Keystone Highland Park Cited With Inadequate Wound Care of Resident
Keystone Highland Park Cited With Inadequate Wound Care of Resident

Wound Care Issues Lead to MDH Complaint at Keystone Highland Park in St. Paul

In a report dated June 24, 2016, it is alleged that a client was neglected at Keystone Highland Park when the facility failed to follow the physician’s orders regarding wound care and also did not provide adequate personal cares for the client.  The facility was not tracking the treatment of wound care.  The client’s wound has worsened.

Keystone Highland Park Cited Concerning Wound Care Problems

Based on the preponderance of evidence, neglect of health care occurred when the facility failed to provide the necessary care and treatment for the client’s sacral wound on a consistent basis, which contributed to the client’s wound worsening and requiring the client to be hospitalized.

The client was admitted to the facility with a sacral ulcer that measured 2 cm by 1 cm.  The client was incontinent of urine and required assistance with toileting and stand-by-assist with ambulation.

The client had physician’s orders on admission for daily wound care that included applying a wound product and covering the wound with a dressing.  An outside home care agency was also involved in providing the wound care three times a week.  There was no evidence the licensee coordinated the treatment of the client’s wound with the outside home care agency to ensure that the wound treatment was done a daily basis.  There was no evidence that the licensee completed the client’s wound treatment for the first seven days the client was at the facility.  The outside home care agency two times during the first seven days.

The client’s care plan on admission identified the client had an open area to the left of the midline, but lacked direction to staff to assist/remind the client to keep off the open area to relieve pressure to the area.

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 inadequate wound care, 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


Keystone Highland Park Cited with Neglect Concerning Wound Care
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