The Department of Human Resources received a report on Ms. Mary McGinnis on 10/7/15 alleging Michael McGinnis, caregiver/son of Ms. McGinnis, had not been giving medication properly. Patient scored a 0 on MMSE and son reported to ER doctor he gave her a dose of his methadone because she was in pain.
On 10/13 worker made first victim contact at Senior Care. Ms. McGinnis was alert but unable to answer questions appropriately or aware of surroundings. After talking with Ms. McGinnis worker spoke with Tabitha Harper, SW at Senior Care. Ms. Harper stated since admission mental status had not improved and she required assistance when transferring from the GERI chair to the bed or commode.
On 10/14 worker received a letter from Dr. Charles Herlihy …show more content…
McGinnis physical and mental limitations will require a nursing home placement that can provide continuous care and supervision to insure her safety and that she will continue to take her medications as prescribed.
On 10/28, Michael McGinnis despite strong recommendation from Senior Care that Ms. McGinnis receive nursing home placement signed Mrs. McGinnis out of Senior Care. During admission to hospice at home, Mrs. McGinnis fell out of bed. Hospice called the ER and Ms. McGinnis was admitted to WBMC. Upon admission, she appeared heavily sedated and minimally responsive. She was hypotensive with systolic blood pressure in the 80’s. Urine toxicology report showed positive for benzodiazepine, opiates, and methadone. The benzodiazepine and opiates positive reading was expected. However, Ms. McGinnis does not have a prescription for methadone.
On 10/29 worker called Mr. Michael McGinnis to set up an interview. Mr. McGinnis refused to set up an interview time. When questioned about his mother’s positive methadone reports he admitted to giving her methadone during her first admission to Senior Care but denied giving her any medication after discharge from Senior Care. According to Mr. McGinnis, his mother was doing well until admission to Senior Care and she received all new …show more content…
McGinnis was admitted to Cordova Nursing Home. She received 21 days of therapy and then transitioned to long-term placement. During therapy days, the nursing home and Mr. McGinnis worked on getting Mrs. McGinnis Medicaid approved. According to Kristy at Cordova Nursing Home Mr. McGinnis was cooperative and had provided all requested information. However, during visits he appeared to under the influence of a substance. He presented with slurred speech and blood shot eyes.
On 12/4 worker spoke with Mr. Robert Graves, son of Mrs. Mary McGinnis, for the purpose of obtaining contact information on Mr. McGinnis. Mr. Graves lives in Texas and is unable to assist in his mother’s care at this time. According to Mr. Graves, Mr. McGinnis has a drug problem. He believes he will remove their mother from the nursing home when he realized he no longer gets her social security check. He provided worker with contact information on Mr. McGinnis.
On 12/7/15 worker spoke with Mr. McGinnis about his mother remaining in the nursing home long-term. He stated he did not believe she was receiving the best care. According to Mr. McGinnis during his visits, she appears dead. When asked to explain he stated, “She just lays there because of all the drugs they got her on.” When worker questioned him about his ability to care for Ms. McGinnis at home he stated, “I can do better than
On 10/13 worker made first victim contact at Senior Care. Ms. McGinnis was alert but unable to answer questions appropriately or aware of surroundings. After talking with Ms. McGinnis worker spoke with Tabitha Harper, SW at Senior Care. Ms. Harper stated since admission mental status had not improved and she required assistance when transferring from the GERI chair to the bed or commode.
On 10/14 worker received a letter from Dr. Charles Herlihy …show more content…
McGinnis physical and mental limitations will require a nursing home placement that can provide continuous care and supervision to insure her safety and that she will continue to take her medications as prescribed.
On 10/28, Michael McGinnis despite strong recommendation from Senior Care that Ms. McGinnis receive nursing home placement signed Mrs. McGinnis out of Senior Care. During admission to hospice at home, Mrs. McGinnis fell out of bed. Hospice called the ER and Ms. McGinnis was admitted to WBMC. Upon admission, she appeared heavily sedated and minimally responsive. She was hypotensive with systolic blood pressure in the 80’s. Urine toxicology report showed positive for benzodiazepine, opiates, and methadone. The benzodiazepine and opiates positive reading was expected. However, Ms. McGinnis does not have a prescription for methadone.
On 10/29 worker called Mr. Michael McGinnis to set up an interview. Mr. McGinnis refused to set up an interview time. When questioned about his mother’s positive methadone reports he admitted to giving her methadone during her first admission to Senior Care but denied giving her any medication after discharge from Senior Care. According to Mr. McGinnis, his mother was doing well until admission to Senior Care and she received all new …show more content…
McGinnis was admitted to Cordova Nursing Home. She received 21 days of therapy and then transitioned to long-term placement. During therapy days, the nursing home and Mr. McGinnis worked on getting Mrs. McGinnis Medicaid approved. According to Kristy at Cordova Nursing Home Mr. McGinnis was cooperative and had provided all requested information. However, during visits he appeared to under the influence of a substance. He presented with slurred speech and blood shot eyes.
On 12/4 worker spoke with Mr. Robert Graves, son of Mrs. Mary McGinnis, for the purpose of obtaining contact information on Mr. McGinnis. Mr. Graves lives in Texas and is unable to assist in his mother’s care at this time. According to Mr. Graves, Mr. McGinnis has a drug problem. He believes he will remove their mother from the nursing home when he realized he no longer gets her social security check. He provided worker with contact information on Mr. McGinnis.
On 12/7/15 worker spoke with Mr. McGinnis about his mother remaining in the nursing home long-term. He stated he did not believe she was receiving the best care. According to Mr. McGinnis during his visits, she appears dead. When asked to explain he stated, “She just lays there because of all the drugs they got her on.” When worker questioned him about his ability to care for Ms. McGinnis at home he stated, “I can do better than