Jul 24, 2013 at 1:45 pm
COLD SPRING, Minn. (KNSI) - A nursing home in Cold Spring has taken corrective steps after they were cited for neglect following an investigation into a resident's death by the Minnesota Department of Health.
The agency released their final report on the January incident today.
They say the resident of Assumption Home was found to have died after the woman's neck became trapped between a mattress and the guardrail on the bed.
The MDH decided the home should be cited for neglect because there was "no evidence that the nursing home assessed the risks versus benefits of using a bed rail."
According to the MDH, bed rails, also called guard rails, present a risk of strangulation, and health care providers are mandated to determine whether or not the feature is absolutely necessary or if it poses more of a threat than benefit.
They add, guard rails can often be an impediment and a danger if they prevent a limited-mobility resident from leaving the bed.
The resident in the case suffered from dementia, impaired mobility, chronic pain and a history of falls out of wheelchairs and beds.
The MDH says they were not able to uncover any evidence that the nursing home performed an assessment in this case. The home has since gained compliance with the MDH by implementing an action plan.
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