Pine Ridge Residence Bagley Abuse to Client
In a report from the Minnesota Department of Health, dated January 12, 2017, it was alleged that a client Pine Ridge Residence Bagley was abused when perpetrator #1, restrained the client in the bathrrom and propped a chair upder the dooe knob preventing the cleitn from getting out. It is also alleged, that a client was abused when alleged perpetrator #2, restrained the client in the bathroom by shutting the door and holding his/her foot against the door.
Pine Ridge Residence Bagley Substantiated Abuse
Based on the report, a preponderance of the evidence established that abuse occurred when the allged perpetrators (AP), AP #1 and AP #2, restricted the client from leaving the bathroom. The facility failed to assess and develop an individual plan for the client’s toileting needs resulting in staff confining the client to the bathroom for toileting.
The client had severe intellectual and developmental disabilities. The client was ambulatory and non-verbal. The client had a history of constipation issues and would go four to five days between bowel movements.
Staff members were interviewed. When the client did not have a bowel movement, the staff would bring the client to the bathroom. Staff instructed the client to stay seated on the toilet, but the client would continue to stand up or fling the bathroom door open with his/her hand. Staff reported AP #1 placed a chair against the bathroom door on two occasions, while the client was supposed to be using the toilet. On one occasion, AP #1 instructed another employee to place a chair against the bathroom door. Over several months, AP #1 placed the chair outside the bathroom door multiple times when the client was inside the bathroom. AP #2 would put a standing tray with some toys on it in front of the client when the client was seated on the toilet, close the bathroom door, then AP #2 would hold his/her foot against the door for about five to ten minutes. This would restrict the client from leaving the bathroom. The client’s comprehensive functional assessment did not address the client’s plan or needs for toileting.
AP #1 was interviewed and stated during morning cares s/he put the client in the bathroom and told the client to sit on the toilet. The client did not want to sit, was getting up, and AP #1 instructed the client to sit back down on the toilet. AP #1 stated the dining room chair was not propped up under the door knob, but was placed against the outside of the bathroom door. AP #1 would sit on the chair with his/her back to the door. The AP #1 stated that client was in the bathroom for five minutes and had voided on the toilet. The AP stated there were other instances when s/he held her hand on the door knob or placed his/her body against the bathroom door hoping the client would have a bowel movement. AP #1 stated this did prevent the client from leaving the bathroom. The AP stated s/he never asked a staff person to place a dining room chair in front of the bathroom door with client inside.
AP #2 was interviewed and stated the client did not want to sit on the toilet to have a bowel movement. AP #2 would place a standing tray with toys on it in front of the toilet in hopes the client would stay seated on the toilet. AP #2 stated s/he put her foot against the door so the client would have privacy and would not leave the bathroom. AP #2 stated the client gets upset if s/he stays in the bathroom with the client. The AP stated the client was getting up off the toilet so s/he placed her foot against the door.
The client’s guardian stated it has been an ongoing issue with the client using the bathroom. The guardian stated a chair in front of the bathroom door was not acceptable and did not want to the situation handled in that manner.
Pine Ridge Residence Bagley – Report Abuse and Neglect
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 exploitation 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.