Our client, an elderly woman with advanced respiratory needs, was admitted to a long-term acute care hospital where she relied on a tracheostomy and ventilator for survival. Despite known risks and prior issues with her tracheostomy tube, the facility failed to implement appropriate care measures to prevent accidental dislodgement. One day, her tube became dislodged, and staff did not respond to her ventilator alarm for over thirty minutes. As a result, she suffered severe oxygen deprivation leading to permanent brain damage. This case settled confidentially for $600,000.00.