Local News

Report: Patient left alone before death

Posted April 3, 2009

— A patient who died at a state residential treatment center in Goldsboro last month was left alone for more than an hour, despite instructions to staff to check on her every 15 minutes.

A federal report that the Department of Health and Human Services made public Friday revealed that on an employee at O'Berry Neuro-Medical Treatment Center found the patient slumped in her wheelchair with a strap around her neck.

The death occurred March 11 during dinnertime. A worker took the patient, known to slide in her wheelchair, to her bedroom at approximately 5:40 p.m. Another employee found her unresponsive at about 6:45 p.m. She died at a local hospital at 7:43 p.m.

Three of four employees – a health care technician and two supervisors – placed on leave following the death have since been fired, DHHS said Friday.

The investigation, conducted on behalf of the U.S. Centers for Medicare and Medicaid Services, also found checks were not being done in the month prior to the patient's death. On Feb. 12, for example, a worker walked into an activity room and found patients unattended. One required constant supervision, the report said.

The report also said some staff members were not aware how to implement procedures put into place following the March 11 death.

O'Berry, a living facility for people with chronic medical conditions and developmental disabilities, could lose $966,830 in Medicare and Medicaid reimbursements if it doesn't make changes that call for closer supervision of residents.

It has until April 15 to correct all deficiencies outlined in the report.

As one of his first actions in his position, DHHS Secretary Lanier Cansler, instituted a zero-tolerance policy toward employees found to have abused or neglected patients.

Several employees at the state's mental hospitals have been fired since it was put in place in February.


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  • teacher-mom Apr 3, 2009

    nix; you mad an excellent point. I hope I do not end up in one of those places. There are worse things than dying.

  • nix1963 Apr 3, 2009

    I do not know anything about this facility but i have worked in assisted living and know how hard it can be to give the care the residents(patients) deserve you have people making guidelines for facilities who have probably never worked in this type of enviroment, the patient staff ratio is at the bare minimum because the state says it's ok, and facilities are not about to staff for more than the state requires, so the staff are the ones who get fired and maybe some deserve it but not all, why can't facilities staff more people if a patients requires that kind of attention. I would ask people to remember that all people that work in a facility are not forgetful and care about the patients but when something bad happens the state wants to add more rules that are tough enough to follow especially when you dont have enough staff.

  • Sidekick Apr 3, 2009

    Piny tek - Check out the quality of the staff!

  • Piny tek Apr 3, 2009

    What's going on in Goldsboro, the same thing happened last year when a patient was left unattended and died alone while staff played cards.