Archive for the ‘Inadequate Staffing/Training’ Category


Nurse Is Accused of Stealing Nursing Home Resident’s Pain Medication

Written By: Kenneth LaBore | Published On: 31st May 2011 | Category: Inadequate Staffing/Training, Medication Errors | RSS Feed

Nurse Accused of Stealing Oxycodone from Nursing Home Patients

Nurse_Accused_ofnbspStealing_Oxycodone_from_Nursing_Home_Patients Nurse Is Accused of Stealing Nursing Home Residents Pain Medication

According to a KSTP article, Brooklyn Center Police are investigating the theft of oxycodone pills from Ecumen Prairie Lodge, a facility that provides assisting living for patients.

According to a search warrant filed in Hennepin County, staff noticed someone had tampered with a pack of medication in late March. Investigators believe someone working at the facility popped oxycodone pills out of at least five packs, replaced the pills with Claritin and then taped up the back of the packs.

For the rest of the article see:

Nurse Accused of Stealing Oxycodone from Nursing Home Patients

If you or a loved one has suffered an injury from neglect or abuse in a nursing home or other care facility that serves the elderly in Minnesota please contact our firm for a free consultation and information regarding the obligations of the facility and your rights as a resident or concerned family member. To contact Attorney Kenneth L. LaBore, directly please send an email to klabore@guardianlegalservices.net or call Ken at 612-743-9048.

Signs of Nursing Home Abuse and Neglect

Written By: Kenneth LaBore | Published On: 31st May 2011 | Category: Bed Sores/Pressure Ulcers, Dehydration, Fall Injuries, Inadequate Staffing/Training, Nursing Home Care Issues, Pressure Ulcers | RSS Feed

Signs Of Nursing Home Abuse
There are a number of different warning signs that could suggest that a nursing home is not providing adequate health care. In many cases, these warning signs will go unnoticed until it is too late. In other cases, these warning signs are simply brushed off by family members and friends. And, in even more cases, these warning signs are hidden behind closed doors. Whatever the case, it is important to be on the lookout for any signs of nursing home abuse or neglect. Nursing homes are supposed to be a place of support and security; however, this is not always the case. If you notice any warning signs that a nursing home is not up to standard, then it is important to contact a elderly abuse attorney immediately.
Physical Signs of Nursing Home Abuse
Physical signs can often be a great indicator of abuse. If your loved one is showing any of these symptoms, it could be a sign of neglect or abuse:
• Bed sores/ pressure sores
• Torn clothing or personal items
• Constant falls and traumas
• Excessive weight loss or weight gain
• Fecal/urine smells
• Pale complexion
• Lack of personal hygiene
• Presence of dirt, lice, fleas, etc.
• A change in personality
Keep in mind that abuse can also occur without any shred of physical symptoms. It is also important to remember that emotional abuse be just as common and devastating to the nursing home victim.
Signs of Nursing Home Neglect or Inadequate Care
There are a number of cases where the neglect or abuse is not as easy to recognize as the physical signs. One of the best ways to understand if a nursing home is providing adequate care is to understand the Minnesota Nursing Home Resident Bill of Rights. Some of the signs that neglect or abuse is taking place may include:
• Lack of staff members and lack of service provided
• Rudeness of staff members
• Lack of entertainment facilities
• Lack of patient morale
• Lack of proper diet, nutrition and lifestyle facilities
• Lack of proper heating or cooling
• Lack of proper hygienic cleaning
If you notice any of the following, then it is important to discuss your concerns with your loved one as well as with an experienced nursing home abuse lawyer.
The Minnesota Eldercare Rights Alliance has indentified the most common types of elder abuse and the signs to look for each type

Self-Neglect
poor hygiene, not taking prescribed medications, house
becoming dirty or hoarding behavior is evident, utilities shut off
due to lack of payment. Often self-neglect can be signs of
other abuse such as financial exploitation.

Physical Abuse
bruises or injuries that don’t seem consistent with explanation,
broken furniture or possessions (evidence of an altercation), an
elder’s report of being hit, slapped or abused.

Financial Exploitation
sudden unawareness of financial matters, bills not being paid
even though elder should have resources to pay bills,
unexplained transfer of assets or possessions, an elder’s report
of being exploited.

Emotional
crying spells, becoming withdrawn or agitated, sudden changes
in behavior, an elder’s report of abuse
wounds or injuries not healing or being treated, medications or
other prescriptions not being filled, bills not being paid (risking
eviction from home), an elder’s report of maltreatment.

Sexual Assault
sudden withdrawal or isolation, bruising around genital area, an
elder’s report of assault or rape.

For a copy of a brochure regarding elder abuse from Eldercare Rights Alliance
Contact Us For A Free Consultation
Realizing that your loved one may be in danger and may not be receiving the utmost quality of care can make you feel anger, helpless and confused. You most likely will not know what to do or who to turn to for help with this injustice. This is why it is so important to contact a qualified elder home abuse lawyer to help assess the situation and work on the case.

If you or a loved one has suffered an injury from neglect or abuse in a nursing home or other care facility that serves the elderly in Minnesota please contact our firm for a free consultation and information regarding the obligations of the facility and your rights as a resident or concerned family member. To contact Attorney Kenneth L. LaBore, directly please send an email to klabore@guardianlegalservices.net or call Ken at 612-743-9048.

New Program Designed To “Awaken” Seniors From Haze Due to Over Medication

Written By: Kenneth LaBore | Published On: 31st March 2011 | Category: Caregivers Resources, Inadequate Staffing/Training, Medication Errors | RSS Feed

The use of psychotropic medication for the elderly is a serious problem which leads to countless number of serious injuries from falls and other problems associated with a lack of movement such a pressure sores, dehydration, malnutrition and more. When heavily medicated the seniors and other residents are easier to care for since they generally less active and not able to roam as much, call for help (push call lights), etc.

An article today Minnesota Public Radio News, written by Dan Olson discusses a new program which is designed to reduce the amount of medication, in particular psychotropic medication given to seniors suffering from dementia. The article talks about how to reduce the risk to overly sedated seniors and the positive results of increased activity, self-reliance for eating and drinking and other improvements in the quality of life.

Click her for the MPR story: Program tries a new way to treat seniors with dementia
As an attorney who handles nursing home and assisted living abuse and neglect cases, I see far too many preventable serious injuries or deaths occur due to residents being over medicated.

This website is not intended to provide legal advice as each situation is different and specific factual information must be obtained before an attorney is able to assess the legal questions relevant to your situation.

If you or a loved one has suffered an injury due to over medication or from other forms of neglect or abuse in a nursing home or other care facility that serves the elderly in Minnesota please contact our firm for a free consultation and information regarding the obligations of the facility and your rights as a resident or concerned family member. To contact Attorney Kenneth L. LaBore, directly please send an email to klabore@mnnursinghomeneglect.com, or call Ken at 612-743-9048.

7 Local Nursing Homes Profiled for High Number of Health Care Deficiencies

Written By: Kenneth LaBore | Published On: 6th February 2011 | Category: Fall Injuries, Inadequate Staffing/Training, Nursing Home Care Issues | RSS Feed

Seven Minnesota Nursing Homes Provided for High Number of Deficiencies:
According to a Star & Tribune Article from Sunday February 6, 2011:

Of the 114 nursing homes in the metro area, 29 garnered five stars in January, while the seven listed here managed only one star, indicating the facilities’ overall care was “much below average.”

The listed complaints were substantiated by the Minnesota Office of Health Facility Complaints.

1 Golden LivingCenter – Chateau, Minneapolis, 28 health deficiencies
One substantiated complaint: Six bathrooms were cited with problems, including sticky floors, a soiled wall and black residue on the floor. Investigators noticed urine odor in two bathrooms, which was linked to malfunctioning ventilation systems.

2 Texas Terrace Care Center, St. Louis Park, 20 health deficiencies
Five substantiated complaints: Staff gave up trying to open a door blocked by a nonresponsive resident who had hanged himself. A resident’s arm was broken when a worker twisted it. A male worker kissed and molested a female resident. A resident died after staff did not properly react to his low oxygen-saturation rate. Sign-language services were not always provided.

3 Berkshire Residence, Osseo, 16 health deficiencies
Two substantiated complaints: A resident was burned after he lit a cigarette while on supplemental oxygen. A resident was given a double dose of a medication for 13 days.

4 Robbinsdale Rehabilitation and Care Center, Robbinsdale, 12 health deficiencies
Six substantiated complaints: A worker threw a glass of water in a resident’s face and swore at her. A resident sustained burns from smoking while on supplemental oxygen. The health care of a resident with behavior issues was neglected. Medications were not given at appropriate times, care plans were not followed and workers were slow to respond to call lights. Social work services were inadequate and care conferences were not timely. Drug disposal was done improperly.

5 Westwood Health Care Center, St. Louis Park, 8 health deficiencies
Three substantiated complaints: A resident received third-degree burns from a hot compress. A male worker kissed and molested a female resident. A resident was found lying under her wheelchair on a concrete landing in a stairwell.
Westwood is one of four Minnesota nursing homes designated as a “special focus facility” by the CMS for having a “history of persistent poor quality of care.” The facility has been on the list for 15 months and is subject to more frequent inspections.
The three other homes on the list: Crest View Lutheran Home, Columbia Heights, Willmar Commons Nursing and Rehabilitation, Willmar, and Valley View Manor, Lamberton.

6 Cerenity Care Center – Bethesda, South St. Paul, 8 deficiencies
Two substantiated complaints: Staffing and equipment were insufficient and nursing care was inadequate. Staff were not alerted when a resident fell and broke several bones, because the resident was not equipped with a personal safety alarm.

7 Mission Nursing Home, Plymouth, 2 health deficiencies
Two substantiated complaints: A worker forged documents and diverted narcotics for her own use. A worker hit a resident, giving him a cut on his chin.
To look up other nursing homes, go to www.startribune.com/a158.
The above is an excerpt from today’s StarTribune’s article titled: “7 Nursing Homes ‘Much Below Average”.

Additional information about nursing homes can be found at Medicare’s NHCompare.

This website is not intended to provide legal advice as each situation is different and specific factual information must be obtained before an attorney is able to assess the legal questions relevant to your situation.

If you or a loved one has suffered an injury from neglect or abuse in a nursing home or other care facility that serves the elderly in Minnesota please contact our firm for a free consultation and information regarding the obligations of the facility and your rights as a resident or concerned family member. To contact Attorney Kenneth L. LaBore, directly please send an email to klabore@mnnursinghomeneglect.com, or call Ken at 612-743-9048.

State Investigator’s Determine Nurse Failed to Properly Intervene to Assist Dying Nursing Home Resident

Written By: Kenneth LaBore | Published On: 2nd May 2010 | Category: Choking & Asphyxiation, Inadequate Staffing/Training, Nursing Home Care Issues | RSS Feed

There was a story in the Star & Tribune last week concerning a finding of neglect when a nursing home nurse fail to properly intervene on behalf of a resident who was having difficulty breathing at the Texas Terrace Center in St. Louis Park, Minnesota.
For the rest of the story: State: Nurse’s neglect led to nursing home death.

Federal Law mandates that resident in a nursing home:

42 CFR Section 483.25 – Quality of care.

Each resident must receive and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care.
(l) Unnecessary drugs(1) General. Each resident’s drug regimen must be free from unnecessary drugs. An unnecessary drug is any drug when used: (i) In excessive dose (including duplicate drug therapy); or (ii) For excessive duration; or (iii) Without adequate monitoring; or (iv) Without adequate indications for its use; or (v) In the presence of adverse consequences which indicate the dose should be reduced or discontinued; or (vi) Any combinations of the reasons above.

Report Suspected Abuse and Neglect

If you suspect abuse or neglect to any vulnerable adult, please contact the Minnesota Department of Health/ Department of Human Services, where you can file a confidential report protecting those unable to do so for themselves. Positive change and accountability starts with reporting all suspected neglect and abuse.

By filing a complaint about suspected neglect or abuse a trained investigator is assigned to review the issue and the facility to protect the safety of the residents by identifying areas of care not in compliance with the minimum state and federal standards.

For assistance with filing a complaint with the state concerning abuse or neglect on the behalf of your family member or yourself, WITHOUT CHARGE, please call or email attorney Kenneth L. LaBore to schedule an appointment.

According to Minnesota Statute § Subd. 21(a) “Vulnerable adult” means any person 18 years of age or older who:
(1) is a resident or inpatient of a facility;
(2) receives services at or from a facility required to be licensed to serve adults under sections 245A.01 to 245A.15, except that a person receiving outpatient services for treatment of chemical dependency or mental illness, or one who is served in the Minnesota sex offender program on a court-hold order for commitment, or is committed as a sexual psychopathic personality or as a sexually dangerous person under chapter 253B, is not considered a vulnerable adult unless the person meets the requirements of clause (4);
(3) receives services from a home care provider required to be licensed under section 144A.46; or from a person or organization that exclusively offers, provides, or arranges for personal care assistant services under the medical assistance program as authorized under sections 256B.04, subdivision 16, 256B.0625, subdivision 19a, 256B.0651, 256B.0653 to 256B.0656, and 256B.0659; or
(4) regardless of residence or whether any type of service is received, possesses a physical or mental infirmity or other physical, mental, or emotional dysfunction:
(i) that impairs the individual’s ability to provide adequately for the individual’s own care without assistance, including the provision of food, shelter, clothing, health care, or supervision; and
(ii) because of the dysfunction or infirmity and the need for care or services, the individual has an impaired ability to protect the individual’s self from maltreatment.
(b) For purposes of this subdivision, “care or services” means care or services for the health, safety, welfare, or maintenance of an individual.

This website is not intended to provide legal advice as each situation is different and specific factual information must be obtained before an attorney is able to assess the legal questions relevant to your situation.
If you or a loved one has suffered an injury from neglect or abuse in a nursing home or other care facility that serves the elderly in Minnesota please contact our firm for a free consultation and information regarding the obligations of the facility and your rights as a resident or concerned family member. To contact Attorney Kenneth L. LaBore, please send an email to klabore@guardianlegalservices.net or call Mr. LaBore directly at 920-920-8911.

Woodbury Nursing Home Aide

Written By: Kenneth LaBore | Published On: 14th April 2010 | Category: Caregivers Resources, Inadequate Staffing/Training, Nursing Home Care Issues | RSS Feed

Woodbury Health Care Center

In a story dated April 13, 2010, by Paul Walsh from the Minneapolis Star & Tribune newspaper detailed a RN from a Woodbury Nursing Home who was faulted by the State of Minnesota for Improper Conduct. The complaint deals with a wrongly ordered halt to CPR on a dying resident in the nursing home.

For more information concerning Woodbury Health Care Center and this incident go the the attached: Minnesota Department of Health and type in facility name and under Provider Type either put “nursing home” or “all”.

As an attorney who handles nursing home abuse and neglect cases confusion in the Do-Not-Recusitate (DNR) or Do-Not-Intubate (DNI) leading to many situations where care is either withheld or provided when not wanted. Confusion on the DNR/DNI status of a resident can be dealt with through a clear and consistent policy at the nursing home to ensure that the resident or their legal representative’s wishes with respect to emergency care issues is addressed and that there is those wishes are easily found and identified by the staff when there is such a need.

This website is not intended to provide legal advice as each situation is different and specific factual information must be obtained before an attorney is able to assess the legal questions relevant to your situation.

If you or a loved one has suffered an injury from neglect or abuse in a nursing home or other care facility that serves the elderly in Minnesota please contact our firm for a free consultation and information regarding the obligations of the facility and your rights as a resident or concerned family member. To contact Attorney Kenneth L. LaBore, directly please send an email to KlaBore@mnnursinghomeneglect.com or call Ken LaBore at 612-767-7503.

Aide from Minnesota Nursing Home Stuffed Sock in Mouth of Resident Suffering From Dementia

Written By: Kenneth LaBore | Published On: 4th April 2010 | Category: Choking & Asphyxiation, Inadequate Staffing/Training, Nursing Home Care Issues, Physical Abuse | RSS Feed

According to a story from the Star & Tribune titled:
Nursing home aide stuffed sock in dementia patient’s mouth

The story states:
“An aide at a northwestern Minnesota nursing home crammed a sock in the mouth of a screaming resident because the woman, elderly and in the late stages of dementia, wouldn’t be quiet, according to a state Health Department report released Tuesday.

The report quotes a co-worker as saying, “What the hell are you doing?” as the incident unfolded on Jan. 4 in the resident’s room at the Sunnyside Care Center in Lake Park.

The co-worker told an investigator that the nursing assistant “chuckled” and responded that the resident “wouldn’t quit hollering,” the report added. The co-worker then removed the sock from the resident’s mouth.”
This is an example of completely avoidable and in-execusable neglect, demonstrating a lack of concern for human dignity.

Nursing Homes must learn to treat the vulnerable resident under their charge with the respect they deserve. As an attorney who handles nursing home abuse and neglect cases, I wish I could say this type of incident, reckless and abusive care, is isolated.

Nursing Home Elder Abuse and Neglect Nursing home abuse and nursing home neglect of the elderly and vulnerable in nursing homes and other facilities occurs in many forms. A nursing home lawyer is here to assist your loved ones with holding the wrongdoers accountable. Some types of abuse are obvious such as elder sexual or elder physical assault or financial exploitation. Others forms of abuse and neglect are less noticeable and are often the result of having fewer nursing staff and aides than are needed and required. Staffing and training issues lead to many forms of avoidable neglect such as: falls, pressure ulcers (bed-sores), medication errors, dehydration and malnourishment, urinary tract infections, unsupervised residents wandering or suffering burn injuries and a multitude of other problems. Ken LaBore represents a professional Minnesota Nursing Home Law Firm, which is dedicated to holding nursing homes accountable for providing quality care to residents pursuant to the contracts they sign with the government, Medicare and Medicaid. The nursing home has an obligation to provide the: “highest quality of care practicable”. If you suspect abuse or neglect to any vulnerable adult, please contact the Minnesota Department of Health where you can file a confidential report protecting those unable to do so for themselves.

WHAT SHOULD I DO IF I SUSPECT NEGLECT OR ABUSE If you have reason to suspect that a loved one sustained an injury in a hospital, nursing home or assisted living facility the State of Minnesota Department of Health will investigate the issue upon reasonable suspicion. The first step to resolve the issue is a complaint form which must be filed with the MDH to start an investigation. The MDH Complaint Form is a three page document filed through the Office of Health Facility Complaints (OHFC) through a specified complaint form, which requests a reporting parties name, address and other contact information, the name of whom the complaint is on behalf of, the name and address of the facility, the date of the incident and a narrative statement on what occurred. The form contains a notice called a Tennessen Warning stating that the information you provide on the form may be used in an investigation report, however, your identity is confidential and is not revealed to the general public, except as required by law. The form goes on to give some situations where it may be necessary to reveal your identity to persons in a hearing. Giving your name is optional, but failing to do so may hinder efforts to resolve the problem. For more information and a copy of an OHFC Complaint Form go to: http://www.health.state.mn.us/divs/fpc/ohfcinfo/hfccomplaintform.pdf

Elder Physical and Sexual Abuse:

Elder Financial Exploitation and Abuse:

Resources for Resident’s and Family of Nursing Homes – Long Term Care Facilities

This website is not intended to provide legal advice as each situation is different and specific factual information must be obtained before an attorney is able to assess the legal questions relevant to your situation.

This website is not intended to provide legal advice as each situation is different and specific factual information must be obtained before an attorney is able to assess the legal questions relevant to your situation.

If you or a loved one has suffered an injury from neglect or abuse in a nursing home or other care facility that serves the elderly in Minnesota please contact our firm for a free consultation and information regarding the obligations of the facility and your rights as a resident or concerned family member. To contact Attorney Kenneth L. LaBore, directly please send an email to KlaBore@mnnursinghomeneglect.com or call Ken LaBore at 612-767-7503.

Crest View Lutheran Home Cited for Neglect of Resident

Written By: Kenneth LaBore | Published On: 15th December 2009 | Category: Choking & Asphyxiation, Inadequate Staffing/Training, Nursing Home Care Issues | RSS Feed

There was another article this weekend on nursing home abuse and neglect in the Star and Tribune newspaper. The article focused on a nursing home resident from Crest View Lutheran Home in Columbia Heights who was in the facility for short term rehabilitation therapy. The gentleman who was unnamed in the story, had stopped breathing while in the 24/7 care facility yet no attempts were made to resuscitate him.

According to the Minnesota Department of Health investigative report the LPN and the nurse supervisor was not aware that the resident needed be revived and did not have a DNR order. The story goes on to explain that the nurses did not have the necessary training in CPR and did not know where to find the resuscitation equipment even if there was not the confusion on the patient’s orders.

After an investigation of the matter the facility was determined to neglected the resident by not acting promptly to try to revive him.

For the rest of the Star and Tribune story, State Cites Nursing Home, click here.

This is a prime example of the need for qualified and properly trained staff. Unfortunately, the LPN was not properly trained and familiarity with how to find and use the necessary equipment to save the resident’s life. The answer to the “why” there was a lack of adequate staffing and equipment appears to be consistent with many such incidents, financial.

Unfortunately, unlike many accidents, this case seems to be avoidable if there was additional training for the staff.
This website is not intended to provide legal advice as each situation is different and specific factual information must be obtained before an attorney is able to assess the legal questions relevant to your situation.

If you or a loved one has suffered an injury from neglect or abuse in a nursing home or other care facility that serves the elderly in Minnesota please contact our firm for a free consultation and information regarding the obligations of the facility and your rights as a resident or concerned family member. To contact Attorney Kenneth L. LaBore, directly please send an email to klabore@prslegal.com, or call Ken at 612-767-7503.