The complaint has been investigated and
resolved to the customer's satisfaction
Resolved
Haven Behavioral Senior CareImmediate Jeopardy Tags

WARNING WARNING WARNING WARNING WARNING WARNING WARNING

HAVEN BEHAVIORAL SENIOR CARE
TWO RECENT IMMEDIATE JEOPARDY TAGS, LOTS OF ABUSE ALLEGATIONS, HUGE NUMBER OF FALLS

go to
http://www.hfemsd2.dphe.state.co.us/hfd2003/dtlocc06.aspx?id=010403&ft=hospital

To find out how dangerous Haven Behavioral Senior Care or call Colorado Department of Public Health and Environment at 303.692.2800 to verify these statements below, and lodge your own complaint.

If you plan to send your loved ones to Haven Behavioral Senior Care Hospital (8451 Pearl St Ste 100. Thornton, CO [protected]), then this message is for you.

I am begging you to rethink this decision whether you are a facility sending a patient for psychiatric evaluation, or a family seeking a psychiatric care for your 55 or older loved one. Haven has to be one of the worst medical facilities that my family has ever been to. There was only one helpful staff member during the days who told me that Haven Behavioral has a long history of problems. I could not believe it at first and then I verified it with the link above. Haven Behavioral received an IMMEDIATE JEOPARDY TAG ON 03/23/12 which is below for you to read. In it it states that Haven Behavioral failed to have the patient's DNR status up, and gave a patient that requires soft food solid food where they choked to death. It gets even worse. Back in 2011 Haven Behavioral had two nurses, one of which is still working at Haven Hospital, that did not initiate basic CPR resussitation. Haven Behavioral did not do CPR on a dying patient and received another IMMEDIATE JEOPARDY TAG. Before this last IMMEDIATE JEOPARDY TAG, Haven had been closed down for violations in the past. My family was treated horribly by the day staff. The nurses were swamped by work and said they could not do anything for me, and no managers could be reached. The manager of social work told me that my mother's social worker was not working today and nothing could be done to help me. My mother had all kinds of bruises that were not there upon her seeking treatment at Haven, and was in a stuppor from the medications she had been receiving, and I wanted to talk to someone. The social worker told me that patients fall all the time here and that was what the bruises were from, and it is part of the psychiatric process. PLEASE DO NOT LET THIS HAPPEN TO ANOTHER ELDERLY PERSON AGAIN. IMMEDIATE JEOPARDY TAG IS THE WORST CITATION A MEDICAL FACILITY CAN GET NEXT TO BEING SHUT DOWN.

Below are just the top two occurrences by state which can be viewed on the website above, but there is a huge list. These are facts, and I ask websites to keep this information up as a warning to future patients.

1#
Facility: HAVEN BEHAVIORAL SENIOR CARE OF NORTH DENVER
Date of Occurrence: 3/23/2012
Report Timely: No
Type of Occurrence: Neglect

DESCRIPTION OF OCCURRENCE:
On 3/23/12, a female patient, in her 70s, choked on cheese that she had taken from the snack cart and quickly eaten. The patient then became unresponsive and was coded. She was transferred to a nearby acute care hospital and pronounced dead.

FACILITY ACTION:
The facility conducted an internal investigation. The facility notified the patient's physician and family. The patient's medical record was reviewed. Staff interviews were conducted with the four nurses, two behavioral health technicians, the physician, and the nurse practitioner present. The incident was reported by the staff timely. The facility determined that the patient was eating cheese, began choking, the Heimlich Maneuver was performed, the patient became unresponsive, and cardiopulmonary resuscitation was then conducted by staff. The facility concluded that no intentional neglect had occurred, however the issue of the snack cart needed to be addressed and processes needed to be implemented so staff would be aware and attend to patient dietary needs/restrictions. Those processes implemented include a roster for each patient on the snack cart and a list of acceptable food items for special diets/textures.

DEPARTMENT FINDINGS:
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, conducting interviews, and reviewing documentation. An onsite complaint survey was conducted from 3/28/12 - 4/9/12 wherein this occurrence was identified and deemed reportable by the State surveyors. Deficient practice was cited related to several issues, including that the patient was not identified to be DNR (Do Not Resuscitate) status, the facility had not identified the dietary issues that may have been a factor in her death, and nursing staff failed to ensure the patient ate only snacks that were appropriate for her ordered diet. 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: 5/2/2012

FACILITY COMMENT: Following receipt of the above summary, no additional comments were submitted by the facility.


Released to Public: 5/15/2012

2#
Facility: HAVEN BEHAVIORAL SENIOR CARE OF NORTH DENVER
Date of Occurrence: 4/18/2012
Report Timely: Yes
Type of Occurrence: Abuse/Verbal

DESCRIPTION OF OCCURRENCE:
On 4/18/12 a male patient, in his 50s, reported a staff member had entered his room the night he was admitted and said "death, death, you are going to be put to death". The patient was afraid and felt threatened.

FACILITY ACTION:
The facility conducted an internal investigation. The facility notified police and the family/guardian. The staff member was suspended and the patient transferred to another unit to increase his sense of safety. The patient was delusional at the time of admission and had been off his medications for 4 months. The staff member was upset about the allegation and stated she would never do such a thing, and always treated people really well. She knew who the patient was and had observed him pacing the halls and being at the nurses station earlier in the evening. At the time of the alleged incident she was doing 15 minute safety rounds. She stated that she visually looks at patients but does not speak to them or enter their rooms unless they need help with something. She did not remember whether this patient was awake or asleep when she checked on him but said the observation sheets would note that. The facility did not substantiate the allegation. The staff member will not work on the patient's unit while he is in the hospital.

DEPARTMENT FINDINGS:
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, suspending the staff member, conducting an investigation and having the staff member not work on the unit where the patient is staying. No deficient practice was cited. 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: 5/11/2012

FACILITY COMMENT: Following receipt of the above summary, no additional comments were submitted by the facility.


Released to Public: 5/22/2012

Call Haven Behavioral Senior Care at [protected] before you allow a loved one into their care, and ask them their record on immediate jeopardy, falls, abuse allegations, patient to staff ratios, etc.

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