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It burst open bleeding and created a hole in his bottom. She also didn’t get him to a doctor and the wound became infected. I had to take him to ER.

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You should report the group home that is not giving your brother adequate care.

Did the hospital report them ?
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This incident should be reported.
The Hospital should have reported the neglect as well.
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Yes, this must be reported, but it is the home itself that must be reported. Pressure sores are one of the easiest and fastest way to lose your license to give care. They take it very seriously. Have you spoken to management yet? It is the responsibility of the nurse to do a skin check and is one of the most important things to check in care of the elderly. Wounds can QUICKLY become serious (in days) and can move to the bone quickly due to a multitude of factors, most to do with aging of skin and tissue and mobility. That said, "quickly" is the key word here. Skin requires a daily check in debilated, esp in bedridden elders. Sores can quickly go septic. Death can ensue.
I am so sorry this happened and hope for good healing but do realize that healing of these is difficult in these circumstance; wound care team should be called in by the MD.
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Grandma1954 Nov 2022
I have to add to your QUICKLY that wounds can become serious even deadly within hours not just days.
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Yes. Report the nurse, report the facility. I just went through something similar with my father... a fingernail grew into his palm and he developed a yeast infection earlier in the summer. The primary daytime nurse would skip cleaning it for days at a time, even before the wound and infection, with the excuses of "no time" and "I thought therapy is taking care of it" and "I had the aide check it." The Director of Nursing and ADON at the time put orders for it to be cleaned daily, but didn't monitor it.

There is a new administrator and DON at the facility now. They seemed inclined to continue to allow that... until I went to the assistant administrator and more or less threatened a lawsuit if preventative measures aren't taken, as the facility said they should be. The nurse hasn't been back for days so... I think they caught her, and know what they could face if they don't protect themselves.
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JoAnn29 Nov 2022
In a facility there should be a woundcare nurse. An aide is not qualified to check a wound. There are things a woundcare nurse looks for, like dead tissue. I doubt a aide not medically trained would catch this.
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Yes or aps will blame it on you and take the chance of having him removed from your care and deeming you a perpetrator. For real
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