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E N Q U I R E R   S P E C I A L   I N V E S T I G A T I O N
Mark Edson Leaseburge
A day's labored breathing

By Spencer Hunt and Debra Jasper
The Cincinnati Enquirer

Two days after a chest X-ray revealed pneumonia, Mark Leaseburge started struggling to breathe. His breathing was labored in the morning and got worse throughout the day. At 7:10 p.m., workers at Weber Health Care Center in Wellington called for a doctor.

Mr. Leaseburge was put on a ventilator at a hospital, where he died more than a month later, on April 12, 1998. No autopsy was done. The cause of death was listed as "pneumonia" in state Health Department records.

The Health Department cited Mr. Leaseburge's death in January 1999 when it threatened to decertify Weber Health Care. The state faulted the center for not quickly alerting a doctor or charting what happened to the 41-year-old man. "There was no clear picture of what happened before, during and after" the emergency, the department report states.

The state dropped its threat to decertify Weber after managers trained employees to keep more complete documents and to notify doctors in a more timely manner.

Weber Health Care Center officials won't comment.

"As far as I knew, he was getting as good a care at Weber as he got anywhere else," says Mr. Leaseburge's mother, Shirley Leaseburge of Port Orange, Fla.

She says her son developed seizures at a very early age and rarely spoke as an adult. "He made very little sound, even when he was hurt or something was wrong."


 
Inside the Report
Failing the fragile
Ohio is supposed to care for 63,000 people with mental retardation — but the system is failing.

Twelve who died
Our investigation found a dozen questionable deaths — and there could be more.

Unequal system
The kind of care mentally retarded people get depends largely on where they live.

Who is accountable?
The agencies and departments charged with enforcing minimum standards of care.

Slow reform
The agencies and departments charged with enforcing minimum standards of care.

Take control
How to make sure a person with mental retardation is well cared for and safe.

Photographer's album
A visual journey into the lives of Ohio's mentally retarded.

Ohio's Secret Shame

Part 1Part 2Part 3

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