March 27, 2013

Nursing Home Resident Forcibly Returned to Negligent Facility

Nursing homes and hospitals often have close relationships. That is because individuals may go to and from one facility to another on different occasions. This relationship works both ways. On one hand, many seniors move into a nursing home only after a serious medical event which places them in a hospital. For example, after a heart attack, stroke, fall at home, or similar event, a senior may require hospitalization. Often, when the immediate injury is healed, the individual is still not in a condition to go back to prior living situation. That is why many seniors move into a nursing home directly into a nursing home.

Alternatively, while nursing homes do provide skilled medical care, they are not capable of providing every medical need for residents. When a nursing home resident suffers a serious medical emergency or an advanced ailment, then the resident must often go back into a hospital. This back and forth may happen several times, and there is therefore a clear relationship between many nursing homes and hospitals.

This is a natural relationship that is necessary to ensure that ailing seniors receive the exact care they need at the right time. However, this also sets up a tangential financial relationship between these entities. Hospitals often want to have the residents admitted for care when finances incentivize it. On the other hand, depending on insurance and payment structures, they often have the incentive to release patients--particularly those who have taken up a room for an extended length of time--into a nursing home. The nursing home obviously likes this as it is another bed filled and money coming in.

Money Over Care
Sadly, these money matters sometimes take priority of the best interest of seniors. For example, My Elder Advocate recently explained how a senior was forcibly ejected from a hospital and brought into a nursing home that he did not want to be at. The senior, an 85-year old man, was in the hospital recovering from an MRSA infection. Interestingly, the infection itself was developed while the man was in the hospital--a common problem plaguing many facilities. Antibiotic treatment are needed to recover from these ailments. Yet, before those treatments were even finished, administrators wanted the man removed from the hospital and brought back to a nursing home.

Bizarrely, several hospital staff members entered the man’s room and forcibly removed him from the hospital. In the rough-handling of the frail 95 pound elderly man, his phone was taken so that he could not call his wife. All of this led to his readmission to the nursing home he lived in previously. There are allegations of nursing home neglect at that facility, where he apparently lost over 2 pounds, suffered seizures, and otherwise did not receive the care he should have been entitled to. Yet, regardless of those allegations and irrespective of his desire not to go back to that facility before his antibiotic treatment was finished, he was forcible required to go back.

This represents a sad example of how resident interests can be ignored for the the interests of the facility itself. This should be fought against every step of the way.

See Other Blog Posts:

Elder Abuse Caregiver Had History of Problems

Levin & Perconti Secure Successful Verdict in Illinois Nursing Home Neglect Case

March 20, 2013

Elder Abuse Caregiver Had History of Problems

All those working on elder care issues understand that the vast majority of neglect goes unreported. This is a tragedy for two reasons. First, it means that individual seniors are forced to endure pain and suffering without help. Second, the under reporting means that more seniors in the future may be affected by neglect. That is because those who get away with mistreating seniors once are far more likely to do it again. Some caregivers who have a history of skirting requirements are often the ones found responsible for the most egregious cases of abuse and neglect.

For example, take a case out of California. We have already discussed the allegations against a woman who cared for ailing seniors in her own home. Headlines were made when the woman was charged with a felony following the death of one an 88-year old woman who was in her care. The senior had dementia and was under the woman’s care for five years. However, the quality of that care was suspect. That is because the woman developed incredibly serious (Stage IV) bedsores which ultimately led to her death.

Our neglect attorneys have worked on many cases where bedsores are at issue. Bed sores are almost always preventable, and when they arise, caregivers can be held responsible. Most of the time that responsibility comes in the form of civil lawsuits, which, for example, can provide financial compensation to those harmed. However, in more unique circumstances, those involved may also be punished criminally.

That is what happened in this case, as the caregiver who ran this facility is facing a felony. In one of the first such cases of its kind, the woman is now facing “involuntary manslaughter” charges. All told she may face up to twelve years in prison.

History of Problems
Since the initial filing, more and more information has been uncovered about the care provided at the home and the history of the woman now facing serious criminal charges. Perhaps not surprisingly, the woman was on the radar of the state’s department of social services for more than a decade and a half.

Amazingly, the woman was cited over forty times since 1996 for various care deficiencies and violations of state and federal caregiving rules. A Sacramento Bee story on the matter explains how more than half of those violations were “Type A” violations. These are the most serious mistakes which place the health and safety of seniors at risk. Yet, despite all of those problems, the state did not move to take away the woman’s license until after she was criminally charged with the death of her former client.

The case is a sad reminder that by the time a caregiver is actually held responsible for harmful conduct, on many occasions they have likely already harmed others without recourse. It is also a testament to the fact that state regulatory agencies cannot always be assumed to shut down poor facilities or care settings. The reality is that many negligent caregivers continue to provide services to vulnerable seniors.

See Other Blog Posts:

Hospital Fails to Report Elder Abuse

Family Files Wrongful Death Lawsuit Against Nursing Home

February 25, 2013

Controversial Feeding Tube Use for Elderly

Most adequate elder care focuses on “quality of life.” But the phrase itself is somewhat elusive. In a few situations it is not necessary easy to determine if a certain course of conduct will improve one’s quality of life or make it worse. There are general principles that can be applied to better make choices on behalf of a senior loved one, but every decision is ultimately a personal one. What might be a welcome act or service for one person may be shunned by another. All of this is why we continue urge resident-centered care that is based upon specific understanding of an individual’s strengths, weakness, likes, and dislikes.

Feeding Tubes
One area where these questions are often asks relates to use of feeding tubes. An editorial from My Elder Advocate recently touched on the concerns, providing an interesting perspective on the use of these measures among those caring for seniors. In short, the article explains how at first blush it may seem like use of feeding tubes is a critical life-saving step. However, the truth is that there are serious questions about whether these tubes serve any function. In fact, in some cases seniors may ultimately suffer serious injury or death as a result of their use.

According to some sources, in the worst performing homes as many at 35% of all residents with cognitive impairments (dementia, Alzheimer’s) are on feeding tubes. Those familiar with basic elder abuse facts understand that residents with these mental impairments are always far more likely to fall victim to elder neglect.

Of course in certain limited settings the use of feeding tubes may be essential. This includes situations where the senior has swallowing issues or to prevent aspiration pneumonia. However, as with many other treatments that are important in limited situations (i.e. antipsychotic medications), feeding tubes are often drastically over-used. The over-use is usually caused by the convenience factors--caregivers may decide to continue use because it makes their job easier, not because it is absolutely necessary for the resident.

Real Risks
The potential overuse of feeding tubes is not just a theoretical issue--the use of the devices comes with real risk of harm. For example, one study found that elderly individuals who are on a feeding tube at a hospital and then discharged into a skilled nursing facility are at a higher risk of developing pressure sores than those not on the feeding tube. In addition, there are many examples of caregivers who made mistakes with the insertion of the tube, errors which often prove fatal for the vulnerable elderly resident.

For these reasons, it is often more appropriate to engage in careful hand feeding of residents where at all possible. Besides minimizing a few risks, it is often far more comfortable to the senior to be fed that way as opposed to the obtrusive tube inserted into their body. However, as with so many caregiving issues, many facilities decide not to put in the time and staffing to actually allow hand feeding. There is a temptation to overuse the tubes simply for their convenience and cost-saving for the facility regardless of the resident’s best interest.

See Other Blog Posts:

Fireworks in a Nursing Home Abuse Trial

Elder Abuse Manslaughter Charges

December 28, 2012

Report on Disparities in Nursing Home Sanctions

ProPublica recently issued a report which explores an important topic related to holding nursing homes accountable for mistakes and ensuring changes are made to prevent future harm. The story takes a look at federal oversight of nursing homes, particularly the scattered penalties for care lapses. Obviously, accountability and enforcement of rules is a crucial way quality standards are upheld at these homes. If there are no consequences for providing inadequate care, many facility owners and operators will provide sub-par services to maximize their own bottom line. In fact, many already do. But when it is well-known that errors will be costly, the incentive to prevent those errors increases dramatically.

Unfortunately, punishments are often not doled out consistently or evenly, perhaps limiting the deterrent function of public oversight.

Different Punishments
The report explores the disparity in outcomes following the accidents that led to resident deaths at nursing homes in two different states. In the first case a resident was eating a cookie when he began choking. The resident went to the nurse’s station, but efforts to dislodge the airway blockage failed. In the second case, a resident pulled out her own breathing tube. Caregivers were not able to catch the problem in time.

Following both of the incidents leading to death government investigations were conducted. In each, the investigators found problems with the care provided during the incident. In the first case the employees did not immediately call 911. In addition, they had not been properly trained to respond to emergencies of that nature--a lapse which may have cost the resident his life. In the second incident, the resident in question had removed her tube twice in the prior month. Investigators determined that the caregivers should have done more to prevent the accident, knowing about the risks. The final reports in each case resulted in essentially the same violations representing “immediate jeopardy” of leading to resident harm.

So what were the punishments for the care lapses?

In the case involving the choking death the nursing home was fined $9,500. In the second case, the facility was hit with over a $350,000 fine. Each fine was based largely on the recommendations of state officials who were also involved in the matter.

The report refers to this reality as the “balkanized” system of nursing home punishments following care lapses and citations. Even though federal money is involved, each state essentially determines its own punishments, resulting in significant disparities. Some locations demand more sizeable sanctions for the most serious problems, while other states are far less demanding. It turns out that while CMS officials have to approve final sanction amounts, they almost always rubber-stamp the state suggestion.

Many argue that the failure to standardize these violations allows the poorest facilities to go by without improvement. A nursing academic interviewed for the story explains, “If you don’t go after these really bad violations and try to force these nursing homes to improve quality, they’re going to continue to cause harm and jeopardy.”

This is just one of many reasons why it is always important for individual family members to come forward after their loved ones have been harmed and perhaps file a lawsuit to ensure full accountability is had to prevent future problems.

See Our Related Blog Posts:

Chicago Nursing Home Lawsuit Alleges Maggots in Resident Ear

Federal Officials Join Nursing Home Lawsuit

December 6, 2012

More Problems at Winchester House Nursing Home in Libertyville

Those who follow issues related to elder care and nursing home neglect in Illinois are probably aware of the fact that poor care is not evenly dispersed across all long-term care facilities. Instead, there are often chronic problems at a smaller subset of facilities where preventable injuries occur time and again. That is not to say that nursing home neglect can’t occur everywhere--it certainly can--but overall there are certain home that are far more likely to cause harm.

This is exactly why it is incredibly important to be as diligent as possible when deciding where to have your loved one move if they need long-term care. If there is a choice between a few facilities, be sure to research the track record of those homes to determine if any of them have a series of problems related to poor care.

Yet, the reality is that there is often very little time to properly and fully vet a facility before having a loved one move in. They may be discharged from the hospital, and the need a new living location immediately. In that way, many families have no choice but to trust that the facility will abide by their legal requirement to provide appropriate care at all times to keep their relatives safe. Unfortunately, many homes fall far short of those requirements.

Several Citations at Winchester House
For example, last month the Sun-Times discussed the fourteen separate citations issued to a single Illinois nursing home, the Winchester House in Libertyville. The citations came after two different surveys of the facility conducted by members of the Illinois Department of Health and Human Services.

In addition to the fourteen citations for chronic “deficiencies” at the home, the facility also faced scrutiny for its failure to properly handle issues with one particularly troubled resident. The resident had severe mental retardation, Downs Syndrome, and dementia. He was also known to have severe agitation issues and was prone to wandering. Considering his vulnerabilities and risk-factors, it was important for the facility to have specific plans in place to ensure he was not a harm to himself to other residents.

However, for the report, it does not seem that the caregivers at the facility were able to control the man. In mid October the man was found unclothed from the waist down while standing next to another female resident in a bed. The female resident was partially unclothed as well. The female resident had to be taken to the hospital, but fortunately not evidence of assault was found.

If you or anyone you know might have suffer harm as a result of poor care at Winchester House or any other long-term care facility in Illinois, please contact the attorneys at our firm to see how we can help. The legal professionals on our team have decades of experience fighting on behalf of those affected by nursing home negligence, including for things like pressure sores, falls, wandering, and resident-on-resident attacks. We understand that often the only way to ensure real changes are made at these facilities for the long-term is when they are held fully accountable for the consequences of their actions.

See Our Related Blog Posts:

Woman Pleads Guilty to Illinois Elder Abuse

Government-Run Illinois Nursing Home to be Privatized

November 13, 2012

Questions Raised About Post-Hurricane Nursing Home Care

We recently touched on some concerns that were raised about several nursing homes that were not evacuated in the wake of Hurricane Sandy--even though they were in the "must evacuate" area as a result of their proximity to the ocean. Those in the facility during the storm explain that the rising waters flooded the first floor, took out the back-up generators, and presented a very real safety risk. Employees stated at the time that the decision not to evacuate was made by city officials, who told the caregivers to keep the vulnerable seniors residents in place.

Along the same lines, the New York Times reported recently on serious concerns raised by advocates about the care provided to some nursing home residents at one facility during and after the weather emergency. For example, one facility in Queens, New York saw its first floor underwater after winds knocked out the windows and rising water surged into the area. Many residents were on the upper floors of the facility at the time. When their power went out, they assumed that things would be fine, because the generators would soon kick back on. They didn't. That is because those generators were engulfed by the water.

All of this led to serious, but predictable problems. As time dragged on without power, the residents became increasingly cold--there was no way to get heat. On top of that, they soon grew hungry. But there was a problem, the kitchen was on the flooded first floor, and there was not enough food stocked away by the owners before the storm hit. Residents also did not have adequate water. That means that they were stuck on the upper floors of the facility in the cold, thirsty and hungry. It was not until hours laters that emergency crews arrived and were able to evacuate the resident to emergency shelters.

But it gets worse.

In the aftermath of the quick evacuation, there was a sense of chaos Residents were transported to different locations, often without their medical records. Most were taken to different locations without a staff member present. All of this has created a nightmare, with many family members of residents having no idea where their loved ones were taken. Even now, nearly two weeks after the hurricane hit, some relatives are still looking for their family members. They are scattered in hospitals, emergency shelters, and other locations without much documentation.

How did this situation arise?

Poor planning. But fingers have been pointed all over the place regarding who is at fault for the planning errors. Public officials and several employees of the facility explain that the home's owners and operators are at fault for failing to act prudently for a storm that they knew was coming. The nursing home director and administrator allegedly left the area before the storm and did not return until afterward. An investigation by city, state, and federal investigators has already been launched.

At very least, the facility should have taken basic steps to account for the obvious danger presented by the storm. That includes beefing up staff members so that all tasks could be handled properly, ensuring proper food and water, securing adequate medicine, and guaranteeing supplies like flashlights. In addition, medical records should have been prepared so that if an evacuation was required, those records would travel with patient.

See Our Related Blog Posts:
Nursing Homes in Hurricane Sandy Aftermath

Fact Sheet on Dangers of Antipsychotic Medicine

October 13, 2012

New White Paper of the Importance of Staffing

Few nursing home administration details are talked about more in relation to ensuring proper care and avoiding neglect and abuse than staffing levels. The research effort was published by OnShift, and is available at the LTL Magazine online here. The main idea of the paper is to stress the importance of “staffing acuity.” It lists five reasons to make a focus on these staffing issues a top priority for long term care management.

The first of those reasons relates to quality of care. The paper pointed to research showing that “acuity drives better outcomes.” The paper notes that this care is a more “clinically driven and individualized approach.”

Important in identifying proper staffing levels is appropriate technologies and monitoring systems. The report note that changes in resident conditions, assessment, or intake rates affect what is an appropriate staffing level. In that way, every day (and every shift) can include the right number of staff members with the right skill set. Our lawyers who work on cases of abuse and neglect in Illinois are very familiar with the problems that come with mismatched staffing levels and skills. The sad truth is that most facilities have a long-way to go before their staffing is appropriate at all times. It is perhaps unsurprising that the problems usually stem to facilities having too few staff members who are not properly trained to ensure all residents receive the care they need. This is unacceptable, and those families affecting are well served by protecting their legal rights when it causes harm.

The white paper notes that this focus on proper staffing comes with better nursing home rating and reimbursements. It notes how the Centers for Medicare and Medicaid Services based it five star rating system, in part on staffing. But total staffing is not all that matters. The paper notes that for the rating purposes “staffing rating encompasses not only the hours of care provided each day, but also adjustments based on the level of acuity of a home’s residents.”

This focus is also on reducing hospital readmission rates from the nursing homes. When a resident’s health deteriorates, he or she may be forced to go back to the hospital. On some occasions that health deterioration is connected to neglect by staff members at the nursing home. It is for this reason that many reform efforts at the state and federal level is focused on reducing hospital readmission rates. Facilities with superior rates may see reimbursement benefits while those with the worst rates could face penalties. Improving staffing levels and training is perhaps the most critical way to limit those costly and harmful hospital readmission rates.

Finally, beyond improving care and providing financial incentive to the facility via CMS ratings and reimbursements, the focus on staffing also leads directly to improved employee, resident, and family satisfaction rates. In our work on these cases, our attorneys have worked with many staff members who note that one of the biggest challenges of their jobs is not having enough time to perform all of their caregiving duties. Those unsatisfied caregivers are more likely to leave their jobs and therefore increase turnover rates. Those turnover rates affect the quality of patient care as well as the financial costs to the facility.

See Our Related Blog Posts:

Nursing Home Fall Sparks Civil Lawsuit

Levin & Perconti Settle Nursing Home Neglect Case Against Clark manor Convalescent Center

September 28, 2012

Nursing Home Suspension Lifted After New Care Plan Created

Knox News reported earlier this month on a follow-up to a tragic case of nursing home neglect and abuse on which we’ve previously posted. The underlying case involved the rape of an 89-year old woman with severe dementia. Late last month the senior resident told her family that earlier in the summer a man entered her room and raped her. She did not know the man. Eventually the police were called in and a rape test was performed. The test revealed DNA samples of the attacker--though the criminal has yet to be identified.

Of course this opened up a big question: how on earth did the man enter the room and have access to the vulnerable senior? Perhaps the most obvious answer is that the attacker may have been a male employee of the facility. Lawyers and other advocates working on these cases appreciate that sexual assault by caregivers is not unheard of.

The state Department of Health investigated the matter, issuing a suspension on new admissions into the facility after determining that the home’s current policies and procedures placed residents at risk of harm. This particular home is run by a large nursing home conglomerate which operates at least 225 facilities in 28 different states. In other words, if this company was cutting corners or not abiding by proper safety protocols, then tens of thousands of residents may be at risk.

The story explains that the suspended facility in this case allegedly sought to act quickly to correct the problem. Staff members received better training on identifying, reporting, investigating, and documenting abuse allegations. In addition, updated background checks were ordered on all male employees. Twenty-four security was hired, door locks were changed, windows were made more secure, and surveillance cameras were installed. In addition, another employee was hired--a state-licensed administrator--to ensure the home followed rules and regulations in the future.

After all of these changes were made the state lifted the suspension, allowing new admissions to the home.

Ensure Actual Improvement
Our team of lawyers is familiar with this course of conduct, as one of the most common demands by state and federal regulators involve changes in policies and procedures. In this case, the story suggests that a wide-range of actual physical changes and resource additions that will make residents at the facility safer. It is a clear testament to the importance of coming forward with misconduct allegations and ensuring full accountability. Fellow residents may be spared significant pain, injury, or even death.

However, it is important to keep a close eye on all facilities where misconduct has occurred into the foreseeable future. It is natural for a home to make concessions in the immediate aftermath of an incident, with regulators keeping a close eye. It is another thing for those changes to translate into cultural modifications that improve care indefinitely. For that reason, all those with friends or loved ones are encouraged to remain vigilant about quality of care issues at all long-term care homes--particularly if the home has had problems with these issues in the past.

See Our Related Blog Posts:

Developments in Nursing Home Medication Kickback Lawsuit

Drug Companies in Lawsuit for Illegally Receiving Nursing Home Residents

July 9, 2011

Nursing Home Attorneys File Suit Against Understaffed Facilities

All across the country, nursing homes are being run with less than the optimum number of staff. They are being understaffed in a hope to cut costs and increase profits. When nursing homes fail to properly staff their facilities, the chance of accidents and mistakes greatly increases. State and Federal laws set a minimum standard that nursing homes must comply with. The problems arise when facilities choose to ignore these government regulations.

People choose to go to nursing homes not because they want to, but because they are at a point in their lives where they need more care and attention than can otherwise be provdided to them. Many nursing home residents have been finding out that the nursing homes promise to provide them the care and treatment they need is often a fabrication. The nursing homes that choose to understaff their facilities have been rewarded with large profits by failing to provide the required number of nursing hours and as a result, patients of these homes have not received adequate care.

Some problems that can occur when a facility is understaffed are falls, pressure sores, dehydration and malnutrition, all of which stem from an overall lack of quality care and attention. It is easy to blame the staff of the nursing home when problems arise, but in reality the staff is often doing the best it can with the resources it is provided. If there are not enough staff members to provide supervision for the residents who are at risk for falls then it is likely a resident will fall, and it is no stretch of the imagination to assume that if there are not enough staff members to turn and reposition residents who are at risk for the development of pressure sores, that a resident will eventually develop pressure sores.

It is not the nurse’s fault that these injuries are occurring; a nurse can only care for so many residents at once. The facilities are setting their staff up for failure. Without adequate staffing, it is impossible for any resident to truly get the care and treatment they need. Owners of the nursing homes need to stop choosing profits over people and people need to start demanding better nursing home care.

The nursing home attorneys at Levin and Perconti have been fighting against facilities that understaff their Illinois nursing homes. Many residents of nursing homes have come to Levin and Perconti after suffering an injury, only to find out that one of the main reasons that the injury occurred was because the facility they were at was understaffed. Hopefully, the civil liability that these homes are opening themselves up to by understaffing will be enough of a deterrent to stop them from doing so in the future.

April 14, 2011

Nursing Home Wandering Death Explained By Inside Source

A tragic example of nursing home negligence was reported earlier this year by KCBD News. The nursing home death occurred at a facility known as Tumbleweed and involved a 71 year old resident who froze to death after being outside for several hours in frigid conditions.

The victim was a known wanderer, had dementia and Alzheimer’s. Surveillance video indicates that the man wandered out of the facility, slipped, and hit his head on an object outside. Nursing home employees did not find the man until 8 a.m. the next morning by which point he had died of exposure to the elements.

Amazingly, the man had only been transferred to Tumbleweed that very day. He previously lived in a separate nursing home that was shut down by state officials. An anonymous nurse at the negligent nursing home explained that according to facility protocol, residents were supposed to be checked on every two hours. But that was never followed. On top of that, a new resident who is known to wander and has dementia should have been monitored even closer.

The nurse explained the risks of the facility revealing that residents “can be outside for hours” without notice by employees. She continued that regular checks of residents and alarms on the doors were only installed the very day after the death because the facility management expected there to be a fuss made about the safety of the nursing home. On a separate occasion that very weekend, the nurse explained that a resident left the facility and hitchhiked to another town.

The family has indicated that they will seek legal action against the negligent facility.

Continue reading "Nursing Home Wandering Death Explained By Inside Source" »

January 19, 2011

For-Profit Nursing Homes May Be Overcharging Medicare

The care provided to residents by nursing homes driven by profit has often been questioned. Many observers wonder about their belief in committing as many resources as possible to ensuring that nursing home residents receive the care they deserve. There remains an inherent tension between spending money on quality care and cutting corners to increase the bottom line to owners and shareholders. We provide close oversight of these for-profit institutions when allegations arise of residents victimized by their inadequate care.

Along the same lines, new reports last week from the New York Times blog share another way in which these for-profit facilities may do anything in their power to maximize their payout. A Department of Health and Human Services report examined the rates at which different types of nursing homes classified the level of care each resident needed. The classification is important, because it determines the amount of funding provided to the facility by Medicare. The “higher” the classification, the more care needing to be provided to the resident and the more money to be sent.

Amazingly, in the years 2006 to 2008, the number of residents classified in the most severe group (demanding the most funding) jumped from 17% of all residents to 28%. Those changes cost Medicare a staggering $5 billion.

When examined further, researchers discovered that the leap had little to do with the changing dynamic of nursing home resident—their average health level remained unchanged. That means that facilities themselves were likely changing the classification to raise more money. In particular, for-profit nursing homes were much more likely to claim the highest classifications. 33% of for-profit resident are in that category, while only 18% of non-profit residents. Even within the group of profit-making facilities, the largest chains had the largest percentage of high classification residents.

Continue reading "For-Profit Nursing Homes May Be Overcharging Medicare" »

December 30, 2010

Several Nursing Homes Cited For Problems, One to Close

We have often explained how it is imperative for state regulatory bodies to take proactive steps to ensure that area nursing homes are abiding by all necessary regulations. It is simply unacceptable to allow vulnerable nursing home residents to be repeatedly subjected to sub-par care. One way to prevent the abuse is to take action before specific acts of negligence are reported.

Lo Hud News reported earlier this week on one regulatory body that is working to take proactive measure. The paper reported on steps taken by that areas health department to cite deficient facilities (and close one egregious home) for care violations.

Specifically three nursing homes were fined for not following advance directives for terminally ill patients in the facilities and the all-too-common problem of allowing pressure sores to develop. Three facilities will pay $28,000, $22,000, and $20,000 respectively for elder care negligence. One other facility will be closed completely after receiving 21 violations in the last three years.

Continue reading "Several Nursing Homes Cited For Problems, One to Close" »

September 13, 2010

Nursing Home Administrator Filed Suits Against La Salle County

An Illinois nursing home is facing a new lawsuit this week as the former head of the La Salle County Nursing Home is challenged the events that led to her termination last year.

According to My Web Times, Adrienne Erickson was fired as administrator of the nursing home in September of 2009 after only three and a half months in the post. She claims that her termination was without merit—that she was actually given no reason for her firing. The LaSalle County Board which is in charge of operating the facility claims that Erickson was an “at will” employee, meaning that no reason was needed to terminate the employment.

While the termination letter sent to Erickson did not specifically mention a reason for the firing, a review of the events leading up to the termination point to a likely cause of the problem. Shortly before the firing, the La Salle County Nursing Home had received a significant amount of negative criticism following an Illinois Department of Public Health report that challenged safety protocols at the facility.

A female resident at the facility was repeated molested by a male resident and the Illinois state agency claimed that hospital staff should have done more to monitor and prevent the abuse.

Our Chicago nursing home attorneys at Levin & Perconti have experienced the culture of negligence that can develop at these facilities when there is not competent oversight and leadership. The vulnerability of many residents at these nursing homes is extreme—meaning that even slight mistakes by staff members can have deadly consequences. The precarious situation is well-known to all those who are charged with ensuring that these facilities run smoothly. Therefore, there is no excuse for failing to ensure that the nursing home is free of preventable mistakes and abuse. If you or someone you know may have suffered because of mismanagement at one of these Illinois facilities, please contact a nursing home lawyer today.

August 11, 2010

Chicago Nursing Home Faces Forced Closure

A negligent Chicago nursing home will be closed by the state, reports CBS 2 Chicago. Columbus Manor Residential Care Home faces over $100,000 in fines and closure after Illinois nursing home inspectors uncovered repeated examples of inappropriate care at the facility.

Reports confirm that residents were attacking each other physically, and one elderly female resident was forced to fight off another male resident's attempt to sexual assault her. In another case, the nursing home staff failed to inform the doctor of one resident about his serious illness. The 61 year old resident died as a result.

A basic component of any nursing home care is honest reporting about medical conditions and ensuring a safe living environment for all residents at the facility. However, Columbus Manor was unable to meet even these fundamental requirements of adequate nursing home care.

Our Chicago nursing home attorneys at Levin & Perconti have experience uncovering the negligent, abusive conduct at our city's nursing homes. We have fought countless legal battles on behalf of victimized seniors and their families who have endured these shameful care practices for years. Our commitment is to vindicating the abused and helping to ensure that future acts of nursing home negligence never occur.

That is why we support all efforts by Illinois regulators to shut down the worst nursing homes in our city. Unfortunately, many administrators of these facilities refuse to make the necessary changes to ensure that their residents are treated to the quality of care that they deserve and that the law demands. The only recourse is to close them down so that no future resident is put in peril.

Please contact our office if you know of any similar nursing home abuses.

August 2, 2010

Nursing Home Investigated for Negligent Care

Wisconsin’s largest nursing home remains under investigation this week after continued reports of substandard nursing home care. The Milwaukee-Wisconsin Journal Sentinel has been following the developments at Mount Carmel Health & Rehabilitation Center.

The investigation by the state’s public health department is in its second week. The review was prompted by a viral outbreak at the facility which affected at least 21 residents. It was unclear exactly what caused the medical problem which was classified as leading to “generalized respiratory symptoms.”

This is only the latest is a long line of examples of extreme misconduct by the facility. Seven other lawsuits are still pending against the nursing home. On top of that, the state noted 35 specific care violations at the facility this year alone. In one case, staff members were caught lying about the location of a resident. The staff members reported seeing one resident repeatedly over a ten hour period, even though in reality the resident had left the facility and was arrested for prowling in a nearby neighborhood.

The seven remaining lawsuits at the facility involve residents who died as a result of pressure sores, physical falls, failure to provide assistance devices and elopement. It seems that everything that could go wrong at a nursing home has gone wrong at this facility.

Unfortunately the outrageous conduct at Mount Carmel is not an isolated example of chronic nursing home negligence, as our Chicago nursing home attorneys at Levin & Perconti know all to well. For decades we have witness the same nursing homes committing the same acts of negligence leading to deadly consequences to the residents at their facilities. Unfortunately too many facilities fail to learn from their previous mistakes.

Often the only thing that gets the attention of negligent nursing homes and their corporate backers are lawsuits that affect their bottom line. Our attorneys are committed to protecting the rights of injured nursing home residents and their families. If you or someone you know has been similarly victimized, please contact our office.

July 20, 2010

Nursing Home Closed After Abuse and Neglect

Another nursing home is being closed amid continuous examples of substandard care, dangerous negligence, and unabashed elder abuse reports First Coast News. The Glenwood Nursing Center in Arlington, Florida is being shut down by the state’s Department of Health, in a rare move spurred by repeated examples of inadequate care by the nursing home staff members.

The one hundred residents in the home will be relocated and nursing home administrators may be fined $25,000 on top of the closure after state officials conducted an unannounced visit to the home earlier this year. Investigations during the visit revealed unsupervised and dangerous facility. Residents were falling at an alarming rate; there were several instances of resident on resident abuse and many examples of dangerous resident wandering. One patient was actually able to leave the facility and reach the next county before he was recovered.

State officials explain that the nursing home administrators were well aware of many of the problems at the facility but simply chose not to fix them. It is one thing for an unavoidable accident to occur at a facility, but it is a totally different matter when those in charge of the facility knowingly allow dangerous situations to persist.

Our Chicago nursing home attorneys at Levin & Perconti applaud all decisions which better protect the vulnerable seniors in our nursing homes. Too often, dangerous facilities like Glenwood are allowed to continue operations, harming more and more elderly residents. A strong message needs to be continually sent to nursing home administrators, medical staff, and other assistants, that inadequate care will never be tolerated. Friends and family of nursing home residents are often a key source in providing information that holds negligent nursing homes accountable. If you have any suspicions about inadequate care at a nearby facility, be sure to contact our office or a similar office to learn more about your options.

July 16, 2010

Illinois to Continue Process of Shutting Down Evergreen HealthCare Center

A Southwest Star article this week discussed the latest updated in the license revocation situation of the Evergreen HealthCare Center in Evergreen Park.

Evergreen is a facility that has repeatedly been found to have provided negligent care to its nursing home residents. Our Chicago nursing home attorneys at Levin & Perconti have filed multiple suits against the healthcare center in the past. Elder abuse abounds at the nursing home where residents have died from repeated failures by administrators, staff medical professionals, and aides.

We currently represent Cornelia Lee, who died after Evergreen facility staff failed to provide close monitoring of her medical prescription schedule, ultimately missing doses, failing to keep log charts, and not informing her doctor of abnormal test results. In another case, a resident at Evergreen died because of staff failure to monitor developing pressure sores on a bedridden senior resident. These are just two of many other examples of negligent, abuse, and substandard care provided at the Illinois nursing home.

Due to these clear abuses, the Illinois Department of Public Health decided to revoke the Evergreen’s license and close the facility to ensure that no future Illinois seniors are harmed by the negligent nursing home care.

In a last-ditch effort to stave off closing, the facility is appealing the license revocation decision claiming that it has fixed all compliance issues. An Evergreen spokesperson declared that the should stop the license revocation process because of the these last-ditch corrective measures.

However in response to these Evergreen claims, Illinois public health officials repeated that regardless of whether or not the facility is currently compliant, “they have this history of serious deficiencies.” Illinois health officials repeated that they will not stop plans to revoke Evergreen’s license. Evergreen officials will appeal the decision and have requested a hearing.

July 14, 2010

Negligent Care Provided at the Champaign County Nursing Home

The Champaign County Nursing Home is under state investigation yet again for an incident involving mistreatment of a nursing home resident at the facility. As the Champaign News-Gazette reports, a resident suffered a laceration requiring 24 stitches when an nursing home aide attempted to move her. All transfers of this particular patient were supposed to have been conducted by at least two aides, so as to avoid injuries like the one sustained. In fact, a sign posted directly on the resident’s door reminded the staff members of this rule.

The incident has prompted an investigation by the Illinois Department of Public Health.

This blatant example of nursing home abuse is just one of several that have plagued the Champaign County Nursing Home recently. Earlier this year the institution was fined nearly $100,000 due to its violation of several Illinois Department of Public Health’s requirements. Those penalties were eventually reduced to around $14,000, but this latest investigation may drive up the penalty even further.

According to Mike Scavotto, a consultant hired to help run the facility two years ago, there has been a recent increase in the number of complaints filed against the nursing home. Mr. Scavotto suggests that each of these complaints appears legitimate. Clearly, an improvement in customer service and elder treatment is needed at the facility to stem this tide of improper andnegligent nursing home care.

Our Chicago nursing home lawyers at Levin & Perconti are leaders in fighting for the rights of Illinois nursing home residents. We have won several multi-million dollar verdicts and settlements for negligent and abusive nursing home treatment. While the Illinois Department of Health works hard to hold nursing homes accountable for their substandard care, it is impossible for a single government agency to stop most of the abuse at these facilities. That is why it is important for private residents to contact nursing home attorneys any time they feel that the rights of a loved one have been violated by nursing home abuse.

July 4, 2010

Investigation Shows Nursing Homes Giving Inadequate Care

An extensive investigation conducted by California Watch has revealed that hundreds of nursing homes have decreased staffing levels, even though they received hundreds of millions of dollars in increased public funding.

The Ventura County Star reported on the investigation which analyzed the effect of a 2004 law which ultimately funneled more than $880 million in increased state and federal funds to nursing homes. However, over 200 nursing homes in the state actually decreased staffing levels, paid lower wages, or decreased at-home caregiver levels.

The 2004 law was intended to allow the state to capture more federal funds for elder care. It created a reimbursement system instead of a flat-fee payment format for nursing homes. It also allowed the facilities to pay a fee that would trigger increased federal matching funds. As a result the overall public funding of nursing homes ballooned in the state to nearly $4 billion.

However, official complaints alleging nursing home negligence and abuse have actually increased significantly since the bill. Amazingly, state officials actually pay for nursing homes to defend against abuse and neglect charges. That means that taxpayers are funding nursing homes which then cut services, and the taxpayers are then charged again to defend the consequences of the negligent acts of those deficient nursing homes. It is a subsidy for mistreating elderly residents.

The California Watch investigation revealed that the facilities which cut service while taking more taxpayer money were likely motivated more by increased profits than providing proper care. The facilities that decreased staffing levels predictably increased their median profits by 35%. However, those increased profits came at a high cost to many neglected nursing home residents.

Covenant Care, for example, received $15 million in increased funding while cutting the amount of caregivers assigned to patients. One of those patients was Charles McGrew. After being admitted to a Covenant Care nursing home, Mr. McGrew eventually developed pressure sores on his tailbone and ankles. One leg ultimately had to be amputated, leading to his death shortly after.

Since McGrew’s death, nursing home levels at Covenant have actually decreased even further, falling below the state mandated levels. Profits at the facility have increased, however, as administrators received bonuses based in part on profit increases each year.

Abuse like the one leading to Mr. McGrew’s death is often attributed to improper care by the lowest paid workers who provide the majority of patient care in nursing homes. It was this lowest-paid group that received by far the fewest wage raises after the 2004 bill. In fact, adjusted for inflation, over a third of those critically important direct patient care workers received wage decreases.

Our Chicago nursing home attorneys at Levin & Perconti are disheartened but familiar with the story of nursing home negligence and mismanagement uncovered in this investigation. We have waged many battles against negligent care provided by untrained, unsupervised, unskilled, low-paid care workers. Taxpayers deserve to have their money spent appropriately on the care of vulnerable elderly resident. Public funds should not end up in the pocket of high-paid nursing business professionals.

July 1, 2010

Repeated Nursing Home Negligence in Evergreen Park

Recently, our Chicago nursing home abuse attorneys at Levin & Perconti filed suit against the Evergreen Health Care Center in Evergreen Park, Illinois. The Chicago Tribune recently reported on the case.

Cordelia Lee was an intelligent, active, former postal worker and homemaker who lived alone for over a decade after her husband’s death. However, after being diagnosed with blood clots, Ms. Lee checked into Evergreen to receive closer care to help in the healing process.

To deal with the blood clots she was diagnosed a powerful anti-coagulant medication, Coumadin, which requires close monitoring. From the beginning Evergreen staff was negligent it is treatment. They failed to provide proper oversight of Ms. Lee’s prescription, missing doses, failing to keep a log charts, and failing to inform her doctor of abnormal test results. It didn’t take long before Ms. Lee began suffering stomach pains from the inadequate care. Ultimately, only a week after arriving at Evergreen, Cornelia died from bleeding in her lower abdominal cavity.

Cornelia is not the only victim of Evergreen’s negligent care to Illinois seniors.

We had previously initiated a lawsuit against the nursing home to fight for a 77 year old victim of abuse at the facility who died because of Evergreen’s failure to monitor and treat pressure sores. Pressure sores are almost always preventable with proper bathing and repositioning of the body, and their development is typically an indication that a resident is receiving inadequate care.

Our Levin & Perconti attorneys are not the only ones who are fighting to protect residents at Evergreen, as Illinois health officials recently moved to revoke the license of the negligent nursing home. State authorities noted even more repeated examples of serious neglect at the facility from the failure of staff to report the worsening of a resident’s pneumonia to their allowing maggots to infect the scalp of a wounded patient. There is clearly a history of severe abuse at Evergreen, and serious steps need to be taken to vindicate past victims and prevent future harm to its elderly residents.

The clear, repeated examples of abuse make it all the more shocking that an Illinois politician actually had an ownership interest in the Evergreen Health Care Center. According to the Tribune, State Senator Heather Steans and her family maintained an interest in the facility, though Sen. Steans divested her interest once the abuses at Evergreen became public. In any event, it surprising that anyone involved in protecting the rights of vulnerable seniors in Illinois would have any connection to the repeated and extreme examples of nursing home neglect at Evergreen.

As our nursing home attorney Steve Levin noted in the Chicago Tribune, “Frankly, it’s shocking that somebody who has been an advocate for nursing home reform has an ownership in a home that has a repeated background of citations.”