O'Connor Hospital D/P SNF
2105 Forest Ave. San Jose, CA 95128
Citation Number: 070009756
Citation Date: 03/05/2013
Violation Date: 12/26/2012
Class: AA
Penalty: $65,000

A female resident with amyotrophic lateral sclerosis died after her ventilator, used to provide breathing assistance, was left in standby mode. On 12/26/12, the resident's respiratory therapist performed his regular tracheostomy care, placing the ventilator in standby mode. Shortly after he left, the resident was found nonreponsive and without a pulse. The resident's ventilator was still in standby mode, meaning it was not providing any air. The resident was transferred to the intensive care unit where she passed away two days later. The facility was cited for failing to ensure its environment remained free of accident hazards.