|Facility: COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO-PSYCH
Date of Occurrence: 10/6/2015
Report Timely: Yes
Type of Occurrence: Neglect
DESCRIPTION OF OCCURRENCE:
On 10/06/15 a staff member failed to provide care to a male patient in his 50s.
The facility conducted an internal investigation. The facility notified the state licensing agency and the police department. A staff member documented that she had performed wound care and had taken vital signs on the patient. During interviews with staff, who had been assigned one-to-one monitoring of the patient, they stated they did not recall seeing the staff member perform wound care or take vitals on the patient. One staff member completed treatments and vital signs on the patient the following day and noted no wound care changes had been completed. The staff member in question was suspended during the investigation. The patient was not interviewable. The staff member in question was interviewed and stated she believed the dressing change was not required. She stated she obtained vital signs, but was not able to identify the time this was completed or identify the one-to-one staff member present. The staff member in question received corrective and disciplinary actions related to the allegation of neglect.
The Department reviewed the facility's report and supplemental documentation and found that the facility acted appropriately by reporting the occurrence, notifying the appropriate persons and agencies, conducting an investigation, interviewing staff, reviewing the patient's medical record, and issuing corrective and disciplinary action to the staff member.
The Department will review this occurrence prior to any survey or upon receipt of any complaint that may be filed against this facility.
Sent to Facility: 12/30/2015
FACILITY COMMENT: Following receipt of the above summary, no additional comments were submitted by the facility.
Released to Public: 1/11/2016