Tonight, Northampton County Council will be discussing Gracedale, the Fiscal Director Salary and Senior Centers.
Gracedale - An Update is scheduled during the Human Services Committee, and it is supposed to come from Director Sue Wandalowski. Why? Just weeks ago, Gracedale was removed from her portfolio, so why is the mouthpiece? And she herself has stated in several of her defensive presentations that she's no expert. She is defensive and inaccurate when it comes to the nursing home. The person who should know what is going on is the Administrator, but she has only rarely spoken.
When the full County Council meets, they will consider the establishment of a Gracedale Oversight Committee, which hopefully will be headed by Dave Holland, a former Administrator at both Gracedale and in Monroe County.
That's overdue, especially after the latest visit from the Department of Health that included: (1) another resident (I think we're at four, but he's called Resident 1) who wandered off and who had to be brought back by police; (2) an agency LPN who documented having provided medications and performed tests on the resident while he was wandering the streets of Nazareth, a pretty neat trick; and (3) a biker resident (he's Resident 2) who never should have been admitted and was hoarding meds like oxycodone and bringing in booze and a knife.
One of my readers, a "local healthcare expert," had this to say:
A friendly review from a local healthcare expert… resident 1 was not assessed properly and should have been on a locked unit based on the resident’s mental health status. There was poor or likely no communication between the aide, lpn and nursing supervisor. The lpns and nursing supervisors are very weak as demonstrated by the various severe deficiencies. Resident 2 should never have been admitted to Gracedale. It was obviously done to fill a bed. No plans were developed to manage the resident’s substance abuse disorder. He belongs in a rehab facility, not a nursing home. The bed is better left empty than admitting a trainwreck violent resident who Gracedale is likely not even able to bill for. I am sure he is there for free care. Dumb. Who wants grandpa living with a drug user biker with dangerous behaviors. And get rid of the smoking. Very few nursing homes allow it. It is a risk for a variety of reasons and takes staff away from care to supervise smoking. Lastly, I see that Gracedale is already partially under the direction of a nursing home management company - CHR. That nugget is in the last sentence of the plan of correction and should be communicated to the general public. The state directed them to use a state authorized company to train the staff as the state determined the home (really the county) is unable to do so. And by the way, the plan of correction is overly complicated and just not doable for any nursing home. So many steps in these processes that no nursing home could comply with. After the plan of correction is completed, run it through quality assurance committee to develop more simplified processes that are doable. Shrink the home down to 350-400 residents, get somebody in there like CHR or other qualified outsourced professionals to run the operation, and rebuild from the ground up. Crazy things can and do happen at every healthcare facility whether it be a hospital or nursing home. It is people taking care of people. You must have systems to deal with those situations. Gracedale has no systems. I hope the county officials read this for the benefit of the poor souls who live there.
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