An investigation into the death of a 93-year-old man at a New York assisted living facility revealed that three employees at the facility acted improperly when they failed to document that the man was missing from his room.  Turns out-- the man had either jumped or fallen to his death from his second floor room.  The incident occurred on February 17th at Dosberg Manor, part of the the Weinberg Campus.  The man's dead body was discovered the following day on the ground outside his room.

An investigation into the death by the New York Health Department determined employees at the facility acted improperly in the hours following the man's death.  The following omissions were noted in the department's report:

• At 9:40 that evening an employee was called into the man's room by his roommate to shut an open window.  Despite the fact that the employee noticed the man's glasses and a walker parked adjacent to the open window, the employee failed to look further into the man's whereabouts and lied to investigators about seeing the man in his room.
• At 11:00 p.m. another employee at Dosberg failed to investigate the fact that the man was missing from his room, choosing to assume that man was in a hospital.
• A third employee who made midnight rounds noticed that the man was missing-- yet failed to notify authorities.
• Medical records indicate that staff helped the man take his medication at 6:30 a.m. on February 18th although by that time the man's dead body had been outside for over 11 hours.

As a result of the Department's findings, a new policy has been implemented by Dosberg Manor to ensure the whereabouts of all residents and the employees who were involved in the errors cited above will be disciplined.

Read more about the investigation of this missing nursing home resident here.

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