Articles Posted in Assisted Living Facilities

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DSC_0761-300x199Chronic nursing home abuse that results in frequent trips to hospitals and intensive care units is a problem in San Diego County and throughout Southern California. According to a recent article in the Compton Herald, a chronic nursing home neglect case in Inglewood highlights the risk of serious injuries in particular facilities and the threat of continuing healthcare violations. In the recent case, the facility, Centinela Skilled Nursing & Wellness Centre, is one of numerous facilities owned by the Los Angeles billionaire Schlomo Y. Rechnitz, which are operated under the chain name of Brius Healthcare Services and have already came under scrutiny in 2016. Does the recent case suggest that Southern California residents need to be wary of this healthcare chain? What can family members do to help prevent nursing home abuse and neglect?

Details of the Recent Nursing Home Abuse and Neglect Case

As the article reports, a Southern California woman was admitted into the Centinela Skilled Nursing & Wellness Centre in Inglewood, where she was supposed to obtain rehabilitative services after being discharged from the Centinela Hospital Medical Center. While in the hospital, the patient had received care for about six weeks for “a severe body infection.” When she enters Centinela Skilled Nursing, her family members indicated that she was “progressing steadily,” recuperating from the infection that required her hospitalization. However, when the family visited her at the nursing facility a short time later, they found her “sitting in a wheelchair in a seemingly catatonic state, trembling uncontrollably, mumbling jibberish with her eyes rolling back in her head.”

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zdunbsai3p0-geo-darwin-300x225When many of us think about nursing home abuse or neglect in Carlsbad, California, we imagine scenarios in which patients have clearly been subjected to inadequate care. Yet nursing home neglect can be much more insidious, particularly when it involves malnutrition. What is malnutrition, exactly? An article in the Huffington Post clarifies that malnutrition simply refers to “insufficient food intake compared with nutrition requirements.”

As a recent peer-reviewed article in Current Opinion in Clinical Nutrition & Metabolic Care explains, “malnutrition in the nursing home is increasingly recognized as a major international research priority, given the expanding geriatric populations, serious consequences, and challenges conducting research in nursing homes.” What do you need to know about the connections between nursing home neglect and malnutrition in Southern California?

Learning More About Malnutrition Among Elderly California Residents

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tuyyno_vdp0-sam-wheeler-300x199If you have an elderly loved one who recently required care in a hospital and now will need long-term care in a nursing home in Escondido, how do you know which facility will provide the best quality of care and does not have a history of nursing home abuse or neglect? According to a recent article from NPR, a potential change to the rules concerning Medicare and hospitals’ rights and responsibilities toward patients could mean that more hospitals, which often see elderly patients in Southern California and throughout the country, could provide helpful information to families struggling to select a quality nursing home in their budget.

Hospitals Required to Provide ‘Unrestricted’ Information About Nursing Homes

Up to this point, why have hospitals in San Diego County avoided giving patients and their families information about certain nursing homes that they believe can provide quality care? The article explains that “hospitals have long been reluctant to share with patients their assessments of which nursing homes are best because of a Medicare requirement that patients’ choices can’t be restricted.”

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Sitting_Room_At_The_Braeside_Home_In_Preston_Ontario,_1947_(5933797538)According to a recent report from U.S. News & World Report, nursing homes in California, including in San Diego, may rank better than facilities in other parts of the country. However, just because a nursing home makes the list for having the highest number of high-quality nursing homes, according to a recent article in Senior Housing News, that fact alone does not necessarily correspond to the state having a particularly high percentage of high-quality facilities. If you have a loved one who currently resides in a nursing home in Southern California, or if your aging parent soon may be moving into an assisted-living facility, it is important to understand what nursing home rankings do (and do not) mean.

What can we learn about the quality of California’s nursing homes from the report in U.S. News & World Report? What other issues do we need to take into consideration when evaluating the quality of a particular nursing home and the risks of nursing home abuse?

Rankings for High-Quality American Nursing Homes

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454px-The_PhotographerIf you have an elderly loved one in a San Diego nursing home, should the prevalence of sex offenders within the facility impact how you gauge your relative’s personal safety and risk of nursing home abuse? We are not referring to convicted sex offenders who are working at nursing homes or assisted-living facilities, but rather convicted sex offenders who themselves are seniors and require attention in a facility designed for the elderly. Do such situations increase the likelihood of elder sexual abuse in the nursing home setting?

Notifying Nursing Homes About Residents on the Sex Offender Registry

A recent article in the Dayton Daily News raised this question, pointing out that in California the law requires the Department of Corrections or another agency to notify the nursing home if a person who is listed on the sex offender registry plans to move into a care facility. In the event that a government agency does not report this information, it is up to the offender to self-report that she or he is on the sex offender registry. In addition, nursing homes in San Diego and across the state are required to “notify all residents and employees,” according to the article. But are those steps sufficient to protect other residents from the risk of elder sexual abuse? On a related note, does the risk of being a victim of elder sexual abuse increase when an elderly person on the sex offender registry moves into a nursing home?

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Patch_of_the_San_Diego_Police_DepartmentLaw enforcement officials are often in a unique position to recognize signs and symptoms of elder abuse in the San Diego area. Yet, as an article from In Public Safety points out, police officers frequently are not sufficiently trained in recognize nursing home abuse and neglect, and as such they inadvertently miss the symptoms that could help to prevent future injuries and, in some cases, deaths. Since nursing home abuse cases also can coincide with calls concerning assault and domestic violence, it is important for law enforcement officers to be trained to recognize the signs of elder abuse.

Getting Law Enforcement Officials in California Involved in Elder Abuse Awareness

One of the first things we can do, the article suggests, to change the ways in which police officers evaluate whether someone has been the victim of elder abuse is to require specific training about nursing home abuse and neglect. In our state, the California Department of Social Services (CDSS) does have required training for mandatory reporters, but not all law enforcement officials understand the extent of elder abuse in the community and the ways that we can work together to help prevent it.

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799px-Alcohol_bottles_photographed_while_drunkHow broad is the term nursing home neglect? For instance, when a senior has a problem with drug or alcohol abuse and lives in a nursing home or an assisted-living facility in Southern California, does the facility have a duty to prevent the senior from obtaining potentially harmful substances? And if the facility knows about a history of drug or alcohol abuse and does not take precautions to limit a senior resident’s access to alcohol or prescription drugs, can the nursing home be responsible for injuries that occur? According to a fact sheet from the National Council on Alcoholism and Drug Dependence (NCADD), it can be difficult to recognize signs and symptoms of substance abuse among older adults.

Should we be able to expect that facilities will look into signs and symptoms of substance abuse among elderly residents? And if a facility in San Diego already knows that one of its residents has a history of drug or alcohol abuse, what must it do differently in other to avoid allegations of nursing home negligence?

Difficulty Identifying Senior Residents with Substance Abuse Problems

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Q2191986_noun_108043_ccNicolasVicent_elderly.svgWhen you have a loved one residing in a San Diego nursing home, it is extremely important to think about how the facility is managing fall risks. According to a fact sheet from the Centers for Disease Control and Prevention (CDC), millions of seniors suffer injuries from falls each year, and about 25% of the elderly population will fall in any given year. As the CDC points out, about 20% of those falls among seniors result in serious injuries such as a traumatic brain injury (TBI) or broken bones. More than 800,000 older adults require hospitalization because of a fall-related injury each year, and around 300,000 seniors need to be hospitalized specifically because of a hip fracture. All in all, approximately 2.8 million elderly adults are treated in emergency departments each year due to falls. Of those seniors who get hurt, about 1,800 die as a result of their injuries.

Since falls are so common among older adults, and given that they often result in serious injuries, what should nursing homes do to help prevent falls from happening? If nursing facilities in San Diego do not take proper precautions when it comes to fall prevention, can they be liable for nursing home neglect?

Nursing Home Falls Occur in Many Different Contexts

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Very Old LadyIs the quality of life improving for Southern California residents in assisted-living facilities? And if so, how much attention do we need to pay to the risks of nursing home abuse and neglect in these communities if a majority of seniors say they are content? According to a recent article in McKnight’s Senior Living, “residents of assisted living communities in California are very satisfied with their living situations” on the whole. While this is good news for many elder justice advocates in the state, we should not let it obscure the fact that there remain a number of seniors who are not satisfied with their living situations and who become victims of elder abuse.

Although the recent article presents promising data on elderly assisted living in the state, we still need to consider the risks to California seniors who do not fall into this depicted majority.

Many Seniors in California are Indeed Happy, Survey Says

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DSC05005Do you know enough about restraints in nursing homes and the importance of restraint-free care? According to a fact sheet from the California Advocates for Nursing Home Reform (CANHR), we as a society used to believe that the use of restraints was acceptable in nursing homes for elderly adults and those with disabilities. Yet the use of restraints in nursing homes is very dangerous, and it may rise to the level of nursing home abuse. As the fact sheet highlights, restraints “often entail more risks than benefits,” and recent studies “recommend more dignified methods to improve residents’ safety.”

Yet, as the CANHR fact sheet illumines, many nursing homes and assisted-living facilities continue to use unnecessary restraints, putting patients at risk of physical harm. And on the whole, California nursing homes, in particular, may be particularly heavy-handed in their use of unnecessary restraints. The fact sheet notes that “California nursing homes use physical restraints at a rate about fifty percent higher than the rest of the nation.” What else do you need to know about restraints and helping your loved one to obtain restraint-free care in a skilled nursing facility in San Diego?

California and Federal Law Prohibits Unnecessary Restraints

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