Dolores Trendell, 85, was admitted to Clare Oaks for rehabilitation following a fractured ankle. She suffered from atrial fibrillation, which put her at risk for developing blood clots and suffering strokes and had been taking Coumadin as a blood thinner for years. Trendell was admitted to this nursing home facility on Feb. 23, 2011. Less than a month later, a nurse at Clare Oaks documents that Dr. Percival Bigol, the doctor responsible for managing her medication, spoke to the nurse by phone and ordered the Coumadin discontinued.
The nurse, Christina Martinez, did so and documented the change twice, but chose not to include it in the “physician orders” section of Trendell’s medical chart.
Dr. Bigol denied ever giving the order or being aware of the change at the time. Trendell ceased receiving Coumadin on March 16 and suffered a stroke two weeks later.