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State legislatures understand that a significant number of cases each year arise out of nursing home negligence and nursing home abuse. Indeed, one recent study indicated that 10% of all elders suffer some kind of abuse in their old age. Because most older people end up at a nursing home at one point in their lives, a significant portion of these victims are victimized in nursing homes.

Florida’s Response to Increasing Nursing Home Litigation

The State of Florida recently passed Senate Bill 670, that changes the landscape of some nursing home cases. While the law has no practical effect in Maryland, it is a good guidepost to see what other state legislatures consider to be “problem areas” with current nursing home litigation.

The new bill tweaked several aspects of the existing laws in Florida, including:

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Last week, a nursing home resident in West Chester, Pennsylvania reported that she had been raped by a nursing home employee. According to a report by a local news agency, the woman reported that she had been raped on the Saturday morning following the Friday night attack. The incident, which occurred at Heritage Spring, is currently under investigation by both the police as well as by the nursing home’s management.

The nursing home has said that it intends to cooperate fully with police, and has even gone so far to remove all male employees from the schedule until the matter is resolved. The nursing home has also resubmitted all of the background checks for its employees, noting that they all came back clean.

The victim was immediately taken to the emergency room, where she was questioned about the attack and underwent a physical examination to confirm the event. She is doing as well as can be expected, given the circumstances.

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Two nursing home residents in North Dakota are alleging that the nursing home they resided in provided negligent care resulting in a Hepatitis C outbreak. According to a report by McKnight’s Long-Term Care and Assisted Living, forty-four residents in a 114-bed facility contracted the incurable disease. The residents filed the suit in a federal court in North Dakota earlier this month.

They allege that the nursing home’s negligent care, specifically foot and nail care, or blood work may have caused the outbreak. The plaintiffs are seeking certification as a class to continue as a class action and have claimed unspecified monetary damages. An attorney for the residents claims that even the most basic level of care could have prevented the outbreak.

The nursing home claims that the lawsuit is premature, as the cause of the outbreak is still officially undetermined. In a recent statement the nursing home claims to be “cooperative and proactive” about ensuring all protocol is followed in the wake of the outbreak. While that is true, the North Dakota Department of Health is conducting in thorough investigation into the cause of the serious outbreak.

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In truly disturbing news out of Ohio earlier this week, a Maryland man was convicted of abusing a patient after having unwanted sexual contact with a pregnant patient. He plead guilty to the charge and is now serving his sentence of 11 to 60 days in jail and 2 years of probation. He will also be forced to register as a sex offender for 15 years. According to a report by the Baltimore Sun, the man was a nurse in Ohio but was found and arrested in Maryland. He is serving time in an Ohio jail for the offense.

The man had a record of assaulting patients in Ohio. Back in 2012, at Fairview Hospital in Cleveland, he was accused of touching the breast of a woman during her delivery. He also forced her to touch his penis over his pants.

In the most recent case, the man initially plead not guilty to more serious charges, but accepted a plea bargain. He does not have any patient complaints, nor a criminal record, here in Maryland. It is unclear if the man was working as a nurse after the incident but before his arrest.

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Earlier this month in Pennsylvania, a nursing home employee was charged with the assault of an elderly patient for whom she was in charge of caring for. According to a report by a local news agency, the nursing home employee was employed by Guardian Elder Care Center.

The court documents indicate that the patient got into a fight with the nursing aide, and the aide eventually covered her face with a pillow, took some of her belongings, and the left her room. The aide responded that the patient was scratching and biting her, and she held down the patient to prevent injury to herself. She denies covering the patient’s face with a pillow.

The elderly patient, who suffers from dementia, did not suffer permanent injury although she was traumatized by the incident. Other patients in the nursing home have expressed their surprise that the aide lashed out the way she did, explaining “I’m shocked. I didn’t think she was, I didn’t think she was that type. She didn’t look like the mean type.”

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Earlier this month in New York, a nursing home caught fire and several of its residents had to be taken to the hospital. According to a report by the Riverdale Press, the Kingsbridge Heights Rehabilitation Care Center caught fire around 5:30 a.m. on March 9th.

Nearly 60 firefighters from the Fire Department of New York responded to the call, putting the fire out in just about 22 minutes. Two were taken to the hospital, one with life threatening injuries and another with more minor injuries. Only one of the injured was a resident of the nursing home, at the time of the story, it was unclear whether the severely injured victim was a resident or whether it was the non-resident.

A spokesperson for Kingsbridge Heights Rehabilitation Care Center explained that, “Representatives from the fire marshal’s office did come to inspect, and stated the staff should be commended.” However, the police are still investigating the cause of the fire and have not yet ruled out the possibility that it had something to do with the negligence of a nursing home employee or staff member.

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Nursing homes are not known for their stellar safety records. In fact, they are usually known by most for the exact opposite; for providing substandard care that can lead to resident injury and even premature death in some cases. A recent study administered by the Health and Human Services Department found that 22% of nursing home residents suffered some kind of preventable injury such as medication errors, falls, and infections.

According to an article by Modern Healthcare, one of the biggest problems for consumers about the nursing home industry is the lack of awareness of individual nursing home reputations. The article notes that the study suggests that nursing homes are subject to heightened government scrutiny and also create “a list of potential events to help nursing home staff better recognize harm; a review of nursing home practices by state surveyors; and encouraging nursing homes to report adverse events to patient safety organizations, among other measures.”

Others suggest that, in order to make a real difference in the quality of nursing homes, the number and types of safety incidents should be made public for each nursing home.

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Last month, nine people were arrested for their participation in the death of a 72-year-old nursing home patient in Long Island, New York. According to an article by CBS New York, several of those involved were charged with criminally negligent homicide, and the administrator of the nursing home was charged with covering up the death.

Back in October of 2012, the elderly victim was admitted into the nursing home after suffering from a bout of pneumonia. She was supposed to be in the nursing home for just six weeks and then return home. However, at some point in her stay her ventilator became unplugged. Employees ignored alarms for two hours and by the time they did show up, she had died.

The family of the woman was told that their loved one died of a heart attack. it was not until a whistle blower came forward and told the attorney general of New York what really happened that an investigation was conducted. Upon completion of the investigation criminal charges were pressed against seven employees.

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Last month in the Bronx, New York City, a male nurse was arrested for raping a 64-year-old female patient. According to a story by Gothamist.com, an employee at the nursing home spotted the nurse of top of a disabled 64-year-old patient around 1:20 a.m. The victim of the rape has dementia and is unable to speak. Her children told reporters:

It’s just heartbreaking, it’s horrible that this is happening to my mother… She was at the nursing home because my brother and I thought it was a safe haven for her, a safe place for her…

The victim’s family was contacted around 4 o’clock that morning, too their mother to a nearby hospital to have a rape examination kit completed. However, because the victim was unable to speak, hospital workers had a difficult time completing the kit, which must be completed within 72 hours in order to be of any evidentiary value.

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Across the country, nursing home medication errors are causing health problems among nursing home populations. According to a report by a local NBC affiliate out of Chicago, a recent inspection by state health inspectors discovered 384 nursing home medication errors since 2011. Two of these medication errors resulted in death and one required an otherwise unnecessary amputation.

One Person’s Story of Medication Error

The article details the story of a woman who moved her brother to a nursing home after he suffered a stroke and a heart attack and was unable to care for himself. While he was in the care of the nursing home, he developed gastrointestinal cancer. When he first began his course of treatment, he was reacting well to the medication and his condition was stabilizing.

Months later, her brother’s condition began to worsen. Later, the family discovered that the nursing home had not given him his required medication for over a year. By the time the error was caught, the cancer had spread throughout his body and was untreatable. He passed away shortly thereafter.

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