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BP Nursing and Rehab Center fined $10,000


Belle Plaine Nursing and Rehab Center has been fined $10,000 for failure to assess a resident and provide timely care.

The Iowa Department of Inspections and Appeals fined the nursing home for an incident that occurred Feb. 1, 2010. The patient, unnamed in the citation report, died at the center Feb. 5 from cardiopulmonary failure and failure to thrive, the death certificate indicated.

Council Bluffs Attorney Joe Thornton is representing the nursing home and said the citation will be appealed.

“Belle Plaine Nursing and Rehab Center does provide very good quality care for its residents. We have and will continue to do so,” Thornton said in a telephone interview last week.

According to the report, center staff did not assess the resident before administering morphine at 12:20 a.m. Feb. 1 after the resident appeared agitated and was moaning. Staff said an anti-anxiety medication given the previous day was ineffective but morphine calmed the patient.

The resident had been previously diagnosed with dementia, osteoporosis, arthritis, anxiety disorder and other health conditions, the report stated.

At approximately 6:20 a.m. Feb. 1, staff found the resident in bed with a fractured thighbone. They reported it was unknown if the resident fell or how the resident got back into bed. The patient was transported to the hospital by ambulance.

After the resident returned to the center Feb. 4, a hospice nurse noted a large bump on the patient’s arm that x-rays showed to be another fracture.

An orthopedic surgeon told investigators the broken thighbone was the result of trauma, and the fracture could not have occurred while the resident lay in bed. It would have had to occur from force, a fall or twisting of the leg, the surgeon said.

The Medicare Nursing Home Compare site gives Belle Plaine Nursing and Rehab Center a two-star rating out of a possible five stars, based on health inspections, staffing and quality measures. The center is certified for 66 residents and is one of 56 Care Initiatives facilities in Iowa.

UPDATED April 14, 2010 11:55 AM

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