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Nursing home resident died after receiving 20 times the prescribed dose of pain killers

ABC 5 Eyewitness News, Minneapolis, MN

The Minnesota Department of Health claims a New Hope nursing home neglected a resident after the individual died after receiving 20 times their prescribed dose of oxycodone. According to the MDH report, North Ridge Health and Rehabilitation did not have a policy to “notify staff of changing medication orders.” The report also said the individual administering the drug failed to follow correct procedures. The report said the resident was admitted to North Ridge Health and Rehabilitation with cancer, as well as chronic pain and chronic obstructive pulmonary disease. MDH said the resident had a physician order to receive liquid oxycodone for pain. The resident was supposed to receive 20 milligrams for pain rated five to seven on a 10-point scale, or 30 milligrams for pain rated eight to 10. The concentration of the oxycodone the resident was supposed to receive was changed multiple times, according to the report. On the night before the resident’s death, the individual rated their pain at a 10 on the scale. The report said the staff member administering the oxycodone gave the resident 600 milligrams, instead of the 30 milligrams. The resident was later found unresponsive on the floor of his room. The individual was pronounced dead by emergency medical service professionals. The MDH report said the staff member admitted to administering more oxycodone than prescribed. The individual said they did not verify the concentration of the dose because they were busy with other patients.

Read the rest here:
http://kstp.com/medical/north-ridge-health-and-rehabilitation-new-hope-minnesota-department-of-health-oxycodone-pain-killer-overdose/4767167/

Minneapolis facility neglected resident who remained down 10 hours after fall and later died

ABC 5 Eyewitness News, Minneapolis, MN

An assisted living facility in south Minneapolis has been found negligent after staff allegedly failed to check on a resident who had fallen and remained on the floor of her room for about 10 hours. Though the resident suffered no fractures, she was unable to walk again, her health declined, she was later hospitalized, and she died 26 days after the fall, according to an investigation by the Minnesota Department of Health. The health department found the facility, Ebenezer Home Care, at 2722 Park Ave. S., negligent in her death. “We strive to provide the best possible quality of care at all Ebenezer senior living communities,” a spokesperson for Fairview Health Services, which owns the facility, said in an emailed statement. “While privacy regulations prevent us from discussing any specific incident, the health and safety of our residents is always our highest priority. Whenever we become aware of an issue at any of our communities, we investigate promptly, look for ways to improve and take appropriate actions as the circumstances warrant.”  According to the investigative report, the woman, who suffered from Alzheimer’s disease, coronary artery disease and Raynaud’s Disease, fell about 11 p.m. on August 15. Despite a care plan that required staff to check on her at midnight and 7 a.m., and despite facility rules that all residents are checked on at 3 a.m., the staff on duty did not check on the resident, the report says.

Read the rest here:
http://kstp.com/medical/minnesota-department-health-south-minneapolis-facility-neglected-resident-down-10-hours-after-fall-later-died/4758629/

Legislators to address reported lapses in oversight of state’s senior care facilities

ABC 5 Eyewitness News, Minneapolis, MN

Leaders are holding a hearing Wednesday to address reports of dysfunction and a lack of oversight at the office tasked with handling complaints of maltreatment at senior care facilities. The meeting comes after the health commissioner stepped down last month following media reports on serious oversight lapses. At the time, Gov. Mark Dayton said someone wasn’t doing his or her job. Since then, there have been a resignation and a $9 million investment to improve the investigations that weren’t being completed on time or even initiated at all. That will again be the focus for the Senate Committee on Aging and Long-Term Care, which will be joined by the Human Services Finance and Policy Committee. Last year, legislators learned the Office of Health Facility Complaints was investigating just 1 percent of self-reported provider complaints and only 10 percent of maltreatment complaints. 5 EYEWITNESS NEWS also revealed data showing most of those investigations weren’t even being completed in a timely manner.

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http://kstp.com/medical/legislative-leaders-reports-dysfunction-lack-oversight-office-health-facility-complaints-maltreatment-senior-care-facilities/4756551/?cat=1

Stillwater facility found negligent in resident’s death

ABC 5 Eyewitness News, Minneapolis, MN

A nursing staff member at a Stillwater nursing and assisted living facility is alleged to have blocked a resident’s lungs with a speaking valve, which prevented air intake and eventually led to the resident’s death, according to a state investigation. The Minnesota Department of Health found the facility, The Estates at Greeley, negligent in the resident’s death in part because it did not provide training for staff in the use of the speaking valve in conjunction with a tracheostomy, or a tube in a windpipe to assist in breathing. On June 12, 2017, the nursing staff member performed tracheostomy care on the resident and left the room, according to the report. That care was supposed to include deflating a cuff around the tracheostomy tube and placing the speaking valve on the tube’s hub. The nurse later told an MDH investigator she had forgotten to deflate the cuff, the report shows.

Read the rest here:
http://kstp.com/medical/stillwater-assisted-living-estates-at-greeley-found-negligent-in-residents-suffocation-death-minnesota-department-of-health-investigation/4737186/?cat=12196

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