The Gardens St Gertrudes Shakopee Complaint Findings for Neglect – Falls
In a report concluded on February 10, 2015, the Minnesota Department of Health cites The Gardens St Gertrudes Shakopee for neglect of supervision neglect of health care – falls.
It was alleged that a client was neglected when the client eloped from the facility during the night and had a fall with injuries. The client had a history of wandering; however, was only monitored during the night every four hours.
Substantiated Neglect at St Gertrudes Shakopee Failure to Supervise Leading to Fall
Based on a preponderance of evidence, neglect of supervision leading to a client eloping from the facility during the night and sustaining a fall with serious injuries is substantiated. Although the client had other medical concerns, which led to a brain aneurysm, the facility did not ensure supervision for the client’s safety.
The client was admitted to the facility following a hospital stay for aneurysm (bleeding in the brain). The client had resulting difficulty speaking and increased, intermittent confusion. The client was noted to wander during the hospital stay. The client ambulated independently with cues for direction. Upon admission to the facility, the service plan did not note the client had a history of wandering but did note staff were to check the resident every four hours at 11:00 p.m. and 3:00 a.m.
On the seventh night, staff checked on the client at approximately 11:00 p.m., and the client was asleep. When staff went to check on the client at approximately 3:00 a.m., staff could not locate the client in the client’s apartment. Staff searched in the building for the client, in the assisted living, the nursing home area, and the hospital area. They were unable to locate the client.
During the search for the client, a staff member from the adjoining hospital found the client lying on the ground outside the facility at the edge of the parking lot and called the police. The police came to the facility and staff identified it was the client who was missing. The client had been found lying on the ground unconscious with heavy bleeding head wound.
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 wandering/elopement, falls or any other form of elder abuse or neglect contact Elder Abuse and Neglect Attorney Kenneth LaBore toll fre at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.