Articles Posted in Elder Abuse

Elder advocates and those who work tirelessly to prevent nursing home abuse can be involved in many different professions, including medicine. According to a recent news release from USC News, geriatrician Laura Mosqueda is a “leader in the study and prevention of elder abuse,” and she’s continuing to work toward the prevention and early detection of elder neglect in California. Mosqueda is currently the director of the National Center on Elder Abuse (NCEA), and she hopes that her work in Southern California will have lasting impact on older throughout the region.6240576176_62b88ae159

Interdisciplinary Work to Prevent Elder Abuse and Neglect

One of Mosqueda’s focuses in the prevention and detection of elder abuse and neglect is taking an interdisciplinary approach to the problem. Sometimes we think of elder abuse prevention as a job that falls within the realm of community advocates or healthcare professionals who have daily contact with older adults. And sometimes we note that dedicated San Diego nursing home abuse attorneys play an important role in holding abusers accountable. But Mosqueda has worked to bring together elder advocates in multiple fields and professions on behalf of the elderly community.

According to a recent article from Kaiser Health News and NPR, proposed federal rules are aiming at “modernizing” nursing home safety requirements across the country. What does modernization mean in this context? Given that the proposal contains “hundreds of pages of proposed changes,” which “cover everything from meal times to use of antipsychotic drugs to staffing,” it looks like modernization would require quite a bit of effort. In all likelihood, such modernization is deeply needed to help prevent nursing home neglect at facilities in California and throughout the nation.

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Better Technology Requires Revision to the Rules

If approved the proposed rules will require nursing homes comply in order to qualify for payments from Medicare and Medicaid. Medicare officials also think it’s time for a change. According to Dr. Shari Ling, the deputy chief medical officer for Medicare, “the existing regulations don’t even conceive of electronic communications the way they exist today.”

When the costs of nursing home care are too high to provide families with seemingly decent options, do the risks of nursing home abuse and neglect become more prominent? According to a recent article from The Associated Press, elderly Americans are realizing that, if they require care in a nursing home, they’ll quickly outlive the amount of money they’ve managed to save. Indeed, “for the two-thirds of Americans over 65 who are expected to need some long-term care, the costs are increasingly beyond reach.” But will lower-cost options result in a lower quality of care?5846273434_ffcbff26a6

Unreachable Costs of Care

How much does it cost to receive long-term care? According to the article, “the median bill for a private room in a U.S. nursing home now runs $91,000 a year,” and “one year of visits from home-health aides runs $45,760.” Those numbers are even higher in California.

The Centers for Medicare & Medicaid Services (CMS) recently proposed a rule forbidding nursing homes from “requiring residents to sign binding arbitration agreements,” and according to a recent article in Modern Healthcare, the rule is “long overdue.” While California currently requires nursing homes to use only voluntary arbitration agreements—something that the American Health Care Association has been seeking—even voluntary agreements can pose problems for nursing home residents in the event of an elder abuse claim.6337308344_52480361a7

Are Voluntary Agreements Always Voluntary?

To have a better understanding of why even voluntary arbitration agreements might not be so great, it’s important to recognize why nursing homes and other facilities use them in the first place. In short, they “help nursing homes avoid costly litigation.” In other words, if a patient (or her family) thinks about filing a nursing home neglect lawsuit, an arbitration agreement can prevent her from doing so. Instead, she’ll have to go through arbitration. And many arbitration agreements—even voluntary ones—appear amidst a lot of other paperwork that appears when a patient enters a nursing home.

According to a recent article in the Orange County Register, Kerri Kasem has been heavily involved in a campaign against elder abuse that aims to both educate the community and change the laws on visitation. Kasem is the daughter of Casey Kasem, the radio personality who passed away last June. Given Kerri’s concerns that her father was suffering elder abuse at the hands of his wife, Kerri began campaigning for elder abuse awareness in California.9736400153_2289e66888

Family Caregivers Can Be Responsible for Abuse

Back in 2013, Kerri Kasem’s father had been suffering from Parkinson’s disease and was recently diagnosed with Lewy body dementia. He had previously been residing in a nursing home, but his wife, Kerri’s stepmother, soon became his sole caregiver. At that time, Kerri’s stepmother prevented any of Casey’s children from seeing him, and she cut off the former radio personality’s contact with the outside world.

According to a recent story from ABC 7 Eyewitness News Los Angeles, “California’s largest nursing home chain has come under fire from government regulators, facing a flurry of citations and penalties.” Indeed, Brius Healthcare Services will have to account for the numerous elder abuse allegations against its facilities across the state.341653009_14c3f29e39

Serious Violations in Brius Health Services Facilities

Over the course of the past year, Brius facilities have been investigated by the police, they’ve been sued for nursing home abuse, and they’ve been the target of investigations conducted by state and federal agencies that have issued violations. The company has 81 facilities in California, and they cover a wide expanse of the state. Indeed, the facilities stretch from “San Diego to Roseville to Eureka.”

According to a recent article in the Courthouse News Service, a California senior’s family filed an elder abuse lawsuit against “the nation’s largest nursing home chain” after the patient was accidentally given a fatal dose of morphine. The victim, Jonathan Bell, had been a dialysis patient at American River Center in Sacramento when his nurse mistakenly administered the morphine. Bell’s family has alleged that the nursing home “refused to let an ambulance take the catatonic man to a hospital” after the medical mistake occurred. Bell died the following day.1921401904_b3e2bdfd81

Nursing Home Concerned About Sanctions

Why wouldn’t staff members at American River Center allow an ambulance to take Bell to the hospital for care? His daughters argue that “the nursing home feared sanctions for giving him the wrong treatment and tried to cover up its mistake by letting Bell remain in a catatonic state for more than 24 hours without medical attention.” Indeed, according to the family’s lawyer, “they tried to bury their mistake and buried his life.”

When emergency medical responders receive a call to a nursing home or assisted-living facility, they may be in the best position to identify signs and symptoms of elder abuse. According to a recent article from ABC 7 KRCR News, “paramedics and first responders are sometimes the first to notice something is wrong.” As such, they can help to ensure that victims of nursing home abuse can receive they help they need.red-cross-29930_1280

Training Paramedics to Look for Signs of Neglect

A recently reported case of elder abuse in Redding has led to an increased emphasis on paramedics and their unique position to identify signs of elder neglect. To be sure, according to Mark Belden, an operations manager for American Medical Response, when paramedics enter the home of an elderly adult, they’re “trained to look for signs of neglect.” Under California law, paramedics must report suspicions of elder abuse or neglect, but it’s important that these first responders have the necessary training to know what they’re seeing.

Back in September, we discussed a federal lawsuit concerning nursing home abuse in Watsonville. According to a recent article in the San Jose Mercury News, the leaders of those two Watsonville nursing homes involved in the suit have agreed to a $3.8 million settlement. The lawsuit alleged that the owners “provided ‘substandard or worthless services,’ overly medicated residents, and submitted false Medicare and Medicaid claims.”2189387168_cc27c053e0

Background of the $3.8 Million Nursing Home Abuse Settlement

Filed eight months ago, the lawsuit alleged gross misconduct related to elder abuse and neglect. Now, almost a year later, the leaders of those Watsonville nursing homes have agreed to settle the case. The facilities include Country Villa Watsonville East (now renamed as Watsonville Nursing Center), and Country Villa Watsonville West Nursing and Rehabilitation Center (now renamed as Watsonville Post-Acute Center). Other named parties included the CF Watsonville East, LLC, CF Watsonville West, LLC, and the entities overseeing the finances and nursing home management of the facilities.

When you learn that an elderly loved one has died while in the care of a nursing home or assisted-living facility, you may suspect that she didn’t receive the proper treatment. In some cases, however, it’s difficult to discern whether an older adult suffered injuries as a result of medical negligence or because of elder abuse.6811278733_eca62c5091

In California, nursing home abuse and neglect is a serious problem throughout the state. At the same time, medical malpractice can occur in a variety of healthcare settings, including nursing homes. According to a recent article in the National Law Journal, differentiating medical negligence and elder abuse cases can be complicated in California.

Characterizing a Healthcare Provider’s Actions

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