Failure to Provide CPR to Resident at Parmly on the Lake
In a report from the Minnesota Department of Health it is alleged that a client at Parmly on the Lake was neglected when the facility failed to notify the physician when the resident has a significant change in condition. It is alleged the facility failed to perform cardiopulmonary resuscitation (CPR) as ordered in the resident’s physician’s orders for life sustaining treatment (POLST)
Failure to Provide CPR to Resident at Parmly on the Lake
Neglect was substantiated. The facility and the alleged perpetrator were responsible for the maltreatment. The alleged perpetrator (AP) failed to notify the physician when the resident’s oxygen saturation levels dropped below physician identified parameters, indicating a significant change in the resident’s condition. The AP failed to initiate CPR as indicated by the resident’s physician orders for life sustaining treatment (POLST) when the AP later found the resident unresponsive and with no pulse.
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 a failure to respond to a change in condition. There are many ways in which the health of a resident can change. The facility must regularly assess residents and monitor for changes in their condition and then notify their treating physician of any changes. When a person has requested CPR be provided when needed the facility has a duty to comply with the resident’s wishes. 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.
Disclaimer
Parmly on the Lake Failed to Provide CPR to Resident in Distress was last modified: December 13th, 2019 by Kenneth LaBore
Walker Methodist Levande HCS Staff Failed to Provide Needed CPR for Cardiac Arrest Suffered by Resident
Failure to Provide Needed CPR at Walker Methodist Levande HCS
In a report from the Minnesota Department of Health it is alleged that a client at Walker Methodist Levande HCS withheld needed CPR for a resident in cardiac arrest.
Neglect was substantiated. The AP was responsible for the maltreatment. The AP withheld cardiopulmonary resuscitation (CPR). The client was found with no pulse or respirations. The AP knew the client’s wishes, but did not initiate CPR when the client was in cardiac arrest.
The state investigation included interviews with facility staff members, including administrative staff, nursing staff, unlicensed staff, and non-clinical support staff. The investigation included interviews with the client’s nurse practitioner and a member of the client’s family. The investigator conducted observations of the facility and client cares.
The client’s death record indicated the client’s cause of death included coronary artery disease and cardiac arrest. In conclusion neglect was substantiated. The AP was responsible for maltreatment. The facility reviewed its policies and procedures regarding CPR. The facility also provided education for the AP, including suspension from work.
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 medication management and administration, or a failure to respond 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.
Disclaimer
MDH Cites Walker Methodist Levande HCS Failure to Provide CPR was last modified: December 12th, 2019 by Kenneth LaBore
It is alleged in a report by the MDH that a resident at Benedictine Living Community of Winstead was neglected when facility staff failed to initiate cardiopulmonary resuscitation (CPR) in a timely manner. The resident was full code and staff did not initiate CPR for 14 minutes after finding the resident was unresponsive.
Neglect was substantiated. The facility was responsible for the maltreatment. Several staff had the opportunity to verify the resident’s CPR status but did not. Several staff indicated the facility did not train them to check CPR status or when to start CPR.
Abuse-Exploitation-Drug Diversion, Benedictin Living Community of Winstead
Benedictine Living Community of Winstead Complaint Findings for Abuse
It is alleged that a client was exploited when a staff, alleged perpetrator (AP), took the client’s narcotic medication for his/her own use.
Substantiated Allegation of Financial Exploitation
Based on a preponderance of evidence, the allegation of financial exploitation is substantiated. The alleged perpetrator (AP) admitted to taking two of the client’s narcotic tablets for his/her own use.
The client’s service plan included medication administration. The client had physical orders for two tablets of Lortab (Hydrocodone 5 mg / Acetaminophen 500 mg) to be administered every night and one to two tablets as needed up to three times per 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 physical abuse, financial abuse or any other form of elder abuse or neglect contact Nursing Home Abuse Attorney Kenneth LaBore at 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.
MDH Cites Shiloh Assisted Living Failed to Respond to Client’s Change in Condition
Shiloh Assisted Living Cited After Failure to Provide CPR to Client in Distress
In a report from the Minnesota Department of Health it is alleged that a client at Shiloh Assisted Living was neglected when facility staff failed to provide CPR (cardio-pulmonary resuscitation).
Neglect Finding Due to Failure to Provide CPR to Client at Shiloh Assisted Living
Neglect was substantiated. The facility was responsible for maltreatment. The facility informed clients in the contracted service plan that CPR was not a service provided by the facility. However, the staff failed to follow the facility’s emergency protocol when the client had difficulty breathing.
The failure to honor a Physician Ordered Life Sustaining Order (POLST) can lead to a person in urgent critical care not receiving the medical intervention and attempt to safe their life they wished for in the event they were ever in that situation.
In a recent report by the MDH there was a finding of substantiated neglect after a medication error.
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 a failure to provide proper care and supervision or a failure to follow procedures as medication management and administration. 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.
Disclaimer
Shiloh Assisted Living Cited with Neglect after Failure to Provide CPR to Dying Client was last modified: January 2nd, 2020 by Kenneth LaBore
Luther Memorial Home Cited with Neglect by MDH for Failing to Monitor Resident and Failing to Provide CPR
MDH Cites Luther Memorial Home Fails to Monitor Resident
In a report from the Minnesota Department of Health it is alleged that a client at Luther Memorial Home was neglected when the alleged perpetrator (AP) failed to provide intensive frequent monitoring after an incident of a fall. AP found VA dead a few hours later after the fall. In addition, AP failed to do CPR and failed to notify the family physician on time.
Failure to CPR Results in Evidence of Neglect at Luther Memorial Home
Neglect was substantiated. The facility staff intervened when the resident was sliding out of the wheelchair by lowering the resident to the floor. The facility assessed and monitored the resident after the fall as well as notified the physician. However, staff failed to initiate cardiopulmonary resuscitation (CPR) when the resident was found without a pulse and was not breathing. The resident had a full code resuscitation status, indicating the resident requested CPR be performed if found without a pulse and not breathing.
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 medication management and administration. 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.
Disclaimer
Luther Memorial Home Cited with Neglect after Failing to Provide CPR was last modified: February 20th, 2019 by Kenneth LaBore
Failure to Provide Needed CPR – Neglect Substantiated – Trinity Care Center
MDH Cites Trinity Care Center after Failing to Provide CPR for Resident in Distress
In a report from the Minnesota Department of Health it is alleged that a client at Trinity Care Center was neglected when the alleged perpetrator failed to act on the resident’s full code status, which resulted in the resident having a respiratory/cardiac event and passing away.
Trinity Care Center Failed to Provide Needed CPR – Cited for Neglect
Neglect was substantiated. The AP was responsible for the maltreatment. The AP failed to check the resident’s code status and initiate emergency services when the resident went unresponsive, was not breathing, and became pulseless.
For a Free Consultation with an experienced elder abuse and neglect attorney call Kenneth LaBore at 612-743-9048.
There was another MDH Substantiated Neglect Finding for medication theft at Trinity Care Center.
A common form of neglect in elder care facilities involves medication management and administration. 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.
Disclaimer
Trinity Care Center Cited with Neglect for Failing to Provide CPR was last modified: February 20th, 2019 by Kenneth LaBore
Client at Trinity Care Center Did Not Receive CPR when Needed – Facility Cited with Neglect
MDH Cites Trinity Care Center for Failure to Properly Respond to Change in Condition and Provide CPR
In a report from the Minnesota Department of Health it is alleged that a client at Trinity Care Center in Farmington was neglected when the alleged perpetrator (AP) failed to act on the resident’s full code status, which resulted in the resident having a respiratory/cardiac event and passing away.
Failure to Provide CPR Leads to Neglect Findings for Trinity Care Center
Neglect was substantiated against the AP. The AP was responsible for the maltreatment. The AP failed to check the resident’s code status and initiate emergency services when the resident went to unresponsive, was not breathing, and became pulseless.
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 a failure to respond to a change in condition and call for assistance from “911” as well as the failure to provide CPR to a resident who requested “full code” or wanted life savings measures taken in the event they had a cardiac arrest. The failure to provide CPR can cause the death or at a minimum reduce or diminish the chances of survival and may be a wrongful death claim. In Minnesota a new claim has been developed through the Dickhoff case called a loss of chance claim. 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.
Disclaimer
Trinity Care Center Cited after Failure to Provide CPR to Dying Resident was last modified: February 20th, 2019 by Kenneth LaBore
Resident at Knute Nelson Alexandria Suffers Third Degree Burns After Prolonged Exposure to Radiator – Radiator Burns – Baseboard Heater Burn Injuries
Resident Falls and Suffers Burns at Knute Nelson Alexandria
In a report from the Minnesota Department of Health, dated April 22, 2016, it was alleged that Knute Nelson Alexandria was neglected when s/he fell and was burned by the baseboard heater in the resident’s room.
Knute Nelson Alexandria – Baseboard Radiator Burn Injuries
Based on a preponderance of the evidence, neglect occurred when the facility failed to assess the risk for burns from a baseboard heater in the resident’s room. The resident rolled out of bed, came in contact with the heater, and sustained first, second, and third degree burns to the left hip and right foot including the heel and great toe.
The resident’s diagnoses included peripheral neuropathy or decreased feeling to the lower extremities. The resident was capable of making his/her needs known to staff but required the assistance from others for decision making. Due to declining health, the resident was provided with hospice care. At the time of the fall, the resident required extensive assistance from two staff and a walker for ambulation, two staff for repositioning, transfers, toilet use, and a wheelchair for mobility for longer distances. The resident had a history of falls at the facility and care plan interventions included keeping the call light and commonly used items within the resident’s reach, reminding the resident of safety precautions, providing proper footwear, and staying with the resident in the bathroom with toileting. At the time of the fall, the facility had implemented an alarm that alerted staff of the resident’s attempt at self-transfers.
Early one morning, staff entered the resident’s room responding to the silent alarm notification. The resident was lying between the bed and the baseboard heater his/her left hip and foot in contact with the heater. The left hip burn was not measured but determined to be first degree. The burn to the right foot measured 17 centimeters (cm) by 5 cm with weeping blisters present on the right heel and great toe. The burn was second degree. There was a third degree burn to a small area of the right great toe that measured .25 cm by 3 cm. The area was white with hard skin. The resident had an order for morphine sulfate for moderate to severe pain and staff provided the medication.
An interview with a staff member established when s/he found the resident on the floor touching the baseboard heater, s/he placed her/his leg between the heater and the resident to protect him/her from the heat. The staff said the baseboard heater was hot and it was difficult to keep her/his leg on the heater until help arrived.
At the time of the fall, the resident’s bed was positioned parallel to the electric baseboard heater with a nightstand between the bed and heater. There was approximately 19.5 inches between the resident’s bed and the heater. During an onsite visit, the surface of the baseboard heater taken with a laser infrared device was 130 degrees Fahrenheit. There was no prior assessment of the burn risk to the resident from the baseboard heater located in the resident’s room.
At the time of the incident, the facility had no policy or system in place to monitor the surface temperature of the baseboard heater. Of the five resident rooms with the same type of baseboard heater, none of the beds were positioned close to the heater.
The resident passed away two days after the incident.
The death certificate indicated the primary cause of death was pneumonia.
________________________________________________
Nursing Home Neglect Failure to Provide CPR at Knute Nelson Alexandria Minnesota
Substantiated Complaint Against Knute Nelson Alexandria – Medication Theft
It is alleged that a resident was financially exploited when a staff, alleged perpetrator (AP), took the resident’s medications for his/her own use. The AP confessed to facility management to taking the medications.
Based on a preponderance of the evidence financial exploitation did occur when the alleged perpetrator (AP) took two tablets of Percocet (a narcotic used to treat moderate to severe pain) that belongs to the resident for the AP’s own personal use.
________________________________________________
Knute Nelson Alexandria Complaint Findings for Neglect – No CPR
In a report concluded on June 4, 2014, the Minnesota Department of Health cites Knute Nelson Alexandria for neglect of health care – failure to provide CPR.
It is alleged that neglect occurred when two licensed nurses did not initiate cardiopulmonary resuscitation (CPR) when a resident was found not breathing and pulseless. The resident’s advanced directives indicated that resident wanted CPR to be started.
Based on a preponderance of the evidence neglect occurred, when nursing staff failed to initiate cardiopulmonary resuscitation (CPR) as directed by the resident’s signed resuscitation guideline form.
When MDH interviewed the physician/medical director stated that staff should have initiated CPR, called transferred the resident to the hospital. The physician indicated that the facility policy directs staff to initiate CPR (unless designated as do not resuscitate/do not intubate) as the signs of death as difficult to gauge and are open to personal interpretation.
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
Knute Nelson Alexandria Neglect Heater Burns After Resident Falls from Bed was last modified: November 24th, 2019 by Kenneth LaBore
Failure to Follow POLST – Failure to Provide CPR at Walker Methodist Health Center
Failure to Follow POLST at Walker Methodist Health Center
In a report from the Minnesota Department of Health, dated March 2, 2017, it is alleged that neglect occurred against Walker Methodist Health Center when cardiopulmonary resuscitation (CPR) was not performed on a resident who had a provider order for life sustaining treatment (POLST) form which indicated the resident requested resuscitation in the event that his/her heart stopped and s/he was not breathing.
Substantiated Neglect Due Failure to Provide CPR to Walker Methodist Health Center Resident
Based on a preponderance of the evidence, neglect occurred when nursing staff did not initiate cardiopulmonary resuscitation (CPR) on the resident when it was determined that the resident was not breathing and did not have a pulse.
The resident’s provider order for life sustaining treatment (POLST), signed by a physician, indicated the resident requested CPR be started if the resident had no pulse and was not breathing.
On the day of the resident’s death, the resident was in the dining room after lunch. The resident stood up from the wheelchair and sat on the floor. This was not uncommon for the resident. The nurse assigned to the resident and another staff member assisted the resident off the floor and sit back in the wheelchair.
Staff members took the resident to his/her room and put the resident into bed. The nurse went to get the blood pressure machine and attempted to take the resident’s blood pressure. The machine did not register a blood pressure on the resident. The nurse turned the machine off and on three times, attempting to get a blood pressure each time. The nurse said the resident was tired and looked sound asleep. S/he did not attempt to manually obtain an apical or radial pulse from the resident. The nurse left the resident alone to walk to the nurse’s station to look at the resident’s POLST. The nurse interpreted the POLST to read “comfort cares’ and did not start CPR. The nurse could not explain why the POLST was checked at that time.
The nurse then walked to an administrative nurse’s office where s/he also found the nursing supervisor. The nurse asked the nursing supervisor to come to the resident’s room to check the vitals machine. The nursing supervisor and the administrative nurse went to the resident’s room. The nurse assigned to the resident stated approximately ten minutes elapsed from the time the resident was brought back to his/her room from the dining room until the nursing supervisor and the administrative nurse entered the resident’s room.
The nursing supervisor entered the resident’s room and found the resident’s skin was blue in color, cool to the touch, and the resident was not breathing. The nursing supervisor took the resident’s apical pulse and determined the resident was deceased. The administrative nurse verified the resident did not have a pulse. The nurse assigned to the resident left the room to look at the resident’s medical record. The nursing supervisor and the administrative nurse also left the resident’s room for an undetermined amount of time. They reviewed the resident’s POLST and both read that the resident request CPR. The nursing supervisor and the administrative nurse did not start CPR, and no one at the facility called 911. The nursing supervisor said CPR was not started because the assigned nurse indicated the resident was expected to pass away and the family knew the resident was declining. The nursing supervisor began the facility notification procedure for the death of the resident.
The physician was interviewed and stated the POLST document indicated the resident requested CPR in the event the resident did not have a pulse and was not breathing.
The family of the resident was interviewed and stated they had considered a change to the resident’s POLST from CPR to do not resuscitate, but there was no change to the order at the time of the resident’s death.
The resident’s death certificate indicated the cause of death was due to multiple co-existing diseases.
___________________________________________
Neglect of a Resident and Sexual Abuse of Vulnerable Adult at Walker Methodist Health Center Minneapolis Minnesota
Walker Methodist Health Center Cited With Neglect
In a report from the Minnesota Department of Health, dated August 1, 2016, it is alleged that a resident at Walker Methodist Health Center was neglected when the facility failed to provide supervision to him/her. The resident has not been located and been missing for multiple hours.
Based on a preponderance of the evidence neglect occurred when the resident left the facility unsupervised and sustained injuries from a fall. The facility staff had knowledge of a prior attempt by the resident to leave the facility . The facility failed to ensure elopement risk factors were evaluated and interventions in place for adequate supervision.
Walker Methodist Health Center Complaint Findings for Sexual Abuse
Based on a preponderance of the evidence, abuse is substantiated; the alleged perpetrator (AP) was observed sexually assaulting the resident. The facility acted immediately to ensure the resident’s safety and remove the AP from premises.
The resident had diagnoses that include Alzheimer’s disease, osteoporosis and generalized muscle weakness. The resident had cognitive deficits in all area and required assistance from staff for all cares and transfers. The resident was minimally verbal, giving occasional, one word responses to a direct question.
The night the resident was assaulted, the witness was on his/her way to the kitchen around 4:30 a.m. and stepped into the bathroom, located just inside the doorway of the resident’s room to wash his/her hands. The witness saw the AP’s back at the edge of the resident’s bed, the resident’s bare legs on both sides of the AP’s hips and the tape tabs, located on the sides of the resident’s incontinent product, open on the bed indicating that the resident’s brief was open. The witness did not release what the AP was doing until s/he saw the AP move in a back and forth, thrusting motion, about four times. When the witness realized that the AP was sexually assaulting the resident, s/he knocked on the door to alert the AP to his/her presence in the room. The AP turned around briefly and saw the witness. The AP then quickly moved back from the resident, placed the residents legs back on the bed and replaced the resident’s incontinent product. The witness immediately contacted the night supervisor who removed the AP from the floor. The police were called and the AP was taken to jail and charged with sexual assault. The resident was taken to the hospital for a sexual assault examination.
______________________________________
Nursing Home Abuse – Theft From Residents – Financial Exploitation – Walker Methodist Health Center Complaint Findings for Exploitation
Walker Methodist Health Center Complaint Findings for Exploitation
Based on a preponderance of the evidence, financial exploitation is substantiated in connection with the theft of a resident’s credit card by the AP.
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 sexual abuse 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.
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
Walker Methodist Health Center Minneapolis Neglect and Abuse Substantiated was last modified: February 21st, 2019 by Kenneth LaBore
Valley View Manor Lamberton Complaint Findings for Neglect Failure to Perform CPR
In a report concluded on June 13, 2012, the Minnesota Department of Health cites Valley View Manor Lamberton for neglect of health care – failure to do CPR.
It is alleged that Resident #1 was neglect when she was not given CPR as was directed in his advanced directive.
Valley View Manor Lamberton Complaint Findings for Neglect – Falls
In a report concluded on March 28, 2012, the Minnesota Department of Health cites Valley View Manor Lamberton for neglect of health care – falls.
It is alleged that Resident #1 was neglected when she was left unattended in her room in her recliner, contrary to her care plan and she fell and sustained a hip fracture.
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 failure to perform CPR, falls 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.
