let them pass due to your loss. As you have continued and continually shown more ignorance and disregard for those of us actually doing the job you have lost that, in fact you have shown yourself to be a completely self rightous opportunist going way beyond your knowledge or understanding.

There are problems at EVERY nursing home and in the home health business. It is unfortunate what happened at BCNS and I don't think that those bad circumstances are the norm for them. As far as your comments on Glen Oaks- STOP LIVING IN THE WAS - YOU KNOW NOTHING ABOUT THE IS!

-- Posted by bedco4evr on Tue, Jul 1, 2008, at 10:25 AM

This is ridiculous --nurses telling people to "put a sock in their pie hole"? how old are you? grow up . YOU are giving GLen Oaks a bad name just by the ignorant comment you wrote! And who the H3ll are you or anybody to tell someone twice your age they cant have a soda? Let's be real, most of these people will live in the nursing home until they do die & most of them arent in a condition where there gonna get better. Give them a coke, i bet you get one! Oh and my favorite part of your comment -- "If you want someone to provide 1 to 1 care all day everyday, take your mother home and hire somebody" I HOPE EVERYONE WITH A FAMILY MEMBER IN GLEN OAKS READS THIS AND KNOWS THERE ARE "NURSES" LIKE THIS THERE! A "NURSE" WHO WILL CALL OUT A FAMILY MEMBER ON THE INTERNET AND TALK CRAP ABOUT THEM, ONLY BECAUSE YOUR ANONYMOUS! bedco4evr --YOU! should spend more time doing your job instead of posting ridiculous comments, your comment make you look really insensitvie and made Glen oaks look bad for having "nurses" like you there.

Brandy Sudberry

-- Posted by b_sudberry on Tue, Jul 1, 2008, at 8:45 AM

This is addressed to the Administrations of any LTC facility anywhere--not the Nursing staff or CNAs and is in response to some other comments made.

I just want to say that I am not "totally ignorant,nuts, or not paying attention" about what's going on and I have actually documented along with other family members visiting exactly how long it takes for a call light to be answered. I did not start expressing my concerns until it became a consistent event and it was up to 45 minutes before anyone even came in the room to say they would be back to take care of "mom going potty". I have also noticed a change in care and quality of life of my family member which occurred when other changes at the facility were made. Maybe it is a coincidence.

Again, services are being paid for and if the facility cannot provide the service they promise, they should say so up front instead of telling the CNAs not to say that there wasn't enough staff to take care of the Residents. If there is not enough staff-just say so and take care of it instead of trying to make excuses. If there is enough staff, then someone should at least be able to stick their head in the door to give an estimate on when they will be able to get back. Sorry, but you can't always say that there is "more important stuff" going on and I have stood and watched what's going on while the call light is on.

Anyone who has not reached the point where they have to make the decision to find other care alternatives for an elderly parent does not--does not have the right to make any judgement for those of us who do.

I spend many hours of worry regarding my decision and wondering if there is anyway I can find an alternative!!! If I wasn't concerned about my decision, then I would not be responding to this article. I have not been complaining on even a monthly basis and I could be complaining to the state, but I haven't.

Notice I have not named any one facility. All LTC facilities are under fire. There have been many with suspended admissions in TN in the last few months.

-- Posted by stardust on Tue, Jul 1, 2008, at 5:44 AM

the last comment made more sense then alot of them I have read even though what ive read throughout this whole posting is that people in this city care and do NOT want to see this nursing home shutdown for that matter.

These were accidents never done intentionally BUT they did happen and its horrible. There has been even more changes at BCNH over the past week and all the upper management has been there for extra hours every night to try to ensure better help and education on it all.

On 7-3 or 3-11 we have never been extremely understaffed as to having 15 or more patients on our own. BUT i do feel like these patients deserve as much one on one patient care as they can be given and its so much better to have only 9-10 patients per tech. It makes it alot easier to give the baths,do their nails,and things like that.

I hope to see good result from this bad situation. It hurts to see residents and their families scared about losing their "home" but I am praying for the best and it truly is a blessing to see more supporters than opposers.

-- Posted by ily_bb_08 on Tue, Jul 1, 2008, at 1:27 AM

I've worked at both Bedford County and at Glen Oaks. I've been a CNA and an LPN, neither job is as easy as everyone would like to make them out to be. I'm not attempting to step on any toes here, but why are our loved ones put into nursing homes anyway? To provide the care that WE the family can no longer provide, whether it's the unwillingness to do so or the unableness to do so. The staff in nursing homes take a beating (literally and figuratively) EVERYDAY. The people we care for actually become like members of our own family. We mourn for your loses sometimes as much as you the family do. Yes it's tragic that accidents happen, from the smallest of things like skin tears to the largest like death, but that is when we as a community need to stand up for all the good things these facilities provide to family members, NOT PICK THEM APART FOR THE FEW BAD THINGS. I'm not undermining anybody's loss here, but think of all the great things that facility did do for your grandmother, grandfather, aunt, uncle, mom, dad, cousin, brother, sister, or friend. I'm pretty sure that the stay wasn't completely bad or you would have removed your love one.

Just to mention a few things I've noticed in all of these comments:

As far as UNDERSTAFFING goes: have any of you bothered to look up what the state finds acceptable for staffing limitations? Last time I looked a nurse could care for up to 45 patients at one time and a tech could have as many as 15. Neither of the 2 facilites mentioned in all of this make their staff work under these conditions.

As far as TAKING AWAY FINE DINING FOR THE STAFF TO HAVE A BREAKROOM: does your mother not have a place to eat besides her room? Doesn't the tech caring for her deserve that same respect?

As far as the ADMINISTRATION CHANGE AT GLEN OAKS:

Maybe the new company that bought them out wanted to make positive changes and that wasn't possible with the administrator they had

Oh and CALL LIGHTS....I PROMISE THIS IS AN ISSUE AT ANY FACILITY..SOMETIMES THE STAFF IS BUSY AND CAN'T GET THERE AT THE EXACT MOMENT MOM HAS TO GO POTTY...AND YES THERE ARE JUST SOME LAZY TECHS AND NURSES and maybe just maybe did you ever think that there maybe something a little more important going on?

-- Posted by nurse_01 on Tue, Jul 1, 2008, at 12:59 AM

For the Sudberry family and all those whose loved ones have suffered and passed, my heart aches.

For those like Judy Fairbanks I would say just put a pack of socks in your MASSIVELY GAPING PIE HOLE! I've worked at Glen Oaks for over 6 years and I know who "J. Fairbanks" is, but she doesn't know me.

That's because during her infrequent visits to the facility (monthly if that), she had her nose so far up in the air she couldn't see the lowly dregs giving the care to her mother that she should be doing herself at home if she was so concerned!

Has your mother lost weight due to the so-called "bad food?" I don't think so! And how would you know if the staff eats the food or not... since your visits are not all that often???

Wasn't it Bedford Co. that got the wrath of the state? How did Glen Oaks get into the discussion?

I will not defend the last administrator. We had several disagreements and I didn't like some of the things he did, however he was the first one in under the new company and there was so much wrong before it changed hands. If you say it was better when under private ownership, you are either nuts or weren't paying attention. If the state of Tennessee would have been as serious when I first started there as they are now, Glen Oaks would have been in the story in the paper too, not just in the lines by know nothing hippocrates without a clue. The culture that the new company inherited at Glen Oaks was awful. There was no consistency in how people were treated, there was no pay scale and we were constantly short shifted. Rather than fix those problems, Pally and her managers made it worse - totally amateur hour. If not for a core of concerned staff, care would have gotten really bad. Except for TEMPORARILY stopping fine dining, the other changes this new company has brought have been like a breath of fresh air. That surprised me because I listened to all the rumors about how they were going to gut the place. The current administrator has not been here long, but from my contact with him I think he is sincere and has good intentions. Again I say changing the culture here that was in place far longer than I have worked here is happening and it is a good thing. More of the people I work with now do a better job and actually care for the patients. We are all paid better and schedules are better than any time since I started working there.

If families want patients to play bingo for money, then Fairbanks and her kind should provide the dollars. I am so tired of hearing people like her bad mouthing us when she doesn't have a clue. If you want someone to provide 1 to 1 care all day everyday, take your mother home and hire somebody. The amount of care patients get at our facility is a bargain cost wise. If I felt the way you say you do, then my momma would be at the house with me!

You live in Murfreesboro, there are plenty of nursing homes in Murfreesboro-pick one --any one and take her there and see how that works- or has that not worked out already? Must be some reason you have her 25 miles away when there are plenty of homes a lot closer. Do you need their numbers?

And for the sodas, they aren't good for anyone, let alone elderly who already have high blood and sodas are full of sodium. That doesn't help if you have high blood and heart problems. There are reasons for everything and you don't have a clue about most of them.

Either way, stop trashing people over things you are totally ignorant of.

-- Posted by bedco4evr on Tue, Jul 1, 2008, at 12:45 AM

May my grandmother and the other lady that died Rest in Peace! Best of luck BCNH, and thanks to the all the people there that are great at their job( i have a friend that works there and I believe she is wonderful at her job). My granny WAS happy there. I hope that all the future and current residents receive the best care in the world!

-- Posted by b_sudberry on Mon, Jun 30, 2008, at 10:06 PM

One difference between keeping a loved one at home and putting them in a long term care facility is the amount of money one is paying for care and the actual care that the facility is providing--not the individual tech.

If enough staff is not provided, then the care will not be what the facility has contracted to provide.

Yes, there are many individual needs, and as the family of a LTC resident, I have not expressed my opinion/concerns as often as I would like because I also work in LTC facilities and fully understand the challenges.

On the other hand, I have seen facilities which provide far better care than others (actually I should say more care) but receive the same money.

Why is there a difference?

Referring to Glen Oaks--Why so many different administrators in the last few years?

-- Posted by stardust on Mon, Jun 30, 2008, at 9:00 PM

Sincere sympathy goes out to the families involved in these situations. I have worked at both Glen Oaks and BCNH. No nursing home is without it's problems. It is a difficult job for nursing assistants, or techs. Techs have to do all the grunt work for families that can't or won't (in some cases)do for their own family member. It is hard, back breaking work a lot of the time. It is basically a thankless job. Think of how it would be if your loved ones (who require this level of care) were living with you in your own home, how would you deal with it, how would you cope mentally and financially. Many patients need 24-hour nursing supervision, many are incontinent of bowel and bladder, many are demented, some are combative, and most require help bathing and dressing. This is what techs deal with. Yes, they've chosen this profession. I truly believe most do the best they can. I have seen good techs and bad techs; good nurses and bad nurses; good family members and bad family members; good management and bad management. Unfortunately no human being can be all things to all people all of the time (this includes techs, nurses, family members, and management). I pray that the family members in these most recent tragedies are somehow able to find peace at some point in time, by whatever means necessary.

Regarding Glen Oaks, my granny and her roomie both bingoed dollars last week when I was there!! I was, however, sorry to see fine dining cut out.

-- Posted by TheProtector on Mon, Jun 30, 2008, at 7:40 PM

I would just like to say that I have worked at Bedford County Nursing Home for several years, and this is a wonderful nursing home. I would recomend this nursing home to everyone I know, to send your loved one there and know that they will be taking care of. I also would like to say that I have worked every shift on both sides and I'm familiar with everyone that works at Bedford County Nuring Home, EVERYONE! We have a wonderful crew who has stuck together to get through all of this. This is a terrible unfortunate incident and my heart crys out to both family members. I knew both extremely well! With that being said accidents do happen and these are some of the worst accidents I could ever imagine happening at our facility. I want everyone to know that I have been employed with Bedford County for many years and it is a safe enviroment, with a wonderful staff, I cant express this enough. Please know that our administator is doing everyting he can do including working countless hours trying to make sure that such incidents will NEVER happen again, but please remember accidents do happen. Elderly people are extremely fragile and anyone with an elder family member would know the slightest thing could hurt them dearly,what happend was ACCIDENTS!!! I know that we are staffed extremely well and when we are short of help,( as every facility is sometimes), we pull together and get things done and we all do our very very best. As far as the director of nursing being fired, noone knows what went on in that situation, not you and not I. Wayne Schumann I'm adressing you, I believe you are a wonderful adminastrator and I know how hard you and our staff is working to ensure that this facility will remain a great place for our loved ones to reside. I also would like to say that I have read these comments everyday and I can't believe the things people are saying about our faciltiy as well as others. All I can say is that I know for a fact that the staff at Bedford County is a wonderful staff and I know that family members are hurting right now, but please know that that Bedford County is wonderful nursing home, and I hope that you know that none of us would ever let anything like this happen to your loved one. I know that I love my job, working with the eldrely is something that I have loved to do for many years now. Accidents do happen!! This is to Bedford County Nursing Home staff,residents and family members, please hang in there we will get through this, together!!!

-- Posted by good_tech_2 on Mon, Jun 30, 2008, at 7:36 PM

Oh and JFairbanks if you want cameras in the halls take mom to community care in Murfreesboro, they are the camera happy place. But cameras in the halls are against state regs. if they are in the wrong places.

-- Posted by mom2all on Mon, Jun 30, 2008, at 5:42 PM

First of all I would like to know how Glen Oaks got put in the middle of all this. Same town, but different facility. Yes we are corporate owned now, but it has changed our facility for the good, not bad. I have been an employee there for a short time, and believe me there are worst places to work. But our techs are inserviced on new equipment, we have inservices every pay dayon do's and dont's on what is expected of us. But how Glen Oaks got drawn into this drama is beyond me. We are growing and changing every day for the GOOD of our residents. My thoughts and prayers go out to the families that lost loved ones.

-- Posted by mom2all on Mon, Jun 30, 2008, at 5:20 PM

Before Glen Oaks started having changes in administration, it was a decent home. Now, I would not recommend it to anyone. Since they sold out to a corporation, they have done as many things as possible to cut costs including short staffing. I think it should also be reported to the state.

Unfortunately, our society continues to allow the kind of long term care provided in Nursing Homes.

Blame cannot be placed on any individual. The tech was probably in a hurry because he/she had too many residents to care for.

So Sorry for all involved.

-- Posted by stardust on Mon, Jun 30, 2008, at 11:01 AM

to FREEDOM98--- I'LL SAY THIS ONCE AGAIN (PAY ATTENTION, NOW) I'M NOT BLAMING ANY ONE PERSON!! Heck, it's probably nobody's fault, but I have personal experience in both nursing homes and I've been a witness to very unprofessional things going on. If my granny were here, i know she wouldnt blame anyone- TO THE TECH THAT WAS THERE- I DON'T BLAME YOU; i sincerely thank you, i understand someone rushed in right away when they heard her fall, thank you!!!

FREEDOM98 WROTE:

"In response to b-sudberry's comments, I understand this was your loved one and you have work experience in a long term care facility. No nursing home can give one-on-one care! And that is not the standard of care. Even home health can't give an elderly person one-on-one 24/7 if they stay at home. When did you work at Glen Oaks? Have you been there recently? I have friends who work there and they say things have improved by leaps & bounds since it was purchased last summer - better work environment, pay & benefits, educational opportunities. Places can change - don't assume every place is bad and stays that way.

As for training of nursing assistants, in the state of TN they can either go through a 75 hour or 100 hr course, approved by the state. Their learning doesn't stop there. They must attend training sessions held, most are monthly, to keep their skills up to date and learn new ones. When there are issues with equipment, all the staff needs to be re-educated as soon as possible. "

WELL I'M SO GLAD YOU KNOW IT ALL FREEDOM98, I GUESS WHAT I SAW WAS AN ILLUSION?? WHY DON'T YOU JUST RUN BCNH, YOU SEEM SO EDUCATED. We spent all day yesterday burying Granny Knox, today feels numb. This is a touchy topic for me & my family, I'll be here to voice my opinions LOUD & CLEAR!

FROM BRANDY SUDBERRY!

"I gathered from your statement too (b_sudberry) that the techs get away with not doing their jobs. That all falls back to the charge nurses. Part of their job duties is to ensure the staff they supervise (CNT's) are doing their job and taking care of the resident's. "

SO IS IT UP TO ME, THE FAMILY MEMBER, TO GET GOOD TECHS IN THERE? NO! WAS IT UP TO MY 83 YR. OLD GRANNY?? NO! DO YOU HAVE A FAMILY MEMBER IN THERE??? DO YOU KNOW HOW EXPENSIVE IT IS SO FREEDOM98 I DONT THINK IT'S TOO MUCH TO ASK THAT THERE IS A LITTLE MORE OF "ONE-ON-ONE" TYPE OF CARE? WHAT'S WRONG WITH THAT?

I'm shocked at the amount of insensitivity.....

BRANDY SUDBERRY

-- Posted by b_sudberry on Mon, Jun 30, 2008, at 8:24 AM

My heart goes out to the family of the resident and also the employee. Accidents happen. This isn't comforting to the family....we all know that accidents happen. However, usually we place our family members into the nursing home to get the care that we can't provide. It's just sad.

My mom is in Glen Oaks and for the most part she is clean and taken care of. However, when she gets use to a tech and feels comfortable with them...they move them to another hall. I feel the residents need to be comfortable with their caregivers.

Glen Oaks have changed hands twice within a year and that scares me. Both times...things were going to improve. So far the only changes I have seen or heard about is the taking away of the fine dining (for a breakroom for the staff), taking away of sodas (except from the staff). And oh the big one....they use to give out dollar bills to the residents with winning of BINGO and now they stopped that. The dollars would at least give the residents the money to get that drink if a family member isn't there to provide one. The food is suppose to be getting better but most of the staff still won't even eat the food.

Firsthand, I have seen some great techs and some that just walk the halls and completely ignore the lights coming on. Maybe they need to place cameras in the hallways to see how long the response is after the lights are pushed. I have been there and have seen the lights completely ignored and no one even around to see or hear the lights come on for help. Instead of taking away from the residents...how about give something to the residents or something that may improve their care? The word of mouth now isn't so good for Glen Oaks.

Nursing homes have a bad rep but they also have the power to change if they want to. Think about the residents when you think about change.

-- Posted by JFairbanks on Mon, Jun 30, 2008, at 7:44 AM

First I'd like to extend my sincere smypathy to the family members of both residents involved in such tragic accidents. My prayers are with you all at this time.

I personally know several staff members who currently work or have worked at BCNH and they are excellent caregivers. What happened was an accident that could have happened if the individuals was at home, with a family member watching over them. It happens all the time - the public doesn't hear the stories.

Nursing homes have been given a bad rap for many years. Not all are bad, some have room for improvement which is standard due to changes in regulations and improved healthcare technology. Just because one nursing home seems bad does not mean ALL are giving substandard care. It's like one mother who is charged with abuse doesn't mean ALL mothers are abusive. Remember...be slow to judge and quick to forgive.

In response to b-sudberry's comments, I understand this was your loved one and you have work experience in a long term care facility. No nursing home can give one-on-one care! And that is not the standard of care. Even home health can't give an elderly person one-on-one 24/7 if they stay at home. When did you work at Glen Oaks? Have you been there recently? I have friends who work there and they say things have improved by leaps & bounds since it was purchased last summer - better work environment, pay & benefits, educational opportunities. Places can change - don't assume every place is bad and stays that way.

As for training of nursing assistants, in the state of TN they can either go through a 75 hour or 100 hr course, approved by the state. Their learning doesn't stop there. They must attend training sessions held, most are monthly, to keep their skills up to date and learn new ones. When there are issues with equipment, all the staff needs to be re-educated as soon as possible.

I gathered from your statement too (b_sudberry) that the techs get away with not doing their jobs. That all falls back to the charge nurses. Part of their job duties is to ensure the staff they supervise (CNT's) are doing their job and taking care of the resident's.

Whatever the problem is, I pray for all the staff, leaders & resident's. Pointing fingers & playing the blame game won't help what has happened. They all need our prayers more than ever.

-- Posted by freedom98 on Sun, Jun 29, 2008, at 9:02 PM

Yes and that certain person he fired was a wonderful person and I was extremely close to her she was the Director of Nursing to be exact. and since she and he collied alot especially since the major incident he found a way to let her go quicker than usual. I personally have talked to many coworkers who are scared to put in 2 weeks notice for the fear of being fired and having no reference whatsoever from BCNH. Things are getting much more difficult there, even for the workers who weren't in any way involved. If things dont change soon there I have a feeling many people are going to quit for the wrong treatment they are receiving.

This is a horrible situation for all involved and the community in general.I hope everything gets worked out for the best. Yet many of us fear that it won't.

To ms. Knox's granddaughter You are absolutely right workers not doing their job and hiding in rooms to make phone calls and text is extremely wrong and unprofessional. and there needs to be some new changes with the fall precautions and observing these residents more closely especially if they had a history of falling at home.

-- Posted by ily_bb_08 on Sun, Jun 29, 2008, at 8:55 PM

BCNH Director Wayne Schumann did what any ineffective and weak leader would do - he fired people under him to protect his job. One particular employee worked her normal shift, went home and slept a couple hours then came back to work another night shift. Because he needed someone to finish the night shift, the Director used this employee for his needs then fired her after the double shift. I am appalled at the lack of responsibility the Mayor and Commissioners are placing on the person who has to be responsible for these unfortunate and horrible incidents and that is the director himself. To allow him to find scapegoats concerning this problem is hiding behind their lack of leadership. To place blame on caregivers who have spent their entire adult lives providing to the patients without the proper financial support and management is a form of malpractice through neglect. So, the person providing the care may have been directly responsible, all who have not provided the financial means and staffing along the way can look in the mirror and share in the blame.

-- Posted by FmrResident on Sun, Jun 29, 2008, at 1:55 PM

Oh my goodness this is so sad..What happened to Ms. Knox ???? i would love to give my extra time to help out some of these people..I have always wanted to just start to go visit and get to know some of these loving people there..I asked about it at Christmas and was told I had to be a family member..All I wanted to do was share my time with these wonderful people...

-- Posted by rebelrose on Sun, Jun 29, 2008, at 11:18 AM

I AM SPEAKING FROM EXPERIENCE AND BEING THERE IN MY GRANDMOTHERS ROOM; I'M NOT JUST ASSUMING!!! I SAW WITH MY OWN EYES YOUNG GIRLS SITTING DOWN IN MY GRANNY'S RECLINER TEXT MESSAGING!! i too know plenty of young adults who work there and are GREAT at their job! but in this case there were young girls who sat in her recliner and pull the curtain back so no one would see them, while granny enjoyed the company, these girls were'nt doing there job!!!! Young or old that's UNACCEPTABLE! All of the elderly people at granny's visitaion last night were saying this: "They just don't watch them good enough in those nursing homes (not just BCNH), hope I don't ever go there". This isn't just BCNH, i worked at GLen Oaks and it's WORSE! It's just really discomforting to see that nursing hom admissions have been suspended the day after my granny falls and dies. And lastly, I DO NOT THINK it's the techs fault, I think we need more training in some areas and definitely need more nurses and techs on duty(even weekends) to take care of these people. I DONT PUT ANYONE AT FAULT FOR GRANNYS DEATH! I simply think BCNH should take more precautions in the future, now that we know even though someone doesnt fall all the time...it's possible! She wasnt on fall precautions so she wasnt watched as strictly. But she was 83 and used a walker, when she was home she fell quite a bit, that's why she came there. If your family member is in there maybe being on fall precaution is not a bad a idea, especially if it means someone will keep a better eye on them. I think these people need to be watched like toddlers...anything can happen and then you end up with a big mess like this!

-- Posted by b_sudberry on Sun, Jun 29, 2008, at 8:28 AM

the criteria for becoming a Tech is simple. There are some courses in other cities that take only a few weeks to complete (which is ridiculous) I went to TTC from for 4 months and about 2 weeks to get my certification, I learned alot of book smarts and then went to a nursing home to do my clinical part for 6weeks. After that we had to take state board, Which including a paper test and doing 5 randomly chosen skills step by step. It wasnt an easy test from the state but most people pass. Then you go to work at a facility and they orientate you for how ever long they find is enough time then they put you on the floor and you fin for yourself. Just like I had to.

Let my clarify the tech in this wasnt some new tech. She had been there for years and wasnt a young person. It shouldnt be all thrown onto young people who do not do their job. I am a young adult and I love my job there. and I know a few other young adults there. It was a horrible accident just like with Ms. Knox and this DOES need to stop. 2 deaths is absolutely ridiculous and I will agree more than anyone!!!!!

Some major changes still need to be done apparently and I hope they will be. I also hope that this nursing home can stay running for the sake of these other residents.

-- Posted by ily_bb_08 on Sat, Jun 28, 2008, at 2:12 PM

What is the criteria to become a tech?? I worked at Glen Oaks for 4 years and I'm familiar with BCNH also and I've seen those techs come and go.... mostly young girls, whom I have seen with my own eyes sitting in my Granny's room texting on their cell phone and patients in their pajamas at 3 in the evening. SOMEONE is not doing their job. I don't see this as "casting stones", but when my grandmother falls and we are called and told she busted her chin....she's fine, gonna take her down to the ER and sew her chin up and check her out. Supposedly everything was fine, just her chin, they were getting ready to take her back to her room and she wouldn't wake up so a second cat scan was done, thats when they saw the bleeding, so we're called again to be told to get up here, she won't make it through the night. By the time we got there she was on the 3rd floor on BCMC, completely out of it. NOt able to talk, bruises all over and the worst part, they told us they had her all fixed up and ready to send back to her room at the Nursing Home, but her chin was not sewn up, still busted wide open!! It was a horrible sight, she was so full of life usually. We sat with her until she died at 1:40a.m. For the most part she was happy there at BCNH. But, this is a problem that has to be fixed.. it's too late for my family, I'll be leaving my house in a few hours to go to grannys visitaion and tomorrow we will bury her. I personally would never again send a family member there. So you can call this "casting stones" whatever makes you feel better...2 deaths in one month is UNACCEPTABLE!!!!!!

-- Posted by b_sudberry on Sat, Jun 28, 2008, at 9:37 AM

I too have a family member at this nursing home. I would hate to think what would happen if a member of my family did not go out there every night to make sure that these so called nurses, techs, or whatever you want to call them did there job correctly. So many times they have left my family members teeth out and they couldn't even eat. They have left them in a recliner all day without taking them to the bathroom. My family member can't walk alone or without assistance. I do agree with one of the other comments that said it's your job you picked you do it. No one is asking for a miracle only that the employees do the job that they get paid to do. My family has complained numerous times but have not seen any lasting results. I would challenge anyone to sit in a chair all day, without any teeth in your head to eat, wearing a depends undergarment soaked with urine and tell me that is adequate care for my family. I have complained all the way to the top so Wayne Schumann I'm speaking to you too. Two deaths in a month is unacceptable. How many other families have to suffer the loss of a loved one before the problems are corrected?

-- Posted by bedford32 on Sat, Jun 28, 2008, at 7:52 AM

I know for a fact that there has been alot of changes since this horrible accident occured, many new meetings, relearning every bit of the equipment,there are more people around and on hand when needed. They are trying to staff better (Which is greatly needed on 3rd shift and the weekend baylor shift) This all should have been sooner thats true, but I can say that all the staff is feeling much saddness in this situation even though most of them weren't there. There have been many new steps to help prevent this from occuring again.

Short cuts can NOT be made in this field this proves lives are on the line and I for one know that it is changing how the tub chairs are used at the nursing home.

The technician who was involved in this needs alot of prayers i know she feels great remorse for her deadly mistake and she will have to live with it for the rest of her life.

I work at BCNH and can truly say atleast for myself I am working extremely hard to ensure the safety of these residents that is their home and alot of the residents there are like my family and I love each of them dearly. I hope something like this NEVER happens again.

I am not near as worried about the loss of my job if the nursing home gets shut down but I am worried about these residents being seperated from their family members and moving from a place theyve called home from some up to 21 years. (yes 21 years)

And To jeans knoxs granddaughter I am so sorry for your families loss. I knew her not as well as others did but she was a sweet lady, she was quite a joker and could put you in your place right quick. She had a wonderful smile and personality and will be greatly missed. I was heartbroken when I found out thursday.

-- Posted by ily_bb_08 on Sat, Jun 28, 2008, at 2:33 AM

First of all, my thoughts are not only with the family of the resident but also with the BCNH family as well. We must understand that the BCNH staff doesn't simply go to work each day. Instead, they enter the home of as many as 107 nursing home residents. In a nation where our population is rapidly aging, elder care is of growing concern to us all. I think it is wonderful that a facility like BCNH exists in this day and age. I have visited the facility on a number of occasions, including a time when my own family members were residents. The entire staff, including the administrative personnel, have always conducted themselves with the utmost professionalism and compassion.

We must never forget that the tireless work that these people do is a thankless job. When I read about the county commissioners and their desire to sell BCNH, I am outraged. How can they, from their armchair observations, eliminate a facility that for more than 40 years has provided a home for our many people. Have any of them ever considered what might happen to them if they were in dire financial straits and could not afford a private caregiver? BCNH, a county-run facility, would take them in and nurture them. Whereas, a private-run facility could deny them entry simply because they could not afford it. It's one thing to complain about the high cost of a gallon of gasoline. However, can you put a price on a place where you can live out and enjoy the golden years of your time here on Earth? I don't think so.

We, and rightfully so, put much emphasis on meeting the needs of our youth. However, do we really give adequate time and attention to elder care in Bedford County? If you have ever been in a position where you have been the primary caregiver for another person, you realize what a huge responsibility this is. It takes its toll both physically and emotionally.

It goes without saying that it takes a special person to work in a facility like this. I think often times many people share their harsh criticisms of BCNH; however, their knowledge of how the facility operates is limited. Historically, I would wager that BCNH has been a greater asset to the citizens of Bedford County and the surrounding areas, much more so that the detriment that many of the county commissioners currently portray it to be. While we are quick to push the sale of the facility, has anyone given thought to the residents who would be displaced by this business decision?

I extend my sympathy to this family, the technician involved and the staff and administration of BCNH. The number of not-for-profit, county-owned facilities of this type in this state is sharply declining. Suffice it to say, we need BCNH. Instead of casting stones, let us rally around the residents and staff of BCNH as a community, embracing them with our support.

-- Posted by mollies_mom on Fri, Jun 27, 2008, at 10:25 PM

This is a really sad story. All my condolensces to the family. My grandmother, Jean Knox, who was also in BCNH, fell Tuesday (6-24-08)at BCNH and she died from those injuries; although, it was listed as an extended illness in her obituary. It's a horrible loss for our family and I'm sure for the other family as well. THe whole reason for MY grandmother going there was that she kept falling at home, she felt safer there with people watching her. She loved the nurses and everyone who took care of her, she really made BCNH her home. The only thing she ever had to complain about was the food. :) She was happy there. That's the most upsetting part, she died somewhere she thought she was so safe. I think whatever action needs to be taken to make ALL nursing homes safer needs to be done immediately. We would never ever send our children to babysitters who had a reputation like this; what's the difference? Come on BCNH, this isn't the place to be taking shortcuts and saving money, pay for more help, better nurses, more training, whatever it takes; that's YOUR job, YOU picked it, do it!

-- Posted by b_sudberry on Fri, Jun 27, 2008, at 9:37 PM

Every Lift is a two person lift so instead of blaiming it all on the tech the question should be asked was there enough staff on duty for there to be two people using the lift? There is usually always a question of enough staff especially since Bedford Co stopped using agency.

-- Posted by MSK on Fri, Jun 27, 2008, at 4:09 PM

I have personal experience with this nursing home and for the most part they have a good staff but they are underpaid and stretched too thin. I have been there at night and on weekends and you have employees that are assigned too many patients and there is no way they can provide the patients what they need and if someone gets sick at night or on the weekend other patients do without because the employee is focusing on the sick person. When you are rushed and stressed mistakes are more likely to happen and this nurse was probably both. I am very sorry for her and for the family of the victim. To be a nurse and lose a patient is horrible but knowing that you lost a patient due to your actions would be unbearable.

-- Posted by breezy on Fri, Jun 27, 2008, at 3:44 PM

I dont think that any one of us has to have the definition as to the word PROFITABILITY. I know many of the women who are care givers at BCNH and they are very competent employees. However when you make staff cuts and start cutting hours to make that profit thats when accidents happen. This was a very unfortunate accident, no doubt, however I believe the administration is suppose to provide proper training on the use of all equipment as well as nursing care. Its unfortunate the nurse in question lost her career and I say this because she loved her job and really was one that cared for her patients. Maybe what the state should be investigating is how many man hours were saved by cutting back!!

-- Posted by Rob N Time on Fri, Jun 27, 2008, at 2:11 PM

What a terrible accident. That being said, it was just that, an accident. An employee (caregiver) made a mistake, one they will carry with them for the rest of their life. BCNH is a very good facilty. Patient care is taken very seriously. It is unfortunate that a mistake by one will give the entire facilty a black eye.

-- Posted by vol1999 on Fri, Jun 27, 2008, at 1:41 PM

My sympathy to the family in this terrible accident!

My mother-in-law is a resident of BCNH for

almost a year. We have been very satisfied

with her care at the facility. The only thing

that concerns me, my husband was never informed of

this situation. It would appear that BCNH should

have informed all FAMILY residents of this!!

-- Posted by barbara.a on Fri, Jun 27, 2008, at 1:25 PM

Isn't Glen Oaks owed privately? I don't see as Bedford County Nursing home is any better than Glen Oaks and probably not any worse either. If I were to have to choose one or the other I am positive I would choose Glen Oaks, it just looks cleaner.

-- Posted by Dianatn on Fri, Jun 27, 2008, at 12:30 PM

Nursing Homes in general have been a problem for years. I know from personal experience there is little training, staff is short handed (especially on weekends when they think the state won't come in) and turn over is very great. Many of the workers are discouraged and just don't care. If you are not able to feed yourself they set the food in front of you and come back and pick up the tray,still full, and throw it out. They call in extra help if the state shows up or if they know they are coming but only on those days. The government and administrators have allowed them to get by with this entirely too long. If you believe your loved one is being taken care of you are not there often enough or long enough. Anyone can put on a show for an hour once a week. Go and stay all day for a week and your eyes will greatly be opened. It is disgusting how these helpless people are treated and left to die. I am not at all shocked by this death. It is time for the state to start doing what they are paid to do and for the public and the families to demand it. Someday you may be put there to die.

-- Posted by Thatsmystory on Fri, Jun 27, 2008, at 12:30 PM

I understand the employee was working by herself.

Had there been a second person there to provide assistance and back-up,the chance of a patient or caregiver suffering severe injury would have been greatly reduced.

In the past,public and private facilities with vulnerable populations have been overburdened,undertrained and understaffed.

We have avoided having several tragic incidents by having a number of very dedicated and competent people attempt to make up the slack by their own efforts.

I agree that we need to pay what is necessary to keep these insitutions as pleasant and efficient as possible.

Our emphasis should be on a labor force that has the ability and character to minister to its charges with all the skill,respect and kindness they require.

-- Posted by quantumcat on Fri, Jun 27, 2008, at 12:02 PM

I agree with the county that selling the nursing home to a private company would decrease the level of care the patients receive. It's never a good idea for a "for profit" company to be charged with the care and welfare of a vulnerable population. However, if the facility is actually profitable, then some of those proceeds need to be dedicated to upgrading the facility. I have been in the facility numerous times in the past and it's age is showing. The building is old, there is no arguement. But it could be upgraded to the point that it doesn't look like a dinosaur. It's a very depressing, institutional-looking facility. It's really not a surprise for a staff to be negligent. I mean, the training they receive is minimal (but it meets the state's requirements). They get paid less than $10 an hour. It's no wonder you can't recruit the "cream of the crop."

TN needs to re-evaluate the level of training required for direct care staff. Facilities need to re-evaluate their pay structures for direct care staff. There are people in supervisory positions, who do not provide direct care, that get paid way more than they are worth. I say give that money to the people actually doing the work and then maybe you can get some quality people in place so tragic mistakes such as this don't happen.

-- Posted by jtjustice30 on Fri, Jun 27, 2008, at 11:31 AM


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