Maria Elena Fernandez, 71, fell and fractured her ankle. She was taken to a nearby hospital where she was met by orthopedist Dr. Charles Jordan who ordered Heparin, a blood thinner, to treat Fernandez’s risk of deep vein thrombosis. The doctor also ordered a compression boot to handle the fractured ankle.
Three days after that hospital admission, Dr. Jordan sent Fernandez to St. Anne’s Nursing Care & Residence with orders that she receive anticoagulants.
Despite this doctor order, Fernandez did not receive the anticoagulant medicine at St. Anne’s Nursing Care.