Beverly LivingCenter - Napa
705 TRANCAS ST., NAPA, CA 94558
Citation Number: 110004222
Citation Date: 8/31/2007
Violation Date: 8/16/2006
Class: AA
Penalty: $ 100000.00

On 8/16/06, an 85 year old resident, with diagnoses that included dementia, poor safety awareness, and a history of seizures, fell backwards from his wheelchair and injured his head. The resident was assessed by the staff after the fall who determined that, other than having a "goose egg" lump on the back of his head, he was fine. The next day, the resident was non-responsive and taken to the hospital where he he died on 8/22 from intracranial bleeding. The facility was cited for failure to provide an appropriate wheelchair and for failure to provide adequate supervision.