ÿþ<html> <head> <title>AA Citation Number: 910006173 Summary - CANHR</title> <meta name='keywords' content='nursing home, nursing homes, California, elder, senior, seniors, attorney, lawyer, legal, rights, referral, medi-cal, estate planning, residential care, abuse, neglect, annuity, annuities, assisted living'> <meta name='description' content='Summary of AA Citation Number 910006173, Arbor View Rehabilitation And Wellness Center. A serious Citation and fine issued against a Califonia Nursing Home. AA citations are issued when a resident's death has occurred due to nursing home violations, and carry fines of $25,000 to $100,000.'> <link rel='stylesheet' href='../../../Styles/CANHR_Style200806.css'type='text/css'> </head> <body> <div> Arbor View Rehabilitation and Wellness Center </div> <div> 1338 20th Street, Santa Monica, CA &nbsp;90404 </div> <div> <b>Citation Number: </b>910006173 </div> <div> <b>Citation Date: </b>7/28/2009 </div> <div> <b>Violation Date: </b>9/8/2008 </div> <div> <b>Class: </b>AA </div> <div> <b>Penalty: </b>$&nbsp;100,000<p> </div> <div> On 10/24/08, an 88 year old resident died stemming from a licensed vocational nurse's failed reinsertion of a feeding (gastrostomy) tube that was initially inserted during a hospital stay on 8/29/08. The feeding tube became dislodged at Arbor View on September 8, 2008 and was reinserted by a licensed vocational nurse (LVN). Instead of inserting the tube into her stomach, the nurse inserted it in the resident's abdomen and continued tube feedings. After the resident started vomiting and her health condition deteriorated the next day, she was hospitalized. A scan found massive amounts of fluid in her abdomen. An autopsy determined that her death was caused by damage to her abdomen. The nurse had reinserted the feeding tube despite hospital orders stating that the radiology department should reinsert the tube if it fell out. The facility was cited because it violated its own policy that a licensed nurse can only reinsert a gastrostomy tube that had been in place for three months or more. According to a family member, the resident had been doing well prior to the neglect that caused her death. </div> <!-- Start of Google Code --> <script type="text/javascript"> var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E")); </script> <script type="text/javascript"> var pageTracker = _gat._getTracker("UA-382856-1"); pageTracker._initData(); pageTracker._trackPageview(); </script> <!-- End of Google Code --> </body> </html>