A state investigation has cited St. Benedict’s Senior Community for a patient death that occurred after three nurses failed to provide any type of emergency care. The nursing home, located in St. Cloud, Minnesota, is responsible for the death, the investigation found. A report from the Minnesota Department of Health found that this neglect happened even though the resident stated that resuscitation efforts should be made if he is in a life-threatening situation.
St. Benedict’s is run by CentraCare Health. Their central Minnesota network includes six hospitals, six nursing homes, senior housing in six communities and 17 clinics.
The resident died on June 29th, after feeling dizzy and becoming unresponsive. At first, staff detected a pulse and relocated him to his bed. When they checked his pulse again and found none, they did not perform CPR because a supervisory nurse said that “there was no witness to the resident’s last breath [and] too much time had gone by,” Both nurses who checked the pulse felt that CPR should have been performed, but instead they followed the order from the supervisory nurse. A physician for the case confirmed that CPR should have been performed. The resident died ten minutes after first feeling dizzy.
The two nurses who checked for a pulse were fired two days after the resident’s death. The supervisory nurse was retrained in policy and procedure.