Sep 30, 2018

Whirl Pool Drowning Death

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A nursing home didn’t have a legally required call system in a communal bathroom when a resident died in March, according to an investigation by the Missouri Department of Health and Senior Services.  The Columbia Police Department investigated the death of a 77-year-old resident at Parkside Manor on March 23. The resident died of asphyxiation by drowning, according to the medical examiner’s report. Her death was ruled an accident, according to the police report.  A complaint investigation released by the Department of Health and Senior Services on May 3 found that Parkside Manor was in violation of state and federal regulations at the time.

“Based on observation and interview, the facility failed to provided an accessible call system to allow residents to call for staff assistance while using the whirlpool bath,” the department’s report read. “Further observation showed the whirlpool area did not have a direct way for residents to request help once in the whirlpool tub.”
A resident had requested to bathe in private, an employee told investigators from the Department of Health and Senior Services. She typically bathed alone but required help getting in and out of the tub. Nursing home employees checked on her every five to 10 minutes because there was no other way for her to request help if she needed it, the same employee told investigators.

On the morning of March 23, a nursing home employee called into the bathroom where the resident was bathing to let her know another resident was being brought in, according to the police report. When she didn’t respond, the employee pulled back the shower curtain to find her floating face down.

The nursing home called 911 just before 9 a.m. and reported that the resident was unconscious and not breathing, according to the police report. Employees attempted CPR, which was unsuccessful.

Parkside Manor had allegedly installed an emergency call system in the bathroom by June 13, according to the plan for correction included in the department’s investigation report. An inspection of the nursing home on Aug. 2 found no violations of state requirements.

This is not the first complaint filed with the Department of Health and Senior Services about Parkside Manor. Since 2014, the department has launched investigations into 14 complaints involving the nursing home.

In January, the department investigated the death of a resident who was prescribed fentanyl patches for pain relief. Caregivers were supposed to remove old patches before applying new patches, according to a department report. A forensic investigator told the department that five patches were found on the resident’s body.

Parkside Manor was also investigated in August 2017 after a resident diagnosed with anxiety, depression and a seizure disorder didn’t receive their medications for 10 days.

In January 2017, the nursing home was investigated after the department found it had failed to conduct the required number of smoke detector sensitivity tests or resident evacuation drills.

The facility was also investigated in June 2016 after failing to properly document, treat and prevent bed sores.


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Article Categories:
Abuse and Neglect · Staffing

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