Shakopee Friendship Manor Shakopee Neglect After Fall From Patient Lift
In a report dated, January 26, 2017, the Minnesota Department of Health alleged that a resident at Shakopee Friendship Manor Shakopee was neglected when the resident fell from a mechanical lift from the height of his/her bed and sustained an injury on his/her head.
Shakopee Friendship Manor Shakopee Neglect Substantiated After Injuries From Resident Being Dropped From Mechanical Lift
The report states, based on a preponderance of evidence, the resident was neglected when s/he fell from the mechanical lift and sustained a laceration to his/her head requiring stitches. Although the staff members involved stated they used the lift in the manner they were trained, the sling became detached from the lift and the resident fell from the sling. No maintenance records for the lift could be located.
Medical record review revealed the resident was admitted to the facility with diagnoses that included osteoarthritis and chronic pain. The resident’s care plan indicated the resident was to be transferred with the maximum assistance of 2 staff and mechanical lift. (A mechanical lift is mechanical lift device that uses a sling and device to lift a resident and move them from one surface to another such as from a bed to a chair.
Staff interviews revealed on 9/7/2016 two staff members, AP1 and AP2, were getting the resident out of the bed using a mechanical lift. During the lift, the resident fell out of the lift sling. Staff members stated they attached the sling to the lift in the usual manner and lifted the resident off the bed. When moving resident to the wheelchair, the wheels on the lift caught and staff had to push the lift hard to get it to move. During the transfer the resident slid out of the sling head first to the floor. After the resident fell to the floor, staff observed the sling was attached by only 3 of the 4 attachments points. Staff stated the wheels on the lift had been sticking, and staff told maintenance about the issue, but the problem continued. Staff call 911 and sent the resident to the hospital for evaluation after the fall.
The hospital record revealed the resident was evaluated in the hospital, received stitches to a laceration to his/her head, but CT scan and X-Rays were negative for fracture or further injury. The resident went back to the facility the next day with his/her pain controlled with oral medication.
During an interview, the resident’s stated s/he fell when staff were trying to help him/her get up. The resident stated s/he is getting better, but still has some pain related to injuries sustained in the fall.
During an interview, the resident’s family member stated facility staff informed him/her of the resident’s fall from the lift, but s/he did not know a lot of details of what happened. The resident went to the hospital after the fall and had four stiches to his/her head. The resident is feeling better now, and did not break any bones.
During interviews, maintenance staff stated the lift involved in the incident had been discarded and was not available for observation. Maintenance staff stated they received a concern related to the sticking wheels on the lift in July 2016, but they were not able to identify which lift needed repair, because was no consistent way to identify the lifts in use at the facility. In July 2016, they lubricated and cleaned the wheels on all the lifts and the lifts seemed to be functioning correctly at that time. Maintenance staff stated they had no documentation of the maintenance done on the lift in question, because the maintenance staff use different descriptions of the lifts than the nursing assistant staff. Maintenance staff have to walk around and try to ask staff which lift they are referring to when they get a concern. Maintenance provide a monthly cleaning, dusting and oiling of the lifts, but this is not documented.
Manufacturers recommendations for maintenance of the lift includes regularly checking all areas of the lift including the hanger assembly, all bolts, cotter pins, sling hanger/spreader bar meet points, hanger spreader wear points, hooks, mounting bolts, actuator, emergency stop switch, emergency lowering feature, anti-pinch feature, wheels and brakes, and every six months use a test load to check for unusual sounds/noises and check and welds for cracks.
Shakopee Friendship Manor Shakopee – Report Suspected 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 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.