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Case 2 - Death From Untreated Emergency Condition in Assisted Living

Provider Found Guilty of Neglect

This is a case of failure to get adequate medical care for a strangulated hernia, which resulted in death. The assisted living staff were aware of the hernia and that it could become strangulated, yet they did not assess the resident adequately or call 911 when there were clear signs of serious problems. The resident’s stomach was bloated and swollen; the resident was vomiting and had explosive diarrhea. The resident screamed for help in the morning and staff did not address his symptoms. The daughter came unexpectedly and found the resident in extreme pain and in critical condition. 911 was immediately called and the resident died later that day. The resident was in relatively good physical condition before this incident. The state substantiated neglect against the assisted living provider.

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Case 1 - Death After Neglect

Agency Lack of Awareness of Provider Incident Report; Lengthy Process after Family Report; Threats to Continue Substandard Care; and Delayed Posting of Incident After months of concern for the care be


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