Lincoln Meadows Care Center
1550 Third Street, Lincoln, CA 95648
Citation Number: 030009792
Citation Date: 3/21/2013
Violation Date: 5/13/2011
A male resident received a doctor's order for a blood thinner on 5/12/11. No anticoagulation monitoring was documented. On 5/26/11, the resident fell and sustained injuries to his head and face. The resident was hospitalized for a brain hemorrhage four days later. His blood test results showed excessive blood thinning by a factor of 18 times normal and six times the therapeutic range. He died on 6/4/11. The facility was cited for failing to keep the resident free from unnecessary drugs and for failing to prepare a care plan and monitor blood levels when the blood thinner was ordered.