An elderly, mobile, female nursing home patient was assaulted at the facility by another resident. The patient, who was in her room at the time of the assault and injury, was able to ambulate with a walker before the fall. The resident was pushed to the floor during the assault, where she was later found by nursing home staff, lying in a pool of blood caused by a laceration to her head.

A Roanoke nursing home permitted its elderly female patient to develop pressure ulcers (bed sore, pressure sore, decubitus ulcer) on her right heel and right foot. When the pressure ulcers (bed sore, pressure sore, decubitus ulcer) were first documented, they were described to involve eschar (dead tissue). The pressure ulcers (bed sore, pressure sore, decubitus ulcer) were thereafter permitted to deteriorate because the facility failed to take timely pressure ulcer prevention measures.

A Lynchburg, Virginia nursing home permitted its elderly female patient to fall and sustain a skin tear to her right leg. The skin tear deteriorated into a severe pressure ulcer (bed sore, pressure sore, decubitus ulcer). Within two months after the skin tear, the wound was observed to be necrotic with yellow slough.

An elderly patient at high risk for falls was permitted to sustain four falls within four months at the nursing home. As a result of the first of these four falls, the patient sustained a fracture of the right ninth rib. As a result of the third of the four falls, the patient struck his head and sustained a facial laceration that required stitches.

An elderly patient was being discharged from the hospital following an admission for respiratory difficulties. The patient, who was a high fall risk, was escorted outside the hospital by an aide during discharge. The patient’s daughter was to meet the patient in the front of the hospital.

An 88-year old man was admitted to the hospital with respiratory compromise. The patient required respiratory support and was placed on a ventilator. In order for the patient to receive diagnostic testing at the hospital, the patient’s ventilator was placed in “stand by” mode, during which the ventilator was not providing oxygen.