The Defendant’s staff failed to adequately monitor Plaintiff’s medical condition, and further failed to timely notify Plaintiff’s physician of significant changes in her medical condition, including her recurring symptoms of bowel obstruction. This failure to adequately monitor Plaintiff is documented in the chart. There is a pattern in the nurse’s notes of large gaps of time where Defendant’s staff failed to chart anything on the Plaintiff in the nurse’s notes for weeks and months at a time. For example, Plaintiff was discharged from Defendant’s facility on July 15, 2011 when she was finally transferred to the hospital for the bowel obstruction at the insistence of her son. Prior to Plaintiff’s discharge, the following gaps appear in the nurse’s notes: a thirty-nine day gap from January 20, 2011 to March 1, 2011; an eighteen day gap from 3/24/11 to 4/12/11; a sixty-nine day gap from 4/21/11 to 6/30/11; and a thirteen day gap from 6/30/11 to 7/14/11. The latter two gaps in the nurse’s notes are particularly egregious because they are so close in time to Plaintiff’s discharge from Defendant’s facility, and they show that Defendant’s staff was not monitoring the Plaintiff during the last few weeks of her stay. The first episode of vomiting that was documented in the nurse’s notes occurred on 4/16/11. According to the nurse’s note, Plaintiff had “several episodes of vomiting” and was also complaining of constipation. In a nurse’s note dated 4/17/11, complaints of Plaintiff not feeling well were also documented. Both nurse’s notes further documented that Plaintiff would be “monitored.” However, no such monitoring occurred because just four days later, i.e. on 4/21/11, was the beginning of the sixty-nine day gap in the nurse’s notes discussed above. This repeated pattern of large gaps in the nurse’s notes is evidence of the staff’s continued failure to adequately monitor Plaintiff’s medical status and changes in her medical condition, which resulted in the staff’s failure to timely and properly address Plaintiff’s classic symptoms of bowel obstruction, including at the very least reporting her symptoms to her physician.

When the paramedics arrived to take Plaintiff to the hospital, Defendant’s staff failed to provide an accurate assessment of Plaintiff’s condition. For example, according to the EMS Report, staff advised the paramedics that Plaintiff had been vomiting “since last night,” when in fact she had been vomiting for the last couple of weeks. The Plaintiff’s son had advised the nurses at the nurse’s station at least a dozen times during the last few weeks of his mother’s stay that she was vomiting.

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