| Department File Number : | M202092463 |
| Claim Number : | 201904631 |
| Date Submitted : | 5/17/2020 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| COLUMBIA CASUALTY COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 47-0490411 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Susan | Waterbury | |||
| Street Address | |||||
| 886 Barris Lane | |||||
| City | State | Zip | |||
| Rockledge | FL | 32955 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (321) 213 - 0935 | swaterburyarnp@gmail.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Susan | Waterbury | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 886 Barris Lane | ||||
| City | State | Zip Code | County | ||
| Rockledge | FL | 32955 | Brevard | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| HPP 4016090839 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Registered Nurse | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ARNP2116242 | Family Physicians or General Practitioners - No Surgery | 0346632 | |||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Brevard | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Nursing Home | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/17/2016 | 1/19/2018 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Multiple falls while in a nursing home. I was not present during the falls. Rounding nurse practitioner who examined the pt several times | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Elderly, demented patient, residing in nursing home with a previous history of falls and fracture, had several falls while in Indian River center nursing home. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| no misdiagnosis in this case. The insurance company settled the case. No misdiagnosis or wrongdoing admitted. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Mr. Puras had a long history of falls prior to his admission to IRC. Unfortunately, despite vigilant efforts, all falls cannot be prevented. Mr. Puras was noted to have dementia and resided on The Caring Way Unit at IRC, locked dementia unit. Frequent behavioral issues were documented. He was confused, hard to redirect, and kept attempting to get up from his wheelchair unassisted. He called 911 on one occasion, and frequently asked to call his family because, ¿They don¿t know where I am.¿ Every attempt was made to prevent Mr. Puras from falling. At no time was there any negligence of duty. Indian River Center (IRC) has a comprehensive fall prevention program that is part of their infrastructure, which is founded in regulatory compliance. Florida surveys the facility annually, to monitor compliance with these safety precautions and fall prevention guidelines. The PCP and the ARNP collaborate with the multidisciplinary team to develop a plan of care for the patients; safety measures and fall injury prevention are high priorities. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 1/17/2019 | 2017-CA-036161 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Brevard | 1/17/2019 | ||||
| Other Defendants Involved in this Claim | |||||
| Lewis, MIchelle Potomski, John Michaux, Tiffany Family Home PHysicians Brevard Geriatrics | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 3/12/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $125,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Review/revision of policies, procedures. | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. SUSAN WATERBURY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SUSAN WATERBURY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).