Posts Tagged ‘Failure to Respond to Change in Condition’


Parmly on the Lake Failed to Provide CPR to Resident in Distress

Written By: Kenneth LaBore | Published On: 13th December 2019 | Category: Failure to Provide CPR, Uncategorized | RSS Feed
Failure to Provide CPR to Resident at Parmly on the Lake
Failure to Provide CPR to Resident at Parmly on the Lake

In a report from the Minnesota Department of Health it is alleged that a client at Parmly on the Lake was neglected when the facility failed to notify the physician when the resident has a significant change in condition. It is alleged the facility failed to perform cardiopulmonary resuscitation (CPR) as ordered in the resident’s physician’s orders for life sustaining treatment (POLST)

Failure to Provide CPR to Resident at Parmly on the Lake

Neglect was substantiated. The facility and the alleged perpetrator were responsible for the maltreatment. The alleged perpetrator (AP) failed to notify the physician when the resident’s oxygen saturation levels dropped below physician identified parameters, indicating a significant change in the resident’s condition. The AP failed to initiate CPR as indicated by the resident’s physician orders for life sustaining treatment (POLST) when the AP later found the resident unresponsive and with no pulse.

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. There are many ways in which the health of a resident can change. The facility must regularly assess residents and monitor for changes in their condition and then notify their treating physician of any changes. When a person has requested CPR be provided when needed the facility has a duty to comply with the resident’s wishes. 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 Benedicts Senior Community Neglect Substantiated

Written By: Kenneth LaBore | Published On: 13th December 2019 | Category: Failure to Resond to Change in Condition, Financial Exploitation | RSS Feed
Sexual Abuse of Resident at St. Benedicts Senior Community
Sexual Abuse of Resident at St. Benedicts Senior Community

It was alleged by the Minnesota Department of Health that a resident at St. Benedicts Senior Community was neglected when the facility failed to ensure the resident was free from sexual abuse from a staff member.

Sexual abuse was substantiated. The alleged perpetrator (AP), who was employed by the facility as a nursing assistant, was responsible for the maltreatment. The AP confessed to engaging in sexual touching with the resident in the resident’s room at the facility.

Recent MDH Substantiated Findings of Neglect at St Benedicts Senior Community after abuse – restraints.

St Benedicts Senior Community Theft of Resident Funds by Staff Members

St Benedicts Senior Community Theft of Client’s Money By Staff Members

In a report dated January 5, 2017, the Minnesota Department of Health, alleged that five clients at St Benedicts Senior Community were financially exploited when the alleged perpetrator (AP) took the client’s money.

St Benedicts Senior Community Financial Exploitation by Staff

According the MDH Substantiated Complaint: there was a preponderance of evidence, financial exploitation occurred when the alleged perpetrator (AP) took money from clients.  The AP took $120.00 from Client #1, $180.00 from Client #2, and $12.00 from Client #3.  There was not a preponderance of evidence regarding whether the AP took money from Client #4 and Client #5.

All five clients received home care services from the provider according to the services agreements and care plans.

Interviews with staff revealed Client #1, Client #2, and Client #3 reported to staff that money was missing from their apartments, all on the same day.  Client #1 was missing $120.00, Client #2 was missing $180.00, and Client #3 was missing $12.00.  The AP was the only staff person assigned to those three clients on that day.  Staff placed two marked $20.00 bills in a client’s room, with the client’s permission, the following day.  The licensee had a camera in the hallway focused on the client’s entryway door.  The client reported the AP had been in his/her room, and the marked bills were missing.  Staff reviewed the camera footage, observed the AP enter and exit the client’s room, and called the police.  Staff reported client’s #4 and #5 later came forward to report the missing money.

Interviews with all five clients revealed they reported the following monetary losses: Client #1 – $120.00, Client #2 – $180.00, Client #3 – $12.00, Client #4 – $17.00, Client #5 – $10.00.  Client #1, Client #2, and Client #3 reported their losses occurred on the same day.  Client #4 and Client #5 reported their losses occurred several times within the previous month.

A police report indicated police were called to the facility on report of a theft.  Police responded and interviewed the AP.  The AP admitted to taking the marked bills, and to taking $100 from the other two clients.  Police issued a citation to the AP for misdemeanor theft.

The AP was interviewed and admitted to taking money from Client #1 and Client #2, although s/he stated s/he could not recall exactly how much money s/he had taken or when s/he had taken it.  The AP denied taking any money from Client #3, Client #4, or Client #5.

St Benedicts Senior Community – Report Suspected Abuse and Neglect

Click Here For Link To Report Abuse To Adult Protection

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 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.

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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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Failure to Provide CPR

Failure to Provide CPR at St Benedicts Senior Community in St. Cloud Minnesota

St Benedicts Senior Community St Cloud Complaint Findings for Neglect – Health Care

In a report concluded on November 5, 2013, the Minnesota Department of Health cites St Benedicts Senior Community for neglect of health care.

It is alleged that neglect occurred when a resident was not provided with care based on her advanced directive.  The resident became unresponsive in the dining room and staff brought the resident to her room.  No CPR was initiated although the resident had a full code resuscitation status.

A preponderance of evidence reveals neglect is substantiated when the facility staff failed to provide emergency care, including cardiopulmonary resuscitation (CPR) after a resident became pulseless.  The resident’s resuscitation code status was full code.  Nurses were in attendance with the resident from the time s/he became until the nurses noted the resident no longer had a pulse.

The physician was interviewed and stated the staff should have initiated CPR according to orders for full resuscitation.  This was the resident’s preference, the time frame was appropriate for initiation of CPR, and staff were with the resident.

There was neglect because the facility licensed nurses failed to initiate CPR to the resident when they were present when the resident arrested.  The resident died.  The nurse failed to follow to the standard practice for CPR as recommended by the American Heart Association.  The facility policy and procedure did not follow the American Heart Association recommendations as standard of practice when to perform or not perform CPR.

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 failure to provide 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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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.

The failure to honor a Physician Ordered Life Sustaining Order (POLST) can lead to a person in urgent critical care not receiving the medical intervention and attempt to safe their life they wished for in the event they were ever in that situation.

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

Resident Medication Error

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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