EVERGREEN LAKEPORT HEALTHCARE CENTER
1291 CRAIG AVENUE, LAKEPORT, CA 95453
Citation Number: 110003970
Citation Date: 6/8/2007
Violation Date: 6/22/2006
Class: AA
Penalty: $ 80000.00

On 6/2/06, three days after admission, a 44 year old resident suffered a seizure and aspirated materials into her lungs. Staff stood and watched as she died because suction equipment needed to clear her airway was not available in her room or on the facility emergency cart. A nurse started CPR but stopped before paramedics arrived. The facility was cited for failing to assess for and prevent aspiration, failing to adequately train staff in emergency procedures, and failing to ensure emergency airway equipment was stocked and available.