Oak Terrace Senior Living of Jordan Resident Chokes – Facility Cited with Neglect by Minnesota Department of Health
MDH Cites Oak Terrace Senior Living of Jordan
In a report from the Minnesota Department of Health it is alleged that a client at Oak Terrace Senior Living of Jordan was neglected when the facility did not adequately assess, monitor, and follow up by contacting emergency medical services when a client choked twice. The facility notified emergency medical services about 45 minutes after the choking episode because the client became unconscious.
Failure to at Oak Terrace Senior Living of Jordan
Neglect was substantiated.
Client Physically Restrained at Oak Terrace Senior Living of Jordan
In a report from the MDH abuse was substantiated. The AP was responsible for the maltreatment. The AP received training on abuse and neglect. The AP unreasonably confined the client when she wrapped a gait belt around the client’s legs and fastened it in a manner that prevented the client from releasing the belt.
For a Free Consultation with an experienced elder abuse and neglect attorney call Kenneth LaBore at 612-743-9048.
A common form of neglect in elder care facilities involves issues with a resident choking on food or bolus. Staff needs to be trained on the dietary needs of residents and how to reduce the chances of choking on food. There must also be training on how to identify a resident in distress and when to contact “911” due to a change in condition. Most forms of elder abuse are preventable with proper care and supervision.
If you have concerns about care provided to a resident in a nursing home, assisted living or any other type of elder care provider contact Attorney Kenneth LaBore for a Free Consultation to discuss your legal rights and options.
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Oak Terrace Senior Living of Jordan Cited with Neglect was last modified: February 20th, 2019 by Kenneth LaBore
Woodbury Villa MDH Substantiated Complaint After Fire Resulted in Death of Client and Injures Others
Woodbury Villa MDH Complaint Substantiated After Fire Leads to Death of Resident
In a report concluded on May 27, 2015, the Minnesota Department of Health cites Woodbury Villa alleging that neglect of supervision occurred when a fire in the building resulted in death of a client and serious injury to two other clients.
Woodbury Villa Department of Health Neglect of Supervision Finding
The preponderance of the evidence established that neglect of supervision occurred when the facility failed to protect the safety of the clients that received services from the licensee, when the licensee was aware that Client #1 continued to smoke cigarettes unsafely in the building and/or his apartment for approximately on year. A fire in Client #1’s apartment occurred and the client died as a result of the fire. Client #2 and Client #3 were transferred to the hospital for evaluation of smoke inhalation and were treated and released that same day.
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 financial exploitation or any other form of elder abuse or neglect contact Minnesota Elder Abuse Attorney Kenneth LaBore toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.
Bethel Care Center Cited After Failure to Respond to Ventilator Alarm – Resident Died
Bethel Care Center Cited with Neglect – Failure to Intervene
In a report from the Minnesota Department of Health it was alleged that a resident a Bethel Care was neglected after facility staff found the staff unresponsive and alarms were sounding on the ventilator.
Neglect Cited Against Bethel Care Center after Resident Death
Neglect was substantiated. The facility did not intervene when the resident’s ventilator alarmed for at least 39 minutes. The resident, who was ventilator-dependent died.
For a Free Consultation with an Experienced Elder Neglect Attorney call Kenneth LaBore Toll Free at 1-888-452-6589.
If you suspect elder or vulnerable adult neglect or abuse contact the Minnesota Adult Abuse Reporting Center answered 24 hours a day, 7 days a week at 1-844-880-1574.
If you have concerns about care provided to a resident in a nursing home, assisted living or any other type of elder care provider contact Attorney Kenneth LaBore for a Free Consultation to discuss your legal rights and options.
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Failure to Provide Oxygen Bethel Care Center Leads to Brain Damage
Bethel Care Center Cited for Neglect By Minnesota Department of Health After Failing to Attach Resident’s Ventilator Leading to Brain Damage
In a report concluded on September 2, 2015, the Minnesota Department of Health cites Bethel Care Center alleging that a resident was neglected when the staff did not attach the resident’s ventilator during the night. The resident suffered brain damage as a result of lack of oxygen was not expected to survive.
Based on the preponderance of the evidence, the allegation of neglect is substantiated. Neglect occurred when the physician orders were not followed during the ventilator weaning process and the resident was removed from the ventilator two hours early. The resident was found unresponsive around 15-20 minutes later after the ventilator was removed and died the following day.
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 financial exploitation or any other form of elder abuse or neglect contact Minnesota Elder Abuse Attorney Kenneth LaBore at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.
Choking Allegation at West Wind Village Morris Minnesota
West Wind Village Morris Complaint Findings for Neglect – Choking
In a report concluded on March 14, 2013, the Minnesota Department of Health cites West Wind Village Morris for neglect of health care – choking. The allegation is neglect base on the following: a resident choked and was sent to the hospital with aspiration pneumonia after a nursing assistant, and kitch staff gave the resident a salad with cucumbers. The resident’s care plan called for a mechanical soft diet.
Substantiated Complaint of Neglect Against West Wind Village in Morris
Based on a preponderance of evidence neglect is substantiated. The resident was served food that was not included on the resident’s specialized diet, which resulted in the resident choking on a piece of raw cucumber.
Documentation and interviews established that the resident had a history of swallowing difficulties and choking episodes. Approximately 2 weeks prior to the incident, the resident was hospitalized with aspiration pneumonia (inflammation of the lungs and airways to the lungs from breathing in foreign material) after choking on a hot dog. The resident returned to the facility on a mechanical soft (diet used for people who have difficulty in chewing or swallowing) with no hot dog diet. The resident was confused with memory loss.
Documentation and interviews revealed that during a lunch meal the resident requested a salad, which included lettuce and raw cucumbers. The resident’s diet card was located at the resident’s table, and indicated that the resident was to receive a mechanical soft diet. Staff did not verify the resident’s diet, and served the resident a salad with raw cucumbers, which was not allowed on the resident’s mechanical soft diet. The resident choked and became unconscious. Staff performed the Heimlich maneuver, abdominal thrusts, and called 911.
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 choking or asphyxiation 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.
Improper Diet Choking at Transition Healthcare Minneapolis Minnesota
Transition Healthcare Minneapolis Complaint Findings for “Other” – Choking
In a report concluded on December 28, 2010, the Minnesota Department of Health cites Transition Healthcare Minneapolis for “other” – choking.
The allegation is neglect based on the following information: Client #1 was not provided the appropriate diet ordered and choked while eating supper.
Substantiated Neglect Against Transition Healthcare – More Information About Choking Risk to Seniors
According to the Mayo clinic, choking occurs when a foreign object becomes lodged in the throat or windpipe, blocking the flow of air. In adults, a piece of food often is the culprit. Young children often swallow small objects. Because choking cuts off oxygen to the brain, administer first aid as quickly as possible.
The universal sign for choking is hands clutched to the throat. If the person doesn’t give the signal, look for these indications:
•Inability to talk
•Difficulty breathing or noisy breathing
•Inability to cough forcefully
•Skin, lips and nails turning blue or dusky
•Loss of consciousness
If choking is occurring, the Red Cross recommends a “five-and-five” approach to delivering first aid:
•Give 5 back blows. First, deliver five back blows between the person’s shoulder blades with the heel of your hand.
•Give 5 abdominal thrusts. Perform five abdominal thrusts (also known as the Heimlich maneuver).
•Alternate between 5 blows and 5 thrusts until the blockage is dislodged.
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 choking or ashyxiation or any other form of elder abuse or neglect contact Elder Abuse and Neglect Attorney Kenneth LaBore at 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.
Neglect Due to Choking Incident at Seasons Apple Valley Minnesota
Seasons Apple Valley Complaint Findings for Neglect
In a report concluded on February 25, 2013, the Minnesota Department of Health cites Seasons Apple Valley for neglect of health care.
It is alleged neglect occurred when a client was not monitored during breakfast and experienced a choking incident causing his death. In addition, the client’s DNR (Do Not Resuscitate) order was not provided to emergency medical personnel.
Seasons Apple Valley Complaint – Facility Requested Reconsideration
Note: this facility has requested a reconsideration of the maltreatment finding, see the MDH website for most current information.
According to the Collins Dictionary of Medicine, DNR Abbrev. for do not resuscitate. An instruction to refrain from energetic measures to restore the heart beat and the breathing in those people with terminal, irreversible illness in which death is expected, who suffer cardiac arrest. This has been the unwritten rule of many doctors and was enacted in American legislation in 1988.
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 choking or asphyxiation or any other form of elder abuse or neglect contact Elder Abuse and Neglect Attorney Kenneth LaBore at 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.
Neglect of Health Care Nutrition, Ramsey County Care Center Maplewood
Ramsey County Care Center Maplewood Complaint Findings for Neglect
In a report concluded on May 31, 2013, the Minnesota Department of Health cites Ramsey County Care Center Maplewood for neglect of health care – nutrition.
It is alleged that neglect occurred when a resident was provided food that was the wrong consistency. The resident coughed up a quarter size potato, began to show symptoms of aspiration and had audible wheezes bilaterally, at which time the resident was sent to the hospital.
Substantiated Complaint Against Ramsey County Care Center Maplewood
Based on a preponderance of the evidence, neglect occurred when staff served the resident food that was the wrong consistency. The resident choked, developed aspirational pneumonia and died.
Interview with the facility nurse practitioner confirmed that the resident was given the wrong texture of food and the resident aspirated. The death certificate revealed the cause of death was sepsis.
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 choking, aspiration or any other form of elder abuse or neglect contact Elder Abuse and Neglect Attorney Kenneth LaBore at 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.
Nursing Care Lack of Training Medication Administration at Havenwood Care Center Bemidji
Havenwood Care Center Bemidji Complaint Findings for Medication Administration
In a report concluded on December 27, 2012, the Minnesota Department of Health cites Havenwood Care Center Bemidji for nursing care lack of training medication administration.
It is alleged that residents are not receiving their medications as directed. In addition, call lights are not answered in a timely manner and there is a lack of training for staff on some procedures.
Havenwood Care Center Bemidji Complaint Findings for Neglect – Choking
In a report concluded on January 24, 2011, the Minnesota Department of Health cites Havenwood Care Center Bemidji for neglect of health care.
The allegation is neglect based on the following: Resident #1 choked on a piece of watermelon and required emergency care. Resident #1’s menu request form listed watermelon as a food the resident had an intolerance to. Nursing Assistant/NA/Alleged Perpetrator/AP-1 and Dietary Aide/ AP-2 failed to review Resident #1’s meal ticket prior to serving the resident her breakfast.
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 Elder Abuse and Neglect Attorney Kenneth LaBore toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.
Good Samaritan Society Waconia Cited after Failure to Follow POLST
Waconia Good Samaritan Society Cited for Failure to Follow POLST
Based on a report dated, September 20, 2016, it was alleged that neglect occurred when the facility failed to ensure a resident’s wishes were carried out as facility staff failed to follow the resident’s Provider Order for Life Sustaining Treatment (POLST) from when he/she became unresponsive. Life saving measures were discontinued against the resident wishes and the resident passed away without being transferred to a hospital.
Based on a preponderance of the evidence, neglect occurred when staff did not provide emergency medical care to a resident, consistent with the resident’s advanced directive for life-sustaining treatment and cardiopulmonary resuscitation (CPR), and the resident died. CPR was started but discontinued when a staff misunderstood the Provider Order for Life Sustaining Treatment (POLST) form and directed staff to stop CPR.
The resident was admitted to the facility from a hospital after a short stay for respiratory issues, the resident was alert and oriented and made his/her own decisions about medical care. The facility had reviewed the POLST form on admission with the resident, and the form indicated the resident wanted cardiopulmonary resuscitation (CPR) in the event of cardiopulmonary arrest. The form was signed by the resident, a nurse and the physician.
The resident had a change in condition, a decreased level on consciousness and difficulty breathing. A nurse was monitoring the resident’s vital signs and unresponsiveness, and performing a sternal rub. A second nurse assessed the resident, then left the room to check the electronic medical record to determine the CPR status and the emergency medical system (EMS) was activated. The resident’s condition declined and the nurse with the resident determined CPR was indicated, the Licensed Practical Nurse for the next shift care into the room and immediately started CPR. The nursing staff had not brought the emergency equipment of an automated external defibrillator and back board used to perform CPR to the resident’s room, and CPR was initially begun on the bed without a firm surface under the resident.
Resident Suffers Hip and Arm Fracture at Good Samaritan Waconia
Good Samaritan Waconia Cited with Neglect after Fall From EZ Stand Lift
According to a report dated July 26, 2016, it is alleged that neglect occurred against Good Samaritan Waconia when the alleged perpetrator (AP) did not follow the care plan and the resident fell out of the EZ stand lift, sustained multiple fractures and died a few days later.
Based on a preponderance of the evidence, neglect occurred when the alleged perpetrator (AP) transferred the resident alone, used the wrong type of lift, and the resident fell out of the EZ stand lift, was lowered to the floor and sustained fractures of her left hip and left upper arm.
The resident was dependent on staff to assist with activities of daily living. The care plan interventions to be used when transferring the resident during toileting were: two staff to assist, using a total lift (hydraulic powered sling lift) and large sling. The AP worked with the resident prior to the fall. The AP did not review the resident’s care plan prior to transferring the resident. The AP used the EZ stand alone to transfer the resident from the wheelchair to a standing position. The resident suddenly lost strength in the left leg and wanted to sit down. The resident began to slip out the EZ stand. The AP lowered the resident to the floor. The on-call physician was contacted, and the resident was transferred to the hospital for further care. The resident sustained a left hip fracture and left upper arm fracture.
The resident’s death certificate was reviewed and indicated the resident expired at the hospital. The immediate cause of death was listed as complications of left femur fracture.
Medication Error, Failure to Administer Medication, Coumadin at Good Samaritan Society Waconia Minnesota
Good Samaritan Society Waconia Complaint Findings for Neglect – Failure to Administer Coumadin
In a report concluded on October 18, 2013, the Minnesota Department of Health cites Good Samaritan Society Waconia for neglect of health care – failure to administer Coumadin.
It is alleged that a resident was neglect when the facility failed to administer Coumadin for 10 days. The resident developed a clot in the left femoral artery.
Based on a preponderance of evidence, neglect is substantiated when a resident did not receive an anti-coagulant medication (Coumadin) for ten days as a result of a medication error (error in order transcription). Review of the incident did not provide evidence that confirmed that the medication error caused a clot to develop in the resident’s left femoral artery.
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 Elder Abuse and Neglect Attorney Kenneth LaBore at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.
Failure to Provide Resuscitation, DNR, Wrongful Death, Death from Choking, Dungarvin Minnesota Mendota Heights
Dungarvin Minnesota Mendota Heights Complaint Findings for Neglect Failure to Provide CPR
In a report concluded on May 24, 2012, the Minnesota Department of Health cites Dungarvin Minnesota Mendota Heights for neglect of health care.
The allegation is neglect based on the following: a client had choking incident at which time staff called 911. Staff indicated that the client had a DNR (do not resuscitate) order, resulting in resuscitation efforts being stopped. It was later discovered the DNR order was for a difference client.
Substantiated Neglect Failure to Provide CPR – Dungarvin Minnesota Mendota Heights
According to the Mayo Clinic, cardiopulmonary resuscitation (CPR) is a lifesaving technique useful in many emergencies, including heart attack or near drowning, in which someone’s breathing or heartbeat has stopped. The American Heart Association recommends that everyone — untrained bystanders and medical personnel alike — begin CPR with chest compressions.
It’s far better to do something than to do nothing at all if you’re fearful that your knowledge or abilities aren’t 100 percent complete. Remember, the difference between your doing something and doing nothing could be someone’s life.
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.
Nursing Home Abuse and Neglect Lawyer Kenneth LaBore Offers Free Consultations and Serves Clients Throughout the State of Minnesota Call Toll Free at 1-888-452-6589
Dungarvin Minnesota Mendota Heights Neglect – Failure to Provide CPR was last modified: November 24th, 2019 by Kenneth LaBore
