A Red Wing nursing home neglected a resident in September when the man was placed in the wrong wheelchair, took a tumble and died from complications from the fall, according to an Office of Health Facilities Complaints report made public Wednesday.
The resident of Red Wing Health Care Center had dementia and had a history of trying to get out of his wheelchair, which was fitted with a self-release seat belt and an alarm that sounded when the man stood up.
A worker put the man in his roommate’s wheelchair one morning. Workers heard him fall and found him lying under the wheelchair. He sustained a neck fracture and a head wound and died at the hospital.
The home now places initials on wheelchairs and has told staff to read care plans.