Recently, I received several weekend calls from the Director of Personal Care. She calmly presented a grave concern she held regarding the safety of residents and staff. Several months earlier an elderly woman, with a history as an abuser, moved into our personal care residence. From the first inquiry, offering a home and services to this woman was mired with questions of “should we? or shouldn’t we?” admit this woman. The question before the organization was “Can we develop a relationship with the family so that nobody – Mom, residents or employees – are at risk?”
The transferring hospital made a referral to County Protective Services, because her daughter stated she was pursuing assisted suicide for her Mom and the son accused his sister of financial fraud. The daughter when visiting, was cordial to other residents and to anyone in management, but was disrespectful to the certified nursing assistants. Her attitude was perceived to be racist.
After the daughter accused a care manager of not bathing his mother for a week, she stated that she was leaving and returning with a gun. She did not carry out her threat.
The Monday after the threat, the Director adamantly stated “I am never going to listen to Admissions again; I should assess the resident AND the family! I want to discharge the resident.” Should a discharge be pursued?