We write enough here about nursing homes that commit acts of abuse or neglect, so we thought we’d mention one that is being recognized for providing good care. A California Filipino-American owned nursing facility received a five-star rating from the US Department of Health and Human Services and the US Centers for Medicare and Medicaid Services.

Good Samaritan Rehabilitation and Care Center, in Stockton, was one of only a handful of nursing homes in the country to receive 5-stars in every measurement of quality of care. The Medicare Nursing Home Compare website provides categorical quality ratings for each of the 16,000 U.S. nursing homes. Good Samaritan received five starts in the areas of health inspections, quality measures, and staffing levels.

The owner of Good Samaritan said that the facility takes the ratings seriously, and continually looking for ways to improve care.

The administrator of Kern Valley Hospital was charged eight counts of felony elder abuse this week after permitting caregivers to forcibly administer psychotropic drugs to residents out of convenience and not medical necessity. One resident died because of the practice.

Since 2006 the director of nursing at Lake Isabella nursing home has allegedly ordered caregivers to administer high doses of psychotropic medications to Alzheimer’s and dementia patients to control their behavior and make them easier to care for. This use of medications as a “chemical restraint” is illegal, and will likely expose the nursing home to civil lawsuits in addition to the criminal charges that have been filed.

According to news reports, three residents may have died as a result of the practice. The residents who died were Mae Brinkley, 91, Joseph Shepter, 76, and Alexander Zaiko, 85.

When police came to a San Bernardino board-and-care home looking for 23-year-old Trevor Castro, they found Castro and a whole lot more. Upon arrival they found a bucket of urine outside the door, and inside found outright squalor. The discovery led to the arrest of the home’s owner, 61-year-old Pensri Sophar Dalton, who is currently being held on 16 counts of felony elder abuse.

According to reports, Dalton, who was called “Mama Sophar,” ran a prison-like home – which was unlicensed – for 22 elderly and mentally ill residents in San Bernardino County. The home was surrounded by cinderblock walls with barbed wire atop. Several residents lived in converted chicken coops with no plumbing. A bucket was used for a toilet.

“None of [the chicken coop rooms] were up to code,” said City Atty. James Penman. “They had some with padlocks on the outside and no emergency exits, which concerned us because it could be used to lock people in as well as lock people out. The smell of urine was horrific; it permeated the entire place.”

It’s not uncommon to hear nursing home residents to complain about the quality of the food being served. The Nevada state health officials decided to do something about it.

A routine survey last Tuesday by the health department of a North Las Vegas nursing home found some very serious food safety violations. Upon inspection, officials found a 16-foot hole in the ceiling of the kitchen that was leaking, it found perishable foods like chicken and beef being stored at unsafe temperatures, soiled and contaminated countertops, and an “overall inability of the staff to safely prepare food.”

So what did the health department do? It didn’t force the 240-bed facility to close down. Instead, it suspended the food permits, and required the nursing home to order food from local restaurants. The suspension only lasted for a day. The problems were addressed and the food permit reinstated.

Aggressive behavior by nursing home residents is on the rise, and is becoming a big problem in nursing homes and residential care facilities around the country.

Resident-on-resident aggression is substantially more common than previously thought,” said Dr. Karl Pillemer, a Cornell University gerontologist. “While they are mentally impaired, they are not physically impaired. They can do considerable damage.”

It is estimated that roughly half of Americans over the age of 85 suffer from Alzheimer’s disease or some other form of dementia. With the population of elderly set to explode in the next 20 years – those 65 or older will make up 20 percent of the U.S. population – most experts agree that the problem is only going to get worse.

A Tracy, California nursing home received a $100,000 fine and a AA citation, the state’s most severe, after it was determined that the death of a 78-year-old resident was due to nursing home malpractice. The nursing home staff failed to monitor the woman’s medication and failed to send her to the hospital when her brain started to bleed.

According to the report, the resident had recently received an increase in medication to prevent clots. With the medication came a potential for internal bleeding. Shortly after increase in dosage, the woman began to slur her words and complained of a headache. She kept saying, “My head, my head…” But nothing was done.

Several hours later the resident was semi-conscious, waking only to vomit. The family complained to the home that something was not right, but failed to take the matter seriously. The woman was eventually transferred to the acute-care hospital, but it was too late. She died in the emergency room.

Police arrested a nursing home resident after he punched a fellow resident because he thought the man was stealing his food. According to new accounts, Ardyce Nauden was charged with aggravated battery after punching 72-year-old and wheelchair-bound Andres Cardona in the face, knocking him unconscious.

Nauden allegedly stated, “He was trying to steal my food and that is why I hit him. I held onto the bed with my right hand and hit him with my left hand.”

Peer-on-peer resident abuse in the nursing home setting is not uncommon. A study by Cornell University found that aggression and violence between residents is more prevalent than abuse or neglect from nursing home employees. According to the Cornell study, peer abuse is nursing home is a problem that has received little attention.

On a fairly regular basis I get telephone calls asking for a recommendation to a “good” nursing home or assisted living facility. I have to refrain from answering, because though I have brought legal actions against many nursing homes for abuse and neglect, I also know there are plenty of homes out there that can provide good care. I just don’t know who they are.

Today I met with someone who does. Lise Marquis, with A Place For Mom (www.aplaceformom.com), explained to me all the considerations in finding the right placement for an elderly loved one. A Place for Mom provides consultations for senior housing and care options, and has literally hundreds of options including skilled nursing facilities, assisted living, Alzheimer’s and dementia care, respite care, and board and care homes. And get this, the service is free.

In addition to providing options for housing, Lise can also provide resources for financing, therapy services, and legal services if those aspects of care are needed.

A bill that will increase fines from $6,000 to $10,000 for individuals found guilty of placing an elderly person (over age 65) or a dependent adult in a situation where death or great bodily harm is likely has been signed by Governor Schwarzenegger. The bill, which will take effect January 1, 2010, will also increase penalties for those placing seniors in dangerous situations that are not likely to cause death or great bodily harm.

The new law was supported by Sen. Jenny Oropeza, who acknowledged that “Elder abuse for far too long has been a hidden, pervasive and deadly crime where out of 5 million recent cases, a shocking 84 percent went unreported.” Under the new law, she said, “California’s senior citizens and their families will rest easier knowing that my new law will help protect them from abuse.”

Source: Long Beach Press-Telegram

When Georgia Fitsos was diagnosed with Alzheimer’s disease and dementia in 2006, her family came to the sad realization that Georgia could no longer live alone. Too healthy for skilled nursing care, the family chose to place their mother in Broadstone Residential Facility after reading a fancy brochure that promised Georgia “can enjoy a lifestyle of elegance.”

Less than a year after her admission, Georgia’s son found his mother with a big black eye. She told him that someone hit her, but when confronted, the facility said she accidentally hit her face on the table after falling asleep in her wheelchair (Walton Law Firm currently has a very similar case). Only a month later, Georgia’s son found his mother suffering from a shortness of breath. He called 911 because the on-site Broadstone caregiver didn’t speak enough English to make the call.

When Georgia arrived at the Emergency Room doctors were stunned by what they found. A huge, Stage 4 bed sore the size of a “turkey platter” was found on her backside. It had eaten deeply into her flesh, and became infected. The infection quickly turned into sepsis, and Georgia died less than a month later.

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