DO YOU SUSPECT ABUSE OR NEGLECT? Contact Us for a Free Consultation

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Los Angeles – The death of an 88-year-old nursing home resident has resulted in an AA citation and a $100,000 fine, the most severe penalty that can be imposed by California regulators. The California Department of Public Health issued the penalty after it concluded that nursing home resident’s death was the result of neglect.

According to reports, the resident had received a gastrostomy tube (or g-tube) for feedings on August 29, 2008 and was admitted to Arbor View nursing home on September 3, 2008. The feeding tube became dislodged approximately one week later, and a nurse attempted to reinsert it. Unfortunately, the nurse missed the stomach, and instead inserted the tube into the abdominal cavity. Feedings were then continued.

The next day, the resident was rushed to the hospital with nausea and vomiting, and a scan revealed the problem. She had massive amounts of feeding material in her abdominal cavity that doctors tried to remove. The elderly resident contracted an infection and died shortly there after.

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The Del Rosa Villa nursing home in San Bernardino received the state’s harshest citation after investigators concluded that inadequate care led to a resident’s suicide. The California Department of Public Health issued a AA citation and a fine of $90,000.

According to reports, on June 11, 2009 a 52-year-old resident was found hanging from a fence in the parking lot of the nursing home. He apparently had rolled his wheelchair through a back entrance to the nursing home and into parking lot where he hung himself with a belt

The man’s care plan, which all skilled nursing facilities must maintain for patients, required that he be under suicide watch at all times, and that a nursing assistant admitted to investigators that she made a mistake. It was not the man’s first attempt at suicide. He was in the facility from an acute care hospital where he was admitted after throwing himself in front of a moving vehicle.

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The North County Times had a good column on the cold reality that elder abuse or neglect can happen anywhere. Susan Reichel, CEO of Advanced Home Health Services in San Diego says that an estimated 2 million elderly Americans are victims of elder abuse, whether its physical, mental, emotional, or financial, and it can occur in the home or at a nursing facility.

We, of course, know this. At this law firm, we take legal action against nursing homes and residential care facilities for abuse or neglect all the time. But it’s always worth reminding people that such abuse cases are real and all around us. Remarkably, it is estimated that 84 percent of elder abuse cases go unreported.

The author makes a list of clues to look out for that might be signs of abuse or neglect, and we though it would be helpful to list them here.

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Last Friday, Governor Arnold Schwarzenegger signed Assembly bill 392, which provides funding for California’s long-term care ombudsman programs. The bill does not restore entirely the cuts that were made last year, but the $1.6 million appropriation to approximately 36 agencies throughout the state will provide sorely needed money to programs that, only weeks ago, were on the brink of dissolution.

“This legislation could make the difference between life and death for nursing home patients facing abuse or neglect. Now patients and their families who depend on the Ombudsman to monitor facilities and investigate key complaints can rest a little easier,” said California Assembly member Mike Feuer.

Last year’s cuts were exemplified in several high profile cases of nursing home abuse and neglect. In June 2009, a nursing home facility owner and a caregiver were arrested on suspicion of criminal abuse and neglect when a resident suffered from pressure sores so severe they led to a fatal infection.

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Researchers analyzing 82 different studies on nursing home care found that nursing homes that are run as not-for-profit businesses offer better care than their for-profit counterparts. In the United States, less that one-third of all nursing homes are non-profit.

The 82 studies were from both the U.S. and Canada, and were completed between 1965 and 1983. Of the studies, 40 showed that non-profit nursing homes provided much better care than for-profits, while only three of the studies found that for-profit nursing homes provided better care. The remainder had mixed findings.

Importantly, the study suggested that non-profit nursing facilities did better in four important quality measures: higher quality staffing, lower rates of pressure ulcers and bed sores, less use of physical restraints, and fewer deficiencies cited by government regulators. Staffing issues, bed sores, and government investigations represent by far the basis for most of the nursing home abuse and neglect litigation in this law firm.

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SANTA BARBARA – Sheriffs have arrested a 35-year-old man in the alleged rape of a 36-year-old developmentally disabled woman. Christopher Coates was arrested last Wednesday and is being held on $100,000 bail.

According to new accounts, Coates was a caregiver at a residential care facility in Santa Barbara County (the name has not been released) in June when police received information from an employee, who told police that the victim had complained of being sexually assaulted. An investigation led to the arrest of Coates, who lives in Goleta, and who was no longer employed at the facility at the time of his arrest.

Under California law, the facility could be held responsible for the sexual assault upon the disable adult. California’s Elder Abuse Act applies equally to “dependent adults,” who are defined as individuals between the ages of 18 and 64, and who reside in a custodial care facility.

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Unlike nursing homes, residential care facilities or assisted living facilities are not subject to the same regulation and government oversight. One can’t simply log on to the myriad of nursing home evaluation websites to look at the latest inspection reports or complaint investigation. So how do you adequately evaluate a residential care facility before moving in?

The California Advocates for Nursing Home Reform provide many excellent resources for individuals and families making the tough choices about custodial care, including an evaluation checklist for those considering residential care:

Review Complaint and Inspection Information: The local office of the California Department of Social Services will have information about the latest government inspection and complaint investigations. Unlike skilled nursing facilities, residential care facilities are only inspected every five years so the information may not be fresh. Pay particular attention to any violations of resident’s rights or abuse allegations.

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The Orange County nursing home Tustin Care Center has received a citation and a fine of $50,000 by the California Department of Public Health after a resident choked to death during lunch. A state investigation concluded that the nursing home’s failure to adequately assess the patient’s growing inability to eat as the cause of death.

According to the state report, the elderly man had been growing weaker over time, but that the nursing facility allowed him to continue to eat regular meals. In March, while eating lunch with his wife, who was also a resident at the Tustin facility, when he had difficulty breathing. As the patient struggled to breath, an attendant was called over, who tried to clear the airway.

The man died at a local hospital later that same day, and an examination found that food was completely blocking his airway.

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As California starts to overhaul the regulation of its 350,000 registered nurses, one of the nursing board’s most promoted and trouble programs is under the microscope. The nursing drug diversion program, which seeks to help nurses maintain their licenses while they kick addiction to drugs, has apparently not been the success the nursing board would like the public to believe.

An investigation by the Los Angeles Times and ProPublica discovered several examples of nurses in the drug diversion program who practiced nursing while intoxicated, stole drugs from bedridden patients, and committed fraud to prevent from being caught.

Most troubling is that since the program was started in 1985, more than half the nurses who entered the program were unable to finish it and numerous nurses who failed the program were deemed to be “public safety threats.” Yet despite the identification of incorrigible nurses, several continued to work after the findings were made.

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The great recession hasn’t impacted everyone negatively. While the salaries and compensation for nurses has remained stagnant, the salaries for nursing home administrators have climbed to its highest rate in four years.

According to a study by the Nursing Home Salary and Benefits Report from Hospital & Healthcare Compensation Service, the average salary of a nursing home administrator rose by an average of 4.8% in 2009. The national average now hovers around $89,000 for administrators of nursing homes of all sizes, including not-for-profit facilities.

The study took samples from more than 10,000 nursing homes across the United States.

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