Articles Posted in Elder Abuse

Earlier this month, the California Department of Public Health fined a Sacramento nursing home for the choking death of a patient. The nursing home received an $80,000 fine after Mary Yip, an 86-year-old patient with swallowing difficulties, “choked on a piece of meat during a lunchtime outing with staff members,” according to the Sacramento Bee.

Choking deaths are very serious violations for which many nursing facilities in our state have been fined. Just a few months ago, we told you about a San Diego care center that received a $100,000 fine from the State of California. Nursing homes in Los Angeles County and Orange County have also been fined for choking deaths. If your elderly loved one has experienced nursing home abuse or neglect, it’s important to speak to an experienced nursing home abuse attorney as soon as possible.

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Details of the Serious Violation

Back in 2011, a Miami Herald investigation uncovered evidence of elder abuse and neglect in assisted living facilities across the state of Florida. Since then, politicians have been working to pass legislation to reform assisted living facilities in Florida. However, according to an article in the Miami Herald, the bill failed to pass again on the last day of the legislative session in Florida.

While this legislation (or the lack of it) would primarily affect residents in Florida, the state’s concerns about abuse and neglect in assisted living facilities are just as relevant here in California. Do you have a loved one who is currently in an assisted living facility? If you’re concerned about abuse and neglect in nursing homes or assisted living facilities in southern California, contact an experienced nursing home abuse lawyer today to discuss your case.

History of the Legislation

A West Virginia jury awarded $90.5 million in damages to a family who alleged nursing home abuse and neglect back in 2010. The nursing home has taken the case to the West Virginia Supreme Court once already, according to an article in West Virginia’s State Journal. And this time, they’re arguing that the state’s Medical Professional Liability Act (MPLA) should require the court to apportion damages in their favor.

This case could have important implications for nursing home abuse damages in California. While the West Virginia Supreme Court’s ruling won’t bind California courts, it may set the tone for the ways in which damages are approached and apportioned in nursing home abuse cases.

Details of the Nursing Home Neglect

A recent study in JAMA Internal Medicine confirmed that abused and neglected elderly persons face much higher risks for hospitalization, and not necessarily for injuries suffered as a result of their mistreatment. According to Dr. Theresa Soriano, an associate professor of medicine in geriatrics and palliative care in the Icahn School of Medicine at Mount Sinai, “It is understandable how a vulnerable older person experiencing abuse may fail to prioritize the prevention or care of their health conditions.”

Hospitalization rates especially tend to increase when elderly persons rely upon an abusive family member as a caregiver. They can miss medical appointments, adhere poorly to required diets and medication schedules, and they can experience increased stress and anxiety. As a result, all of these things can contribute to “poor control of any medical conditions and increased hospitalizations,” according to an article in Health magazine.

Details of the Study

Last month, a California nursing home abuse case was delayed when the defendant requested extra time to weigh her options for a plea deal. The California Attorney General charged Sylvia Cata with involuntary manslaughter for the death of a dementia resident in her care. Do you have a loved one in a nursing home or a private care facility? This case raises questions about the level of oversight from the California Department of Social Services (CDSS).

History of the Case

Cata operated “Super Home Care” out of her own home since the mid-1990s. According to an article in the Sacramento Bee, Cata’s home was located on “a dead-end street in Sacramento’s Gardenland neighborhood, a residential enclave flanked by tire shops, lube and oil joints, and a check-cashing store on the corner.” This description doesn’t sound like an ideal site for an elder-care facility, and the CDSS suspected as much.

We often hear stories about elder abuse in nursing homes, but there are other places where seniors face threats of abuse. Perhaps we don’t like to think about older adults being abused by their caregivers, but according to a recent report in US News, nearly 10 percent of adults over the age of 60 experience some kind of abuse, and “it’s often perpetrated by a victim’s own offspring.”

In the past few years, certain nursing homes have been taking action to help these elder adults to find a safe place for shelter, medication, and care.

What Kinds of Abuse Occur in the Home?

One of the rights addressed in the Nursing Home Residents’ Bill of Rights relates to the Quality of Life in the nursing home. An individual’s quality of life should not be diminished because he or she resides in a nursing home. Now, an individual’s opportunities to engage in all of the typical social activities in the community might decline because of health related issues, but the individual must still be permitted to engage in activities within the nursing home and community that he or she is medically and financially able to engage in.xmasinnursinghome.jpg

There are a couple of specific clauses addressing the quality of life in nursing home:

A resident must be allowed to choose and participate in activities that he or she likes provided that the activities are part of his or her plan of care. (HSC 1599.1(d): 42CFR 483.15(b)(1). Clearly the nursing home medical staff will have a say in which activities a resident participates in especially if the activities involve physical activity. The nursing home has a duty to care for the residents and ensure their safety so there is some limitation on activities. However, residents cannot be forced to engage in activities that they do not wish to engage in.

A resident of a nursing home is no different than any other citizen in the United States when it comes to his or her rights and protections. Living in a nursing facility does not mean you give up your rights despite the new and oftentimes more controlled environment, as opposed to living independently. Each nursing home must inform residents of their rights and provide a written description of those legal rights. They must do so in a manner or language that the resident comprehends. Residents must be given the written description of their rights prior to admission and must acknowledge in writing that they received them.

Money is a topic addressed in a patient’s rights. According to the Federal Government, residents have the right to manage their own money or to choose someone to do if for them.

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This is straightforward, but as with anything that involves money it can get complicated. Residents can deposit funds with the nursing home and ask that the nursing home hold the funds for them. Before doing so, the resident must sign a written statement authorizing the nursing home to hold the funds. A resident may also ask that the nursing home manage and account for personal funds, but the written authorization is again needed here. The nursing home must give the resident access to any bank accounts or funds that it is holding for the resident. Residents may take advantage of this service, but they are not required to deposit personal funds with the nursing home.

An article in The Modesto Bee reported yesterday that Donna Darlene Palmer, former head nurse at a Placerville nursing home, will stand trial for felony elder abuse. Palmer and Rebecca Smith are the two nurses criminally charged by the California Attorney General for their involvement in the death of a 77-year-old Cameron Park woman. Palmer was the director of nursing at the time of the incident and Smith was one of her subordinates.

If you follow our Nursing Home Abuse and Neglect Blog, the name Johnnie Esco may sound familiar. Four and a half years ago, Johnnie Esco died at the age of 77 as a result of what her family and El Dorado County prosecutors believe was a case of elder abuse. Don Esco, Johnnie’s now deceased husband was a central figure in our previous blog. Mr. Esco pressed for criminal charges ever since his wife died in 2008.

Attorney General Kamala D. Harris recently announced plans to use three specialized teams comprised of healthcare professionals and investigators to increase its efforts to investigate and prosecute instances of criminal elder abuse in care facilities. Mr. Esco’s persistence over the last four years certainly played a role in bringing about more criminal investigations against nursing homes and their employees.

The California State Attorney General, Kamala D. Harris, has plans to “aggressively” pursue and build more criminal cases against nursing homes as reported in The Sacramento Bee.

Much of the article is discussed within the backdrop of Don Esco’s story. Mr. Esco recently died at the age of 82. The article describes how he measured the passage of time over the last couple of years by exactly how much time had passed since his wife’s death in 2008. Johnnie Esco, Mr. Esco’s wife of 61 years, spent just 13 days at a care center in Placerville before dying. Mr. Esco was convinced that it was a criminal matter, the state concurred and four years, seven months and 24 days after Mrs. Esco’s death one of the nurses charged in connection with the death pleaded no contest to the charge of felony elder abuse. Mr. Esco did not live long enough to see this development in the case, but his “persistence has made its mark on California” states the article.

Investigating and proving instances of elder abuse presents multiple challenges which requires more than the expertise of a single investigator. Attorney General Harris is forming specialized teams to investigate and pursue situations that potentially merit criminal charges. The three teams, two in Southern California and one in Sacramento, will consist of an attorney, a nurse, and an auditor. Each team will also be supported by a “medical person with a specialty in geriatrics” according to Harris’ office.

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