Genesis Healthcare

Extremely upset with how they are handling an employee who has been harassing my daughter via Facebook. The 25yr old has been messaging my child about pulling up to my property to fight my child as well as throwing her miscarriage in her face. To continue to employ Rachel Dixon (dietary aide) is a slap in the face to the community who is the reason this center is open. I would never suggest anyone to utilize their services.

I visited a very close friend yesterday at Genesis yesterday and when I first entered the facility I was impressed with the clean and pleasant atmosphere. Unfortunately, that changed quickly as I entered my friend's room. She had a stroke and cannot move the right side of her body. We found her lying flat on her bed, on soiled sheets, and she looked very disheveled. She informed us that she had not had a bath in the 2 weeks she had been there. Additionally, she had a severe rash in her private area because her diapers were not changed regularly. Her husband explains that he has complained numerous times, yet nothing is done. I personally witnessed them deliver her dinner and they just set it down and was going to walk away, leaving her to feed herself. Obviously it is difficult to eat with just one arm, so I asked if someone was going to help her and the nurse simply stated, 'yeah I guess I can.' They gave her a full chicken-breast, I have yet to figure out how they expected her to cut it. Additionally, they do not help her out of the bed so she can sit in a chair; she simply lays in this bed and must figure out how to fend for herself. I am so saddened by the way this lady has been treated. I just do not understand how someone can treat another human being that way. She has already lost her dignity and they treat her as a burden, despite the fact they are paying handsomely for her care. I was brought up to respect my elders, and the way she and her family are being treated is astonishing. I can only hope and pray that karma takes care of those who are participating in her deplorable care.

My wife was admitted to the dementia care unit at Milford Center just after Thanksgiving 2016 and is still there Christmas 2017. In that time my family and I feel the Supervisor and the staff are really outstanding. They know the special personalities of the 28 patients there and adapt the care to their needs. Dementia care takes a special kind of talent to successfully manage the nursing needs. Often the patient cannot verbalize the problems they are having. Patience with the repetitive behaviors demands a love and understanding that is unlike normal nursing care. The Director 'D' is able to select out staff that can't work well in this environment. The Director will work all shifts and days to assure a consistent level of patient care. I am not sure that top management realizes what they have in this unit - it seems the new Center Director has little regard for supporting the dementia care unit. I have seen the previous director all over the facility - he was approachable and visible. The new Center Director has been there for months. I have never seen her and she has not reached out to me even after I responded to her letter. She has raised the fees and seems more concerned about dollars than patient care.

Three weeks ago our family decided Milford rehab would be better than driving further south for a facility we preferred so our grandmother was admitted for rehab. We made it very clear in the treatment team meeting that she has 24/7 care at home when she is done with rehab. So they keep her the entire 21 days that Medicare pays for while saying, if she leaves early it will be against medical advice. Then when her days are up saying 'she has six months left to live' thinking that will scare our family into leaving her there. We told them six or more times, we already had hospice come and evaluate her at home, we are fully aware of where this disease goes.She went to the neurologist who started her on Namenda. Dr. Wagner the primary doctor at Milford Genesis decided that it would be wise since she was vomiting and more lethargic a day after starting Namenda to decrease Tramadol and her fentanyl patch which she had been on for a long period of time. I was told by a nurse well Dr. Wagner doesn't like to mess with a specialists medications. Later that day the Namenda was discontinued. We had three other concerns: 1) Every time our family visited in the morning 8am-1pm she was still in bed and we would find her laying in bed in the afternoons often as well. We complained for a week until finally they either got use to the times they were visiting and made sure she was up by then or they put her higher in the rotation of patients they helped in the morning. 2) They kept putting briefs/diapers on her. We told them repeatedly but they kept doing it until the day before she left. 3) While I was visiting, my grandmother needed to use the bathroom, I pressed the button to wait for help since they had asked we did not help her up or to the bathroom. A CNA came in and started getting her ready, she was very friendly and was chatting. Then we realized her roommate was in the bathroom with two staff members. One of the CNA's that came out of the bathroom said, 'Just put her on a bed pan.' I was confused and inquired why. She said something like that she talked to physical therapy and they have an understanding that when she is working that she doesn't feel comfortable getting her to the bathroom. I really didn't say anything, other than why a few times. So then she left and the original CNA helped her to the bathroom and it took less than 5 minutes. So I went to speak to the Assistant Director of Nursing about what happened with the CNA. After I told her what happened she said she would look into it. So when she got back to me the only thing she had to say was she apologized for the way she spoke to me. I told her repeatedly, it isn't the way she spoke to me it is the action. If I had not been there she would of made my grandmother use a bed pan, even after she said she didn't want to use a bed pan but this supervisor did not understand what I was saying. I get the feeling this happens a lot. A few positive things: 1) When we spoke to the nurse, our entire family really liked her. She was friendly and informative even though we could tell how busy she was. 2) The few really good CNAs. I know I met two that I think seemed to be outstanding but they just didn't make up for the worst of the worst. 3) My grandmother seemed to like the food. She isn't picky but she ate most of it. 4) Physical and Occupational therapy staff were very friendly and informative. I went to a few PT/OT sessions mostly to see what equipment they were using so we could buy it for her at home and continue using it but the rehab room was the 'spot to be.' Patients socialized in there and for people there for rehab they waited around until it was their turn. There is an activities calendar in the room but I never saw bingo or anyone participate in the activities. Overall, it seemed like if you had any issues you had to tell about 4 people before anything was even attempted to be changed. Then even when you are assured that 'that is changed' it is only for 8 hours until other staff come on. Big lack of communication in this facility.