A 93-year-old California assisted living resident died after she was served dishwashing liquid instead of juice

One woman died and two others were hospitalized after they were served dishwashing liquid instead of juice, officials say.

           

https://www.facebook.com/cnn/posts/10162968345696509

I see a lot of comments saying there is no way that this is unintentional, but depending on the type of dishwashing liquid, there are a number of ways that it could have happened. If the juice was being dispensed from a machine that mixes water with juice concentrate that was being sanitized, it's possible that someone ran the machine without rinsing out the cleaning agents and ended up dispensing a mixture that was part juice, part soap. I've had drinks like that served to me by accident at restaurants before. Combined with the fact that some residents have juice mixed with thickening agents that change the appearance of liquids when they have trouble swallowing, and the person preparing the food is not always the person serving it, I can see ways that this would have been missed. Sadly, many facilities are tragically understaffed and even well-meaning staff are close to burn out and are not given the time to give each resident the individual care and oversight they deserve. It's always criminal, but it's particularly tragic in this case. I hope that if this was not intentional that staff who are close to burnout do not take the fall for a facility that set up unsafe living and working conditions as is all too common in this industry.


Lawd !
Imagine this sheer carelessness !
What was a dishwashing liquid doing near edibles talkmore of someone serving that as a juice.
Like was the dishwashing liquid transfered to a juice packet, jug or what ???

Oh !
Except the elderly does not have children or close relation to cater for them..........the worst anyone can do to their aged parents and loved ones is to confine them to a care home.

No matter how busy your schedule may be, you do not work for the whole of 24 hours a day, right ?
Please, take care of your aged ones.
Do that and imbibe the knowledge in your kids so that they wouldn't have to do same to you when you become old and feeble.

May she rest in peace and I wish quick recovery to the others.


April, This was many years ago, and it may not make sense to you. Please keep in mind that frontline caregivers in Assisted Living do not need CNA credentials and do not make CNA wages. Why would new grad medical or nursing students work in that setting for virtually minimum wage? That makes no sense to me. I would have loved to have been able to pull the people you listed out of thin air, but I was a director, not a magician. I did the best I could by choosing compassionate hard working people who could be trained to provide care in that setting.


Shelley Francella You are right Shelley. To be honest only last week we were in France on our boat… and to cut a long story short, some how a small bottle of thinners in a clear water bottle ( hubby was using cleaning brushes, with a label on saying Thinners don’t drink )
found it’s way to the galley.
Next morning he took a long swig from the bottle to take his tablets.
He was not a well man that day and was very sick .
He has no smell and thought it was water until it went down.
So just saying accidents do happen.
Ps I got the blame!


Dr Ojo May the peace blessings be with you am priest who come from West African can help with the spiritual power kind of problem you have like , #love_spell , #blessing_spell , #reading to help you get work , i can help you get happiness back to your family , i can help you to get children , if you want to remove someone from jail , I can help you get wife or husband and I can help you cure any kind of deseace like gonorrhea , stroke and other you can Dm if you want me to help you out in all this problem you need is to do is to send your left palm for an Ifa consultation on a problem, call him for for your assistance +2348149616862


Nadiya Pavlov thickened liquids, nectar/honey consistency. Including water and juice. It's for people with varying levels of dysphagia. And often as they're older their taste buds deteriorate to the point that if it's not sickly sweet, they can't taste it at all. Maybe someone had filled a pitcher to clean some equipment and it got mixed up, maybe they were draining a bucket of detergent that was left to the dishwasher and figured they'd use it for the hand sink or to soak utensils that were stuck on with food. Or maybe an aide in a hurry grabbed it without confirming the substance with the kitchen staff. Lots of ways it could have happened, but definitely some best practices that could have made it avoidable if put in place


This is truly sad and I see a lot of people jumping to conclusions when they've no experience in such a place. It very well could've been a mistake because some residents suffer from dysphagia and need thickened liquids. Those liquids do resemble the consistency of dish liquid. I've seen nursing supervisors pour soap to bathe with in cups because it comes in a huge container so it needs to be shared also, if a resident has dementia they wouldn't know the difference. I've seen residents eat their own feces. I think the larger issue is staffing and that ultimately comes down to the money. It's not humanly possible for one person to watch and care for eighteen people at a time and be able to see every little thing. This is the unfortunate reality of nursing homes.


Shelley Francella smell assessment is actually one of the first tests they do to aide in diagnosing dementia onset. Well, it is if a patient is getting a full work up. That was something that struck me as scary about Covid: the impact that it potentially has on smell and the long term implications on the brain due to the correlation between scent and memory. So if you have employees with affected scent from Covid in addition to dementia patients with damaged scent…prob a risky combo in certain settings.
Also, smart idea with banning food pics on cleaning products! I think it’s easy to take for granted being literate. And I know some hard working honest people that aren’t, so modifications like you mentioned are helpful.


Christina McCullum how can anyone not jump to conclusions? There are systems in place to keep food/beverages separate from cleaning products. Skilled nursing facilities are set up on a Medicare payment model where they receive a specified payment every 60 days based on coding for that specific patients medical diagnosis and daily needs. Whatever they don't spend is their profit, so they try not to spend as much as possible by cutting resources, working on with a skeleton crew, and hiring unqualified staff. Clearly this is the result. I've been a registered nurse for 20+ years and some years ago took a position as a unit manager in a skilled nursing facility. Once I figured out that no amount of training or incentives would change the care we provided I resigned before I lost my license supervising unqualified, unlicensed personnel.


10ºI worked in one but as a independent home health I sat with a lady. But that place was so bad! Med techs sleeping, days without pain meds, a scoop of food in a ice cream bowl size bowl, 1 person working, people walking around with soaked bottoms, feces in hair and fingers completely dried on them, horrible attitudes from workers. It broke my heart.
I can totally see this happening as they were thinking it would be "funny".
And these people that lived there paid 3k some paid over 4k (I talked to many peoples family members)
If you have family in nursing homes you need to be checking and doing pop ups




+