Keystone Roseville Substantiated Neglect for Medication Errors, Missed Medications
Keystone Roseville Substantiated Neglect for Medication Errors, Missed Medications

Medical Errors At Keystone Roseville

In a report dated December 10, 2015, Keystone Roseville was investigated by the Minnesota Department of Health.  It was alleged that a client was neglected when s/he did not receive his/her medications for five-six days and the client became increasingly disoriented and lost his/her balance several times resulting in three falls.  The facility was aware that the client was not receiving his/her medication yet failed to resolve the issue for several days.

Keystone Roseville Substantiated Neglect Medication Error

Based on a preponderance of the evidence, neglect is substantiated when the client experienced increased gait instability, confusion, lethargy related to not receiving six doses of the medication donepezil, prescribed for symptoms of dementia.  During the period when the client did not receive the medication the client had bruising and reported falling twice.  As a result of the investigation, a licensing order was issued.

The client had a diagnoses including rheumatoid arthritis, mild dementia, peripheral neuropathy and hypertension.  The client was ambulatory with a cane and staff were to assist him/her with medications, housekeeping, reminders for activities and meals.  Records showed that the client had several falls prior to the missed doses of medication.  The client was prescribed donepexzil 10 milligrams (MG) by mouth, at bedtime for symptoms of dementia.

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 medical 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


Medication Errors Alleged at Keystone Roseville
Tagged on:     

Leave a Reply

Your email address will not be published. Required fields are marked *

nineteen − fifteen =