Thursday, November 20, 2008

Failure to Perform Heimlich Maneuver at Sheridan Shores Care and Rehab

5838 N. Sheridan Road in Chicago
FINED- April 5, 2002
Sheridan Shores Care & Rehabilitation Center was
fined $10,000 for failure to provide nursing care in
accordance with a resident's needs. Department
investigators learned a resident, who had difficulty
with swallowing, was taken to his room after he began
to choke during lunch. Facility staff laid the
resident down to suction him and, when his condition
deteriorated, began cardiopulmonary resuscitation
(CPR). The resident was transported to the hospital
where he was pronounced dead on arrival, just nine
days after being admitted to the facility.
Per interviews, surveyors determined staff did not
attempt to perform the Heimlich maneuver or to clear
the resident's airway prior to initiating CPR as
required by facility policy.
Three days before, the man had choked while eating
dinner in his room. As a result of this incident, the
resident's physician told facility staff to "monitor
the resident" and a speech therapist recommended
obtaining a physician's order for a swallowing
evaluation. Surveyors found no evidence the resident
was being monitored more closely or had a swallowing
A Department ordered plan of correction required the
facility to ensure its staff is properly trained in
performing CPR and the Heimlich maneuver to assure
residents' personal care and nursing needs are met.

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