Cottagewood Senior Community Cited for Neglect after Resident Fall Resulting in a Subdural Hematoma
In a MDH report it was alleged that a client was neglected when the facility did not adequately supervise the client. The client sustained a fall, which resulted in fractured ribs and brain hematoma. The client passed away.
Neglect was substantiated. The facility was responsible for maltreatment. Over the course of several months, the client had approximately 30 incidents of falls, possible falls, and incidents of laying on the floor. During that same time, there was a lack of evidence the facility implemented new or progressive preventable fall interventions, in an effort to supervise and maintain the client’s safety, especially after a fall incident that resulted in multiple orthopedic injuries and a small internal head bleed.
Cottagewood Senior Community Cited after Financial Exploitation by Staff
It is alleged in a report dated June 28, 2016, a client was financially exploited when the alleged perpetrator (AP) took the client’s money.
Based on a preponderance of evidence of financial exploitation occurred when the alleged perpetrator took the client’s credit card and made several purchases for his/her own personal use.
The client received services from the comprehensive home care provider for activities of daily living, medication administration, meals, housekeeping, laundry, and housing with services according to the client’s service agreement and care plan.
Interview with the family of the client and interviews with facility staff revealed the family contacted the facility and said there were charges on the client’s credit card at several gas stations that the client and the family member did not make. The family and facility staff contacted police. Facility staff were later contacted by police and they emailed them a photo of the person who used the client’s credit card. Two facility staff identified the AP to police as the person who used the client’s credit card. Facility staff said police told him/her that they had an audio recording of the AP that they received from AP’s housekeeper. S/he said police said the AP paid the housekeeper in gift cards and the housekeeper became suspicious and wondered if they were stolen. S/he said police told him/her the housekeeper recorded the AP saying s/he stole the credit card that was used to buy the gift cards.
Allegation of Neglect After Resident Fall At Cottagewood Senior Community
In a report dated January 16, 2016, it was reported that Cottagewood Senior Community in Rochester neglected a resident when they failed to properly assess and provide medical services for eight days after she had a fall. At the time of the report the resident remained in the hospital with a fractured hip.
Cottagewood Senior Community Substantiated Neglect After Resident Fall
Based on a preponderance of evidence neglect occurred when a client experienced falls and pain during ambulation, and the licensee failed to reassess the client for a significant change in condition, and didn’t provide necessary intervention for the condition change. The client was later found to have a fractured hip.
Staff interviews revealed that although the client’s condition had changed, including falls, pain, the inability to ambulate and use of a wheelchair for locomotion, at no time in this period did a Registered Nurse complete a comprehensive reassessment of the client for this change in condition, nor was the client’s care plan updated.
Medical record review revealed the client was admitted in 2014 with diagnoses including dementia. The client’s Service Checklist for September 2015 revealed s/he ambulated and transferred independently.
For more information from the Minnesota Department of Health, Office of Health Facility Complaints concerning nursing homes, assisted living and other elder care providers view resolved complaints at the MDH website.
If you have concerns about improper use of medical equipment, falls or any other form of elder abuse or neglect contact Minnesota Elder Abuse Attorney Kenneth LaBore toll free at: 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.