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Operation Guardians - Report: Two Pasadena nursing homes neglected residents
Two Pasadena nursing homes failed to provide residents with adequate care, in some cases endangering patients and letting mentally ill patients sign for their own treatment, according to state investigators.
Golden Cross Health Care and Sunrise Convalescent Hospital, both on Fair Oaks Avenue, were cited in inspections between 2010 and 2012 by the California Department of Justice’s Operation Guardians. The reports were made public by a private group, California Advocates for Nursing Home Reform.
Operation Guardians is led by state Medi-Cal fraud and elder abuse investigators and is run in cooperation with federal and local health and safety agencies. It has conducted surprise on-site inspections of California nursing homes since 2000.
Sunrise Convalescent Hospital, at 1640 North Fair Oaks Ave., allowed residents who lacked the mental capacity to make decisions to sign their own Physician Orders for Life-Sustaining Treatment, or staff made decisions for them, according to the report. In some cases the wishes of patients were ignored.
In one instance a nurse reported to supervisors that a female patient’s feeding tube was malfunctioning, but the issue was not raised with the patient’s physician. The woman’s condition deteriorated and though she had asked that life-sustaining treatment be used no matter what, she was not treated or taken to a hospital. She died a week after the nurse reported the problem feeding tube.
Sunrise residents also complained to investigators of cold temperatures, stolen or lost items and that they did not receive medication on a timely basis.
Golden Cross Health Care, at 1450 North Fair Oaks Avenue, failed to treat and prevent wounds, offered poor psychotic drug practices and failed to note cases of dehydration despite available evidence, according to state investigators.
An open wound on one resident was found to have maggots, according to the report.
The nursing supervisor at Sunrise Convalescent Hospital, who declined to give her name, said the facility will dispute the findings when given the opportunity. A representative at Golden Cross declined comment.
-- Adolfo Flores, Times Community News