Resident at Summit Hill Senior Living Went Without Safety Checks
Summit Hill Senior Living – assisted living facility according to excerpts from a report from the Minnesota Department of Health, they 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.
The alleged perpetrator (AP) neglected the resident when the AP failed to provide safety checks and cares to the resident. Staff found the resident deceased in the morning.
Overnight Shift failed to Monitor Resident
The Minnesota Department of Health determined neglect was substantiated against Summit Hill Senior Living.
The Minnesota Department of Health determined neglect was substantiated. The AP was responsible for the maltreatment. The AP did not complete safety checks or other cares for the resident on the overnight shift. Incoming day staff found the resident deceased in her room the following morning; approximately 10 hours since the resident was last seen by staff.
The facility’s internal investigation indicated the evening before her death, staff reported the resident was at baseline and they observed no unusual changes. The resident took her evening medications and staff observed the resident talking to family on the phone at 8:00 p.m. Staff conducted a safety check at 10:00 p.m. and described the resident as, “up and well.” The resident was in her bathroom getting ready for bed. The resident told staff she did not need
anything. The resident was scheduled for three safety checks on the NOC shift, but none of them were completed. The AP stated she did not log into the point of care (POC) documentation system because she thought the electronic medication administration record (eMAR) and service tasks showed up on the same platform. The AP stated she did not complete safety checks or any cares overnight for the resident.
The investigation indicated at approximately 7:58 a.m. the following morning, day shift staff completed a safety check and found the resident sitting in her wheelchair. The staff member called the resident’s name, but she did not respond. Staff called 911, and emergency medical service personnel (EMS) pronounced the resident deceased.
For more information about this MDH complaint against Summit Hill Senior Living click here.
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