Recent MDH Substantiated Neglect at Estates at Bloomington after neglect – nursing care.
Substantiated Neglect After Serious Pressure Sores at the Estates at Bloomington
In a report dated August 25, 2017, the Minnesota Department of Health cited Golden LivingCenter in Bloomington now know as the Estates at Bloomington with neglect after a resident developed a stage IV pressure ulcer at the facility.
Pressure Ulcer Wounds Develop for Resident at the Estates at Bloomington
Based on a preponderance of the evidence, neglect occurred when the facility failed to adequately assess, monitor, and implement interventions to prevent and heal pressure ulcers. The resident re-developed coccyx/buttocks pressure ulcers, which worsened.
The resident was admitted to the facility with a sacral pressure ulcer. Staff implemented interventions to prevent the development of additional pressure ulcers. Over the next several months, the sacral pressure ulcer healed, re-developed, and healed again. New interventions were implemented; however, the resident’s care plan, and direct care staff aside sheet were not kept up to date with instructions for direct staff on how frequently to turn and reposition the resident.
Approximately two months after the last pressure ulcer healed, the resident developed two stage two pressure ulcers to her/his coccyx/buttocks. Staff did not notify or obtain orders for treatment from the physician until 28 days later, when the ulcers had worsened and resident had four open areas to her/his buttocks. One week later, the resident went to the hospital due to a decrease in responsiveness and a temperature of 101.6 degrees Fahrenheit.
According to the records, the hospital admitted the resident with a diagnosis of sepsis as well as a catheter associated urinary tract infection. Upon admission into the hospital, the resident’s pressure ulcers had necrotic tissue with surrounding skin cellulitis. The sacral bone was exposed.
When interviewed, the nurse practitioner stated s/he had never previously examined the resident’s pressure ulcers due to resident refusals. The nurse practitioner was not informed of the pressure ulcers redevelopment until approximately one month after staff observed the new pressure ulcers. The nurse practitioner indicated the facility’s lack of monitoring, and delay in treatment contributed to the worsening of the resident’s pressure ulcers.
The resident did not return to the facility.
Report Suspected Neglect Pressure Ulcers and Wounds – the Estates at Bloomington
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 pressure ulcers or any other form of elder abuse or neglect contact Minnesota Elder Abuse Attorney Kenneth LaBore toll free at 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.