Golden Living Center Meadow Lane Benson Allegation of Neglect After Resident Suffers Third Degree Burns From Hot Soup
In a report from the Minnesota Department of Health, dated January 30, 2017, it is alleged that Golden LivingCenter Meadow Lane Benson was neglected when staff failed to adequately supervise a resident who needed assistance with meals. The resident sustained a burn with blisters which required medical attention.
Golden Living Center Meadow Lane Neglect Substantiated After Burn Injuries to Resident
Based on a preponderance of evidence, neglect occurred when staff left the resident unsupervised. The resident spille hot soup on his/her lap causing first, second, and third degree burns to the resident’s upper left thigh.
The resident’s diagnoses included Alzheimer’s disease with delusional disorder. The resident had a history of reaching out for food and spilling liquids. At times, the resident was capable of independently eating finger foods with staff assistance. The resident had limited vision and often did not wear his/her glasses. The resident required a wheel chair for mobility and the assistance from one to two staff to complete all activities of daily living.
During an evening meal, staff served the resident a bowl of hot soup. Staff left the meal in front of the resident at the dining room table. The resident grabbed the bowl and the soup spilled on the resident’s upper legs. A nurse immediately assessed the resident’s abdomen and observed no redness. When the resident finished his/her meal, the resident was brought back to the resident’s room so staff could assess the resident’s skin where the soup made contact with upper legs, but the resident declined to remove his/her pants, staff observed a 9 centimeter (cm) by 7 cm red draining wound with the top layer of peeling skin to the resident’s upper left thigh. A nurse applied an antibiotic ointment and covered the wound with a dressing. The resident was scheduled to see a doctor the following morning.
At the time of the incident, the resident’s care guide for eating instruction directed staff to provide supervision with limited assistance using a lip plate or raised edge plate. The care guide instructed staff to offer the resident assistance and/or cues with meals. Interviews were conducted with staff members working the evening the resident was burned; none of the staff could remember serving the resident the meal. Staff indicated the resident was not always supervised at meal times, frequently reached for food in constant staff supervision to assist with meals. Some staff provided constant supervision for the resident with meals, while other staff might leave to assist other residents or continue to distribute meals to other residents. The nurse indicated the facility should have been aware the resident was a potential risk for burns with hot items.
Review of the resident’s medical record establish the resident was diagnosed with first, second, and third degree burns on the resident’s upper left thigh measuring 20 cm by 20 cm. To treat the serious burns, the resident required Tylenol for pain before daily dressing changes including application of Silvadene crème Subsequent doctor visits were required to monitor the healing.
Golden Living Center Meadow Lane Complaint Findings for Neglect
In a report concluded on January 27, 2015, the Minnesota Department of Health cites Golden Living Center Meadow Lane for neglect of health care.
Based on a preponderance of the evidence neglect is substantiated. The resident developed cold-like symptoms and continued to decline at the facility. Staff monitored the resident, but did not notify the physician when the resident’s condition worsened. In addition, upon admission to the hospital, the resident was noted to have multiple areas of skin breakdown.
Hospital records document the patient was unresponsive upon arrival to the hospital. The admission vital signs included: temperature: 100.2 F, respiratory rate: 47 breaths per minute, blood pressure: 137/71 mm hg, oxygen saturation: 92% with face mask oxygen at 15 liters per minute. The resident was diagnosed with left lower lobe pneumonia and acute pre-renal failure. The resident was noted to have “extremely poor” skin hygiene with extensive breakdown noted over the sacral area with evidence of skin loss and early muscle breakdown. Wound documentation revealed a bruised and reddened area near the coccyx, the right buttock had multiple areas that appear to be friction tears all measuring 0.5 cm x 0.5 cm, the coccyx area had a stage 3 wound measured 1.5 cm round, the right buttock had multiple eraser size, stage 2 open areas in a 10 cm long by 5 cm long area. All of the open areas have granulating wound beds. The left buttock has a 11 cm wide by 12.5 cm long area with a stage 2 ulcer with a 5.4 cm by 2.0 cm wide open area within that. There is a 3.2 cm long by 1.0 cm wide stage 2 open area just distal to the 11 cm by 12.5 cm area on the left buttock. The resident died at the hospital four days after admission. The cause of death was pneumonia.
Golden LivingCenter Meadow Lane – Report Suspected Abuse and Neglect
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 sore injuries or any other form of elder abuse or neglect contact Elder Abuse and Neglect Attorney Kenneth LaBore toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.