Eskaton Care Center Manzanita
5318 Manzanita Avenue, Carmichael, CA 95608
Citation Number: 030007577
Citation Date: 09/27/2010
Violation Date: 07/20/2008
On 7/20/08, a resident suffered a fatal injury when she fell from a mechanical lift while nursing assistants were transferring her from a wheelchair to her bed. The sling to the lift broke, causing the resident to fall to the floor and strike her head on the door. She was sent to the hospital where it was determined that she had suffered serious brain damage from the fall. She died four days later on 7/24/08 due to blunt head trauma. The sling that broke was in poor condition and its support straps had torn off. The facility had not conducted any safety checks on the five-year-old mechanical lift even though its owner manual directed the facility to check the condition of the slings every month. The facility was cited because its failure to check and maintain equipment in accordance with manufacturer's recommendations caused the resident's fall, head injury and death.