Articles Posted in Selecting a Nursing Home

In a recent Baltimore nursing home abuse and neglect blog post, our lawyers discussed the Mickey Rooney’s recent role as elder abuse advocate, in his passionate testimonial before Congress last month, sharing his own experiences of elder abuse, and how the 90-year old was left without food, medication and had $400,000 of his life savings embezzled by a stepson and stepdaughter.

As Rooney told the Senate subcommittee, elderly financial abuse is a huge problem that happens to 3.5 million Americans every year, including him. According to MSNBC, a 2009 study performed by MetLife Mature Market Institute estimated that financial losses from elder abuses across the country are around $2.6 billion annually at the least. The study found that financial abuse of seniors is a hugely under reported problem with only one in six cases ever reported.

Elder financial abuse can take place anywhere—at a nursing home or healthcare facility, where a nurse or staff member abuses a resident by gaining money, jewelry, personal possessions or even power of attorney, or within families, where certain members feel they have entitlement to their parents, or grandparents’ money and estate and find opportunities to take control of it. Older and vulnerable people are also often taken advantage of financially by complete strangers, or con artists who befriend older people through random contacts, the Internet, or even over the phone.

According to Paul Greenwood, the head of San Diego County District Attorney’s Office-elder abuse prosecutions unit, elder abuse takes place in every community and could get worse in the next five to ten years as the baby boomer generation ages. Greenwood claims that in order to find out about abusers in the community, it requires important people like bankers, healthcare providers and church members to step up and report any suspected abuse that might indicate the financial exploitation of an elderly person or nursing home resident.

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As Maryland nursing home abuse attorneys, we recently read about the developments in a nearly decade-old case involving the abuse and rape of a 94-year-old female resident at a Palo Alto, California nursing home in 2002.

According to the Mercury News, 43-year-old Roberto Recendes recently pleaded guilty to one count of elder abuse, one count of sexual penetration by force, and also pleased guilty to an enhancement of inflicting bodily injury. Recendes is expected to be sentenced to 17 years in prison in December.

This 2002 California nursing home abuse case reportedly received national attention, when high school student Jorge Hernandez was arrested by the police in Palo Alto, and made to confess to the crimes. Hernandez was later cleared, due to DNA evidence.

In 2004, when Recendes was convicted of domestic violence charges, his DNA sample was taken. It was then later matched to the DNA found at the nursing home rape crime scene.

At the preliminary hearing for Recendes, an old girlfriend identified jewelry belonging to Recendes that was discovered at the crime scene of the rape, and a crime laboratory expert stated that two hairs found on the nursing home abuse victim’s blankets matched with Recendes’ DNA.

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Our Baltimore nursing home attorneys have been following the recent news release that the state of Maryland is slated to collect around $1.7 million in grants by the U.S. Department of Health and Human Services (HHS), to help disabled people, seniors, and their health care givers to better comprehend and explore their long-term health care options.

The Maryland grants are reportedly being distributed by HHS as part of a new program under the Affordable Care Act. HHS Secretary Kathleen Sebelius announced yesterday that under the act, around $68 million in grants will be awarded to states, tribal and community-based organizations, and territories across the country.

Sebelius stated that the Affordable Care Act will help to give individuals more power to make decisions about finding quality health care in nursing homes or rehabilitation facilities— to improve the level of care, and reduce the cost.

The national funds will reportedly be used for programs that will aim to help disabled people and the elderly and their families and caregivers to better comprehend their benefits under Medicaid and Medicare. The grant money is also intended to help seniors and disabled individuals to better understand their long-term health care options, including those that help people to remain with in nursing homes, and those to help ease the transition for people who are moving back to their home residents, after residing in a nursing home or rehabilitation facility.

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In recent Maryland Nursing Home News, the state has received the results of the 2009 National Healthcare Quality Report, first ordered by Congress in 2003, to monitor the quality of healthcare, including nursing homes across the country.

The report is published by the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality, and according to the study, the overall the quality of Maryland’s health care rates between weak and average.

According to the Ethan Moore, the Health Policy Director of the Health Facilities Association of Maryland, Maryland nursing homes reportedly provided “expert care” in the 2009 study, but the critical issue Moore expects to arise in Maryland’s future is providing the projected explosion of the 65-year and older adult residents with proper Maryland nursing home healthcare and safety in the next twenty years.

Moore stated that Maryland has neither the budget nor capacity to take care of this future increase of seniors in nursing homes—but hopes that the state can find a solution to provide residents with quality care nursing homes and communities that are free from nursing home abuse and neglect in the future.

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A recent report that our nursing home abuse and neglect attorneys have been following gives an expert recommended list of ten top considerations for choosing nursing home care.

• Discuss with the resident what their goals and expectations are proactively, before the resident goes into the home. Also discuss the diagnosis with health-care providers to determine what kind of care is needed: from a nursing facility, to community based-care, long-term care, or other possible institution options.

• Always start looking for an establishment that is close to family and friends, so visitation is easy and accessible.

• Search the Nursing Home Compare Website, which lists Medicare-and Medicaid certified facilities with Five-Star ratings that compare national quality standards on short-term as well as long-term care.

• Always meet with the administrator, to discuss care planning, safety systems, wander alerts, specialized services, policies and the cost. Also ask about policies on physical and chemical restraints, as well as the nursing facilities’ history of bedsores or decubitus ulcers.

• Visit the home at least twice to check the level of care—both at busy times, as well as times when the staff is less busy. Try to witness the level of care during mealtimes, as well as early evenings, or just before a staff shift change.

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In a related post from last week, our Maryland Nursing Home Injury Lawyers discussed the importance of researching the up to date results on recent inspections when choosing a nursing home in the state of Maryland, especially with regard to complaints and deficiencies in homes that can lead to nursing home negligence, abuse or personal injury.

The American Association of Retired Persons (AARP) stresses the importance of having nursing home performance data available for consumers, and how important it is to rate facilities based on recent inspections. Many states electronically post “report cards” of various types for consumers to access.

The Maryland Health Care Commission’s Maryland Nursing Home Guide is a rating resource that covers specific information on facilities such as quality measures, deficiencies, recent state inspections, and bed counts, as well as family satisfaction surveys. The guide offers a look at more than 200 nursing facilities and 34 Continuing Care Retirement Communities (CCRCs). This service allows visitors to compare and contrast information on each facility, review quality measures, inspections results, and quality indicators.

The Nursing Home Compare website ranks around 16,000 Medicare and Medicaid-certified national nursing homes on a Five-Star Quality rating system that compares the quality standards on short-term as well as long-term care. The U.S. Nursing Home Information & Registry from Member of the Family.net also reports on 16,000 homes by the state, for survey ratings, complaint information and reports of repeat violations.

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In a previous post from this week, our Maryland Nursing Home Attorneys reported on basic planning tips for families searching for the right nursing home environment that promotes proper care, protects the health and safety of the resident, and is free from nursing home neglect and abuse.

One recommendation was for families to search Nursing Home Compare, the database from the from the U.S. Department of Health & Human Services’ Centers for Medicare and Medicare Services (CMS), that ranks around 16,000 Medicare and Medicaid-certified nursing homes in the country on a Five-Star Quality Rating.

The Five-Star Quality Rating was developed to help residents, families, and caregivers compare nursing facilities by giving them a snapshot of the current status of health inspections, staffing for each nursing home, and quality measures. This rating system developed as a direct result of the continued efforts made since the nursing home reform law enacted in 1987, the Omnibus Reconciliation Act (OBRA ’87).

The Nursing Home Compare Website uses this quality rating system to give each nursing home a score ranging from one to five stars. One star gives a much below average quality ranking, whereas a five star rating gives a much above average quality ranking.

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Our nursing home attorneys have been following a recent report covering the importance of choosing a nursing home in the Maryland and the Washington D.C. area. Choosing a nursing home should be a carefully thought out process, carried out by family members who have a clear sense of the patient’s wishes. Unfortunately, families often have a limited amount of time in which to make this decision, often 48 hours or less—when a family member is about to be discharged from the hospital, and is on the path to needing nursing home care.

The report recommends basic planning tips from experts, so that families on deadline can make the right choice and find the right nursing home environment that provides proper care, promotes resident rights, and is free from nursing home neglect and abuse.

Sarah Wells, the executive director of The National Consumer Voice for Quality Long-Term Care (NCCNHR), a Washington-based nonprofit organization that represents consumers looking for long-term care, stressed the importance of discussing nursing home care expectations—if a family member becomes unable to care for themselves at any state or age of life—so there is a clear understanding of the resident’s preferences and priorities. Wells suggested talking about the most important issues of the nursing home care experience, like meals, music, proximity to family members, and visitor accessibility.

Because many important long-term care nursing home decisions are made in a matter of days and not weeks, many decisions become chaotic and hasty. Families are encouraged to use resources like the federal government’s Nursing Home Compare Website and state nursing-home ombudsmen for advice and data. Wells recommends that families should try and visit a nursing facility at lease twice, and compare the ratings and reports to what they actually experience.

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Our attorneys at Lebowitz and Mzhen Personal Injury Lawyers, have recently read a study on nursing home residents with advanced dementia, published in the October 15, 2009, issue of The New England Journal of Medicine. According to the report, dementia is not just a disease of the mind, it is a physical illness as well—a leading cause of death in this country, and should be recognized as a terminal illness that requires high quality palliative care.

The report, led by Dr. Susan L. Mitchell from the Hebrew Senior Life Institute for Aging Research in Boston, studied 323 nursing home residents with advanced dementia and their families, in 22 different homes over a period of 18 months. The goal was to better understand the clinical complications of dementia and the families’ comprehension of the dementia prognosis, in order to make the right decisions in patient placement—reducing pain, suffering and nursing home injury and neglect in the final stages of life.

Patients with advanced dementia experience severe memory loss, have difficulty speaking, are restricted to the bed, and are totally dependent on others for care. The report argues that because dementia is consistently not recognized as a terminal illness, patients with advanced dementia are not being diagnosed as high risk for death, and are receiving poor palliative or nursing home care.

Mitchell argues that families need to clearly understand the prognosis of advanced dementia as a terminal illness, and the complications to expect, so patients can receive proper advanced care—like access to a high quality hospice, or improved skilled nursing home services. The goal, states the report, is to avoid patient suffering and pain, as well as nursing home negligence, due to lack of skilled nursing home services and supervision.

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