 to kimberly hall administration and nursing leadership i am writing this letter as stella savvidess son and honestly i am beyond upset and heartbroken over what i found when i returned to see my mother i was away from april 22 through may 3 and today may 4 the first thing i did after getting home from the airport around 8 00 8 30 am was go directly to kimberly hall to see my mother when i walked in i found her protective boots completely down at the bottom of her feet instead of being properly positioned my mother told me she had not been changed since the night before when i asked the aide about it i was told shes confused she doesnt know i did change her that is not acceptable to me my mother is not confused about whether she has been changed or not she knows her body and she knows when she has been sitting there wet when she was checked she was soaked all the way through to the bed pad my mother also stated she had not been turned in the last two hours this is one of the biggest concerns i have because now after being gone for 10 days i come back and find out my mother has a new 1 cm x 7 cm open area on her upper back this is being described as a pressure area and i cannot even put into words how upsetting that is to me there is no reason my mother should have another open wound on her body while she is living in your facility i also need to be very clear about the missing hoyer pad tom was made aware on friday before he left the facility that my mothers hoyer pad was missing in my opinion he should not have left that facility that day without making sure this was addressed immediately that hoyer pad is not some optional piece of equipment it is the safest way to get my mother out of bed without it she is at severe risk and now here we are after a whole weekend week going by and my mother has a new pressure wound to me that is evidence that this was not handled with the urgency it deserved if my mother did not have her hoyer pad how was she supposed to be safely transferred how was she supposed to get out of bed how would staff get her out in an emergency these are basic safety concerns and i want answers my mother has been at kimberly hall for almost two years and i am also extremely upset that she has not been properly showered that is disgusting to me i do not say that lightly basic hygiene turning repositioning changing skin care safe transfers and making sure her equipment is available should be happening all the time these are not special requests these are the basics of care as a nurse myself i know cnas and nurses work hard i know they are stretched thin but i am telling you right now the way things are being done is not working the aides should not be expected to serve drinks pass trays clear plates and do dietary work while also caring for 10 residents each how can any aide properly change people turn people get people up for appointments help with breakfast answer call bells and give real care when they are also being used to do food service my mothers food is constantly cold and on top of that resident care is being missed this is not fair to the residents and honestly it is not fair to the aides either but the end result is that my mother is the one suffering she is the one sitting soaked she is the one not being moved enough she is the one without the hoyer pad and now she is the one with another open wound on her body my sister was also in the facility last evening for approximately an hour and a half to two hours and no aide ever came in to check on my mother my sister noticed my mother had increased wheezing and went looking for the nurse but could not locate her each time she went out into the hallway if my mother has not been out of bed for 5 days due to a missing hoyer pad then it is not surprising to me that her lungs may now be worse i want the apn to assess her today head to toe including her lungs skin and wounds and i want a chest x ray considered due to the increased wheezing i also want a full body skin check completed today with measurements documentation and answers my mother pays a lot of money out of pocket to live at kimberly hall but even if she paid nothing every resident in that building deserves to be clean safe turned changed showered fed warm food and treated with dignity these are human beings they deserve care i want to know exactly how this happened and what is going to be done to fix it i want to know what the wound care plan is i want to know how often she is being turned and who is documenting it i want to know how often she is being changed and checked i want to know why the hoyer pad issue was not fixed immediately when tom knew about it friday i want to know how staff planned to safely transfer my mother without it i want to know when she will be properly showered and what the plan is to make sure this does not keep happening i am very angry but more than that i am scared for my mother i was gone 10 days and came back to her having a new sore that is unacceptable this needs to be addressed immediately and i want administration nursing leadership the apn and wound care involved today i have been very honorable with kimberly hall but this situation has crossed a serious line for me my mothers care safety hygiene and dignity need to be treated as urgent priorities not afterthoughts i expect this to be addressed immediately and with the seriousness it deserves please respond to me as soon as possible with what is being done for my mother right now what the plan is going forward and how kimberly hall is going to make sure this does not happen again sincerely john g savvides son of stella savvides 