Archive for the ‘Failure to Resond to Change in Condition’ Category


Shirley Chapman Sholom Home East

Written By: Kenneth LaBore | Published On: 2nd February 2019 | Category: Failure to Resond to Change in Condition, Uncategorized | RSS Feed
Resident Dies after Shirley Chapman Sholom Home East Failed to Respond to a Change in Condition
Resident Dies after Shirley Chapman Sholom Home East Failed to Respond to a Change in Condition

MDH Cites Shirley Chapman Sholom Home East Cited for Neglect

In a report from the Minnesota Department of Health it is alleged that a client at Shirley Chapman Sholom Home East was neglected when the alleged perpetrator failed to update and notify the physician when the resident had a change in condition in the middle of the night.

Failure to Respond to Resident’s Change in Condition Leads to MDH Complaint at Shirley Chapman Sholom Home East

Based on a preponderance of evidence neglect occurred when a resident had a seizure, which was a change in the resident’s condition, and the alleged perpetrator (AP) failed to contact the on-call physician or nurse practitioner. The resident died.

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 properly monitor and then respond to a resident who has a sudden decline or change in condition. Calling the physician and 911 can save lives. Most forms of elder abuse are preventable with proper care and supervision.

Report Suspected Elder Abuse

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection

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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St John Lutheran Home Springfield Neglect Substantiated

Written By: Kenneth LaBore | Published On: 2nd February 2019 | Category: Failure to Resond to Change in Condition, Fall Injuries | RSS Feed

Recent MDH Finding of Neglect at St John Lutheran Home after fall with rib fractures.

Neglect of Health Care - Falls

Neglect of Health Care – Falls at St john Lutheran Home Springfield Minnesota and Failure to Address Medication Side Effects Leading to Suicide Attempts of Resident

St. John Lutheran Home Springfield Cited After Resident Suicide Attempts

In a reported from the Minnesota Department of Health dated May 6, 2016, it is alleged that a resident was neglected when the facility staff failed to monitor for medication side effects and not assess a change in condition when the resident had five suicide attempts after starting a medication that has suicidal ideations as a known side effect.  In addition, the facility failed to notify the family of these incidents.

St John Lutheran Home Springfield Complaint Findings for Neglect – Falls

In a report concluded on July 30, 2012, the Minnesota Department of Health cites St John Lutheran Home Springfield for neglect of health care – falls.

The allegation is neglect based on the following: the AP did not reassess Resident #1 for possible injuries after a fall although she complained of increased pain and increased difficulty with transfers.  As a result, there was a delay in Resident #1 being sent to the hospital for a medical evaluation.

Substantiated Neglect Delay in Response After Fall St John Lutheran Home Springfield

According to a bulletin from the Minnesota Department of Health, falls are among the most common and serious problems facing elderly persons. Falling is associated with considerable mortality, morbidity, reduced functioning and premature nursing home admissions from the community. Incidence rates of falls in nursing homes and hospitals are almost three times the rates for community-dwelling persons over the age of 65, (1.5 falls per bed annually). A key concern is not simply the high incidence of falls in older persons, but rather the combination of high incidence and a high susceptibility to injury.

A number of controlled studies have revealed that detecting a history of falls and performing a fall-related assessment are likely to reduce future probability of falls when coupled with interventions. (Guideline for Prevention of Falls in Older Persons, American Geriatrics Society, British Geriatrics Society and American Academy of Orthopaedic Surgeons Panel on Falls Prevention, May 2001).

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 fall injuries 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.

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Park Health A Villa Cited for Neglect after Resident Develops Sepsis

Written By: Kenneth LaBore | Published On: 2nd February 2019 | Category: Failure to Resond to Change in Condition, Wound Care | RSS Feed
Park Health A Villa Cited with Neglect by the Minnesota Department of Health after Resident Diagnosed with Sepsis

MDH Cites Park Health A Villa after Resident Requires Surgery Due to Neglect

In a report from the Minnesota Department of Health it is alleged that Park Health A Villa neglected the resident when the facility did not provide adequate wound care or respond to the resident’s change in condition with increased drainage and fever. The facility transferred the resident to the hospital two days later. The hospital diagnosed the resident with sepsis.

Failure to Provide Proper Care Leads to Septic Wound

Based on a preponderance of evidence neglect occurred when the facility failed to notify the resident’s physician of a change in condition. Although the facility staff provided adequate wound care, staff failed to notify the resident’s physician of a significant change in condition. The resident exhibited signs of infection including: increased pain, loss of appetite, wound dehiscence, increased wound drainage, a change in the color of the wound drainage, increased knee swelling, changes in the wound’s appearance, the development of wound slough, and fever. The resident was hospitalized and required multiple surgeries to debride the wound.

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 monitoring including wound care. Most forms of elder abuse are preventable with proper care and supervision.

Report Suspected Elder Abuse

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection

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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Valley Home Care Cited with Neglect by MDH after Failure to Respond to Change in Condition

Written By: Kenneth LaBore | Published On: 23rd January 2019 | Category: Failure to Resond to Change in Condition, Nursing Home Abuse and Neglect | RSS Feed
Valley Home Care in Thief River Falls Cited after Failure to Respond to Change of Condition
Valley Home Care in Thief River Falls Cited after Failure to Respond to Change of Condition

MDH Cites Valley Home after LACK of INTERVENTION

In a report from the Minnesota Department of Health it is alleged that a client at Valley Home in Thief River Falls when the alleged perpetrator (AP) failed to notify the client’s primary care physician or seek medical intervention when the client showed significant change in health status. The client was found deceased with no vital approximately one hour later.

Failure to Respond to Resident Change in Condition at Valley Home Care

Neglect was substantiated. The facility was responsible for the maltreatment. Nursing staff failed to adequately train unlicensed personnel in the delegated task of checking client’s vital signs, or of what constituted a medical emergency. The client experienced a medical emergency, and because of lack of training, the client’s condition was not immediately reported to nursing and emergency medical services was not immediately summoned. The client’s condition was a medical emergency that reasonably required an immediate response, but the alleged perpetrator was not aware that the findings constituted an emergency.

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 lack of monitoring and oversight coupled with a lack of well trained staff. Training and sufficient numbers of caring nursing staff is essential to respond to changes in condition on a timely basis. Most forms of elder abuse are preventable with proper care and supervision.

Report Suspected Elder Abuse

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection

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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Crest View Lutheran Cited after Resident Altercation and Failure to Assess a Client’s Change in Condition

Written By: Kenneth LaBore | Published On: 20th January 2019 | Category: Elder Physical Abuse, Failure to Resond to Change in Condition | RSS Feed
Resident to Resident Physical Abuse at Crest View Lutheran - MDH Substantiated Neglect
Resident to Resident Physical Abuse and a Failure to Assess a Resident’s Change in Condition at Crest View Lutheran – MDH Substantiated Neglect

MDH Cites Crest View Lutheran Resident on Resident Abuse

In a report from the Minnesota Department of Health it is alleged that two clients at Crest View Lutheran when a staff failed to provide adequate supervision resulting in Resident #1 striking Resident #2 in the face. Resident #2 sustained a broken nose.

Failure to Supervise Residents at Crest View Lutheran Leads to MDH Substantiated Neglect Complaint

Neglect was substantiated when Resident #1, known for past aggressive behaviors towards residents, struck Resident #2 and Resident #2 sustained a broken nose.

Crest View Home Care Cited with Neglect after Failing to Assess a Client’s Change in Condition

In a MDH report neglect is substantiated. The client, who was diabetic, had slurred speech and increased confusion. When notified of the charges, the AP did not conduct a face-to-face assessment, take vital signs, or check the client’s blood sugar. The client went to the hospital.

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 lack of supervision and monitoring of the residents. A lack of supervision can lead to physical abuse and other injuries. Most forms of elder abuse are preventable with proper care and supervision.

Report Suspected Elder Abuse

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection

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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Resident at Brookview A Villa Center Dies from Sepsis

Written By: Kenneth LaBore | Published On: 20th January 2019 | Category: Failure to Resond to Change in Condition, Uncategorized | RSS Feed
Substantiated Allegation of Neglect at Brookview A Villa Center after Client Dies from Sepsis
Substantiated Allegation of Neglect at Brookview A Villa Center after Client Dies from Sepsis

MDH Cites Brookview A Villa Center after Resident Goes into Septic Shock

In a report from the MDH, neglect was alleged of a client at Brookview A Villa Center when facility staff did not contact emergency services in a timely manner when the resident developed a change in condition including altered mental status, fever, and edema. The resident was transferred to the hospital and diagnosed with Septic Shock and passed away.

Neglect was substantiated. The facility staff was unable to call 911 to call Emergency Medical Services (EMS) to send the resident to the hospital when s/he had a change in condition and his/her physician ordered an evaluation in the Emergency Department (ED). Due to the staff inability to access EMS services it took more than an hour for staff to call 911 after the physician ordered the resident sent to the hospital for evaluation.

Failure to Care for PICC Line Leads to MDH Complaint at Brookview A Villa Center

In a report from the Minnesota Department of Health it is alleged that a client at Brookview A Villa Center after failure to care for resident’s picc line.

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 such as administering a PIC line. Another form of neglect stems from poor skin care and monitoring often leading to infection and sepsis. Most forms of elder abuse are preventable with proper care and supervision.

Report Suspected Elder Abuse

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection

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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Neglect of Resident at Ecumen Seasons at Maplewood

Written By: Kenneth LaBore | Published On: 12th January 2019 | Category: Failure to Resond to Change in Condition, Fall Injuries | RSS Feed
Ecumen Seasons at Maplewood Cited by MDH after Failure to Respond to Change
Ecumen Seasons at Maplewood Cited by MDH after Failure to Respond to Change

MDH Cites Ecumen Seasons at Maplewood

In a report from the Minnesota Department of Health it is alleged that a client at Ecumen Seasons was neglected when the facility staff to provide appropriate care and monitoring after a fall. Facility failed to document the fall incident and failed to notify and failed to notify family and physician right after the incident. Family transported the client to the hospital where it was discovered the client had a fractured pelvis.

Failure Respond to Change in Condition at Ecumen Seasons

Neglect was substantiated. The facility was determined to be reasonable for the neglect.

Neglect at Ecumen Seasons of Maplewood after Resident Medication Error

In a report from the Minnesota Department of Health it is alleged that Ecumen Seasons was neglected when the facility failed to follow physician orders. The client was sent to the hospital after suffering a seizure with a potential of overdose of medication.

Neglect was substantiated. The facility was responsible for the maltreatment. The client suffered a likely opioid overdose due to multiple staff members failing to follow medication orders, causing the client to have multiple fentanyl patches on at the same time and therefore receive a higher dose than prescribed.

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 is a delay or complete failure to respond to a resident when there is a significant change in their status or condition. This could be a sudden change in vitals or responding after an incident or fall. Most forms of elder abuse are preventable with proper care and supervision.

Report Suspected Elder Abuse

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection

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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Central Health Care Cited for Not Calling 911

Written By: Kenneth LaBore | Published On: 12th January 2019 | Category: Failure to Resond to Change in Condition | RSS Feed
Central Health Care cited after Failure to Respond to Change in Condition - Failure to Call 911
Central Health Care cited after Failure to Respond to Change in Condition – Failure to Call 911

MDH Cites Central Health Care

In a report from the Minnesota Department of Health it is alleged that a resident at Central Health Care was neglected when the facility staff failed to initiate emergency service after the resident was found unresponsive. The resident was transported to the hospital and admitted.

Failure to Respond to Change in Condition at Central Health Care

Neglect was substantiated. The facility was responsible for the maltreatment due to a failure in processes. When the resident became unresponsive one morning staff did not call 911 to obtain emergency medical help for approximately two hours.

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 is a delay or complete failure to respond to a resident when there is a significant change in their status or condition. This could be a sudden change in vitals or responding after an incident or fall. Most forms of elder abuse are preventable with proper care and supervision.

Report Suspected Elder Abuse

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection

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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Laura Baker Services Northfield Abuse Substantiated

Written By: Kenneth LaBore | Published On: 26th November 2018 | Category: Elder Physical Abuse, Failure to Resond to Change in Condition, Inadequate Staffing/Training | RSS Feed

Update: Additional neglect regarding nursing care and patient rights, and neglect lack of training.

Substantiated Neglect Against Laura Baker Services for Failure to Respond to Change in Condition

In a report from the Minnesota Department of Health it was alleged that a client was neglected when facility staff to address a significant change in condition which resulted in death.

Neglect of health care was substantiated. The alleged perpetrator (AP) was responsible for neglect when she failed to appropriately address the client’s change in condition. The client had a fever and cough that developed into pneumonia. The client subsequently died due to lobar pneuomonia with

Laura Baker Services Northfield Cited With Neglect After Restraint of Resident Leading to Injuries

Laura Baker Services Northfield Minnesota Cited With Neglect After Restraint of Resident Leading to Injuries

Laura Baker Services Northfield Cited With Neglect by MDH

In a report concluded on November 18, 2015, the Minnesota Department of Health cites Laura Baker Services Association in Northfield Minnesota after it was alleged that a client was abused when staff restrained the client and the client sustained injuries.  The client appeared to be anxious and agitated as a result of the restraint.  In addition staff refused to allow the client to use calming techniques by refusing to allow the client to speak to his/her mother on the phone.

Based on a preponderance of the evidence, neglect occurred when the facility failed to ensure staff responded to the client’s behavior changes with the least restrictive techniques and without causing injury.  Although abuse is alleged, the failure of staff to attempt less restrictive interventions to respond to the client’s behavior was not reasonable to maintain the client’s physical and mental health or safety and meets the definition of neglect.

Laura Baker Services Cited by MDH After Alleged Physical Abuse by Staff

In a report dated May 30, 2013, the Minnesota Department of Health alleged that the facility is responsible for abuse by staff based on the following:  a client was abused when the alleged perpetrator (AP) restrained the client while carrying her to her room, then held the door shut.  The agency’s behavior support plan and physical intervention policy was not followed.

The facility determined that the AP acted in an abusive manner and suspended the AP for improper conduct, violation of Rule 40 regulations and failure to follow the client’s behavioral support plan.  The AP voluntarily terminated following suspension.

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 by staff or other residents 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.

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Physical Abuse by Staff to Vulnerable Resident

Physical Abuse by Staff to Vulnerable Resident

Laura Baker Services Northfield  Complaint Findings for Physical Abuse

In a report concluded on May 30, 2013, the Minnesota Department of Health cites Laura Baker Services Northfield for physical abuse by staff.

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 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.

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Thief River Care Center Neglect Substantiated after Amputation

Written By: Kenneth LaBore | Published On: 14th April 2018 | Category: Failure to Resond to Change in Condition, Pressure Ulcers | RSS Feed

Pressure Sores Leading to Amputation, Failure to Provide CPR at Thief River Care Center in Thief River Falls Minnesota

Pressure Sores Leading to Amputation, Failure to Provide CPR at Thief River Care Center in Thief River Falls Minnesota

Thief River Care Center Thief River Falls Complaint Findings for Neglect of Health Care

In a report concluded on January 10, 2018, the Minnesota Department of Health, cited Thief River Care Center for substantiated neglect of health care leading to an above the knee amputation.  It is alleged that a resident was neglected when the facility did not provide adequate assessment, monitoring and cares to prevent pressure ulcers.   The resident sustained a pressure ulcer that lead to an amputation of a limb.  The resident also sustained additional pressure ulcers on the buttocks and back of head.

Pressure Sores Lead to Above the Knee Amputation of Resident’s Leg

Based on a preponderance of evidence, neglect occurred when the resident developed an unstageable (full thickness ties loss in which the base of the ulcer is covered by a slough (yellow, tan, gray, green or brown) and/or eschar (tan, brown or black) in the wound bed) left calf pressure ulcer.  The pressure ulcer was avoidable and the resident required an above the knee amputation.  In addition, the resident developed a pressure ulcer on his/her right calf, coccyx, buttocks, and back of head.  The facility failed to adequately assess the resident when s/he developed pressure ulcers and implement additional interventions to minimize the risk of additional pressure ulcer development.

The resident eventually passed away from medical conditions unrelated to the amputation.

Citation Against Thief River Care for a Failure to Perform CPR

In a report concluded on May 11, 2012, the Minnesota Department of Health cites Thief River Care Center Thief River Falls for neglect of health care.

The allegation is neglect based on the following: Staff did not initiate cardiopulmonary resuscitation (CPR) when Resident #1 was found with no pulse or respirations.  Resident #1’s record indicated that CPR should be performed.

What can the Office of Health Facility Complaints Investigate?

  • Complaints relating to quality of life and quality of care at health care facilities/agencies including resident rights concerns.
  • Minnesota licensed facilities: hospitals
  • nursing homes
  • boarding care homes
  • supervised living facilities
  • assisted living and home health agencies
  • Individuals or organizations exempted from licensure per MS 144A.46, Subd. 2.
  • Allegations of child maltreatment in non-licensed personal care provider organizations.
  • Only personal care assistance (PCAs) staff working in home care agencies.

The Minnesota Department of Health Facilities Complaint, OHFC Does Not Investigate:

  • Billing or insurance concerns.
  • Medical clinics.
  • PCAs who do not work for a home care agency.

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, pressure ulcers, amputations, failure to perform CPR 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.

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