Archive for the ‘Medication Drug Error’ Category


Whispering Pines Assisted Living Cited by MDH for Theft of Medication, Sexual Abuse, Verbal Abuse

Written By: Kenneth LaBore | Published On: 3rd February 2019 | Category: Medication Administration Mistakes, Medication Drug Error, Sexual Abuse | RSS Feed

This is also a recent MDH Finding of Abuse at Whispering Pines Assisted Living, verbal abuse to resident.

Whispering Pines Assisted Living Cited by MDH for Financial Exploitation, Drug Diversion

Whispering Pines Assisted Living Cited by MDH for Financial Exploitation, Drug Diversion

Whispering Pines Assisted Living Substantiated Allegation of Financial Exploitation – Drug Diversion, Sexual Abuse

In a report concluded on July 21, 2015, the Minnesota Department of Health cites Whispering Pines Assisted Living alleging that a client was financially exploited when a staff, alleged perpetrator (AP) took the client’s narcotic medications for his/her own personal use.

Whispering Pines Assisted Living MDH Findings

Based on a preponderance of the evidence, financial exploitation is substantiated.  The alleged perpetrator (AP) took 76 oxycodone hydrochloride (a narcotic pain medication) 5 mg tablets that belonged to the client without the client’s permission.

The client received services from the facility for medication administration and was oriented to person, place and time.   The client was identified as having pain and required medication administration in the form of oxycodone hydrochloride up to six times per day.

Sexual Abuse Substantiated Against Multiple Residents at Whispering Pines Assisted Living

In a report concluded on June 11, 2015, the Minnesota Department of Health cites Whispering Pines Assisted Living alleging a client was abused by a staff member, the alleged perpetrator, (AP) had a sexual relationship with the client.

In a report concluded on June 11, 2015, the Minnesota Department of Health cites Whispering Pines Assisted Living alleging that another client was sexually abused by the AP who had a sexual relationship with the vulnerable adult at least once during the time of March 20 to April 3, 2015.

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, sexual abuse 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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Revere Home Revere Neglect Substantiated

Written By: Kenneth LaBore | Published On: 2nd February 2019 | Category: Medication Drug Error | RSS Feed

Recent MDH Substantiated Neglect Findings at Revere Home Revere after abuse – exploitation, medication error, neglect of supervision.

Neglect Failure to Take Blood Draw

Neglect Failure to Take Blood Draw, Revere Home Revere Substantiated Complaint

Revere Home Revere Complaint Findings for Neglect – Medications

In a report concluded on December 20, 2012, the Minnesota Department of Health cites Revere Home Revere for neglect of health care medications.

The allegation is neglect based on the following: on more than one occasion, two clients were not sent their required blood draws and as a result the pharmacy would not refill their prescription for their medication (Clozaril).  The resident had to be hospitalized to re-titrate the medical dosage.

Revere Home in Revere Minnesota – Substantiated Complaint

According to registerednursern.com, as nurses enter the clinical setting, they will have to know how to draw blood as part of their clinical skills experiences. It may be necessary to draw a patient’s blood for a number of reasons, and it is necessary to draw blood from patients in a manner in which does not cause them any pain or complications.

Introduction on the Purpose of Drawing Blood

There is no way that nurses will be able to get around drawing blood during their clinical skills nursing experiences. The process of drawing blood may look easier than it is, but there is a precise manner in which to draw blood from patients. The process of drawing blood can be very dangerous for patients when their nurse lacks precise blood drawing skills. Taking the proper steps to draw blood protects the health and safety of patients and the nurse assigned to draw their blood. A successful blood drawing begins with a nurse using precision in their blood drawing skills.

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 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.

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Walker Methodist Westwood Ridge Cited with Neglect after Lack of Monitoring – Placing Call Light Out of Reach

Written By: Kenneth LaBore | Published On: 14th January 2019 | Category: Medication Administration Mistakes, Medication Drug Error | RSS Feed
Client at Walker Methodist Westwood Ridge Cited After Resident Left in Recliner Without Access to Call Light Button – Restraint

MDH Cites Walker Methodist Westwood Ridge after Placing Resident in Situation Considered a Restraint – No Access to Call Light

In a report from the Minnesota Department of Health it is alleged that a client at Walker Methodist Westwood Ridge in West St. Paul was neglected the alleged perpetrator placed the client’s call button out of reach; unplugged the reclining chair, leaving it reclined; and shut the door. The client was fearful and calling out for help.

Failure to Monitor Client at Walker Methodist Westwood Ridge Leads to Finding of Neglect

Neglect was substantiated. The facility was responsible for the maltreatment. While attempting to follow the client’s care plan, the alleged perpetrator (AP) unreasonably confined the client when she left the client lying flat in an electric recliner, unplugged it from the wall, and removed the client’s call light. The client was unable to reposition himself or press his call light for staff’s assistance. The client became panicked and screamed for help.

Walker Methodist Westwood Ridge Cited by MDH for Medication Error

In a report from the MDH, a client at Walker Methodist Westwood Ridges was cited with neglect. The alleged perpetrator was responsible for the maltreatment. The was a preponderance of the evidence that the medication error occurred due to a failure by the alleged perpetrator (AP) to follow facility policy and procedure, on which the facility had adequately trained. The client required emergency medical care.

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.

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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Garden House Estates Cited with Neglect after Medication Error

Written By: Kenneth LaBore | Published On: 12th January 2019 | Category: Medication Administration Mistakes, Medication Drug Error | RSS Feed
Medication Error at Garden House Estates
Medication Error at Garden House Estates

MDH Cites Garden House Estates after Administering Wrong Dose of Medication to Client

In a report from the Minnesota Department of Health it is alleged that facility staff at Garden House Estates in Duluth administered incorrect doses of medication resulting in hospitalization.

Medication Error at Garden House Estates

Neglect was substantiated. The client went seven days without receiving a high risk medication, Coumadin (a blood thinner). The home care provider had no licensed nursing coverage and therefore missed implementing the Coumadin order. The client received emergency treatment, and experienced stress and financial burden, as a result of the home care provider’s 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 medication management and administration. 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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Good Samaritan Albert Lea Neglect – MAGGOTS

Written By: Kenneth LaBore | Published On: 10th January 2019 | Category: Medication Drug Error, Nursing Home Abuse and Neglect, Wound Care | RSS Feed
Substantiate Neglect Against Good Samaritan Society Albert Lea after Failure to Chance Wound Dressing Leads to MAGGOTS
Substantiated Neglect Against Good Samaritan Society Albert Lea after Failure to Change Wound Dressing Leads to MAGGOTS

The MDH Cites Good Samaritan Albert Lea after MAGGOTS found in Resident’s Wound

Horrific but apparently true. According to a report from the Minnesota Department of Health a resident at Good Samaritan Society Albert Lea was neglected when facility staff failed to change a wound dressing which resulted in the resident being sent to the emergency room for maggots inside the wound.

If you have concerns about poor wound care provided at a Good Samaritan facility or any other care provider call Attorney Kenneth LaBore for a Free Consultation at 1-888-452-6589.

Based on a preponderance of evidence, neglect was substantiated. The facility was responsible for the maltreatment. Maggots infested the resident’s wound after two staff failed to assess and care for the resident’s wound per physician orders.

The investigation included interviews with facility staff, including administrative staff, nursing staff, and unlicensed staff. Law enforcement was contacted. The investigation also included observations of resident wound dressing, and review of wound care assessments, treatments, and documentation.

In addition to the nasty maggots in the wound of a resident here are other examples of neglect at Good Samaritan Albert Lea

Neglect of Health Care - Medications

Neglect of Health Care – Medications Good Samaritan Albert Lea

Good Samaritan Albert Lea Complaint Findings for Neglect – Medications

In a report concluded on February 28, 2014, the Minnesota Department of Health cites Good Samaritan Albert Lea for neglect of health care – medications.

It is alleged that neglect occurred when staff responsible for medication administration failed to follow a physician’s order, causing a resident’s weight to fluctuate 20 pounds in 15 days.

Substantiated Medication Error Complaint Good Samaritan Albert Lea

The preponderance of evidence establishes that neglect is substantiated when multiple nursing staff failed to follow a physician’s order as a result, a resident’s diuretic was not correctly administered within the parameters specified by the physician, for 14 days.  During this time, the resident’s weight fluctuated by 17 pounds.

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 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.

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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

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

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Augustana Home Health Cited with Neglect

Written By: Kenneth LaBore | Published On: 10th December 2018 | Category: Medication Drug Error, Nursing Home Care Issues | RSS Feed
Neglect in Catheter Care at Augustana Home Health Services in Minneapolis
Neglect in Catheter Care at Augustana Home Health Services in Minneapolis

In a report from the Minnesota Department of Health it was alleged that a client was neglected at Augustana Home Health when facility staff failed to provide adequate catheter care that resulted in the client getting an infection that spread to the client’s blood.

For a Free Consultation with an Experienced Elder Neglect Attorney call Kenneth LaBore Toll Free at 1-888-452-6589

Medication Error at Augustana Home Health Services

In another report from the MDH it was alleged that a client was neglect by staff at Augustana Home Health when the alleged perpetrator (AP) changed the client’s Lantus schedule without a physician’s order. The change in schedule resulted in the client’s transfer by paramedics to the emergency department (ED).

Based on a preponderance of the evidence it was determined by MDH that neglect of health care is substantiated. The alleged perpetrator (AP) failed to obtain a physician’s order to change the administration schedule for the client’s long acting insulin medication (Lantus).

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 suspect medication errors or any other form of 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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Drug Diversion Anoka Rehab & Living Center

Written By: Kenneth LaBore | Published On: 7th August 2018 | Category: Medication Drug Error | RSS Feed
Anoka Rehab & Living Center Medication Theft Drug Diversion
Theft of Medication – Anoka Rehab & Living

Medication Theft by Staff at Anoka Rehab

The Minnesota Department of Health found maltreatment for drug diversion at Anoka Rehab & Living Center.  It is alleged that a resident was exploited when the alleged perpetrator took his/her medication from the narcotic box.   Based on a preponderance of evidence, a resident was financially exploited when the alleged perpetrator (AP) stole the resident’s opioid pain medication for their own personal use. 

Medication Theft Improper Drug Use at Anoka Rehab & Living Center

Drug diversion is another way to say medication theft. Usually pain opioid medication such as Oxycodine or similar drugs.  Medication theft is a serious issue for seniors since they can be left to suffer from their medical conditions or surgeries and their providers believe that they are being provided the medication.  

Medication Stolen Pain Drugs at Anoka Rehab & Living

Not only does this effect the care of the residents whom the medication is taken if care providers are taking the medications themselves at work it puts all the residents at risk from lack of supervision or increased risk of error.  

Here are additional MDH complaints against Anoka Rehab

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, financial exploitation 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 KLaBore@MNnursinghomeneglect.com.

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Free Consultation on Issues of Elder Abuse and Neglect Serving all of Minnesota Toll Free 1-888-452-6589

Free Consultation on Issues of Elder Abuse and Neglect Serving all of Minnesota Toll Free 1-888-452-6589

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Medication Error Cited at Annandale Care Center

Written By: Kenneth LaBore | Published On: 7th June 2017 | Category: Medication Drug Error, Uncategorized | RSS Feed
Medication Administration Errors, Annandale Care Center, Wrongful Death
Medication Administration Errors, Annandale Care Center, Wrongful Death

Annandale Care Center Resident Not Provided Coumadin as Required

The Minnesota Department of Health found maltreatment when a resident at Annandale Care Center did not receive Coumadin as ordered for several days. The resident required hospitalization

Medication Mistake at Annandale Care Center

Based on a preponderance of the evidence, neglect occurred when the facility failed to follow the resident’s physician order. The resident did not receive blood thinner (Coumadin) for 15 days and died as a result of complications.

Medication Error Leads to Hospitalization for Annandale Care Center Resident

A medication error for blood thinner was not provided for over two weeks and resident dies thereafter. This is a preventable error. Staff needs to be properly trained on medication administration and nursing must ensure the residents are receiving the medication.

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection – Drug Diversion FACILITY

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, wrongful death or any other form of elder abuse or neglect contact Minnesota Elder Abuse Attorney Kenneth LaBore toll free at 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.

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Free Consultation on Issues of Elder Abuse and Neglect Serving all of Minnesota Toll Free 1-888-452-6589
Free Consultation on Issues of Elder Abuse and Neglect Serving all of Minnesota Toll Free 1-888-452-6589
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REM Hennepin Minnetonka Neglect After Medication Administration Errors

Written By: Kenneth LaBore | Published On: 1st March 2017 | Category: Medication Administration Mistakes, Medication Drug Error | RSS Feed

REM Hennepin Minnetonka Neglect Substantiated After Failure to Administer Seizure Medication for 13 Doses Over 3 Days

REM Hennepin Minnetonka Neglect Substantiated After Failure to Administer Seizure Medication for 13 Doses Over a Period of 3 Days

REM Hennepin Minnetonka Neglect After Failing to Provide Medication

In a report dated February 13, 2017, the Minnesota Department of Health, alleged that staff at REM Hennepin Minnetonka failed to administer thirteen doses of his seizure medication.  The client had a seizure, became unresponsive and was hospitalized.

REM Hennepin Minnetonka Failure to Provide Needed Seizure Medication

Based on a preponderance of the evidence, neglect occurred when the facility ran out of the client’s anti seizure medication, and the client missed thirteen doses of the medication.  As a result, the client had a seizure and required hospitalization.

The client has multiple diagnoses including epilepsy, personality disorder and impaired judgment, memory and reasoning.

Review of the facility’s report and the client’s medical record revealed that several staff were aware that the client’s anti-seizure medication was out of stock.  However, the staff continued to document the medication as being given over a three day period.  The client missed thirteen doses of the medication over those three days.  As a result, the client had a seizure and required hospitalization.  The client was admitted to the hospital and an intravenous medication was given to stop the seizure.  The client was successfully treated, medication changes were made, and s/he was discharged from the hospital the next day.

The client was not interviewed, as s/he no longer lived at the facility.

After the incident, new policies and procedures were put into place.  Through interviews, facility staff indicated they had been re-trained on the protocol for re-ordering medications prior to the site visit.

REM Hennepin Minnetonka – Report Suspected Abuse and Neglect

Click Here For Link To Report Abuse To Adult Protection

Click Here For Link To Report Abuse To Adult Protection

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 form of elder abuse or neglect contact Minnesota Elder Abuse Attorney Kenneth LaBore toll free at 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.

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Free Consultation on Issues of Elder Abuse and Neglect Serving all of Minnesota Toll Free 1-888-452-6589

Free Consultation on Issues of Elder Abuse and Neglect Serving all of Minnesota Toll Free 1-888-452-6589

 

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Lifesprk LLC Cited by the MDH With Financial Exploitation

Written By: Kenneth LaBore | Published On: 28th February 2017 | Category: Financial Exploitation, Medication Administration Mistakes, Medication Drug Error | RSS Feed

In a report from the MDH Lifesprk cited with neglect after a failure to follow a resident’s care plan – failure to respond to change in condition after fall with injuries.

Medication Theft Drug Diversion From Lifesprk LLC Edina

Medication Theft Drug Diversion From Client at Lifesprk LLC Edina

Lifesprk LLC – Financially Exploitation Drug Diversion

In a report dated January 9, 2017, the Minnesota Department of Health, it was alleged that a client at Lifesprk LLC Edina was financially exploited when s/he had approximately 50-56 pills missing.

Lifesprk LLC Medication Theft Drug Diversion

Based on a preponderance of evidence, financial exploitation occurred when an unknown staff member took 50-56 tablets of hydrocodone/APAP-5/325 milligrams (mg) from the client.

The client received home care services with medication management according to a service agreement and care plan.  The client had a physician’s order for hydrocodone/APAP – 5/325 milligrams (mg) two tablets twice a day, morning and evening.  The pharmacy provided the medication as two cards, one labeled morning and another labeled evening.  Each contained 60 tablets.

Obervations and interviews with staff conducted during the on-site investigation revealed clients that receive medication management had their medications stored in a locked cabinet in their rooms.  In that locked cabinet were two locked tool boxes.  One tool box contained a one-month supply of client medications, both scheduled and as-needed, in blister packages.  Unlicensed staff have access to the locked cabinet and this first toolbox.  Unlicensed staff document medication administration by signing both the medication administration administration record (MAR) and the blister pack when they administer a medication.  The second tool box contains surplus medications and is only accessible by licensed staff.  Staff indicated that for both boxes, licensed staff only periodically account for the medications.

Interviews with staff revealed a nurse discovered the client’s evening card of hydrocodone/APAP was missing when the nurse when to destroy the medication after the client’s discharge from the facility.  Staff said they suspected 50-56 tablets of hydrocodone/APAP-5/325 (mg) belongs to the client were taken by a staff member.  The facility was unable to determine an alleged perpetrator, and was unable to determine exactly how many tablets were missing or when the tablets went missing.  However, the facility determined that staff members were not following facility policy and procedures regarding medication management.

Observations and document review confirmed that the facility was unable to account for one medication card, which should have contained over 50 tablets of hydrocodone/APAP.  However, because the medication supply was not being regularly counted, and because the narcotics count sheets which were present contained other errors in the quantity of tablets, it was not possible to determine when the card went missing.

Law enforcement also conducted an investigation, but were unable to determine who might have taken the medications.  The police closed the investigation.

Lifesprk LLC – Report Suspected Abuse and Neglect

Click Here For Link To Report Abuse To Adult Protection

Click Here For Link To Report Abuse To Adult Protection

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 any form of elder abuse or neglect contact Minnesota Elder Abuse Attorney Kenneth LaBore toll free at 612-743-9048 or toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.

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Free Consultation on Issues of Elder Abuse and Neglect Serving all of Minnesota Toll Free 1-888-452-6589

Free Consultation on Issues of Elder Abuse and Neglect Serving all of Minnesota Toll Free 1-888-452-6589

 

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Theft of Resident's Credit Cards at Lifesprk LLC in Edina Minnesota

Theft of Resident’s Credit Cards at Lifesprk LLC in Edina Minnesota

Credit Card Theft From Resident at Lifesprk LLC

In a report from the Minnesota Department of Health dated April 26, 2016, it is alleged that a client at Lifesprk LLC was financially exploited when the alleged perpetrator (AP) used the client’s credit cards for his/her own personal use.

Lifesprk LLC Cited After Theft of Credit Cards

Based on a preponderance of evidence of the evidence financial exploitation did occur when the alleged perpetrator (AP) took two of the client’s credit cards and made several purchases at seven different locations on separate days without the client’s permission totaling $1765.49.

The client received services from the home care provider for medication administration, escorts, activities of daily living, housekeeping, laundry, meals, and transfer assistance.  The client was not alert to person, place or time and did not have the ability to leave the facility.

Interviews with staff revealed the comprehensive home care provider was notified by the client’s family of fraudulent charges on the client’s credit cards and noted two of the credit cards were missing from the client’s wallet.  The comprehensive home care provider interviewed all staff members and provided care for the client and all staff denied taking the client’s credit cards.  The AP did not show up for the interview with the comprehensive home care provider and the AP provided regular services to the client.  The comprehensive home care provider notified the police of the missing credit cards and the fraudulent charges.

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, 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 KLaBore@MNnursinghomeneglect.com.

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