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Dillsburg, PA

Statement from Cathedral Village

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Updated statement posted July 30, 2018

Dear Friends of Cathedral Village:

We previously shared with you the positive results of our June job fair which drew forty applicants. Since that time ten Nursing Assistants, two LPN’s, and four RN’s have joined our clinical team.

This week they will begin their new employee orientation which includes a thorough orientation to Cathedral Village. Then each will receive an individual job specific orientation that will encompass the specific skills, policies and procedures along with required demonstrated competencies.

In addition, we are continuing to routinely audit key processes with new as well as current staff to ensure compliance consistent with our policies and procedures. We are also introducing the mentoring approach we have used at other skilled nursing centers that pairs a new staff member with a seasoned clinical team member.

To close, last week a Cathedral Village resident who was discharged following a recent stay in Bishop White Lodge shared with us that the nurses were terrific and encouraged us to obtain comments from others as well. While all comments and suggestions are important, this type of feedback encourages all of us, especially the clinical team, to continue our efforts in striving to provide the highest level of quality care and services.

Sincerely,
Dan Davis
Senior Vice President and Chief Operating Office

Updated statement posted July 12, 2018

Dear Friends of Cathedral Village:

On June 28, representatives of the Pennsylvania Department of Health visited Bishop White Lodge to review our progress in addressing the issues raised during the two inspections of our facility that took place in April.

I am pleased to share with you that on Monday, July 9, we received official confirmation from the Department that all of the issues have been resolved to the inspectors’ satisfaction and that Cathedral Village is now in “substantial compliance” with all regulations.

There has been growing concern among long term care providers in recent years about the over-prescribing of antipsychotic medications in people with dementia. This is a national issue, and while there has been a great deal of discussion in our industry about the need to address it, few senior care providers have been able to point to successful solutions. I’m proud to say that Cathedral Village is one of them.

Our Vice President and Corporate Medical Director, Dr. Steven Fuller, wrote recently about PSL’s person-centered approach to care and its central role in reducing the use of antipsychotic medications across our organization. If you are interested, you can read his article in McKnight’s Long-Term Care News.

Of course, the proof is in the pudding. The proof of our success in reducing the use of antipsychotic medications at Cathedral Village came to us last month in a letter from the Pennsylvania Department of Health. The letter recognized the 43% decline in antipsychotic drug use in our community, calling it “a reflection of the facility’s ability to empower residents to reach their highest practicable well-being.” Susan Williamson, director of the Division of Nursing Care Facilities, went on to write: “I am confident that the dedication of your staff who work diligently in reducing antipsychotic drug use would be useful to many others who struggle with the everyday challenges of reducing antipsychotic drug use....Thank you for ensuring the best quality of care for the residents entrusted to your care.”

I want to personally recognize Charles Gergits, Assistant Executive Director, and the entire Bishop White Lodge team for these outstanding accomplishments and their hard work and dedication to the people they serve.

Sincerely,
Dan Davis
Senior Vice President and Chief Operating Officer

Updated statement posted June 29, 2018

Dear Friends of Cathedral Village:

Earlier this month, I reported on the arrival of Michael McClatchy as Cathedral Village’s new nursing home administrator as part of our continuing focus on enhancing our leadership team and recruiting and training new care team members. I am pleased to share some further updates on these efforts.

First, our June 14 job fair drew more than 40 applicants – clear testimony that Cathedral Village remains an attractive destination for healthcare professionals. To date, 17 applicants have accepted offers to join our team, including 10 new CNAs, three LPNs and four Registered Nurses, including two new nursing supervisors. They will be completing our expanded clinical education program as well as additional training on Cathedral Village policies and practices and beginning work in our community in next few weeks.

Our mission at Cathedral Village is to deliver the best, most personalized care possible to every resident. A key indicator of this commitment comes in the form of quarterly five-star ratings of nurse staffing at skilled nursing facilities from the U.S. Centers for Medicare & Medicaid Services (CMS), the federal agency that oversees Medicare. For the first quarter of this year, the most recent period measured, CMS awarded Cathedral Village a four-star rating for nurse staffing. CMS based this rating on data that showed that our facility’s licensed nurse and nurse aide staffing levels exceeded both Pennsylvania and nationwide averages.

For those who follow such things, CMS recently modified its rating methodologies, which had the effect of reducing the number of stars awarded to many skilled nursing providers. Cathedral Village’s continued strong rating for nurse staffing and hiring of 17 new staff members reflect our unwavering dedication to individualized, person-centered care. We owe you no less.

Finally, the Pennsylvania Department of Health was on site on June 28 to follow up on its two recent surveys of Bishop White Lodge. The surveyors were very complimentary of our work and confirmed that the new and revised processes detailed in our corrective plans have been fully implemented and are operating as intended. We expect to receive the Department’s official report in the next two weeks.

On behalf of our entire team, thank you very much for your support and encouragement. Should you have any questions, please don’t hesitate to let me know.

Sincerely,
Charles Gergits
Assistant Executive Director

Updated statement posted June 15, 2018

Dear Friends of Cathedral Village:

A lot has happened at Cathedral Village since my last update. We enhanced our leadership team with the addition of a new, highly experienced administrator, and made significant progress in staff recruitment, training, clinical practices and other critical areas.

Our new administrator, Michael McClatchy, has more than 25 years of experience managing skilled nursing and continuing care facilities throughout our area. He is widely regarded for his expertise in quality improvement, staff engagement and regulatory compliance, and we look forward to his hands-on leadership and insight as we remain focused on the issues identified in our recent Department of Health surveys. Michael will be introduced more formally in the coming days, but in the meantime please join me in welcoming him to our community.

As we’ve shared, one of our highest priorities is to attract and recruit qualified care team members and, over time, reduce our reliance on outside agency staff. Staff absences are continuing to decline, enabling us to fill more shifts with Cathedral Village personnel.

I am also pleased to report that nine out of 10 clinical staff members have now successfully completed our mandatory re-education program. We are grateful to have Louise Sobke, who served for many years as PSL’s vice president of clinical services, back at Cathedral Village to lead this initiative, which covers a broad array of topics, including:

  • Advance directives and “do not resuscitate” policies
  • Abuse and neglect policies
  • Fall management
  • Neurological checks
  • 24-hour chart checks
  • Reporting changes in patient condition
  • Accident/incident reporting and investigation
  • Infection control
  • Equipment checks
  • Care planning
  • Bathing preferences

All outside agency staff are also required to complete this program as well as additional training on Cathedral Village policies and protocols prior to working.

Thank you for your continued support and please don’t hesitate to contact me should you have any questions or comments.

Sincerely,
Charles Gergits
Assistant Executive Director

Updated statement posted June 6, 2018

Dear Friends of Cathedral Village:

A number of staff and residents have expressed concerns about how Cathedral Village has been portrayed in recent news stories. Our goal is always to be as responsive as possible to questions from the media, although circumstances may sometimes prevent us from sharing certain information.

Over this past weekend, for example, the Philadelphia Inquirer and other media outlets asked for our comment on the release of the report on the Pennsylvania Department of Health’s inspection of our facility following the death of H.R. McMaster Sr. We provided the following statement to reporters, who chose to include only very limited excerpts in their stories:

"While we have been asked not to discuss specific details due to the ongoing prosecution of an outside agency nurse, what we can tell you is that there is no higher priority at Cathedral Village than the safety and health every resident for whom we care. As always, the Pennsylvania Department of Health had our full and complete cooperation as it thoroughly inspected our facility following the death of 84-year-old resident H.R. McMaster Sr. 

When we become aware of issues, we take prompt action to correct them, analyze how and why they occurred and take all necessary steps to prevent their recurrence. Our work to address issues raised during the inspection began immediately. The inspectors reviewed and accepted our plan to correct certain deficiencies identified while they were still on-site at Cathedral Village, and it has already been implemented. We have also shared, and the department has accepted, our comprehensive plan detailing the multitude of measures we have already taken and will continue to take to ensure the safety and well being of all members of our community. 

We also took a series of decisive actions prior to the inspectors’ arrival, including removing a nurse employed by an outside staffing agency from our community immediately following Mr. McMaster’s passing. This individual was subsequently arrested on charges related to Mr. McMaster’s death, and we are cooperating with the Pennsylvania Office of Attorney General’s prosecution of this non-employee nurse."  

Yesterday, several media outlets were present at a preliminary hearing in the case of the non-employee nurse and we were prepared with the following statement:

Cathedral Village is continuing to cooperate with the Pennsylvania Office of Attorney General in its prosecution of a nurse employed by an outside staffing agency on charges related to the April 13th death of H.R. McMaster Sr. We removed this nurse, who was not a Cathedral Village employee, from our community immediately following Mr. McMaster’s passing. Cathedral Village has been working closely with law enforcement since that time, and we have been asked not so share additional information due to the ongoing criminal proceedings.

We believe it’s important for you to be aware of our statements to the media, and we will continue to share them with you in their entirety as appropriate. We also look forward to keeping you informed about our activities and progress in other areas, including staff education, development of our leadership team and clinical and service quality. 

In the meantime, please don’t hesitate to contact me directly should you have questions about these or any other initiatives.

Sincerely,
Charles Gergits
Assistant Executive Director

Updated statement posted May 24, 2018

Dear Friends of Cathedral Village:

There is no higher priority at Cathedral Village than the safety and health of every resident for whom we care.

As we previously shared, the Pennsylvania Department of Health conducted a thorough inspection of our facility following the death of 84-year-old resident H.R. McMaster Sr.

As always, the department had our full cooperation, and our work to address issues brought to our attention during the inspection began immediately. In fact, the inspectors reviewed and accepted our plan to correct certain deficiencies identified while they were still on-site at Cathedral Village, and it has already been implemented. Today, the department accepted our comprehensive plan detailing the multitude of additional measures we have taken and will continue to take to address any deficiencies cited by the inspectors and ensure the safety and well being of all residents.

In addition, on Monday, May 14, 2018, we shared with residents a series of steps being taken to increase communication and feedback mechanisms, address concerns, improve recruitment and interactions with staff and communicate progress. The Resident Health Committee of the Residents Association will be asked to be actively involved in this process.

Once again, on behalf of the entire Cathedral Village leadership team, please accept my personal thanks for your understanding and continued support.

Updated statement posted May 10, 2018

Dear Friends of Cathedral Village:

As part of Cathedral Village’s cooperation with the Pennsylvania Office of Attorney General, we were notified today of the arrest of a nurse employed by an outside staffing agency on charges related to the April 13th death of 84-year-old resident H.R. McMaster Sr. We had previously removed this nurse, who was not a Cathedral Village employee, from our community immediately following Mr. McMaster’s passing. We have been working closely with law enforcement since that time, and will continue to cooperate with the Attorney General’s prosecution of the non-employee nurse arrested today.

In the meantime, thank you very much for your understanding and patience in recent weeks.

Updated statement posted May 4, 2018

Dear Friends of Cathedral Village:

I want to take a moment to offer my sincere thanks for the understanding and support received over the past several weeks, and also share a brief update.

In recent weeks, our community has undergone two inspections by the Pennsylvania Department of Health. The first was the department’s regular annual inspection of our facility, which was concluded on April 12. The second followed our report of the death of an 84-year-old resident of Bishop White Lodge, and was completed on April 23.

There is no higher priority at Cathedral Village than the health and safety of every resident for whom we are privileged to care. Our goal is and always will be to provide the best, most personalized care possible to all residents, and to meet and, wherever possible, exceed all industry and regulatory measures of care quality. When we become aware of deficiencies, we take immediate action to correct them, analyze how and why they occurred and do whatever is necessary to prevent their recurrence.

We have addressed the issues brought to our attention during the first inspection in this way, and will respond in the same prompt and thorough fashion when we receive the official findings of the second inspection. In fact, we have already taken a number of important actions, which began as soon as we notified the authorities and the resident’s family of his death. As I shared previously, these include:

  • Beginning our own thorough investigation of the incident, including carefully reviewing all relevant documentation of care, reviewing available video footage and interviewing all staff.
  • Immediately removing outside agency staff involved in the incident from the community.
  • Re-educating staff at every level on our established protocols for identifying and investigating possible incidents of abuse and neglect.
  • Educating all outside agency staff working at Cathedral Village on topics ranging from fall prevention, neurological checks and recognizing and reporting abuse and neglect, to privacy requirements, clinical documentation responsibilities, compliance with patient advance care directives and emergency response procedures.
  • Assessing all current residents to ensure that their care plans are fully up-to-date and appropriately tailored to their individual medical and other care needs.
  • Reviewing our fall management policy and introduced new fall prevention interventions for patients at both high and low risk for falls.

 As we continue to work closely with the Department of Health and other authorities, you can rest assured that we are doing everything possible to ensure the safety and well being of all who call Cathedral Village home.

On behalf of the entire Cathedral Village leadership team, please accept my personal thanks for your understanding and continued support.

Original statement posted April 19, 2018

The safety and well-being of every Cathedral Village resident is our top priority. We are fully cooperating and working with all authorities as they continue to investigate the death of an 84-year-old resident.

After immediately notifying the family and appropriate authorities of the resident’s death, we began our own internal investigation, which is ongoing.

We offer the family our prayers and condolences for their loss. Out of respect for their privacy and due to the ongoing inquiries, however, it is inappropriate for us to share any further details.

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