The death occurred last summer. The person got a total airway obstruction. Despite rapid life-saving measures, the person got serious injuries and died a few days later at the hospital.
The incident has been reported to the Health and Social Care Inspectorate, Ivo, according to the Lex Maria regulations.
According to the report, there are deficiencies in the routines surrounding food intake and there has been insufficient communication between the staff. It has also emerged that the staff needs more training in emergency care, such as heart and lung rescue.