Fall in Resident's Bathroom Leads to MDH Complaint Against Good Samaritan Society Special Care
Fall in Resident’s Bathroom Leads to MDH Complaint Against Good Samaritan Society Special Care

MDH Cites Good Samaritan Society Specialty Care With Neglect

In a Minnesota Department of Health report dated September 17, 2016, it was alleged that Good Samaritan Society Specialty Care neglect a client when s/he had a fall in his/her bathroom and was not found by facility staff until approximately seven hours later.  In addition, facility failed to follow leave of absence procedure and protocols.

Resident Leads to Substantiated Neglect Against Good Samaritan Society Specialty Care

Based on a preponderance of evidence, neglect is substantiated.  The facility failed to provide necessary supervision to the resident, resulting in failing to detect that the resident had fallen.

The resident required assistance of one to complete all activities of daily living (ADL).  The resident’s care plan interventions included taking the resident to the bathroom every two hours.  During the evening shift, the resident had medications scheduled at 5:00 p.m. and 8:00 p.m.  The resident’s family visited frequently and would take the resident for walks outside or play pool on the first floor of the facility.  The family also took the resident out of the facility routinely for various activities.

The day of the fall, a family member visited the resident in the morning.  The visitor and resident went outside for a walk and then returned to the unit.  When the evening shift arrived, staff did not see the resident.  The staff did not search for the resident at that time.  The staff check the medication scheduled for 5:00 p.m. and 8:00 p.m. and reported that the medications were out of the medication card.  This reinforced the staff’s belief that the resident had gone out on a pass.  The staff called the resident’s family member at 9:00 p.m. to question when they were returning.  The family member stated that the resident did not go home on a pass.  The staff then went into the resident’s room and discovered the resident on the floor.  The resident did not know when the resident fell or how long the resident had been on the floor.  There were no injuries identified.  The resident required hospitalization several days later due to Rhabdomyolysis (results from the death of muscle fibers and release of their content into the bloodstream).  The resident later returned to the facility.

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, improper use of medical equipment, falls or any other form of elder abuse or neglect contact Minnesota Elder Abuse Attorney Kenneth LaBore at 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.


Good Samaritan Society Specialty Care Cited With Neglect
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