Articles Posted in Nursing Home Resident Bed Sores

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Jennie Serfass was admitted to the dementia unit at Arden Courts of Yardley. At the time, in addition to dementia, she also suffered from chronic urinary tract infections, hypertension and glaucoma. She used a cane to help her move and walk.

Several months after Serfass’s admission, she suffered two unwitnessed falls. She was hospitalized and transferred back to the nursing home where she suffered an additional fall that resulted in a femur fracture.

Serfass’s mental status declined on her readmission to the nursing home. She then developed numerous pressure sores, which caused her condition to deteriorate. She subsequently passed away.

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Muriel Eastwick was in her 90s and suffered from dementia. She lived at Statesman Health and Rehabilitation Services, a skilled nursing facility owned by Extendicare and other entities.

During the years that she lived at this facility, she suffered from malnutrition, dehydration, chronic urinary tract infections, broken teeth, skin problems and bruising, an infected hip wound, an abscess on her buttock, and a Stage III pressure sore on her left heel.

Eastwick eventually died from these health issues. She was survived by her two adult children.  Her daughter, on behalf of her mother’s estate, sued Extendicare Inc., alleging negligent hiring and staffing, choosing not to provide adequate hygiene and nutrition, and deciding not to prevent and treat the pressure sore that Eastwick had developed.

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Ellis Mae Reed, 72, had a history of significant health problems that included diabetes and vascular disease. After she developed a blood clot, she was admitted to Jackson Hospital. For five days, she remained bedridden. She developed sepsis and was moved to the facility’s critical care unit, where she was diagnosed as having a Stage 4 pressure sore on her sacrum; staff administered three debridements and hospice care.

Reed unfortunately died approximately three months after her Jackson Hospital admission. She is survived by her 12 adult children.

Reed’s son, on behalf of her estate, sued the hospital, alleging that it chose not to turn and reposition her during the first five days of her hospital admission, which was the method that should have been used to prevent her pressure sore. The Reed family also alleged that the medical chart contained false entries.

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Lillie Michelet was admitted to the Countryside Care Centre Nursing Home on April 21, 2014. She was discharged on June 21, 2014 with bed sores on various parts of her body. The bed sores allegedly caused sepsis, which was a cause of her death on June 29, 2014.

Michelet’s son, William Harris, as special administrator of her estate, brought a lawsuit against the various nursing home entities, including Countryside Care Centre Inc. and Countryside Care LLC (collectively, Countryside defendants), claiming negligence and violations of the Illinois Nursing Home Care Act (210 ILCS 45/1-101 et seq.).

The trial judge granted summary judgment to the Countryside defendants because they sold Countryside Care Centre to Symphony Countryside LLC on Dec. 31, 2011 and thus had no ownership, operational interest, or financial interest of the facility during the time Michelet was a resident.

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Morley Sprague was 57  and suffering from end-stage multiple sclerosis and had a history of urinary tract infections (UTI) and degenerative joint disease.  After being hospitalized for treatment for sepsis and UTI, he was admitted to the North Canyon Care Center, a nursing home that offered wound care services.

Unfortunately, within a week, Sprague’s two existing pressure ulcers worsened from Stage I and II to Stage IV. In addition, he developed a Stage IV pressure sore on his right buttock.

After he left the nursing home, he required antibiotics and other continued medical care for his wounds, which failed to heal. Two years after his discharge, Sprague died of sepsis that resulted from an infected pressure ulcer. He was survived by his wife and three adult children.

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Morley Sprague suffered from end-stage multiple sclerosis and had a history of urinary tract infection (UTI) and degenerative joint disease.

After a hospitalization for treatment of sepsis and a UTI, he was admitted to the North Canyon Care Center, a nursing home that offered wound care services. Within a week, his two existing pressure ulcers worsened from Stage I and II to Stage IV. Additionally, he developed a Stage IV pressure sore on his right buttock.

After he left the nursing home, he required antibiotic treatment and continued medical care for his open wounds, which did not heal. Two years after his discharge, Sprague died of sepsis resulting from an infected pressure ulcer.

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Livija Cruse, an 80-year-old woman who suffered from mild dementia, was admitted to Chicago’s GlenCrest Healthcare and Rehab Center after falling at her home. She was also immobile. Over an 8-week period, she developed a bed sore on her buttocks. Because of the bed sore, she underwent two debridements and nine months of at-home wound treatment care after her discharge from GlenCrest.

On behalf of Cruse, her attorney-in-fact sued the nursing home and the ownership entities claiming that these defendants chose not to prevent and treat the bed sore.  It was also maintained that the nursing home failed to keep her clean and dry, provide her with an appropriate mattress for her condition and place a cushion on her wheelchair. In addition, the lawsuit argued that the nursing home chose not to comply with a doctor’s order regarding her wheelchair.

The defendants countered these arguments that the facility had in fact provided the appropriate care. Before trial, the parties settled for $100,000.

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On April 13, 2016, a release from the National Pressure Ulcer Advisory Panel (NPUAP) stated that the term “pressure injury” replaces “pressure ulcer” in the NPUAP injury staging system. According to the report, a change in terminology more accurately describes pressure injuries to both intact and ulcerated skin. It was concluded that the previous staging system was confusing. A Stage I and Deep Tissue Injury described injured intact skin, while the other stages describe open wounds or ulcers.

In another change in terminology, the panel is now using Arabic numbers instead of Roman numerals in the names of stages.

A meeting of over 400 professionals was held in Chicago on April 8-9, 2016. Using what was called the consensus format, Dr. Mikel Gray of the University of Virginia guided the Staging Task Force.

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Genevieve Thompson, 74, was hospitalized and required assistance with all activities of daily living due to her long list of health problems. One of them included morbid obesity.

During her hospitalization, she developed a Stage II pressure sore, which was documented two days before she was transferred to a nursing home for rehabilitation.

About a week and a half into the nursing home residency, she was transferred back to the hospital where she was diagnosed with sepsis. She required debridement and other wound treatment for the bed sores, which by then had worsened. She required institutional care at the hospital for the next several months.

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William Dieser, 58, underwent surgery at St. Anthony’s Medical Center in St. Louis County, Mo. Several days later, he developed a black spot on his coccyx. The black spot turned out to be a Stage IV pressure sore, which required surgery and removal of his coccyx, low back, buttocks and anus. As a result, he required dressing changes and plastic surgery over the next year.

Dieser filed a lawsuit against the hospital claiming that it chose not to prevent and properly treat the pressure sore. He alleged that the hospital staff should have timely turned him and provided adequate nutrition, among other things.

The lawsuit did not allege lost time from work. After the jury deliberated, it entered a verdict of $883,000.

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