Walnut Whitney Care Center
3529 Walnut Avenue, Carmichael, CA 95608
Citation Number: 030007652
Citation Date: 11/23/2010
Violation Date: 4/14/2008
Class: AA
Penalty: $ 80,000

On 4/14/08, an 86 year old resident died several hours after being admitted from Walnut Whitney Care Center due to septic shock, acute renal failure, dehydration and urinary tract infection. She had been admitted to Walnut Whitney a month earlier for short-term therapy due to a fracture, and was considered to have a good potential for rehabilitation and discharge. During her short-stay at Walnut Whitney, she suffered two urinary tract infections, one identified on 3/20/08 and the second on the day of her death. Notwithstanding the history of infection and the risk posed by a diuretic she was taking, Walnut Whitney did not assess her hydration status or food and fluid intake in the days prior to her death. The resident's son reported that a hospital emergency room nurse was very upset about her condition before her death and told him that she had a "terrible bladder infection," "her urine was like sludge," "there was blood in her urine," and that "she was so dry." Walnut Whitney was cited because its neglect led to her death.