Allegation that Fairview Failed to Administer Medication as Ordered
An investigation has concluded that a Minneapolis nursing home failed to ensure that a resident received their anticoagulant medication, Fairview failed to administer medication to the patient.
The incident occurred in January 2013, resulting in the patient going into cardiac arrest and dying from blood clots in the lungs, according to the state investigation released earlier in July.
Substantiated Complaint Fairview Failed to Administer Medication
Fairview University Transitional Services, the nursing home that was the subject of the neglect investigation, is disputing the findings.
The Department of Health states in their report that the policies of the facility and its procedures did not provide an effective system of reviewing all of the medical information about the patient when it came to his treatment. The conclusion of the Department of Health was that the nursing home was neglectful during the man’s 14-day stay. They also concluded that a doctor and the doctor’s assistant both thought that the other was ordering the anticoagulant for the resident.
Nursing home officials said that the incident was an isolated one and that it does not support the neglect finding by the Department of Health. The nursing home has also argued that the miscommunication between the doctor and the assistant led to the blood clots.
Correction orders have been issued by regulators and the facility has satisfied those orders. The Department of Health has reviewed all of the processes performed by the care-team and steps were taken to improve. The corrections included reminding caregivers of who is responsible for issuing medication orders, entering them, and completing them.
According to the report, the resident received Heparin while he was in the hospital, but it was not stated on the paperwork that was sent with him when he was transferred to the nursing home. Paperwork that was completed by the doctor the next day recommended that the resident receive Heparin.
The doctor said he did not enter the heparin order, stating that he thought the assistant would review the recommendation and move forward with the drug order. The assistant admitted seeing the doctor’s note, but she said she assumed the doctor had moved forward with the order, so she did not check any further.
While at the home, it was on January 17 that the resident went into cardiac arrest. He was returned to the hospital where he died five days later.
A chest exam showed that blood clots had developed in both lungs, resulting in his death.
Report Medication Errors – When Facility Failed to Administer Medication
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 medication errors 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.