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Gil-Mor Manor’s Resident Hospitalized After Staff Neglects Resident Physician Orders

Category Archives:
Medication Errors

Medication Errors

Gil-Mor Manor’s Resident Hospitalized After Staff Neglects Resident Physician Orders

By Kosieradzki Smith Law Firm

March 28, 2014

The Minnesota Department of Health (MDH) has completed its investigation of neglect concerns at the Gil-Mor Manor Nursing Home in Morgan, Minnesota.  A complaint was filed with the Minnesota Department of Health alleging that neglect occurred when staff failed to implement physician’s orders for insulin administration and the resident was admitted to the hospital for diabetic ketoacidosis. The Minnesota Department of Health investigated the matter and found that the allegation of neglect is substantiated because the facility had a system in place to double check physician orders, and two staff incorrectly followed facility protocol. The transcription error went unnoticed by facility staff over a two day period. The MDH determined that the Gil-Mor Manor is responsible for neglect of the facility’s resident. [Case no. H5594012]

The Kosieradzki • Smith Law Firm represents clients in cases involving catastrophic injury caused by nursing homes and other care facilities that fail to provide proper care. If you believe your loved one has been harmed due neglect or abuse in a nursing home, take action and contact the Kosieradzki • Smith Law Firm online or call us toll-free at (877) 552-2873 to set up a no-cost, no-obligation consultation.

Minneapolis Veterans Home’s Under Scrutiny

By Kosieradzki Smith Law Firm

December 31, 2013

A Minneapolis Star Tribune report reviews inquiries into suspicious deaths that indicate persistent problems at the Minneapolis Veterans Home.  According to the report, “In the past three years, state records show, the veterans home has been the subject of 11 state health department investigations, including four suspicious deaths.”

The report quotes the Minnesota’s legislative auditor, Jim Nobles, as being concerned about what he called “significant and persistent problems at the Minneapolis home.” Mr. Nobles has been critical of how the home operates. Nobles has suggested that the state VA should not be in the nursing home business: “At times, I even questioned whether the state was capable of adequately managing the facility.”

The Star Tribune reports that the 300-bed nursing home, with a waiting list of 700, is the largest of the five veterans homes operated by the state of Minnesota and “by far the most problematic. The home racked up 99 citations from the Minnesota Department of Health between 2005 and 2008.”

The Star Tribune reports that a former deputy veterans commissioner at the state, Pamela Barrows, sent a written request to Governor Dayton earlier this year seeking an investigation of the current deputy commissioner in charge of the homes, Michael Gallucci.  Ms. Barrows alleges that the deputy commissioner has created a hostile work environment.  The Star Tribune quotes Barrows as stating: “I’ve had multiple staff, in multiple locations state to me that they are fearful of this man and what he is doing to the homes.”

The Kosieradzki • Smith Law Firm represents clients in cases involving catastrophic injury caused by nursing homes and other care facilities that fail to provide proper care. If you believe your loved one has been harmed due neglect or abuse, take action today and contact the Kosieradzki • Smith Law Firm online or call us toll-free at (877) 552-2873 to set up a no-cost, no-obligation consultation.

Crest View Lutheran Home Neglects Resident

By Kosieradzki Smith Law Firm

December 5, 2013

The Minnesota Department of Health (MDH) has completed its investigation of neglect concerns at the Crest View Lutheran Home in Columbia Heights, Minnesota.  A complaint was filed with the Department alleging that Crest View’s resident did not receive antipsychotic medication for one month causing hallucinations and suicidal thoughts. The Department investigated the matter and found that the evidence substantiated allegation of neglect.  The MDH determined that Crest View Lutheran Home is responsible for neglect of the facility’s resident.  [Case no. H5018098]

Click here for more information about Crest View Lutheran Home nursing home.

The Kosieradzki • Smith Law Firm represents clients in cases involving catastrophic injury caused by nursing homes and other care facilities that fail to provide proper care. If you believe your loved one has been harmed due neglect or abuse in a nursing home, take action today and contact the Kosieradzki • Smith Law Firm online or call us toll-free at (877) 552-2873 to set up a no-cost, no-obligation consultation.

Over-Drugging Nursing Home Residents Still Prevalent

By Kosieradzki Smith Law Firm

December 1, 2013

Forbes magazine reports in its article entitled “Dementia Patients Still Getting Dangerous Antipsychotic Drugs In Nursing Homes,” that more “than one out of every five nursing home residents is still being given powerful antipsychotic drugs despite a growing consensus that they are inappropriate and often dangerous. These drugs frequently are given to “calm” dementia patients even though many are approved only for the treatment of diseases such as schizophrenia.”

Forbes reports that “[d]espite a federal initiative, a $2.2 billion legal settlement by [Johnson & Johnson] earlier this month, and the support of many nursing home and consumer organizations, it has been extremely difficult to reduce the overuse of these drugs.”

Forbes reports that the federal Centers for Medicare and Medicaid Services (Medicare) kicked off an effort in March, 2012 “aimed at reducing nursing home use of antipsychotic drugs from nearly 24 percent to about 20 percent by the end of that year.” (CMS pushed back the goal to the end of 2013.)  Forbes reports that CMS that more than 21 percent of long-stay nursing home residents are still getting these drugs and that a “coalition of patient advocates estimates that represents more than 300,000 residents.”

Forbes reports that “the root problem may be with nursing homes themselves. Many find it easy to manage anxiety, confusion, or behavioral issues of their residents with drugs. It is, for too many facilities, a convenient solution even though most research shows few benefits for residents and many risks.”

The Forbes article explains that “there are alternatives. Residents are often agitated because  they are in pain or discomfort. Facilities need to make the effort to identify those causes and address them.”

The Kosieradzki • Smith Law Firm represents clients in cases involving catastrophic injury caused by nursing homes and other care facilities that fail to provide proper care. If you believe you or your loved one has suffered medication errors because the nursing home failed to do its job, take action and contact the Kosieradzki • Smith Law Firm online or call us toll-free at (877) 552-2873 to set up a no-cost, no-obligation consultation.

Good Samaritan’s Nursing Home in Waconia Neglects Its Resident

By Kosieradzki Smith Law Firm

November 25, 2013

The Minnesota Department of Health (MDH) has completed its investigation of neglect concerns at Good Samaritan’s nursing home in Waconia, Minnesota.  A complaint was filed with the Department alleging that the nursing home failed to administer Coumadin for 10 days.  The resident developed a clot in the left femoral artery.

The Department investigated the matter and found that allegation was substantiated.  The resident did not receive Coumadin (an anti-coagulant) for ten days as a result of Good Samaritan’s medication error in transcribing the doctor’s order.  The MDH found that due to Good Samaritan’s error, “the resident’s Coumadin order disappeared from the [nursing home’s] electronic medical record.”   The MDH determined that Good Samaritan is responsible for neglect of the facility’s resident.  [Case no. H5234012]

The Kosieradzki • Smith Law Firm represents clients in cases involving catastrophic injury caused by nursing homes and other care facilities that fail to provide proper care. If you believe your loved one has been harmed due neglect or abuse in a nursing home, take action and contact the Kosieradzki • Smith Law Firm online or call us toll-free at (877) 552-2873 to set up a no-cost, no-obligation consultation.

Addicted Nurses Keep Licenses in Minnesota

By Kosieradzki Smith Law Firm

November 8, 2013

According to an investigative report by the Minneapolis Star Tribune, there are nurses who continue to steal narcotics or practice while impaired under monitoring by the state that’s supposed to stop them.

Base on its examination of more than 1,000 Minnesota Board of Nursing disciplinary records, there are 112 Minnesota nurses since 2010 who are licensed to practice despite having either stolen narcotics on the job, fraudulently obtained prescriptions, or practiced while impaired by drugs or alcohol.

The report states, “Nearly all of those nurses have kept their licenses by taking part in a state program created to protect the public from health professionals who are alcoholics or drug addicts. To avoid further board action, they have to prove they are sober and getting treatment. Yet records show that nurses have been able to keep practicing while abusing drugs or alcohol, raising questions about whether the program actually works.”

The investigation further reveal that for “at least 67 currently licensed nurses, the state monitoring agency, which is called the Health Professionals Services Program (HPSP), has become a revolving door, Nursing Board records show. They have failed out of the program, only to be sent back by the Nursing Board and allowed to keep practicing.”

The Star Tribune revealed its finding to Minnesota Governor Mark Dayton, who responded that system sounded “very wrong.”  According to the report, the governor said that “There should be consequences. Somebody who’s using illegal drugs or abusing alcohol or engaging in misconduct or malpractice should understand there’s no place for them in the health care professions.”

Click here to read to full article.

The Kosieradzki • Smith Law Firm represents clients in cases involving catastrophic injury caused by nursing homes and other care facilities that fail to provide proper care. If you believe your loved one has been harmed due neglect or abuse in a nursing home, take action and contact the Kosieradzki • Smith Law Firm online or call us toll-free at (877) 552-2873 to set up a no-cost, no-obligation consultation.

TOPICS:   Medication Errors

Norris Square Employee Takes Resident’s Drugs

By Kosieradzki Smith Law Firm

October 22, 2013

The Minnesota Department of Health (MDH) has completed its investigation of financial exploitation concerns at Norris Square, an assisted living facility in Cottage Grove, Minnesota. A complaint was filed alleging that an employee took a resident’s narcotic medications without permission. The Department investigation substantiated the allegation. The resident had physician orders for Oxycodone. The medication was kept in a locked box in the resident’s room, and only employees had access to the box. A pill count on the date of incident found that 30 pills were missing. The resident’s family had installed a camera in the resident’s room, and upon reviewing the film, it was determined that the suspected employee had stolen the medication. [Case no. HL27946002]

The Kosieradzki • Smith Law Firm represents clients in cases involving catastrophic injury caused by nursing homes and other care facilities that fail to provide proper care. If you believe your loved one has been harmed due neglect or abuse in a nursing home, take action and contact the Kosieradzki • Smith Law Firm online or call us toll-free at (877) 552-2873 to set up a no-cost, no-obligation consultation.

Medicare’s New Data on Mismedication of Nursing Home Residents

By Kosieradzki Smith Law Firm

September 9, 2013

Many nursing home residents need several medications as part of their treatment plan. Some nursing homes have used medications to sedate residents more for the convenience of the nursing home staff than for the welfare of patients. CMS data show that in 2010, more than 17 percent of residents received daily doses of antipsychotic drugs exceeding recommended levels. The CMS goal is to get the offending number under 15 percent.

Mismedication is a common problem, but new data show that the use of antipsychotic drugs is down across the United States. In July, Nursing Home Compare revealed the new numbers from a CMS study:

  • The national prevalence of antipsychotic use in long stay nursing home residents has been reduced by 9.1 percent by the first quarter of 2013, compared to the last quarter of 2011.
  • There are approximately 30,000 fewer nursing home residents on these medications now than if the prevalence had remained at the pre-National Partnership level.
  • At least 11 states have hit or exceeded a 15 percent target and others are quickly approaching that goal. The states that have met or exceeded the target are: Alabama, Delaware, Georgia, Kentucky, Maine, North Carolina, Oklahoma, Rhode Island, South Carolina, Tennessee and Vermont.

CMS created the National Partnership to Improve Dementia Care in 2012. The Partnership plans to keep decreasing mismedication in the following ways:

  • Enhanced training for nursing home providers and state surveyor
  • Increased transparency by making antipsychotic use data available online at Nursing Home Compare
  • Highlighting alternate strategies to improve dementia care

The Partnership is not a perfect solution, but it is a step toward solving this nationwide problem. Risks of mismedication continue to plague nursing home residents.

The Kosieradzki • Smith Law Firm represents clients in cases involving catastrophic injury caused by nursing homes and other care facilities that fail to provide proper care. If you believe your loved one has been harmed due neglect or abuse in a nursing home, take action and contact the Kosieradzki • Smith Law Firm online or call us toll-free at (877) 552-2873 to set up a no-cost, no-obligation consultation.

TOPICS:   Medication Errors

Details about the Faribault Care Center Nursing Home in Minnesota

By Kosieradzki Smith Law Firm

September 7, 2013

Medicare rates nursing homes, including this 55-bed nursing home facility.  Medicare has assigned an overall rating to the Faribault Care Center as a “much below average” facility.  In addition, Medicare has assigned a “much below average” rating to the nursing home based on the government’s health inspections of the facility.

In its recent inspection in February 2013, Faribault Care Center was cited with 16 health deficiencies (compared to the state average of 6.2). These include the facility’s:

  • Failure to hire only people with no legal history of abusing, neglecting or mistreating residents; or report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
  • Failure to develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property.
  • Failure to make sure services provided by the nursing facility meet professional standards of quality.
  • Failure to provide care by qualified persons according to each resident’s written plan of care.
  • Failure to provide necessary care and services to maintain the highest well being of each resident.
  • Failure to assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene.
  • Failure to develop a complete care plan that meets all of a resident’s needs, with timetables and actions that can be measured.
  • Failure to make sure that each resident’s drug regimen is free from unnecessary drugs and that each resident’s entire drug/medication is managed and monitored to achieve highest well being.
  • Failure to keep accurate, complete and organized clinical records on each resident that meet professional standards.

In addition, the Minnesota Department of Health has substantiated several instances of nursing home neglect and abuse, including the following:

  • Faribault Care Center improperly discharged the resident.  The facility failed to have a post-discharge plan for the administration of the resident’s medication and the facility had not determined a competent means for administration of the resident’s insulin. It was necessary to involve the police to locate the resident.  The resident was located 60 miles from the nursing home. Emergency placement was required for the resident’s safety and well-being. [H5097057]
  • Faribault Care Center’s nurse diverted narcotic pain medication from a resident for her own use, but documented that she had administered the narcotic medication to the resident. [H5097056]
  • Although the resident’s care plan required two assistants to transfer him, Faribault Care Center’s nursing aide repeatedly chose to transfer the resident alone. The resident lost his balance and fell to the floor.  His ribs were fractured. [H5097045]
  • Faribault Care Center failed to have adequate supervision for a resident who frequently attempted to elope from the building.  The resident was found walking on a road away from the nursing home.  The nursing home staff was not aware that the resident had left the facility. [H5097043]

The Kosieradzki • Smith Law Firm represents clients in cases involving catastrophic injury caused by nursing homes and other care facilities that fail to provide proper care. If you believe your loved one has been harmed due neglect or abuse in a nursing home, take action and contact the Kosieradzki • Smith Law Firm online or call us toll-free at (877) 552-2873 to set up a no-cost, no-obligation consultation.

Nervanas Caring Hands Inc. Neglect Causes Death of Resident

By Kosieradzki Smith Law Firm

August 6, 2013

The Minnesota Department of Health (MDH) has completed its investigation of neglect concerns at the Nervanas Caring Hands Inc. in Bloomington, Minnesota.  A complaint was filed with the Department alleging that neglect occurred when a client was given an overdose of narcotics by staff. The Department investigated the matter and found that the resident was given morphine in excess of the prescribed amount, causing her death. [Case no. HL26052001]

The client resided at the facility for about two years prior to the incident. The client was hospitalized for pneumonia. About one week following the client’s return to the facility, during the evening hours, the resident was weak, not taking in nourishment and experienced some shortness of breath. The facility nurse initiated the used of medication morphine, prescribed to C1 for pain and shortness of breath. The nurse made an error when calculating the dosage of morphine, resulting in the client receiving at least two doses that were in excess of the prescribed amount. The client was sedated by the medication overdose and did not regain consciousness. The client died in the early afternoon following initiation of the morphine the prior evening. According to the death certificate, the cause of death was acute morphine toxicity. The MDH determined that the caregiver is responsible for neglect of the facility’s resident.

The Kosieradzki • Smith Law Firm represents clients in cases involving catastrophic injury caused by nursing homes and other care facilities that fail to provide proper care. If you believe your loved one has been harmed due neglect or abuse in a nursing home, take action and contact the Kosieradzki • Smith Law Firm online or call us toll-free at (877) 552-2873 to set up a no-cost, no-obligation consultation.