Robbinsdale Rehab and Care Center, a nursing home facility located in Robbinsdale, Minnesota, has lost Medicare and Medicaid funding for new residents after inspectors found "critical treatment errors", some of which contributed to the deaths of two residents.
The facility has been in the spotlight of inspectors since July 2009, when a facility inspection survey found 29 deficiencies, which included failure to respond to signs of distress in two residents who later died. The facility was fined $3,000 and lost Medicare and Medicaid funding for new residents on October 7, 2009. The facility faces $24,300 in additional fines for six days that residents were in immediate jeopardy due to medication errors.
In February 2009, a female resident exhibited signs of a possible heart attack, which included low blood pressure and oxygen, clammy skin, and back pain. Staff members failed to notify her physician quickly, despite the resident exhibiting the four "red flags" of distress. She was found dead in her bed on February 2, 2009.
On July 2, 2009, a male resident was found "shaking" and unresponsive in his wheelchair. Staff members reported the incident to facility nurses, but no ambulance was called for five hours. The man died in route to the hospital.
In October 2009, the facility was cited for failing to discharge a patient who was being held against her wishes. Fifty-six year old Isabelle Jessich spent more than one year at the facility after being hospitalized for treatment for chronic alcoholism. Even after Jessich's doctor found that she was able to be discharged, her court-appointed guardian refused to allow her to leave.
Despite repeated warnings, facility administrators have been unable to correct problems at the facility. In fact, ten deficiencies noted in a July 2009 inspection still had not been addressed in October 2009 and another critical violation related to the mishandling of narcotic painkillers was discovered in October 2009. A resident was mistakenly given high doses of painkillers and was taken to the hospital on September 22, 2009. The resident was exhibiting obvious signs of distress, such as feeding an imaginary dog from his plate, seeing bugs crawl up walls, and wondering where he was. The ensuing investigation revealed that 120 Oxycodone tablets were missing from the allotment designated for the resident.
Robbinsdale Rehab is no stranger to deficiencies discovered during facility inspections. While the average deficiency rate is 10, the facility track record is as follows:
- 19 in 2007
- 25 in 2008
- 37 in 2009 to date.
If Robbinsdale Rehab and Care Center fails to rectify its deficiency violations by January 7, 2010, the federal funding ban will be extended to all residents, which could force the nursing home out of business.