LAWNWOOD with iCerwr Hem ii 'Tini \iviilh lint \Uu'i ion in ii yioiir ini nit Hti tnuiininti February 26, 2013 M5 Ste hanieSinclalr Brookiyn, NV 11222 Dear This is a follow up to your concern regarding the care your mother, Paula Schuite, received while she was a patient in our intensive Care Unlt (icui from August 8-16, 2012 Feedback from patients and tarnin members aliows us [0 eontinue to improve the of our sewises You stated when we spoke that your mother suttered a tail white she was a patient in our icu unit An x7 ray or the eioow was ordered and the resuits Came back negative Van further stated your mother was discharged to Emerald Health Care and was admitted to St. Lucie Medicai Center because at a fractured hip and underwent surgery In addition you stated whtie she was a patient at LRMC, the hip fracture was not identitied and an x~ray orthe hip and wrist was not ordered by the lshared your concerns with the Director or Criticai Care Services We investigated your mother's care, which Included a revlew of the medical record Our investigation Indicated that on August 8, 2012, Ms. Schulte was admitted to ICU With acute respiratory failure and seixures she was ventiiated and treated On August 12'" your mother surfered a rail and was found on the floor next to the bad There was a discoloration to the right arm and she complained of pain in that arm There were no compiainls of hip pain The physician was notified and orders were received for an xeray ol the right extremity and CT or head and chest The CT of head and chest were negative and the xsray of the right arm was negative for fracture The patient continued (0 receive therapy throughout her admissron and was to Rehab on August 15'" There was no ind.cat.on during the four day period between the fail and discharge that your mother sustained any injury to her hip We are deein sorry for the i055 of your mother We continue to strive to provide patient centered care arid apologize if you feel our staff did not meet this goai We thank you for sharing your concerns With "772' sincerely, WW Christopher Cronenwett, LHRM interim Director, Management