Articles Posted in Resident Safety

October is Long-term Care Residents’ Rights Month, a time to celebrate the rights and dignity of people living in nursing homes. Thanks to strong legislation and regulations, nursing home residents have a legal guarantee of certain protections against abuse and neglect. Residents do not give up their rights as adult citizens solely by virtue of entering a nursing home environment. All nursing homes participating in Medicaid and Medicare must respect the rights covered by this law.

Congress passed the 1987 Nursing Home Reform Act after a study conducted by the Institute of Medicine found alarming rates of inadequate care, abuse, and neglect in nursing homes around the country. The Institute recommended a wide range of reforms that became law as part of a budget bill. The law aims to protect the physical, mental, and psychosocial wellness of nursing home residents by requiring nursing homes to provide certain services and creating a “Resident’s Bill of Rights.” Nursing homes must comply with the law in order to remain eligible to accept Medicare and Medicaid payments. Laws passed in 2010 expand on the rights protected by the 1987 law.

Nursing homes are required by this law to provide each resident with a personalized comprehensive care plan, along with periodic assessments of their care. They must provide nursing and social services, as well as rehabilitation and the ability to dispense prescription medications. Facilities with more than 120 beds should employ a full-time social worker to assist residents.

The Residents’ Bill of Rights lists numerous rights protected by federal law. These include:
– Freedom from abuse, neglect, or restraint;
– Privacy;
– Dignity;
– A clean and safe environment;
– Accommodation of particular medical and other needs;
– Communication and visitation with others;
– Participation in one’s care plan and frequent updates regarding one’s health condition;
– Complaint without fear of retribution;
– Control of one’s own finances, if possible; and

– Refusal of treatment when desired.

The Nursing Home Reform Act created an enforcement procedure that begins with routine inspections by state governments to review a nursing home’s certification. Surveyors may also investigate specific complaints or allegations, reviewing the amount of danger faced by residents and the likelihood that the alleged incident might occur again. One serious consequence of non-compliance with the law involves loss of Medicare and Medicaid eligibility. The law allows penalties ranging from remedial training for staffers to state management of the nursing home or outright termination of the home’s provider agreement with the state.

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Recently, our Baltimore nursing home abuse blog discussed the financial abuse of elders–a hugely under reported problem affecting around 3.5 million seniors around the country every year.

In recent nursing home abuse lawsuit news, a 68-year-old retired preschool teacher has sued a Seal Beach nursing home for elder abuse, alleging that as a resident, she was chemically restrained with drugs against her will, while the nursing home staff tried to take control of her retirement income.

According to the lawsuit, Marsha Davis lived in her own home until November of 2010, and suffered from many health issues, including diabetes. After collapsing at her home In the fall of 2011, Davis was reportedly hospitalized and then transferred to the Country Villa nursing home, for a three-month stay.

Davis alleges that while residing at the home, she was medicated with psychotropic drugs for chemical restraint against her will—allegations that were reportedly found to be true by state investigators in February. The lawsuit claims that after she was medicated to the point of being entirely disorientated, the nursing home stated that she was suffering from “cognitive impairment” and tried to collect her Social Security payments.

Although Davis has no immediate family members to act as an advocate on her behalf, a friend of hers reportedly intervened, and the medication was stopped. Davis was later transferred to another home where she remains today.

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As our Baltimore, Maryland accident lawyer blog recently reported, the family of an elderly nursing home resident whose wrongful death lead to a nursing home abuse and negligence lawsuit, was awarded $91.5 million earlier this month, after a Charleston, West Virginia jury found Heartland of Charleston nursing home and its corporate owners guilty of negligence—a verdict that the nursing home owners are likely to appeal.

According to the lawsuit, in September of 2009, Tom Douglas placed his mother Dorothy, who suffered from dementia, Parkinson’s and Alzheimer’s disease among other conditions, in Heartland of Charleston nursing home temporarily—until there was room for her in a nearby facility that specialized in Alzheimer’s disease healthcare and treatment.

Before placing Douglas in the home, her son claimed that his mother had lived with he and his family, experiencing improved health conditions that included walking, speaking and even recognizing her own family members.

Three weeks after Tom Douglas placed his 87-year old mother into the nursing home he reportedly found out that she was confined to a wheelchair, and suffered from malnutrition, and dehydration. By the time she was transferred to Heritage Center, the nursing home specializing in Alzheimer’s Disease healthcare, Douglas was reportedly unresponsive, had lost fifteen pounds and suffered such severe dehydration that she died the following day after her nursing home transfer.

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A fourth nursing home abuse and negligence lawsuit has been filed this week against the owners of a Kentucky nursing home complex, after a resident allegedly suffered from inadequate care when her healthcare rights and safety were reportedly threatened.

According to a news development from the Richmond Register that our Maryland nursing home attorneys have been watching, Viola Fields was a resident of Kenwood Health and Rehabilitation Center from the end of October until the beginning of December in 2010. James Rutherford, Fields’ guardian, claimed that Fields, who is incapacitated and not of a sound mind, did not receive the minimum standard of healthcare that should have been available to her as a vulnerable nursing home resident. Rutherford claims that the home violated her nursing home rights as a long-term care resident.

The lawsuit accuses Kenwood of nursing home negligence for failing to provide Fields with timely and accurate nursing home healthcare and medication assessments, proper resident supervision, necessary medical intervention, and from failing to prevent accidental injury. Kenwood is also being accused of medical and corporate negligence.

Rutherford claims that the nursing home’s wrongful conduct caused the rapid deterioration of Fields’ health and physical condition, and led to the direct development untreated pressure ulcers, wound infections, sepsis, pneumonia, urinary tract infections and weight loss. The lawsuit accuses the home of acting with fraud, malice, gross negligence and reckless disregard for the health and safety of Fields and her rights as a nursing home resident. Rutherford claims that because of these injuries, Fields experienced physical impairment, and suffered embarrassment, along with incurring significant medical expenses.

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In a recent Baltimore nursing home lawyer blog, our attorneys discussed a nursing home abuse incident involving a former nursing aide, where the worker reportedly removed the Fentanyl pain medication patch from an elderly resident in order to take the pain medication for her own personal recreational drug use.

According to the Atlanta Journal-Constitution, a local hospice nurse has been charged in a similar elder abuse incident, after being caught on a surveillance video taking narcotic pain medication from an elderly person in the patient’s home.

A family member of the elderly patient reportedly contacted the police about the possibility of elder abuse and narcotic theft, after noticing that the pain killers that were prescribed to the patient were taken. The nurse, Amy M. Armstrong, was reportedly arrested after agents working for the Cherokee narcotics squad observed her taking the pills. After Armstrong was arrested, she was allegedly found to have other pills in her possession including anti-depressants and pain killers.

Armstrong was charged with two counts of elder abuse, two counts of felony theft for taking the medication, and two counts of possession of controlled substances.

The National Center on Elder Abuse states that elder abuse is the knowledge of or intentional act of negligence by a healthcare provider or any other person who causes harm or risk of great harm to a vulnerable senior in a physical, emotional, or sexual way, including exploitation and abandonment.

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In an effort to help seniors and families better evaluate and choose the right nursing home, the federal government has recently improved the Nursing Home Compare website, according to a recent article in Forbes.

As our Maryland nursing home injury blog has previously discussed, the Nursing Home Compare website is a web service listing around 16,000 Medicaid and Medicare-certified nursing homes around the county on a Five-Star Quality rating system—that compares and contrasts the quality standards on both short-term and long-term care.

The newly improved Nursing Home Compare website will reportedly feature 21 new criteria that help to measure the quality of care each resident will receive at different nursing homes and facilities around the country. The government will now include valuable experience from nursing home patients in both short-term and long-term care facilities, making it available on the website. It will make any complaints about a nursing home available, such as nursing home negligence or abuse, providing the necessary information.

The Nursing Home Compare’s new criteria will replace a set of 17 criteria and will focus on the specific and crucial issues affecting nursing home residents today, like pressure sores, infections, nursing home falls, pain, and general health and well being. The new criteria will also discuss the different percentages of nursing home residents who have experienced physical restraint, claim to have experienced pain that is severe to moderate, and who have been given vaccine for pneumonia.

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In recent nursing home abuse news that our Baltimore, Maryland attorneys have been following, two former nursing aides in a Northern California nursing home were sentenced to a twenty day county jail sentence for allegedly organizing a prank for other workers by rubbing eight dementia nursing home patients with ointment to make them slippery to care for.

According to the Ukiah Daily Journal, Jennifer Louise Burton and Monica Rose Smith were found guilty of masterminding the nursing home abuse incident at Valley View Skilled Nursing facility in 2009, receiving a twenty day county jail sentence and two years probation for misdemeanor charges of elder abuse. Douglas Parker, Deputy District Attorney claimed that the elder abuse convictions and the fact that their nursing assistant licenses have been revoked by the state will ensure that the producers of this prank will on longer have the opportunity to work in a position of trust at a skilled nursing facility in the future.

The nursing home abuse incident reportedly occurred in November of 2009, and was investigated by then-Attorney General Jerry Brown, after he received an alert about the abuse by another nursing home operator. The company reportedly instantly fired six employees—Burton and Smith, along with three other defendants, all five of which have had their nursing home licenses revoked. Jared Buckley, the third nursing home defendant was also charged with a misdemeanor for elder abuse, and two other nursing assistants were found guilty of failing to report the elder abuse. The sixth nursing assistant had the charges against her dismissed.

The dementia patients were reportedly not physically injured or harmed in the prank, but they were unable to object to their mistreatment or stop it because of their mental and medical conditions and limitations.

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The Mid-Hudson News Network has recently reported that a series of nursing home abuse investigations by the New York State Attorney General and the State Office Medicaid Inspector General has led to the discharges and surrendering of allegedly abusive and negligent registered nurses in Liberty and Rhinebeck, New York.

In one investigation, a Long Term Care Community Coalition report claimed that registered nurse Myrna Siegel, who was working at the Sullivan County Adult Care Facility, physically and verbally abused patients by allegedly holding residents down and calling them offensive names. In another case Siegel reportedly threatened a resident with death who was unwilling to take his medication. After the investigation, Siegel reportedly gave up her license.

In two other nursing home abuse and neglect cases investigated by the New York State Attorney General, Stephen Thomas and Christopher Post, two certified nurse assistants at Ferncliff Nursing Home, were involved in the nursing home fall of a 94-year old patient who broke his arm during the nursing home transport. Thomas allegedly asked Post to claim that he helped move the patient with him, as he was alone when the nursing home injury occurred. Both aides received unconditional discharges and surrendered their CNA certificates.

As our Maryland nursing home injury attorney blog has reported previously, according to the National Counsel on Elder Abuse and the NCCNHR, types of nursing home abuse often found in homes and facilities include physical, verbal, emotional and psychological, as well as neglect, abandonment, intimidation or exploitation.

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In a recent Hartford County nursing home lawyer injury blog, our attorneys discussed the problem of falls in nursing homes, with over 300,000 individuals over the age of 65 experiencing a hip fracture every year, often leading to injury or even death.

According to a recent University of Maryland School of Medicine study, hip fractures continue to be a major challenge among older individuals and will continue to grow rapidly as our population ages. The study discusses the opportunity available for the medical community to help prevent falls, by intervening and taking precautions with the elderly population.

The study recommends the following interventions:

• Screening for and treating osteoporosis in elderly patients, especially elder men who are rarely diagnosed for osteoporosis, even after an osteoporotic fracture.
• Nutritional interventions have proven to be effective in preventing hip fractures, including the appropriate levels of vitamin D and calcium, as the majority of elderly individuals who are at-risk for falls and fractures have a deficiency in key nutrients.
• Behavioral exercises that include physical activity encouraging walking, weight-beating activity and resistance training have been linked to the reduction of nursing home falls and fractures.

• Other prevention strategies to decrease falls include reducing the number of medications, especially sedatives, sleeping pills, antihistamines, or psychoactive drugs, as well as modifying an elderly person’s home to avoid fall hazards, especially with a person who has previously fallen or is at-risk for falling.

The study hopes that by implementing fall-related interventions, future generations of elderly individuals will be better able to handle the traumatic falls without injury because of better bone health and strength. Also, the study states that with continuing research, experts will be able to identify new approaches to the treatment and rehabilitation of individuals who have suffered from hip fractures in order to improve quality of life and reduce the problem of fall-related injuries on individuals, their families and on society as a whole.

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Our Baltimore nursing home injury attorneys have been following a recent University of Maryland School of Medicine study, published in the American Geriatrics Society’s Clinical Geriatrics Journal, stating that over 300,000 people over the age of sixty-five in the United States will experience a hip fracture every year, making it the second leading cause of hospitalizations for older persons.

As our attorneys discussed in a related Maryland nursing home blog post, traumatic injuries involving nursing home falls are a major concern for elderly individuals and seniors in nursing homes around the country. Hip fractures are frequently the result of a nursing home fall or minor trauma, or when the bone becomes fragile and deteriorated to the point that it cannot hold the weight of the person. By the year 2040, it is estimated there will be an increase of 500,000 annual hip fractures.

Hip fractures challenge the quality of life for older adults, as it can lead to mortality, restricted mobility, and decline in strength, lean body mass, and bone mineral density, as well as depression and constant pain.

According to the study, 18-33 percent of elderly patients with fractured hips will die within one year of their hip fracture, with 13.5 percent dying within the first 6 months. The study also found that those who survive the hip fracture will experience a reduction of mobility, and will have problems functioning on their own, with only 50-60 percent of hip fracture patients recovering their pre-injury walking capabilities in the first year following the fracture. Many of the patients who were completely independent in their daily activities were found to have developed new dependencies after the fracture of the hip.

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