Thief River Care Center Neglect Substantiated after Amputation

Written By: Kenneth LaBore | Published On: 14th April 2018
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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