Articles Posted in Incidents

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Falls are the number one cause of injuries among the elderly. According to the CDC, Centers for Disease Control, older individuals suffer serious injuries due to falls although most falls are preventable. Falls in nursing homes are certainly disconcerting because residents are supposed to be kept safe from harm. When a fall occurs, it is likely due to negligence on the part of the nursing home management or staff. In one recent case, a woman filed a lawsuit against the nursing home where she resided alleging that they were negligent after she suffered serious injuries from a fall. The lawsuit was filed against Glenwood Healthcare & Rehab Inc. in Glenwood, IL.

Injuries from Falls

Falls can lead to severe injuries in the elderly. Scrapes, bruises, and broken bones are very common injuries that result from falls. One of the most serious types of injuries is a hip fracture. A hip fracture may necessitate surgical treatment and has a lengthy recovery time. Head trauma is also a serious concern for the elderly. Older individuals take a longer time to heal and while healing they may encounter other difficulties or complications that cause a health decline.
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In our society, people often say, “You should sue him,” when a business deal goes wrong, or when someone suffers a personal injury or property damage. But suing someone, and even winning, is only the first half of the process. The second half, and often the hardest part, is collecting on the judgment award and actually receiving money for the harm caused.

Collecting A Judgment in Illinois

The process of collecting on a judgment starts with learning what assets the debtor owns. Typically, there are four main sources of money that a creditor can look to for money from an individual debtor, including (1) the debtor’s bank accounts; (2) the debtor’s personal property; (3) the debtor’s paycheck; and (4) the debtor’s real property.

Citation To Discover Assets
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In states across the country, there have been battles between states and nursing homes, and between nursing homes and residents or their loved ones, over the use of arbitration provisions in nursing home contracts. When a family rushes a loved one in for care, particularly when they are frail or just came out of the hospital, they are likely to sign on the dotted line relatively quickly to ensure that the patient receives their care immediately. While it is on these parties to generally understand what is in these contracts, the same cannot be said for the specific arbitration provisions. These clauses are intended to require nursing home residents or their loved ones to waive their rights to take legal disputes with the facility to a jury trial in a court, and instead submit to binding arbitration, which is an out-of-court alternative dispute process.

While there have been conflicting decisions as to the validity of such contractual provisions as jurisdictions differ and certain provisions are considered on a case-by-case basis, some court shave found this mandatory arbitration to be a broad and ambiguous requirement which residents and their families, unless well-trained lawyers, could not impliedly or expressly consent to because they cannot truly understand the scope of what they are agreeing to waive. It is generally feared that arbitration provisions favor nursing homes who can hire high-powered expert attorneys, and because arbitration involves a separate set of rules, and the decision is made by one or a few arbitrators, as opposed to a jury of peers as contemplated by the U.S. Constitution.
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The abuse and neglect of nursing home and long-term care facility residents can result in injury, illnesses, injuries, or even deaths. It can lead to administrative and civil liability, or even criminal charges in particularly egregious circumstances. However, there is another act that can truly threaten the integrity of the nursing home system and the safety of patients and residents: the cover-up. On top of committing acts of abuse, financial exploitation, or neglect of nursing home residents, the active cover-ups of these acts make things even worse, and can certainly lead to further civil and criminal liability, such as obstruction of justice. We have blogged about attempted cover-ups before, including a recent case in Illinois. Another appalling case comes out of Western New York, near the Syracuse area.
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Out of Oklahoma, which is one of the worst states in the country for nursing home quality of care, comes another incredibly sad story of nursing home abuse that has resulted in some form of justice, though not one that can ever change what happened. The daughters of a 96 year old nursing home resident, who suffered from dementia, sued the facility when they discovered evidence that their mother was abused by two staffers at the nursing home. The lawsuit proceeded in federal court, and resulted in a jury verdict for $1.2 million. As reports indicate, defense attorneys for the nursing home intend to appeal the verdict, which they characterized as “excessive.” The staffers were fired, but that was the least of their punishments. One of the accused aids, who reportedly was in the U.S. illegally, was arrested and charged criminally, and eventually plead guilty and was sentenced to serve two years behind bars. The other worker fled.

The Nursing Home Abuse
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The nursing home industry in many areas has been challenged by complaints of abuse and neglect by aides, state and federal surveys and investigations with the possibility of sanctions that go so far as denying licensure, as well as the uncertainty as to sources of funding to pay for care at these facilities. These issues and accompanying discussions are often framed in terms of the lasting and consequential effects on facility residents, and the disciplinary actions taken against a nursing home and/or specific nurses or aides. In Connecticut, however, there is news of specific action that nursing home workers are taking to protect themselves from their employers and a threatening state budget proposal.

In the state of Connecticut, in earlier April, a significant 3,500 employees from 27 different nursing homes agreed to go on a workers’ strike starting the last week of the month. Local reporting details the primary motive as protesting the state government for its budget that may threaten reimbursements to nursing homes through federal insurance programs like Medicaid, which is typically a tremendous source of income for nursing homes. Connecticut’s governor has proposed a budget that would eliminate a previously planned cost-of-living increase that is factored into reimbursements to medical providers for care given to Medicaid insurance recipients. As indicated in an article, approximately 70% of nursing home residents in Connecticut are covered by Medicaid insurance, and cuts to that would obviously take away from money going to the facilities, which in turn are used to in part pay employees’ salaries.
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When it comes to vulnerable individuals, particularly the elderly or infirmed, pneumonia presents not just an illness, but a condition that could lead to death if left unattended by doctors. In western Minnesota, an elderly nursing home resident was hospitalized after he was found to have numerous open sores on his body, very dry skin, and exhibited symptoms of malnourishment and dehydration. Prior to being rushed to the hospital, the nursing home staff gave him extra oxygen as well as cough syrup to help with his breathing problems as well as his changing body temperature. They added Tylenol to the mix as well, and used a cold cloth to try to control his temperature. When he got to the hospital, he was not responsive. Hospital staff diagnosed the pneumonia there, and noticed that he had very little food or liquid, in addition to the clear sores and dryness on his skin. Sadly, within three days he had succumbed to the pneumonia.

Staff Never Notified the Doctor

There is a particularly disturbing aspect of this case that will undoubtedly put this nursing home in a bigger spotlight, and should be of tremendous concern to nursing home consumers and their families. While clearly there must have been questions as to the chosen methods to treat the patient – Tylenol, cough syrup, and oxygen – for pneumonia symptoms, the astounding discovery was that nursing home staff allegedly failed to even once consult a doctor about the patient’s symptoms that affected his body temperature and breathing abilities.

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As we have discussed in multiple posts, and as has been followed in the news in recent weeks, a 98-year old resident of a nursing home in South Holland, Illinois, died in a mysterious incident in early February 2015. At first it was unclear what had happened, and initially news outlets reported that the victim was one of six residents who experienced abnormal blood pressures and respiratory issues.

However, the other five residents initially survived those ailments, while the 98-year old resident passed away (the causes of their problems were as yet deemed unknown; by early March, two of the other victims – aged 88 and 98, had passed away, though any connection to this initial incident is unclear). Fire officials ruled out any gas or carbon monoxide poisoning. Authorities opened investigations into the matter, including conducting a toxicology test. A nurse at the facility was suspended after these latter deaths.
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We have written before about how the elderly population will continue to grow in the years to come, as the members of the enormous baby boomer population enter their golden years. As they grow older, the need for various levels of third-party care will be necessary or at least preferred to keep them as healthy as possible and in some cases allow them to lead relatively independent lives. As this segment of the population grows, the costs of caring for so many will increase, possibly putting a strain on finances and the abilities of insurance companies to adequately cover care for their policyholders.

Life Spans & Insurance

In recent decades, in addition to health insurance, other long-term insurance policies such as life insurance were considered essential parts of planning ahead for the eventual need for care in later years. In recent news, however, this fact-of-life type of insurance is on the cusp of becoming much less affordable, and thus much less available to the growing crop of elderly Americans. The expectations about life spans of policyholders and how much it would cost to care for them influenced policy provisions and premium rates, yet this sector has apparently hit a breaking point because those past assumptions have not matched the current reality as costs increase for an aging but still living part of the population.
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We previously posted about a fascinating situation in the West Virginia judicial system involving an apparent conflict of interest by a judge on the state’s highest bench, and a nursing home case. The Chief Justice of the West Virginia Supreme Court, the state’s highest court, was called upon to recuse herself from a case before the court that found against a nursing home at the trial level and resulted in a $90 million award to the family of an elderly nursing home resident that passed away after nearly three weeks at the facility.

There was conflict over whether the resident’s dementia led to her ultimate death, or if it was dehydration from a possible neglect by nursing home staffers that led to her death. The high court upheld the ruling against the Heartland Nursing Home, also refusing to throw out punitive damages, and modifying the damages award to reduce it to about $48 million. The Chief Justice wrote the majority opinion rendering the decision in the plaintiff’s favor. The case went up on appeal in part on the argument that state law capped certain medical malpractice damages. The controversy over the Chief Justice’s involvement in that case centered on over $30,000 in campaign contributions she received for her re-election campaign and that was coincidentally arranged for by the attorney of the plaintiff in the Heartland case, who himself reportedly made a contribution of $1,000. This attorney also bought a Learjet plane for $1 million from the Chief Justice’s husband.
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