Surgical Wound Care
Valleyview Owatonna Complaint for Failing to Respond to Change in Wound Condition

Valleyview Owatonna Complaint Findings for Neglect

In a report concluded on January 10, 2013, the Minnesota Department of Health cites Valleyview Owatonna for neglect of health care – wound.

Based on the preponderance of evidence neglect is substantiated.  Neglect occurred when the facility failed to assess, monitor and implement physician’s orders related to post-operative follow-up care of the client’s left ankle incision after the sutures were removed.  The client required two surgeries for irrigation and debridement of the incision due to infection.

Substantiated Neglect Valleyview Owatonna – Failure to Assess and Monitor

State and federal regulations require that a nursing home facility monitor residents for changes in condition and take action to intervene on their behalf.  When providing wound care, the wound must be carefully monitored by qualified nursing or medical professionals to see if the wound is healing or expanding, getting infected or some other change which would require a change in the treatment plan and care being provided to the resident.  The assessment of the skin condition including wounds is part of the admissions and regular care plan review for the resident.

According to 42 CFR 483.20(2) the assessment including a skin assessment must be performed subject to the timeframes prescribed in § 413.343(b) of this chapter, a facility must conduct a comprehensive assessment of a resident in accordance with the timeframes specified in paragraphs (b)(2) (i) through (iii) of this section. The timeframes prescribed in § 413.343(b) of this chapter do not apply to CAHs.

(i) Within 14 calendar days after admission, excluding readmissions in which there is no significant change in the resident’s physical or mental condition. (For purposes of this section, “readmission” means a return to the facility following a temporary absence for hospitalization or for therapeutic leave.)

(ii) Within 14 calendar days after the facility determines, or should have determined, that there has been a significant change in the resident’s physical or mental condition. (For purposes of this section, a “significant change” means a major decline or improvement in the resident’s status that will not normally resolve itself without further intervention by staff or by implementing standard disease-related clinical interventions, that has an impact on more than one area of the resident’s health status, and requires interdisciplinary review or revision of the care plan, or both.)

(iii) Not less often than once every 12 months

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 sore, wounds or any other form of elder abuse or neglect contact Elder Abuse and Neglect Attorney Kenneth LaBore at 612-743-9048 or toll free at 1-888-452-6589 or by email at


Valleyview Owatonna Neglect Substantiated
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