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 Wayne Schumann, Bedford County Nursing Home administrator, has made several corrections within the facility in hopes of getting an admissions suspension lifted. Health officials imposed the admissions suspension and hefty fines to the facility after a patient died May 25. (T-G Photo by Sadie Fowler) [Click to enlarge] [Order this photo] |
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Admissions to the nursing home were suspended June 25 following an investigation into the May 25 death of a resident who fell out of a lift chair while under the watch of a certified nursing assistant, who has since been terminated.
The death has cost the nursing home $200,000 in fines so far, according to Wayne Schumann, administrator of the nursing home, who said he hopes the immediate jeopardy status will be lifted following today's inspection.
The nursing home was fined $3,000 by the state and has been given a federal civil penalty of $6,550 per day, beginning on the day of the incident, until authorities find the violations have been corrected, according to an earlier press release.
But because of a second death that occurred at the nursing home June 24, it faces the possibility of being put right back on immediate jeopardy status.
"The chance of two deaths (occurring) like this is rare," said Schumann, who does not believe the nursing home or its staff is at fault for the second death. Until now, nothing like this had occurred during his five years as administrator of the nursing home, he said.
In the second death, the resident, who according to Schumann was not on a fall watch, got out of her bed, probably to use the restroom, without calling a staff member for assistance, according to Schumann. She later died from injuries suffered in the fall.
Staff members were in a hallway near her room when they heard "a thud," Schumann said.
"She didn't call for help (before getting out of bed). I wish she did, but she didn't," said Schumann, who evaluated the incident and said he did not feel as though his staff could have done anything differently.
The incident was self-reported to the state and therefore also will be investigated, possibly today, he said.
In regard to the May 25 death, he said, "the (CNA) didn't do what she was supposed to do. It was a terrible way for a resident to die. We were devastated by it."
A CNA had finished giving a resident a bath May 25 when she fell out of a lift chair, was taken to Bedford County Medical Center, and later to a Nashville hospital, where she died.
The CNA admitted she had not locked the wheels on the lift chair, did not use a safety belt to secure the resident, and the arms of the chair were not in the proper position to secure the resident, according to a report filed by the Tennessee Department of Health commissioner's office and obtained by the Times-Gazette.
According to the report, the lift chair was about twice the height of a regular chair -- about waist high -- when the resident fell out, face first, suffering from multiple injuries that caused her death.
While Schumann said the CNA -- who had at least 18 years of experience in the field -- received proper training to use the lift chair, the nursing home could not produce adequate documentation of that training to inspectors, which is one reason the nursing home was put on immediate jeopardy status.
"In the case of (this) death, you can't defend it," said Schumann, who said he was not surprised the nursing home's admissions were suspended.
Since the incident May 25, Schumann said he has been putting systems in place to ensure a similar incident does not happen in the future.
Plans include the hiring of a nurse consultant, who will further develop a training program and competency testing for the nursing home's staff. Further evaluations of residents have also been administered to see if it is safe for them to be moved with the lift chair.
On May 28, the staff began undergoing in-service training on the lifts, and new hires will not be able to operate lifts until they've completed the in-service training.
Also, a quality assurance plan was put in place in which registered nurses and licensed practical nurses will go in and observe CNAs giving baths, and performing other tasks, to ensure everything is being done safely and correctly.
Schumann also said CNAs will have three warnings when they're improperly performing tasks, which would be followed up by more training and observation by RNs or LPNs. On the fourth strike, they will be terminated.
In a newsletter sent Tuesday, Schumann notified family members of residents of the recent events. He also recently met with cognizant residents to update them.
"My staff has been working 14 to 16 hours a day to try and make sure everything is in place that needs to be," said Schumann. "I faxed a plan of correction to the state and federal governments. A state surveyor will come out and investigate and the immediate jeopardy may be lifted."
Schumann said the nursing home is staffed sufficiently, and records indicate that almost twice as many employees as the state requires were on duty the day of the May 25 incident.
Because it is county-owned, any money earned goes back into the facility and the state, which allows it to maintain a large staff and quality equipment, he said.
Schumann said he and his staff are deeply saddened by the recent incidents, and as a result he has called in Centerstone mental health services to do a crisis intervention and debriefing for the staff.
"When you see people hurt like this it's terrible," he said.
TNWOMAN,
Ask any single CNT/CNA why they do what they do, and I seriously doubt you will be told "Because of the money" Any person delusional enough to take this job for the money barely makes it long enough to recieve their first check. If you have loved ones in a Nursing Home or LTCF you really need to think why. Techs do all the work you cant/wont for your family members, and if you think the money is that great, you have need a serios reality check! Maybe you need to become a Tech, and see exactly what it is we do all day, and see if you could do it just for the money!
I would just like to say to those of you who say that you were never properly trained on the equipment, it was your responsibilty to make sure you knew what you were doing as well as the persing who did the training. also you just completely stated that you were not trained on that equipment, but you chose to use it on a resident anyway (so that was neglectful on your behalf). So as far as that goes you SHOULD'VE asked to be inserviced on it!!! I know that every new equipment that Bedford County recieves that we are inserviced on and we are shown how to use the equipment properly! What happened was an accident, and I know it wasn't intentionally done I'm so sorry that this wonderful tech whom I knew very well for many years has to live through this and I know that she has to be hurting deeply. It's a terrible thing and I feel deeply for her and the residents family as well. As far as firing the DON, according to the board and her, whom I spoke to personally, she resigned from her postion! Once again noone knows what happened in that situation but her, and the administrator and the board!!! I would also like to say that pointing fingers at other people is a terrible thing to do in this situation. Why not all of you who CARE on here, try to help the nursing home get through this, this nursing home does belong to the county that we all live in and I know that we love to have people volunteer, and help with things around the nursing home. I also know that there are great people that absolutely love the care that their loved ones got in the past and are gettin now and show so much appreciation. I also would like to say to many of you who want to swear and talk bad about people, that is not what the Lord would want you to do. You help your fellow man...
ily_bb_08.... thanks for the info. I know it doesnt matter now, but thanks anyway. I hate that all of this is happening and we know that granny couldve fell anywhere, not just at BCNH. Thanks to those of you who helped her and waited on her daily...
I am truly sorry that this has happened. It is true, when I worked there nearly 2 years ago when we first got the lift chair for the new tub IT DID NOT HAVE ANY ANY STRAPS. It only had and arm thing that went across the resident. That wouldn't stop anyone from falling out. THERE WAS NO INSERVICE ON HOW TO USE THE LIFT OR THE TUB. We just had to figure it out on our own. A lot of things do go on that everyone just hushes about. I am glad I left and moved to Florida when I did. There is way too much coruption going on and Schumann is part of that problem. I am truely sorry that the CNA has had to deal with something like this.
BCNH needs new leadership and quickly. Mr. Schumann has shown the type of leader he is by staying in his office and leading from the chair. As any leader of an organization or business knows, employees tend to emulate their leader or boss. If the nurses who were deemed responsible were let go then so does the administrator. The only way families will ever have the true confidence in BCNH is for the administrator to leave as well. Staus quo in this situation is not good enough. He may think his 56 page report is showing he is on top of things but it only demonstrates that he is a reactionary leader and not a proactive one. Maybe the consultant that is hired will notice the real problem and report that to the board and Mayor Ray.
Good_tech_2
You are absolutely right!
I just want to say that ACCIDENTS DO HAPPEN!!! I would like to also say that Wayne Shcumann is dedicated to the nursing home, and both accidents have hurt him dearly! I know for a fact that he is doing every thing that he can do to ENSURE THAT THIS WILL NEVR HAPPEN AGAIN!!! I know it's so easy to point fingers right now, especially with everything that has happened. But please know that Mr.Schumann and our staff has dedicated themselves to making sure this WILL NEVER happen again. I know that many people have their doubts, but everyone please know that Bedford County is a safe and dependable Nursing Home, and will stay that way. Accidents do happen, and I knew both belated residents and not a day goes by that I dont think of them. My prayers are with both families as well as any other family that loses a loved one. I want anyone who reads this to know that we at Bedford County are dedicated to your loved ones, and will give them the upmost of care!!! Please know and believe that Wayne Schumann is doing everything he can for this facility, for your loved ones HOME!!!
Melicious, I did not say Glen Oaks techs and nurses are bad just the facility since it sold the nurses were the best with my mom, and there were about 5 or so techs that were fantastic but the new owners are not
Jaxspike is correct once again with his reporting of some facts concerning Schumann's hiring of his wife. $65,000 per year for a chart reader without the board's knowledge.....must have been a part of the intense training and preparation for the extra consultant that is apparently going to be hired. Wonder when the board will hire an administrative consultant to taeach the administrator how to perform his job? As a matter of education, most elderly people do not fall and break their hip, but their hip breaks due to the weakening of their bones and then they fall. Must realize the difference when you try to understand that unless you are holding an elderly person up 100% of the time you can never prevent the hip fractures and the subsequent falls.
b_sudberry...According to two doctors in the city We heard two different stories at work. One that she had the stroke after the fall which lead to her death. Or that the reason she fell was she had a stroke. Whether it be true or not I cant honestly say but I have been hearing alot. I do know her doctor wrote was supposed to have said the stroke led to her falling. I also heard another very well known doctor at the nursing home say in his medical opinion that she fell, then had a stroke once in the ER. Ofcourse alot of rumors go around there at work but its tough to call but I know what it seems like to me I was in the building the night she fell and was shocked to hear about the whole accident and I called up there thursday morning as soon I could and it broke my heart to find out.
My father-in-law went to Glen Oaks. Only for the reason that he couldn't walk alone, and he would try. When he was in Glen Oaks, he broke his hip because the nurse didnt answer the call button in the bathroom. Then she drug him back to the bed. There was nothing done about this because he didnt die. Luckly We were able to get him in another home. So Yes Glen Oaks has their faults.
to ily_bb_08-- your right, the second death was an accident, i do not believe that there was anything anyone couldve done differently that wouldve saved her. Granny still liked to be independent and do things on her own, including going to the restroom. I know if she were here she wouldnt blame anyone. I know this is all a big mess and Im not sure what'll come of it, but we send our best wishes to not only BCNH but any facililty that's taking care of our loved ones. Also... you wrote in your comment that the lady in the second fall, granny knox, "stroked out". Does that mean she had a stroke? We hadn't heard anything about that?
I read all the comments on the accident's that have occured at the Beford County Nursing Home.My wife is nurse there and I can say she puts 110% everday into her job there along with the the other staff that works there. They are a very caring staff. I do understand accidents will happen no matter what is put in place. I work as a Occupational Health and Safety Manager and work with my nurse's daily. This is a unforunate accident and my heart goes out the the family. But everyone needs to understand that what has happened there can happen anywhere.
I read this article and I have read the comments posted. I think that some of you that posted comments should take into consideration that the families of the deceased could be reading what you are saying. And some of the comments would be offensive to me if it were my family! My thoughts and prayers go out to these families and I pray that this doesn't happen again.
the deaths occursed may 25th and the second one happened june 25th but she didnt die til early morning june 26th according to the family. Secondly the woman involved in the first death was in her 40s and not a "young worker".
The first death was not intentional but did occur do to carelessness and not using the safety belts or placing the resident correctly in the chair. This does not mean every single worker does that same thing. And since this incident everyones eyes have been open to the horrible things that can happen due to carelessness and irresponsibility. I have been trained and trained and trained since May 25th and I promise you this much they are not finished training us and reorientating us on every little detail they can.
I can also say that I was never taught how to use the C-Tub properly when I first started there. And know some techs who didnt even know a lap belt for the tub chair even exisited!
I no longer consider this the blame game, this situation is how can we resolve it and make sure it never happens again. I know for a fact that the nursing home staff including upper management has been working their butts off since this occured. It should have been done MUCH sooner. yet it wasnt, so now its got to be resolved.
I hoep that the suspension of admissions is lifted soon and that everything can go back to a more peaceful place. The residents are extremely upset alot of the times and nervous about losing their "home"
What happened with the second resident has been said to not be any one persons fault even though anyone can play the blame game. I myself knew that the resident was self ambulation and did everything for herself usually. The doctor also confirmed she stroked out. But before or after the fall is unknown. It was a horrible accident but I dont truly believe it was anyones fault unless the call light was on and she waited to go to the bathroom and no one answered her in time. Then that would be a different story.
I didn't know about this till I read it in the paper, of the two people that had died at the Nursing Home. I heart goes out to the family that lost there love ones. But accident will happen if it was an accident. But it not only Bedford County Nursing Home it all of them in this county and Coffee County and other counties. People just don't know what really goes on. Plus you can't be there 2 hours day watching to see if your love one is being really being taken care of. The people that work there are there to just do what they can to rec'd that pay check. Like any where else you go to work and go home, you might get some that really care, but very few. I hope when I get to that point, that I am not in a nursing home. That I just lay down and go to sleep peacely.
I must be missing something or have a very faulty memory.
Isnt this the same facility that had the glowing writeup in this same paper about the 'Intense training' given the staff ?? Training that according to the story took almost 2 years to achieve.
Gee, imagine what might have occurred had we not spent all the funds on 2 years of 'Intense training'.
This, now very public story, and the many, many horror stories from patients and their families seem to not at all mesh with the idea of 'Intense training' and reality !!
As one Nashville radio host is known to say about issues like this, something stinks here very much like bovine scatology !!
I just want to add that this nursing home has never been up to standered in my book. I have had a couple of people in my family stay at this nursing home not by my choice might I add, and they were not taken care of like they should have been, I know for a fact they would ignore my mother in law when she would ring for them in the middle of the night, there was a night that she had messed on herself in the middle of the night and she rang for them and it took them 30 min to come see what she wanted. That is unexeptable. I personaly worked at this nursing home for 3 years and I always treated each one of my patience with respect and dignity. But not everyone seen it my way and these poor people are treated like dogs off the street. I would not but anyone there if it was my choice.
i saw the lady thatfell & died. IALSO TALKED WITH HER CHILDREN, THEY ARE SO BROKEN IN HEART AND SOUL. HER DAUGHTER SAID IT WAS HARD ENOUGH TO GIVE UP THEIR MOM BUT TO DO IT THIS WAY IT SO HORRIBLE. YOU SHOULD SEE THE PICTURES OF THIS MOTHER. THINGS LIKE THAT IS ONLY SEEN IN A HORROW MOVIE.
Here are some facts about Wayne Schumann in regards to the Bedford County Nursing Home:
- He gave his wife a contract job as a rehabilitation services manager that paid $1,320 a week($5280 a month) without the approval of the nursing home board. They also claimed that all she was doing during her tenure there was walked down the halls and looked at charts. This action was questioned by commissioners. Schumann claimed he thought it was a good deal . . . I bet, for his checkbook.
- Wayne Schumann was placed on probation for a year by the Tennessee Board of Examiners for Nursing Home Administrators because he made a "false statement" in 2003 when he applied for a state license to be a nursing home administrator by not disclosing that he'd pleaded guilty to a charge of driving while impaired in 1994, according to the board's order. He was charged with DUI in Henderson County, NC while attending a horse show. He claimed he was set up. This came to light when complaints were heard last summer alleging people were drinking alcohol in the parking lot of the nursing home.
- Then there is the current issue of the two recent deaths in such a short time span.
Makes me wonder about if a change in management is due.
Wanderingme,
Im amazed that you can actually say Glen Oaks is worse than Bedford County. Glen Oaks is not the LTCF that is under investigation, nor is it being hit with huge fines due to Negligence steming from accidents. Sounds like you have a personal agenda from your coments.
All I would like to say is that the complete staff at Bedford County Nursing Home has put forth 110% to make sure that something as terrible as this, will never happen again. Wayne Schumann is doing a very good job and working endless hours (as well as the rest of our team)! I would like every one to know that your loved ones are completely safe, I know this one incident is terrible, a very terrible thing to happen to anyone, but PLEASE understand that it was an accident. I would like to speak out for Bedford Count and say that all of us (staff), we are working extremely hard to protect your loved ones, and give them the upmost of care. Bedford County Nursing Home is a wonderful facility and many of our residents have been there for several, several years. Not only can you consider this a facility it is a home to many many people. Please don't judge a book by it's cover! I know that our staff, that includes housekeeping, administration, laundry, and nursing staff pull together to ensure that your loved ones have a wonderful home, and thats what Bedford County Nursing Home is, it's a wonderful home with a wonderful caring family residing in it, a family that will continue to grow for years to come, we will get through this. Our residents safety is VITAL!!! We will continue to ensure that it stays that way!!!
Ohwell is a very perceptive person with the analysis of the so called administrator. What has he been doing as far as providing leadership to his employees? I know quite well that the former DON and the charge nurses did and do not get much constructive support from him. If he deemed that the CNA and DON should go because of the incidents, then he needs to be out the door with them because he can't hold a candle to the type of caregivers they are. He has to hire a consultant to tell him how to manage the nursing home. Pitiful....
My mother is a resident of Bedford County Nursing Home. Everytime I am there to visit, there are techs wondering the halls aimlessly, talking on cell phones, watching TV in a resident's room, or outside smoking. These things should be done on break times, not during working hours. It seems like the best help they get are from outside volunteers.
Wayne Shumann's plan sounds good on paper, but the plan must be administered properly to prove any benefit to the patients. It is sad to know that it takes the death of two innocent patients for him to get off his duff and do something worthwhile. Maybe the nursing home needs a new administrator to fullfill these duties responsibly and accurately.
Oh, and don't even get me started on Mr. Shumann's dogs!! LOL!!
Jaxspike has uncovered or noticed an interesting fact about Schumann's hiring practices concerning his wife. I also find it odd that the county will be paying for a consultant to come in and tell them how to effectively manage the nursing home. Isn't that what we pay the administrator to do? I also find it odd that CNA's will be given the following: Schumann also said CNAs will have three warnings when they're improperly performing tasks, which would be followed up by more training and observation by RNs or LPNs. On the fourth strike, they will be terminated. Was the CNA who made the horrible error given another chance? It is obvious from reading this article and making a scapegoat out of the DON that Schumann has no idea how to manage a nursing home effectively or worse yet manage people.
All the new improvements sounds good, They also need one more thing. During their admission of a resident when they learn what the resident can and can not do, or will try to do, if one is "falls down" put this resident on fall watch/alert. Have the 3 in. mats on both sides of the residents bed an alarm pad attached to the resident and residents bed, and their chair when they are in it so when they attempts to get up the alarm will go off. My prayers to both families, and all the BCNH staff. Nursing homes are needed, and we all need to support them in the improvements of better care of our loved ones.
If the lady who got up did call for help no one would have probably come at least not the first time or right away. The State needs to start sending in undercover visiters to see what really goes on in nursing homes. Then maybe the people would be treated with more attention.
i work at glen oaks in dietary. i have realized that it takes a lot for someone to be a nurse. there has to truly be a love for it. the techs and nurses do the best they can. they are human and do make mistakes. in this particular situation the fingers don't need to be pointed at any one person.the problems just need to be fixed. when a person comes into a nursing home they come to live not to die. the residents should be the first priority.
Facts are facts FFABOY . . . if you can't deal with them then don't come on here whining. There was an article a few months back where the council questioned about the same thing I mentioned.
I also know him and he doesn't deserve the accolades.
just have to say my mom was at Glen Oaks
for 2 years and we finally got her moved to
Bedford County we love it there and so does she
accidents happen and I know it's terrible but!!!!
I believe the techs and nurses do a great job
you want to see bad got Glen Oaks for a while
jaxspike please don't put down wyane shumann he works hard I know I go to the nursing home daily to visit.
I believe there should always be 2 trained personnel in attendance in the bath area from now on. Water and soap make for slick people and surfaces. This is a tragedy that should not have happened. CNA was taking short cuts and will have to live with that for the rest of her life. Lift chairs are safe when used properly. Safety belts are there for safety of the patient, not for decoration. These nursing home patients are placed by their families that love them and have entrusted the nursing home and staff with their lives. This was a terrible accident because the patient was not safety belted in the chair by the CNA/caregiver.A little common sense goes along way. Operator error, not Wayne Schumann's fault because they were not trained better.
Good home-good people-terrible accidents. Do yal think a CNA with this much experience knows how to use a lift-absolutely. How can the home be blamed for this? The CNA made a mistake, she didn't mean to, but she did. It was her mistake.
As for the second accident--bless her heart, it sounded as though she was walking around one second fine and hits the floor the next. Maybe a heart attack, maybe a stroke--who knows for sure but what we do know is this kind of think happens everyday-everywhere. Does it have to be someones fault?
Now is the time to support the facility and its staff--it is not the time to try to place blame!
Maybe if they didn't get rid of some of the hard working LPN's in favor of their "friends" and younger workers NOT doing their jobs and had a 2nd LPN helping with the lift chair, the first death would not have occurred and the young lady wouldn't have to live with that for the rest of her life! Mr Schumann should have to explain that. It's pitiful! They've gotten rid of (hard working) staff from each shift...how does that solve their issue? How about thinning the herd from the top down?!
The key word in this article is --DEATHS-- May 25 and June 24
Maybe if Schumann didnt pay so much for his wife to have a job there then maybe he could afford to train the staff better.