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‘Poor Judgment’ To Blame For CNA’s Failure To Implement Fall Precautions In Minnesota Nusing Home Death

“When planning for a year, plant corn. When planning for a decade, plant trees. When planning for life, train and educate people.” – Chinese Proverb

At employee at St. Anthony Health Care Center in St. Paul, MN failed to follow these words of wisdom when she failed to follow the fall precautions set for in a patients care plan.  An investigation into the matter, revealed that the nursing home employee’s errors contributed to the patient’s death.

Failure To Implement Fall PrecautionsA Department of Health investigation into the matter cited the employee for neglect when she made the following errors:

  • Failing to activate a fall alarm
  • Failing to lower the patient’s bed to a lower height
  • Failing to put a mat beside the patient’s bed to provide padding in cases of falls

The patient fell out of her bed and hit her forehead and sustained a subdural hematoma.  The patient died four days after the incident.

When questioned by Department of Health investigators, the CNA ‘admitted she used poor judgment’. Incidentally, the investigation revealed the facility itself was not at fault.

I certainly appreciate this CNA’s honesty when it comes to the careless errors she made.  However, I am always frustrated when Heath Department investigators fail to impute responsibility on the part of the facility itself.  I find it hard to believe no other employees witnessed this situation.  Further, it only would have taken another co-worker a few seconds to implement some of the fall precautions had they chosen to check on this patient.

Read more about this case involving neglect in a Minnesota Nursing Home here.

Learn more about the laws applicable to Minnesota nursing homes here.
Click on the links for information on nursing homes in Minneapolis , Rochester and St. Paul

Related Entries:

Falls In Nursing Homes Are A Serious Threat To The Safety Of Many Patients

New Technology Promises To Reduce Falls In The Elderly Population

Poor Training & Under-Staffing Blamed For The Death Of A Nursing Home Patient Who Died From Injuries Sustained After She Was Dropped By A CNA In A Minnesota Facility

Even Common Falls Put Elderly At Risk For Developing Subdural Hematomas

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