Mayers Memorial Hospital D/P SNF
43563 Hwy 299 E, P.O. Bx 459, Fall River Mills, CA 96028
Citation Number: 230006952
Citation Date: 1/29/2010
Violation Date: 2/18/2010
Class: AA
Penalty: $ 50,000

On 3/24/09, a resident who suffered from dementia choked on a sandwich, aspirated, and died five days later of aspiration pneumonia and respiratory failure. The resident's physician had ordered his food to be ground because he was missing most of his teeth and had a swallowing problem. The facility ignored this order when a staff member gave him a meat and cheese sandwich shortly after midnight on 3/24. Paramedics were called when the resident began choking and found that his airway was obstructed by large pieces of meat from the sandwich. He was transferred to the hospital, where he died. The facility was cited because its failure to follow his special diet led to his death.