A series of nursing home falls suffered by a patient in Minnesota foreshadowed a final, fatal fall from a wheelchair for an elderly resident last year.
Now, that nursing home, located in Duluth, has been cited for neglect.
According to news reports, the state health department alleges the center failed in its duty to comprehensively assess the high risk for falls posed to this resident, and further to reassess the risks after each incident. In fact, a state investigator found this particular patient fell 10 times between July 2014 and November 2014. Three of those falls occurred within days of each other – Nov. 17, Nov. 22 and again, finally, in Nov. 24. That last fall resulted in the resident’s death.