Posts Tagged ‘Failure to Respond to Change in Condition’


Shiloh Assisted Living Cited with Neglect after Failure to Provide CPR to Dying Client

Written By: Kenneth LaBore | Published On: 21st February 2019 | Category: Failure to Provide CPR, Medication Administration Mistakes, Wrongful Death | RSS Feed

MDH Cites Shiloh Assisted Living
Failed to Respond to Client’s Change in Condition

Shiloh Assisted Living Cited After Failure to Provide CPR to Client in Distress
Shiloh Assisted Living Cited After Failure to Provide CPR to Client in Distress

In a report from the Minnesota Department of Health it is alleged that a client at Shiloh Assisted Living was neglected when facility staff failed to provide CPR (cardio-pulmonary resuscitation).

Neglect Finding Due to Failure to Provide CPR to Client at Shiloh Assisted Living

Neglect was substantiated. The facility was responsible for maltreatment. The facility informed clients in the contracted service plan that CPR was not a service provided by the facility. However, the staff failed to follow the facility’s emergency protocol when the client had difficulty breathing.

Other substantiated neglect findings against Shiloh Assisted Living include: resident elopement, and  medication error.

Resident Medication Error at Shiloh Assisted Living

In a recent report by the MDH there was a finding of substantiated neglect after a medication error.

For a Free Consultation with an experienced elder abuse and neglect attorney call Kenneth LaBore at 612-743-9048.

A common form of neglect in elder care facilities involves a failure to provide proper care and supervision or a failure to follow procedures as medication management and administration. Most forms of elder abuse are preventable with proper care and supervision.

Report Suspected Elder Abuse

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection

If you have concerns about care provided to a resident in a nursing home, assisted living or any other type of elder care provider contact Attorney Kenneth LaBore for a Free Consultation to discuss your legal rights and options.

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Shirley Chapman Sholom Home East

Written By: Kenneth LaBore | Published On: 2nd February 2019 | Category: Failure to Resond to Change in Condition, Uncategorized | RSS Feed
Resident Dies after Shirley Chapman Sholom Home East Failed to Respond to a Change in Condition
Resident Dies after Shirley Chapman Sholom Home East Failed to Respond to a Change in Condition

MDH Cites Shirley Chapman Sholom Home East Cited for Neglect

In a report from the Minnesota Department of Health it is alleged that a client at Shirley Chapman Sholom Home East was neglected when the alleged perpetrator failed to update and notify the physician when the resident had a change in condition in the middle of the night.

Failure to Respond to Resident’s Change in Condition Leads to MDH Complaint at Shirley Chapman Sholom Home East

Based on a preponderance of evidence neglect occurred when a resident had a seizure, which was a change in the resident’s condition, and the alleged perpetrator (AP) failed to contact the on-call physician or nurse practitioner. The resident died.

For a Free Consultation with an experienced elder abuse and neglect attorney call Kenneth LaBore at 612-743-9048.

A common form of neglect in elder care facilities involves a failure to properly monitor and then respond to a resident who has a sudden decline or change in condition. Calling the physician and 911 can save lives. Most forms of elder abuse are preventable with proper care and supervision.

Report Suspected Elder Abuse

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection

If you have concerns about care provided to a resident in a nursing home, assisted living or any other type of elder care provider contact Attorney Kenneth LaBore for a Free Consultation to discuss your legal rights and options.

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St John Lutheran Home Springfield Neglect Substantiated

Written By: Kenneth LaBore | Published On: 2nd February 2019 | Category: Failure to Resond to Change in Condition, Fall Injuries | RSS Feed

Recent MDH Finding of Neglect at St John Lutheran Home after fall with rib fractures.

Neglect of Health Care - Falls

Neglect of Health Care – Falls at St john Lutheran Home Springfield Minnesota and Failure to Address Medication Side Effects Leading to Suicide Attempts of Resident

St. John Lutheran Home Springfield Cited After Resident Suicide Attempts

In a reported from the Minnesota Department of Health dated May 6, 2016, it is alleged that a resident was neglected when the facility staff failed to monitor for medication side effects and not assess a change in condition when the resident had five suicide attempts after starting a medication that has suicidal ideations as a known side effect.  In addition, the facility failed to notify the family of these incidents.

St John Lutheran Home Springfield Complaint Findings for Neglect – Falls

In a report concluded on July 30, 2012, the Minnesota Department of Health cites St John Lutheran Home Springfield for neglect of health care – falls.

The allegation is neglect based on the following: the AP did not reassess Resident #1 for possible injuries after a fall although she complained of increased pain and increased difficulty with transfers.  As a result, there was a delay in Resident #1 being sent to the hospital for a medical evaluation.

Substantiated Neglect Delay in Response After Fall St John Lutheran Home Springfield

According to a bulletin from the Minnesota Department of Health, falls are among the most common and serious problems facing elderly persons. Falling is associated with considerable mortality, morbidity, reduced functioning and premature nursing home admissions from the community. Incidence rates of falls in nursing homes and hospitals are almost three times the rates for community-dwelling persons over the age of 65, (1.5 falls per bed annually). A key concern is not simply the high incidence of falls in older persons, but rather the combination of high incidence and a high susceptibility to injury.

A number of controlled studies have revealed that detecting a history of falls and performing a fall-related assessment are likely to reduce future probability of falls when coupled with interventions. (Guideline for Prevention of Falls in Older Persons, American Geriatrics Society, British Geriatrics Society and American Academy of Orthopaedic Surgeons Panel on Falls Prevention, May 2001).

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 fall injuries or any other form of elder abuse or neglect contact Elder Abuse and Neglect Attorney Kenneth LaBore toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.

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Valley Home Care Cited with Neglect by MDH after Failure to Respond to Change in Condition

Written By: Kenneth LaBore | Published On: 23rd January 2019 | Category: Failure to Resond to Change in Condition, Nursing Home Abuse and Neglect | RSS Feed
Valley Home Care in Thief River Falls Cited after Failure to Respond to Change of Condition
Valley Home Care in Thief River Falls Cited after Failure to Respond to Change of Condition

MDH Cites Valley Home after LACK of INTERVENTION

In a report from the Minnesota Department of Health it is alleged that a client at Valley Home in Thief River Falls when the alleged perpetrator (AP) failed to notify the client’s primary care physician or seek medical intervention when the client showed significant change in health status. The client was found deceased with no vital approximately one hour later.

Failure to Respond to Resident Change in Condition at Valley Home Care

Neglect was substantiated. The facility was responsible for the maltreatment. Nursing staff failed to adequately train unlicensed personnel in the delegated task of checking client’s vital signs, or of what constituted a medical emergency. The client experienced a medical emergency, and because of lack of training, the client’s condition was not immediately reported to nursing and emergency medical services was not immediately summoned. The client’s condition was a medical emergency that reasonably required an immediate response, but the alleged perpetrator was not aware that the findings constituted an emergency.

For a Free Consultation with an experienced elder abuse and neglect attorney call Kenneth LaBore at 612-743-9048.

A common form of neglect in elder care facilities involves a lack of monitoring and oversight coupled with a lack of well trained staff. Training and sufficient numbers of caring nursing staff is essential to respond to changes in condition on a timely basis. Most forms of elder abuse are preventable with proper care and supervision.

Report Suspected Elder Abuse

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection

If you have concerns about care provided to a resident in a nursing home, assisted living or any other type of elder care provider contact Attorney Kenneth LaBore for a Free Consultation to discuss your legal rights and options.

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Crest View Lutheran Cited after Resident Altercation and Failure to Assess a Client’s Change in Condition

Written By: Kenneth LaBore | Published On: 20th January 2019 | Category: Elder Physical Abuse, Failure to Resond to Change in Condition | RSS Feed
Resident to Resident Physical Abuse at Crest View Lutheran - MDH Substantiated Neglect
Resident to Resident Physical Abuse and a Failure to Assess a Resident’s Change in Condition at Crest View Lutheran – MDH Substantiated Neglect

MDH Cites Crest View Lutheran Resident on Resident Abuse

In a report from the Minnesota Department of Health it is alleged that two clients at Crest View Lutheran when a staff failed to provide adequate supervision resulting in Resident #1 striking Resident #2 in the face. Resident #2 sustained a broken nose.

Failure to Supervise Residents at Crest View Lutheran Leads to MDH Substantiated Neglect Complaint

Neglect was substantiated when Resident #1, known for past aggressive behaviors towards residents, struck Resident #2 and Resident #2 sustained a broken nose.

Crest View Home Care Cited with Neglect after Failing to Assess a Client’s Change in Condition

In a MDH report neglect is substantiated. The client, who was diabetic, had slurred speech and increased confusion. When notified of the charges, the AP did not conduct a face-to-face assessment, take vital signs, or check the client’s blood sugar. The client went to the hospital.

For a Free Consultation with an experienced elder abuse and neglect attorney call Kenneth LaBore at 612-743-9048.

A common form of neglect in elder care facilities involves a lack of supervision and monitoring of the residents. A lack of supervision can lead to physical abuse and other injuries. Most forms of elder abuse are preventable with proper care and supervision.

Report Suspected Elder Abuse

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection

If you have concerns about care provided to a resident in a nursing home, assisted living or any other type of elder care provider contact Attorney Kenneth LaBore for a Free Consultation to discuss your legal rights and options.

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Trinity Care Center Cited after Failure to Provide CPR to Dying Resident

Written By: Kenneth LaBore | Published On: 14th January 2019 | Category: Failure to Provide CPR, Uncategorized | RSS Feed
Client at Trinity Care Center Did Not Receive CPR when Needed - Facility Cited with Neglect
Client at Trinity Care Center Did Not Receive CPR when Needed – Facility Cited with Neglect

MDH Cites Trinity Care Center for Failure to Properly Respond to Change in Condition and Provide CPR

In a report from the Minnesota Department of Health it is alleged that a client at Trinity Care Center in Farmington was neglected when the alleged perpetrator (AP) failed to act on the resident’s full code status, which resulted in the resident having a respiratory/cardiac event and passing away.

Failure to Provide CPR Leads to Neglect Findings for Trinity Care Center

Neglect was substantiated against the AP. The AP was responsible for the maltreatment. The AP failed to check the resident’s code status and initiate emergency services when the resident went to unresponsive, was not breathing, and became pulseless.

For a Free Consultation with an experienced elder abuse and neglect attorney call Kenneth LaBore at 612-743-9048.

A common form of neglect in elder care facilities involves a failure to respond to a change in condition and call for assistance from “911” as well as the failure to provide CPR to a resident who requested “full code” or wanted life savings measures taken in the event they had a cardiac arrest. The failure to provide CPR can cause the death or at a minimum reduce or diminish the chances of survival and may be a wrongful death claim. In Minnesota a new claim has been developed through the Dickhoff case called a loss of chance claim. Most forms of elder abuse are preventable with proper care and supervision.

Report Suspected Elder Abuse

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection

If you have concerns about care provided to a resident in a nursing home, assisted living or any other type of elder care provider contact Attorney Kenneth LaBore for a Free Consultation to discuss your legal rights and options.

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Central Health Care Cited for Not Calling 911

Written By: Kenneth LaBore | Published On: 12th January 2019 | Category: Failure to Resond to Change in Condition | RSS Feed
Central Health Care cited after Failure to Respond to Change in Condition - Failure to Call 911
Central Health Care cited after Failure to Respond to Change in Condition – Failure to Call 911

MDH Cites Central Health Care

In a report from the Minnesota Department of Health it is alleged that a resident at Central Health Care was neglected when the facility staff failed to initiate emergency service after the resident was found unresponsive. The resident was transported to the hospital and admitted.

Failure to Respond to Change in Condition at Central Health Care

Neglect was substantiated. The facility was responsible for the maltreatment due to a failure in processes. When the resident became unresponsive one morning staff did not call 911 to obtain emergency medical help for approximately two hours.

For a Free Consultation with an experienced elder abuse and neglect attorney call Kenneth LaBore at 612-743-9048.

A common form of neglect in elder care facilities is a delay or complete failure to respond to a resident when there is a significant change in their status or condition. This could be a sudden change in vitals or responding after an incident or fall. Most forms of elder abuse are preventable with proper care and supervision.

Report Suspected Elder Abuse

Click Here For Link To Report Abuse To Adult Protection
Click Here For Link To Report Abuse To Adult Protection

If you have concerns about care provided to a resident in a nursing home, assisted living or any other type of elder care provider contact Attorney Kenneth LaBore for a Free Consultation to discuss your legal rights and options.

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Laura Baker Services Northfield Abuse Substantiated

Written By: Kenneth LaBore | Published On: 26th November 2018 | Category: Elder Physical Abuse, Failure to Resond to Change in Condition, Inadequate Staffing/Training | RSS Feed

Update: Additional neglect regarding nursing care and patient rights, and neglect lack of training.

Substantiated Neglect Against Laura Baker Services for Failure to Respond to Change in Condition

In a report from the Minnesota Department of Health it was alleged that a client was neglected when facility staff to address a significant change in condition which resulted in death.

Neglect of health care was substantiated. The alleged perpetrator (AP) was responsible for neglect when she failed to appropriately address the client’s change in condition. The client had a fever and cough that developed into pneumonia. The client subsequently died due to lobar pneuomonia with

Laura Baker Services Northfield Cited With Neglect After Restraint of Resident Leading to Injuries

Laura Baker Services Northfield Minnesota Cited With Neglect After Restraint of Resident Leading to Injuries

Laura Baker Services Northfield Cited With Neglect by MDH

In a report concluded on November 18, 2015, the Minnesota Department of Health cites Laura Baker Services Association in Northfield Minnesota after it was alleged that a client was abused when staff restrained the client and the client sustained injuries.  The client appeared to be anxious and agitated as a result of the restraint.  In addition staff refused to allow the client to use calming techniques by refusing to allow the client to speak to his/her mother on the phone.

Based on a preponderance of the evidence, neglect occurred when the facility failed to ensure staff responded to the client’s behavior changes with the least restrictive techniques and without causing injury.  Although abuse is alleged, the failure of staff to attempt less restrictive interventions to respond to the client’s behavior was not reasonable to maintain the client’s physical and mental health or safety and meets the definition of neglect.

Laura Baker Services Cited by MDH After Alleged Physical Abuse by Staff

In a report dated May 30, 2013, the Minnesota Department of Health alleged that the facility is responsible for abuse by staff based on the following:  a client was abused when the alleged perpetrator (AP) restrained the client while carrying her to her room, then held the door shut.  The agency’s behavior support plan and physical intervention policy was not followed.

The facility determined that the AP acted in an abusive manner and suspended the AP for improper conduct, violation of Rule 40 regulations and failure to follow the client’s behavioral support plan.  The AP voluntarily terminated following suspension.

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 physical abuse by staff or other residents or any other form of elder abuse or neglect contact Minnesota Elder Abuse Attorney Kenneth LaBore toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.

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Physical Abuse by Staff to Vulnerable Resident

Physical Abuse by Staff to Vulnerable Resident

Laura Baker Services Northfield  Complaint Findings for Physical Abuse

In a report concluded on May 30, 2013, the Minnesota Department of Health cites Laura Baker Services Northfield for physical abuse by staff.

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 physical abuse or any other form of elder abuse or neglect contact Elder Abuse and Neglect Attorney Kenneth LaBore at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.

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Thief River Care Center Neglect Substantiated after Amputation

Written By: Kenneth LaBore | Published On: 14th April 2018 | Category: Failure to Resond to Change in Condition, Pressure Ulcers | RSS Feed

Pressure Sores Leading to Amputation, Failure to Provide CPR at Thief River Care Center in Thief River Falls Minnesota

Pressure Sores Leading to Amputation, Failure to Provide CPR at Thief River Care Center in Thief River Falls Minnesota

Thief River Care Center Thief River Falls Complaint Findings for Neglect of Health Care

In a report concluded on January 10, 2018, the Minnesota Department of Health, cited Thief River Care Center for substantiated neglect of health care leading to an above the knee amputation.  It is alleged that a resident was neglected when the facility did not provide adequate assessment, monitoring and cares to prevent pressure ulcers.   The resident sustained a pressure ulcer that lead to an amputation of a limb.  The resident also sustained additional pressure ulcers on the buttocks and back of head.

Pressure Sores Lead to Above the Knee Amputation of Resident’s Leg

Based on a preponderance of evidence, neglect occurred when the resident developed an unstageable (full thickness ties loss in which the base of the ulcer is covered by a slough (yellow, tan, gray, green or brown) and/or eschar (tan, brown or black) in the wound bed) left calf pressure ulcer.  The pressure ulcer was avoidable and the resident required an above the knee amputation.  In addition, the resident developed a pressure ulcer on his/her right calf, coccyx, buttocks, and back of head.  The facility failed to adequately assess the resident when s/he developed pressure ulcers and implement additional interventions to minimize the risk of additional pressure ulcer development.

The resident eventually passed away from medical conditions unrelated to the amputation.

Citation Against Thief River Care for a Failure to Perform CPR

In a report concluded on May 11, 2012, the Minnesota Department of Health cites Thief River Care Center Thief River Falls for neglect of health care.

The allegation is neglect based on the following: Staff did not initiate cardiopulmonary resuscitation (CPR) when Resident #1 was found with no pulse or respirations.  Resident #1’s record indicated that CPR should be performed.

What can the Office of Health Facility Complaints Investigate?

  • Complaints relating to quality of life and quality of care at health care facilities/agencies including resident rights concerns.
  • Minnesota licensed facilities: hospitals
  • nursing homes
  • boarding care homes
  • supervised living facilities
  • assisted living and home health agencies
  • Individuals or organizations exempted from licensure per MS 144A.46, Subd. 2.
  • Allegations of child maltreatment in non-licensed personal care provider organizations.
  • Only personal care assistance (PCAs) staff working in home care agencies.

The Minnesota Department of Health Facilities Complaint, OHFC Does Not Investigate:

  • Billing or insurance concerns.
  • Medical clinics.
  • PCAs who do not work for a home care agency.

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, pressure ulcers, amputations, failure to perform CPR or any other form of elder abuse or neglect contact Elder Abuse and Neglect Attorney Kenneth LaBore toll free at 1-888-452-6589 or by email at KLaBore@MNnursinghomeneglect.com.

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Alliance Home Health Cited After Abuse of Resident

Written By: Kenneth LaBore | Published On: 7th August 2017 | Category: Failure to Resond to Change in Condition, Uncategorized | RSS Feed

Resident at Alliance Home Health Verbally Abused

Abuse to Resident - Nursing Home Verbal Abuse at Alliance Home Health Care in Brooklyn Center
Abuse to Resident – Nursing Home Verbal Abuse at Alliance Home Health Care in Brooklyn Center

The Minnesota Department of Health has concluded that based on a preponderance of evidence, the allegation that a client was neglected at Alliance Home Health Care, Inc. in Brooklyn Center when a client was verbally abused by the alleged perpetrator (AP) when the client called the home care provider about the shift with no scheduled nurse, the alleged perpetrator responded in a manner which caused the client significant distress.

Alliance Home Health Care, Inc. Cited After Lack of Intervention – Deceased Resident

The MDH investigation determined that multiple staff failed to respond to a client’s declining condition by notifying the client’s primary care provider, calling for emergency medical services (EMS), or providing life sustaining treatment. The client expired in the client’s home without receiving any health care intervention, although the client’s code status indicated resuscitation should have been attempted.

If you have concerns about elder abuse and neglect contact Attorney Kenneth LaBore for a Free Consultation at 1-888-452-6589

Maltreatment Due to Lack of Response to Change in Condition of Resident at Alliance Home Health

There are many common of forms of elder abuse and neglect often the result of a lack of qualified well trained staff to supervise and provide the necessary resident cares. It is essential that staff is trained on the basics on how to respond to a change in condition: call “911”, start CPR, call treating physician.

Most forms of elder abuse and neglect are preventable. If you are concerned about someone you love call Attorney Kenneth LaBore for a free consultation.

Attorney Kenneth LaBore from Guardian Legal Services, LLC has been representing victims of abuse, neglect and other injuries for decades. Our focus is on getting accountability for serious acts of maltreatment, abuse and preventable neglect.

Report Abuse and Neglect

Click Here For Link To Report Abuse To Adult Protection

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 physical abuse, falls, mechanical lifts, 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.

Free Consultation on Issues of Elder Abuse and Neglect Serving all of Minnesota Toll Free 1-888-452-6589
Free Consultation on Issues of Elder Abuse and Neglect Serving all of Minnesota Toll Free 1-888-452-6589

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