Articles Posted in San Bernardino Nursing Home

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Before anyone in San Bernardino County had ever heard the term COVID-19 or thought about the possibility of a global pandemic caused by a coronavirus, individuals and families worried about the safety of Southern California nursing homes and assisted-living facilities. For years, skilled nursing facilities across the state have been cited for nursing home abuse and neglect, and people with aging parents have struggled to feel comfortable with the health and safety records of many nursing homes. Further, many serious safety violations occur at nursing homes with no documented history of abuse, suggesting that it is critical to go beyond ratings and safety histories when selecting a skilled nursing facility. But has the COVID-19 pandemic made such decisions even more difficult, and potentially impossible? 

According to a recent article in The New York Times, the COVID-19 pandemic, and the failure of nursing homes across the country to keep elderly residents safe and healthy, has led many families to rethink nursing home care altogether. Indeed, “even with vaccines, many older people and their relatives are weighing how to manage at-home care for those who can no longer live independently.”

Nursing Home Occupancy Rates are Down

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Nursing home residents in Orange County have a wide variety of rights under California law, which are designed to protect nursing home residents from elder abuse and neglect. Much too often, seniors in skilled nursing facilities in Southern California are still subject to poor care and intentional abuse, and many suffer serious or life-threatening injuries as a result. However, it is still important for older adults and their families to know what their rights are under California law. 

Even if the existence of nursing home residents’ rights are insufficient to prevent nursing home abuse or neglect from happening in the first place, recognizing rights and understanding when they have been violated may allow a senior or her family to take action by filing a claim against the facility or a particular healthcare provider. The following are examples of the resident rights in Orange County nursing homes.

General Residents’ Rights in California Nursing Homes

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Prior to the start of 2020, nobody was considering the ways in which a global pandemic could impact a senior’s risk of suffering injuries as a result of nursing home abuse and neglect. Yet the coronavirus pandemic has, for many older adults, made things worse. According to a recent article in MarketWatch, the pandemic has meant that “many older adults have become more vulnerable” and are suffering harm that otherwise could have been prevented.

 
Whether you currently live in a nursing home in San Bernardino County or have an elderly loved one in a skilled nursing facility in Southern California, it is essential to learn more about elder abuse risks during the pandemic and what can be done to mitigate them.

 
Facilities Refusing to Allow Residents to Reenter

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Although nursing homes in Orange County and throughout Southern California are largely focused on issues pertaining to COVID-19 infections and methods of preventing illness and death among residents and patients, it is important to remember that long-term care facilities still have other duties when it comes to resident safety. Nursing homes and assisted living facilities in California need to provide a certain level of care to patients in order to prevent injuries from happening solely as a result of inadequate care. Many injuries in nursing homes happen because a resident tried to get out of bed herself after being unable to reach a nurse, or a resident fell because a staff member was not providing proper observation.

 
To be clear, many injuries in nursing homes do not result from bad intentions, but rather from a lack of care often due to inadequate staffing. As many staff members call in sick with COVID-19 and staff members are swamped with coronavirus mitigation duties, more residents could be at risk of a fall-related injury. The following are five things to know about falls in nursing homes.

 
Adults Aged 65 and Older Fall More Often Than You Might Think

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Whether you have an elderly loved one at a nursing home or assisted-living facility in San Bernardino County or somewhere nearby in Southern California, we know that you are likely watching the news about the spread of the coronavirus carefully. Given that nursing homes are filled with older adults who suffer from a variety of health conditions, including many with compromised immune systems, residents of these facilities are at a particularly high risk of a severe case of COVID-19 and at a significantly higher risk of death than the rest of the population. News reports indicating that dozens, and sometimes more, residents of nursing homes across the country are dying of COVID-19 have served as a call to action when it comes to making nursing homes safer. 

A recent article from Kaiser Health News reports that many of the “COVID-plagued” facilities in California have histories of safety problems and violations. In other words, these facilities should have been targeted much sooner, in which case some coronavirus deaths may have been prevented. 

California Nursing Homes with Past Problems

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markus-spiske-3_SvgDspSTE-unsplash-copy-300x200Nursing home patients in San Diego County and throughout the U.S. are particularly vulnerable to infections and illness as a result of age and underlying conditions, even when the world is not experiencing a coronavirus pandemic. However, in this moment of the pandemic caused by the novel coronavirus, news reports across the country are reflecting the ways in which nursing home residents are uniquely vulnerable to the virus and, in particular, to death as a result of contracting it. As such, many nursing homes have limited how visitors can see their loved ones at nursing homes and assisted-living facilities in order to prevent the spread of the virus among the elderly. At a moment when residents of California’s nursing homes are especially vulnerable to illness, the Trump Administration announced plans to relax federal oversight of nursing homes. 

According to a recent article in The New York Times, the Trump Administration’s proposal “would loosen federal rules meant to control infections, just as the coronavirus rips through nursing homes.” The following is some information you should know about plans to relax federal oversight of nursing homes and what that could mean for elderly residents.

Rule Changes Were Proposed Last Summer

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coronavirus_2019-300x169The recent outbreak of coronavirus in a skilled nursing facility in Washington has exposed the susceptibility of nursing home residents to this virus. News reports have indicated that the Washington facility was found to be understaffed with inadequate gear attempting to serve dozens of patients vulnerable to catching the virus. Those reports also indicate children and other relatives of patients in the facility have been attempting to sound the alarm about conditions in the facility for weeks.

The arrival of the coronavirus in the United States has come at a time when we already have ongoing problems associated with caring for the American elderly, one of the country’s most vulnerable populations, especially as long-term care is frequently understaffed and underfunded. It is only be a matter of time before Southern California nursing homes and assisted living facilities will be impacted by the virus. Accordingly, these nursing facilities need to be adequately prepared to handle the virus and proactively work to prevent its introduction into its patient population, and its spread.

As stated, this is especially important given that nursing homes and other care facilities, including assisted living facilities, are particularly vulnerable for viruses: Residents inside are older and live in close proximity. Moreover, many residents don’t know enough not to touch other residents’ foods, drink others waters, rub their own eyes, and touch their own mouths.

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rawpixel-1055781-unsplash-1-300x201A new federal nursing home bill is designed to prevent elder abuse, and it could help patients at facilities in San Bernardino County and throughout California. According to a recent article in Skilled Nursing News, the proposed legislation “seeks to protect individuals in nursing homes by implementing more stringent staffing protocols—including increased clinical hours and training—among other safety measures for residents.” Nursing home abuse and neglect often occurs as a result of understaffing. If a federal law were to mandate certain staffing numbers in facilities, rates of abuse and neglect could drop. 

Learning More About the Quality Care for Nursing Home Residents Act

The proposed law is known as the Quality Care for Nursing Home Residents Act. The bill is co-sponsored by two Democratic lawmakers, Rep. Jan Schakowsky (Illinois) and Sen. Richard Blumenthal (Connecticut). It has support from lawmakers in both the House and Senate. In addition to requiring certain staffing levels for facilities receiving payments through Medicare and Medicaid, the bill would also make other changes to nursing home mandates. First, nursing staff members would be required to go through “heightened training” and would be subject to heightened “supervision obligations.” This requirement, in connection with the requirement for increased staff numbers, aims to prevent nursing home abuse and neglect by targeting staff at these facilities. Three registered nurses (RNs) would have to be on staff as “management personnel.”

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daniele-levis-pelusi-9BObZ4pzn3Y-unsplash-copy-300x225When a patient in an Escondido nursing home suffers serious illness or injury as a result of a “superbug,” is nursing home negligence to blame? In other words, if a facility fails to take proper precautions to prevent nursing home patients from contracting “superbugs,” or medication-resistant bacteria and fungi, can that facility be held responsible for nursing home neglect? That is a question that elder safety advocates have begun asking in the wake of news about superbugs causing serious and fatal injuries in hospitals and nursing homes across the country. 

How Nursing Homes are Grappling with Superbugs

According to a recent article in Kaiser Health News, hospitals and nursing homes in California have begun using a strategy that might strike readers as bizarre at first: The facilities have started “washing patients with a special soap.” Along with facilities in Illinois, California nursing homes and hospitals are among the first to begin using this strategy, funded by about $8 million in total from the U.S. Centers for Disease Control and Prevention (CDC). In all, about 50 facilities in both California and Illinois are employing this new procedure.

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rawpixel-487102-unsplash-copy-300x207One of the most common reasons that seniors sustain serious injuries from nursing home neglect is understaffing. When skilled nursing facilities do not have enough staff members, there are not enough people to provide the necessary care to patients and residents at the facility. Both California state law and federal law require skilled nursing facilities to have a specific staff-to-patient ratio to help ensure that seniors are getting the care they need. However, according to a recent article in The New York Times, many nursing homes across the country have been overstating their staffing numbers in order to be in compliance with state and federal regulations. As a result, patients have been suffering from nursing home abuse and neglect.

Federal Data Shows Inadequate Staffing Levels at Many Nursing Homes

For many years, according to the article, numerous family members of seniors in skilled nursing facilities have worried that staffing levels were insufficient. As it turns out, many of those suspicions and fears have some validity to them. Indeed, “on the worst staffed days at an average facility, the new data show, on-duty personnel cared for nearly twice as many residents as they did when the staffing roster was fullest.” Records also showed that there were significant fluctuations in staffing numbers at many facilities from day to day, with some days having adequate staff while others had grossly inadequate staff on hand to meet the needs of the residents.

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