December 26, 2007

Florida nursing home employee union sues Carlyle Group after Manor Care buyout

Despite Carlyle Group's completion of the Manor Care buyout, the union that represents nursing home employees in Florida is suing, hoping to block the takeover. Manor Care, a chain of nursing homes, was recently bought by a private equity firm, Carlyle Group, for $6.3 billion. The transfer was completed the day after rulings that held up the buyout were dissolved in West Virginia and Michigan. The union, SEIU Healthcare Florida, has been fighting the takeover. There are 29 Manor Care facilities in Florida housing 3700 residents.

The lawsuit was brought about on the grounds that the Carlyle Groups license application was incomplete. Another plaintiff listed in the lawsuit is the son of a Manor Care resident. He recently stated, "I want to make sure Carlyle's takeover won't harm my mother's care." All of the parties are reviewing the lawsuit in this controversial acquisition.

December 14, 2007

West Virginia Holds Key to Carlyle Takeover

A national private investment firm’s purchase of a nursing home chain is being unnecessarily delayed in West Virginia by a union that’s putting politics before patients, company executives involved in the proposed sale said Thursday.

The Carlyle Group, a corporate buyout firm, plans to acquire HCR Manor Care, the nation’s largest nursing home chain, as part of a $6.3 billion deal.

Carlyle and Manor Care executives said the Service Employees International Union’s “coordinated campaign” to delay the sale is part of a national organizing effort to boost membership and unionize more nursing homes. Manor Care operates seven Heartland nursing homes in West Virginia.

For the full article, Click Here

December 13, 2007

Carlyle Group License Approved in Wisconsin to run 8 Manorcare Nursing Homes Statewide

In a decision that marks a new era in nursing-home ownership in Wisconsin, a license was approved Thursday to a private equity company to run eight Manorcare facilities statewide.

A spokeswoman for the state Department of Health and Family Services said the one-year probationary license will take effect after Manor Care notifies the department that its ownership transfer deal has closed with Carlyle Group, one of the nation's largest private equity companies.

Rick Rump, assistant vice president of corporate communications for Manor Care headquarters in Toledo, Ohio, said he expects the transaction to be closed by the end of the year. The transaction includes similar pending buyouts in other states.

Five of the eight Manor Care facilities are located in Northeastern Wisconsin, with two in Green Bay.

The decision comes three days after two of the state's biggest lobbying groups testified during a public hearing at the State Capitol against the $6 billion buyout.

Their main concerns were whether the corporate structure would be so complex that patients would have difficulty bringing lawsuits against the company for negligent injury or wrongful death, and whether ownership changes would result in declining quality of care.

For the full artcle, Click Here

October 25, 2007

Congress to investigate staff cuts in recently acquired nursing homes

When private equity groups purchase large nursing home chains, they don’t do it because they want to get in the business of caring for the elderly. They do it so that they can cut costs, increase profits, and then resell them at a higher price. The Carlyle Group’s $6.3 billion acquisition of HCR ManorCare is an example of this type of flipping opportunity, but because this involves the well-being of senior citizens and those who cannot otherwise care for themselves, the drastic measures that investment groups like Carlyle Group take to cut staff has drawn the attention of the government.

Continue reading "Congress to investigate staff cuts in recently acquired nursing homes" »

October 23, 2007

Manorcare purchaser Carlyle groups promises patients that care won’t suffer

The private equity firm Carlyle Group that created a stir when it purchases the Manorcare Nursing Home chain earlier this year put its promises to patients in writing this week. Vowing a “patient’s first” pledge, the facility has promised to provide adequate staffing and training for the staffers who care for the elderly. These promises raise questions as to whether Carlyle will follow through with their pledge considering the private equity giant purchased Manorcare to make the home profitable. The largest expense for nursing homes is staffing and in order to turn a profit corporate executives will often cut staffing, resulting in poor patient care. Bad care leads to injuries and death and our most vulnerable members of society suffer. Manorcare is a chain that is frequently sued by family members whose loved ones have been injured or killed in Manorcare facilities.

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October 9, 2007

SEIU to rally at Chicago-area ManorCare facilities on Thursday

The Service Employees Union International (SEIU) will be holding rallies at Chicago-area ManorCare locations on Thursday to draw attention to the company's purchase by private equity company Carlyle Group in August. Further details of the rally will be disclosed tomorrow. Please check back tomorrow for an update.

Click here for more information on Carlyle Group's purchase of ManorCare and it's implications for care at Illinois Nursing Homes.

October 4, 2007

Abuse and neglect of patient at Manor Care nursing home leads to death, lawsuit

Susan L. Novosad of Chicago-based law firm Levin & Perconti has recently filed a lawsuit against Manor Care of Oak Lawn on behalf of the family of an abused and neglected resident. The resident, a 75-year-old woman, entered the nursing home for rehabilitation after a hip fracture. She also suffered from Alzheimer's disease. The woman was a patient at Manor Care for only four weeks. During those few weeks, the patient developed severe pressure sores; one of the sores developed into a Stage IV pressure ulcer. The woman was eventually taken to the hospital for wrist pain, but during that visit she was diagnosed with pneumonia, dehydration, severe malnutrition and sepsis (an infection in her blood), in addition to the bed sores. The malnutrition and dehydration caused the patient to lose 13 pounds during those four weeks. As a result of these injuries, the woman ultimately died.

Family members had complained to the facility, but a nurse replied that she was too busy to take constant care of the patient. The nursing home is also accused of negligently allowing the patient to lie in her own waste for prolonged periods of time and failing to follow the orders of the patient's doctor, allowing for mistakes in the administration of medication and treatment. Novosad discovered that the woman's chart revealed that sixteen days had passed without any notes by a nurse. In regards to Manor Care's promise to sufficiently care for patients and meet their needs Novosad stated, "families really trust them. It's heartbreaking."

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October 3, 2007

Senators call for probe of the quality care given at nursing homes owned by private equity companies

In response to the recent New York Times article blasting the quality of care given at nursing homes owned by private equity companies, senators Hillary Clinton of New York and Republican Charles Grassley of Iowa have asked the Government Accountability Office (GAO) to investigate nursing homes owned by private equity companies.

Specifically, the senators are requesting an investigation into whether nursing homes owned by private equity companies are providing bad care. Some of the largest chains in the nation have been purchased by private equity companies recently including Manor Care Inc, the largest U.S. nursing home owner, and Beverly Enterprises.

Click here for the full article

September 28, 2007

Alliance for Quality Nursing Home Care surprisingly refuses to condemn long-term facilities who do not provide quality care

A statement was issued by the President of the Alliance for Quality Nursing Home Care (AQNHC) in response to the New York Times Article released on Sunday in which the AQNHC surprisingly refuses to condemn the practice of providing less than quality care while simultaneously using corporate shells to operate long-term care facilities and avoid accountability. The AQNHC, a group committed to improving the quality of long-term care nationwide, takes the unsupported position that care in America’s nursing homes is improving overall, noting that the New York Times focused their analysis on only 10% of our nation’s nursing homes.

The AQNHC does not deny that care is being sacrificed at these private equity owned homes, nor do they condemn this practice. Further, AQNHC is non-responsive to the issue of accountability where the owners of long-term care facilities - those who reap the profits - are not held accountable for bad care.

Is the AQNHC applauding this practice or not responding at all? One would expect an organization that is engaged in improving care in our nation’s nursing homes to condemn a practice by profit seekers who cut resident services and staff, decreasing the overall quality of care provided to residents.

Instead, the AQNHC lauds the profession’s “demonstrated commitment to public data disclosure,” and transparency, asserting that nursing homes make data available for potential residents to assess the quality of the facility. However, AQNHC forgets that long-term care facilities’ receipt of Medicare funds is conditioned upon reporting this data, making such reporting essentially government mandated.

In essence, the AQNHC applauds long-term care facilities who participate in a government mandated regulatory scheme with no regard for the bad care residents suffer when profits are put ahead of people.

Click here for the statement.

September 26, 2007

Another nursing home neglect lawsuit filed against Manorcare in Illinois – Department of Public Health cites facility

Twelve days was all it took for Manorcare at Peoria to neglect an 81-year old nursing home resident so badly that he was near death. Steven M. Levin, of Chicago law firm Levin & Perconti, filed a lawsuit today on behalf of the wife of an 81-year old man who died from complications of injuries he sustained in Manorcare at Peoria nursing home.

The 81-year old man was admitted to the facility for a short-term rehabilitation stay after a fall he sustained in his own home. A mere 12 days after the man was admitted, his family arrived to find the man unresponsive and struggling for breath. The man was transferred to a hospital where he was diagnosed with pneumonia, sepsis, acute kidney failure and dehydration. The lawsuit alleges that the staff at Manorcare failed to properly hydrate the man and assess his needs and risk for dehydration. The staff also failed to notify the man’s physician that his condition was deteriorating.

Further investigation revealed the man was needlessly in pain during his stay at the facility as he only received 40% of the pain medications he was prescribed. The Illinois Department of Public Health cited the facility for improper nursing care and failure to notify the resident’s physician and family of his change in condition.

Attorney Steven Levin explained the nature of James’ neglect: “In an unfortunate case of
improper nursing care, ManorCare failed to inform James’ doctor or his family that he was not eating or drinking and that his overall physical and mental condition had been rapidly deteriorating. Had the doctor been notified, a plan of intervention could have been established and implemented to prevent James from suffering needlessly. Whenever there is a significant change in a resident’s condition, it is the duty of the facility to notify the doctor and the family about these changes in a timely manner so the resident’s needs can be met with the appropriate standard of care.”

Click here for the Press Release

September 18, 2007

Nursing home lawsuit filed in Chicago against Manorcare at Oaklawn for pressure sores

A nursing home neglect lawsuit was filed today for the family of a 75-year old woman who was neglected in a Manorcare nursing home in Oaklawn, IL. Susan L. Novosad, of Chicago nursing home law firm Levin & Perconti, filed the lawsuit on behalf of the family. The lawsuit alleged that during her four week stay in the Manorcare facility, the woman developed a severely infected Stage IV pressure ulcer. The resident also was allowed to become malnourished and dehydrated, suffering a 13 pound weight loss in only 4 weeks.

Eventually, the resident was hospitalized for sepsis and pneumonia, conditions the lawsuit alleges were caused by the mistreatment and neglect she suffered as a resident of Manorcare.

Attorney Susan Novosad said, “Nursing facilities like Manorcare promise families that
they can provide for the complex medical care of their loved ones. They promise to provide dignified care in a home-like setting. Helen depended on ManorCcre to meet all of her needs because she was unable to care for herself. Instead, she was allowed to suffer needlessly. ”

Click here for the Press Release

September 12, 2007

Chicago nursing home neglect lawsuit filed against Manorcare Palos Heights

A nursing home abuse and neglect lawsuit has been filed in Chicago, IL on behalf of the family of an 85-year old resident who suffered needlessly at Manorcare Palos Heights nursing home. Steven M. Levin and Michael F. Bonamarte of the Chicago-based law firm Levin & Perconti filed the lawsuit in the Circuit Court of Cook County, alleging violations of state and federal law due to the poor nursing care the resident received at the Manorcare Palos Heights facility. In a detailed report from the Illinois Department of Public Health (IDPH), which can be found here, ManorCare was cited for failing to prevent Nancy Cirantineo’s mistreatment, neglect and abuse by their own staff members. Specific examples of staff mistreatment and neglect included delayed medical treatment, failure to provide necessary care and services, failure to provide necessary treatment to prevent existing pressure sores from worsening and failure to prevent the development of new sores.

Continue reading "Chicago nursing home neglect lawsuit filed against Manorcare Palos Heights " »

August 24, 2007

Manorcare Naperville sued for nursing home neglect

A former resident of Manorcare Naperville is suing the facility for leaving a sponge in an open wound which became embedded in the resident’s leg. The resident was admitted to Manorcare on June 24, 2005 after surgery and received wound care at Manorcare until July 2, 2005. Manorcare is a chain of nursing homes that is frequently cited by the Illinois Department of Public Health (IDPH) for improper nursing care and neglect. Several lawsuits have also been filed against Manorcare facilities throughout the state of Illinois by nursing home attorneys on behalf of residents and family members who have been abused or neglected in Manorcare facilities.

Click here for the full article.

August 14, 2007

Mentally disturbed nurse abuses residents, coworkers

In a recent conference, the Virginia Board of Nursing was asked to take action upon evidence that a nursing home CNA violated state laws regulating nurse aide practice. The nurse was employed at four nursing homes in recent years: Seven Hills, ManorCare, Ruxton, and the Lexington. She had been previously diagnosed of Impulse Control Disorder and personality disorder, but was not undergoing treatment, and had also been convicted of petty larceny. The nurse committed acts such as abusing residents, threatening to kill fellow employees, verbal abuse, talking to herself about killing people in the presence of residents and omitting previous nursing homes and her criminal record on her resume. It is shocking that there is no system in place to prevent nurses like these from circulating among nursing homes in the same area. With the prevalence of nursing home abuse and neglect, there should be stricter rules governing background checks on employees.

August 13, 2007

The future of HCR ManorCare

HCR ManorCare Inc., a company that owns nursing homes all over the country, was recently purchased by the Carlyle Group for over $6 billion. This supports the trend of large firms acquiring eldercare companies. While this may be profitable for these firms and their investors, it remains to be seen how the nursing home and long-term care industry will be affected. Typically in these situations, in order to maximize financial opportunity, private equity firms have a tendency to implement aggressive cost-cuts, including layoffs. Nursing homes and long term care facilities are already underfunded and understaffed and this has led to a consistent amount of emerging instances of nursing home abuse and neglect. ManorCare, in particular, has had many problems providing patients with adequate care.

Click here for the full article

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August 3, 2007

Sexual assault at ManorCare Nursing Home in Cook County

An alleged sexual assault at a ManorCare nursing home facility in Rolling Meadows, Illinois has led the state to claim that ManorCare failed to protect the woman from being abused. Nursing home abuse and neglect has been found by the Illinois Department of Public Health at many ManorCare facilities recently and the Rolling Meadows facility has already received a $20,000 fine from the department. In this particular instance, state officials said that a 71-year-old mentally disabled woman was sexually assaulted by a 62-year-old man with dementia in the middle of the afternoon. The investigation led to claims that the home failed to protect the victim and failed to supervise the assaulter, who had been caught inappropriately touching another woman's breasts only three months before. When an employee heard cries from the TV room where the woman was being assaulted, he was unable to get in and prevent further harm because the door was locked. It seems questionable that a nursing home facility with mentally disabled residents would have internal locks on community rooms. The state also alleges that the ManorCare facility failed to report the attack to police, a duty they should have undeniably upheld.

ManorCare facilities are becoming cesspools for abuse and neglect and action needs to be taken to prevent any other instances of sexual abuse in addition to other problems resulting from issues such as failure to supervise residents and failure to properly monitor patients.

Click here for the full article

August 2, 2007

Manorcare reports increased profits but no increase in quality of care

Today, Manor Care Inc. reported a 5% increase from 2006 in year to date profits, driven by a 7% increase in revenues. Although Manor Care’s expenses are up quarter over quarter and on a year to date basis, you wouldn’t know it from their lack of providing quality care to nursing home residents. Manor Care is a frequent defendant in nursing home lawsuits nationwide.

One of the main themes in nursing home litigation is staffing. Homes like Manor Care, who are driven by profits over people, consistently understaff their facilities to cut costs. Clearly Manor Care is doing well enough to profit quarter after quarter – they should be spending more money on staffing their facilities properly so that our nation’s elderly receive the quality of care they deserve. Until Manor Care puts their residents over their profits, lawsuits are the best way to send a message that Manor Care's conduct will not be tolerated.

July 30, 2007

Another Manorcare lawsuit filed for nursing home abuse and neglect at Manorcare at Libertyville

Steven M. Levin of the Chicago-based law firm Levin & Perconti filed a nursing home negligence lawsuit today in Lake County, Illinois on behalf of 65-year old Barbara Clapman against Manorcare at Libertyville, alleging neglect and mistreatment. The facility has also been cited by the Illinois Department of Public Health (IDPH) for neglect and improper nursing care.

During her stay at the Manorcare Nursing Home, Ms. Clapman was neglected so badly that she developed severely infected pressure ulcers. One of the pressure sores, located in the sacrum area, became so deep that it caused osteomyelitis, an infection in the bone.

Click here for the press release

July 26, 2007

Manor Care Health Services faces another wrongful death lawsuit

The family of a woman who died after residing in a Manor Care facility recently filed a wrongful death lawsuit against the national nursing home management corporation. The woman was only 53 years old when she became a patient at the Manor Care facility in Springfield, Missouri and was first admitted to the ManorCare facility for rehabilitation with a decubitus ulcer on her right buttock. However, during the course of her stay at ManorCare, this decubitus ulcer grew larger, worsened, and ultimately became infected. Sadly, this story is a common one for ManorCare facilities across the nation, and this case, like the ones that came before it, also alleges that ManorCare provided inadequate and negligent care.

Click here for the full article
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July 9, 2007

$54 million nursing home abuse and neglect verdict against ManorCare

The family of a victim of extreme nursing home neglect and wrongful death was awarded $54 million in a recent verdict against ManorCare Inc., one of the largest nursing home corporations in the country. The daughter of the 78-year-old victim alleged that when she arrived at the nursing home within three hours of being informed of her mother's death, staff members had already crammed the victim's belonging into boxes and that money was missing. Lawyers discovered that a nursing aide found the woman lying in soiled, bloody sheets which staff members quickly removed, leading to the allegation that ManorCare had destroyed evidence. Although charting errors are frequently discovered in nursing homes, the victim's charting was so inadequate that it showed that she had been given insulin over two hours after her death.

ManorCare has been cited for many instances of neglect, such as patients repeatedly being discovered in fecal- and urine-soiled bedding, improper restraints and improperly trained staff. For instance, Levin & Perconti has handled numerous cases against ManorCare in Illinois in which the nursing homes were found to have very serious examples of abuse and neglect.