Mary, 77, suffered from an end-stage renal disease and required a wheelchair due to left-sided weakness that resulted from a stroke. Mary lived at a nursing home facility, Beachwood Pointe Care Center, with her husband who also used a wheelchair.
When the nursing home’s staff chose not to bring Mary to the facility’s dining room, her husband threw a belt over his shoulder and “towed” Mary — in her wheelchair — to the eating area. As the couple rounded a corner, Mary’s wheelchair caught on a doorframe, which caused her to fall to the floor. Mary suffered a broken leg in the fall, but it went undiagnosed for two days until the nursing home’s staff at her dialysis center noticed the injury and sent her to the hospital.
After Mary returned to the nursing home, she developed multiple bed sores. This included two Stage IV sores on her buttocks, which became infected and led to sepsis from which she later died.