Fall with Fracture Leads to MDH Complaint at St Gertrude’s Health and Rehab
It was alleged in a report from the Minnesota Department of Health, MDH, dated January 17, 2017, it was alleged that a resident at St Gertrude’s Health Center in Shakopee was neglected when staff failed to follow the resident’s care plan, resulting in a fall. The resident was hospitalized with a cervical fracture.
Fall After Resident Left Unattended in Bathroom at St Gertrude’s Health and Rehab Center
Based on a preponderance of evidence, neglect occurred when the alleged perpetrator (AP) left the resident unsupervised in the bathroom. The resident fell and sustained a cervical fracture that required hospitalization.
The resident was admitted for rehabilitation after surgery. The resident was diagnosed with rheumatoid arthritis and blood clot. The resident was cognitively intact, but experienced generalized muscle weakness. The resident’s care plan indicated the resident needed extensive assistance of one staff with transfers using a gait belt to reduce to risk of the resident falling.
An occupational therapy and nursing assessment report indicated the resident had physical weakness, an inability to tolerate standing, a fear of falling, a poor balance. The nursing assistant communication log instructed staff to use a gait belt to provide support during the resident’s transfers, toileting, and ambulation.
On the day of the fall, the resident requested help from staff to use the bathroom. The AP assisted the resident with a four wheeled walker to ambulate from the bed to the use of the toilet. The AP then assisted the resident to the sink to wash and left the resident alone at the sink to empty a garbage can. The resident fell and sustained a cervical fracture and was hospitalized for seven days.
The resident was interviewed, remembered the incident and confirmed the AP left the resident alone at the sink. The resident became unsteady, tried to grab the sink of the walker, and fell backwards, striking the back of his/her head on a cabinet in the bathroom. The resident also noted that the staff did not place a gait belt around his/her waist and did not stay with him/her. The resident did not know why the staff left the resident alone in the bathroom.
The AP was interviewed and stated s/he knew the resident required extensive assistance from one staff for transfers, toileting and walking. Although the resident was off balance and unsteady, s/he left the resident standing alone at the sink to get a garbage can. The AP stated that s/he had a communication book and verbal report from the previous shift and was informed of therapy changes verbally as they occurred.
The physician stated the fall could impact the resident’s rehabilitation negatively due to the resident’s age and additional medical conditions.
If you or someone you love suffers fractures from a fall in a bathroom or other form of elder abuse or neglect injuries contact Kenneth LaBore for a free consultation. Mr. LaBore has handled hundreds of serious injury and death cases to elders and vulnerable adults and can be reached at 612-743-9048 or toll free at 1-888-452-6589, or by email at KLaBore@MNnursinghomeneglect.com.
St Gertrudes Health Center Shakopee Complaint Findings for Neglect – Medications
In a report concluded on November 7, 2012, the Minnesota Department of Health cites St Gertrudes Health Center Shakopee for neglect of health care – medications.
The allegation is neglect based on the following: a resident was noted to have an increase in symptoms of depression including thoughts about dying every day and tearfulness. The resident reported having thoughts that she would be better off dead. Investigation by the facility found that the resident had not received psychotropic medication doses for six days as a result of staff errors. In addition, the resident also missed insulin doses for the same days resulting in high glucose levels.
St Gertrudes Health Center Shakopee Complaint Findings for “Other”
In a report concluded on June 22, 2011, the Minnesota Department of Health cites St Gertrudes Health Center Shakopee for “other”.
Substantiated complaint for failing to report sexual assault incident to the MDH web based reporting system within 24 hours.
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.