Resident's Care Plan Calling for Transfer Assistance Not Followed
Resident neglect at the Minnesota Keystone Place at LaValle Fields was cited by the MDH. The Minnesota Department of Health investigated an allegation of maltreatment, in accordance with the Minnesota Reporting of Maltreatment of Vulnerable Adults Act, Minn. Stat. 626.557, and to evaluate compliance with applicable licensing standards for the provider type.
According to the report, the alleged perpetrator (AP) neglected the resident when the AP failed to assist the resident to the bathroom per her care plan. The resident attempted to walk to the bathroom independently, fell, and broke her leg.
Nursing Home Falls Using Bathroom Without Assistance
The Minnesota Department of Health determined neglect was substantiated.
The Minnesota Department of Health determined neglect was substantiated. The AP was responsible for the maltreatment. The AP started her shift in the memory care unit at 10:40 p.m. Video surveillance showed the AP spent her entire shift in the activity room until the resident fell at 1:24 a.m. The AP failed to assist the resident to the toilet at 12:00 a.m. per the resident’s care plan. At 1:24 a.m., the resident attempted to transfer herself to the toilet, fell, and broke her leg. The AP failed to provide all scheduled services and care to the residents in the memory care unit before the incident.
When interviewed facility staff members, including administrative nursing staff, and unlicensed staff. The investigator contacted a family member. The investigation included review of the resident’s records, hospital records, facility internal investigation, video surveillance, personnel files, staff schedules, and related facility policy and procedures. Also, the investigator toured the facility and observed staff members providing care including toileting residents while onsite.
According to the report, the internal investigation indicated the AP heard the resident yelling in her apartment at 1:24 a.m. The AP observed the resident on her apartment floor and the resident reported she got up to use the bathroom and became dizzy. The resident reported she “heard a cracking” sound. The triage nurse was notified, and emergency services were called. The AP failed to complete a 12:00 a.m. toileting service. The AP reported she was assisting another resident at 12:00 a.m. The resident was diagnosed with a femur fracture at the hospital.
In conclusion, the Minnesota Department of Health determined neglect was substantiated.
Contact An Experienced Attorney to Review Your Case
If you have questions or concerns about nursing home injuries and accident, from falls or fractures including those which lead to a wrongful death suffered by someone you love contact Attorney Kenneth LaBore for a Free Consultation at 612-743-9048.