Improper Safety Protocols
GWC’s client was deemed as a high fall risk resident by the nursing home. She had a past medical history significant for dementia. However, given this and her medication history, she was only placed on one person assist for transfers and ambulation, and there was no documentation of a call light being near the bed or the bed being kept in a low position or having a bed alarm or floor mat alarm.
In August of 2020, she had an unwitnessed fall in her bedroom and was found to have broken her wrist. The nursing home failed to document any type of investigation into the fall.
A week later, she took another unwitnessed fall in her bedroom. She was found on the floor was diagnosed with a hip fracture, later determining she required surgery.
GWC had retained an expert witness that corroborated the failure to properly care for the client and GWC argued that defendant’s fall protocols were inadequate. The resident had dementia, was combative, and also had incontinence of the bowel and bladder. The resident was also frequently confused and required very close and frequent monitoring. For these reasons, she should have been kept close to the nurses’ station and have a low bed with 2-person assist for the majority of her activities. Had the proper fall protocols been instituted and adhered to, her injuries would have been preventable.
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