WINSOR HOUSE CONVALESCENT HOSPITAL
101 S ORCHARD AVE, VACAVILLE, CA 95688
Citation Number: 110003860
Citation Date: 8/16/2007
Violation Date: 3/10/2006
Class: AA
Penalty: $ 100000.00

On 3/10/06, an 88 year old resident who had Alzheimer's disease fractured his skull and spine after falling while using a Merry Walker (enclosed framed wheeled walker with a seat). He was hospitalized and died the next day. The Coroner determined the cause of death was blunt force head and neck injuries. The resident had a long history of falls while using the Merry Walker, having suffered five such falls at the facility since 2005, with the last three falls causing injuries. The facility was cited for its failure to provide adequate supervision and to follow the manufacturer's safety recommendations led to the resident's death.