Articles Posted in Cook County Nursing Home

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A joint study by researchers from The University of Illinois at Chicago School of Public Health, John H. Stroger Hospital, The Social Policy Research Institute and Illinois Citizens for Better Care has found that the type of facility matters when it comes to the quality of care your elderly loved one is receiving.

Chicago Hospital Records Show Elder Neglect Happening in Nursing Homes

The study ‘Association between Type of Residence and Clinical Signs of Neglect in Older Adults,’ examined 5 metropolitan Chicago-area hospital records of 1,149 elderly patients admitted from long term care settings (nursing homes) and community settings (home, assisted living, or senior living facilities). The data revealed that for-profit nursing homes had more instances of clinical neglect than any other setting. The facilities responsible for the transfer of these residents to nursing homes were all metropolitan Chicago nursing homes.

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In just one week, Levin & Perconti filed two separate lawsuits in Cook County Circuit Court against facilities on behalf of clients who allege each facility is responsible for failing to prevent and properly treat pressure sores. Pressure sores, also known as bed sores or decubitus ulcers, are wounds that develop on the skin and the underlying tissue from spending long periods of time bearing weight on the skin. Bony parts of the body are more likely to be affected because the skin and tissue in these areas is less dense.  Constantly sitting or lying down in the same position puts patients at risk for developing a pressure sore, a risk factor that requires vigilant medical staff who follow preventative measures that include frequent position changes of patients, as well as good nutrition and good hygiene. Pressure sores can quickly become serious as the infection spreads to the underlying tissue, muscle and bone.

According to Mayoclinic.org, risk factors for pressure sores include:

  • Inability to move independently
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Levin & Perconti has filed a lawsuit against Alden Lakeland Rehabilitation and Health Care Center on behalf of Michael Leonard, a former resident who was injured after allegedly falling on two separate occasions in 2016. Alden Lakeland transferred Mr. Leonard to Presence St. Mary of Nazareth Hospital where doctors discovered a subdural hematoma, nasal bone fractures, facial contusions and abrasions, loose front teeth, altered mental status, and dehydration.

The lawsuit alleges that Alden Lakeland failed in their promise to maintain and adhere to a care plan that would enable Mr. Leonard to improve his health at the facility, ultimately allowing a healthy and timely return home. Mr. Leonard and his attorney-in-fact, Patricia Cagney, are being represented by Levin & Perconti Partner Margaret Battersby-Black.

About Alden Lakeland and The Alden Network

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nursing home infections

Painful Infections Remain Untreated When Chicago’s Nursing Homes are Understaffed

The Chicago Tribune recently published a scathing article on the inadequate measures taken by a Chicago nursing home to prevent a resident’s bedsores from turning into deadly infections. The story featured the negligence and wrongful death claims of an 85-year-old resident at Lakeview Rehabilitation and Nursing Center on the city’s North Side. Family members of the resident told reporters that the facility’s staff never spoke of the “seriousness of the pressure sore, which led to sepsis, a severe infection that can quickly turn deadly if not cared for properly.”

Complications related to pressure sores often require intravenous antibiotics and sensitive care treatments to treat bloodstream infections and can result in painful surgeries to cut away dead skin around the wound. According to health officials, there are four types of infections that are often linked with sepsis including: lungs (pneumonia), kidney (urinary tract infection), skin (pressure wounds and bedsores) and gut. Out of the 6,000 Illinois nursing home residents who are hospitalized with sepsis each year, 1 in 5 won’t survive.

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Long Term Care Community Coalition (LTCCC), an organization committed to providing resources and information to promote healthy aging, has released their searchable data files on staffing hours for nursing homes and rehabilitation centers across the country for the first quarter of 2018.

The lists are divided by state, and the nursing home abuse and neglect attorneys of Chicago’s Levin & Perconti have reviewed the data for Illinois to find out the best and worst staffed facilities in Cook, DuPage, Lake, Kane, and Will Counties. Staffing, as most elder advocates know, is considered one of the largest contributing factors to nursing home abuse and neglect.

According to Nursing Home Compare, the ratings website run by the Centers for Medicare and Medicaid Services (CMS):

Illinois Average National Average
RN Per Resident/Day 47 minutes 40 minutes
Total Licensed Nurse Per Resident/Day (LPN/LVN + RN time) 1h 25 minutes 1h 33 minutes
Nurse Aide (CNA) Per Resident/Day 2h 2 minutes 2h 18 minutes

The data compiled by CMS and LTCCC shows that the best Illinois nursing homes and rehab facilities are beating the state and national averages for RN time per resident/per day, but that the worst are falling so far short that one Cook County nursing home averaged ZERO hours per resident a day.

Levin and Perconti also found that every nursing home that rated the worst in terms of staff hours per resident/day were for profit facilities. Our blog has extensively covered the driving force behind minimal staffing. It nearly always comes down to money.

Our findings are separated by county, as well as by role, examining the best and worst facilities in terms of RN time per resident/day, as well as total direct care staffing per resident/day. In their data compilations, LTCCC defines direct care roles as RNs, LPNs, and CNAs.


Average RN Staffing Hours Per Resident/Per Day By County

  • Cook County: Top 10 in RN hours are hospitals. There is a tie for nursing facilities.
    • Best – Alden Estates of Skokie (25 residents, for profit) and Terraces at the Clare (Chicago, 46 residents, for profit) both average 1.7 hours per resident/day.
    • Worst – Southview Manor Nursing Center (Chicago)
      • For profit
      • 183 residents
      • 0 hrs per resident/day
  • DuPage County:
    • Best – Marianjoy Rehab Hospital (Wheaton)
      • Non profit
      • 26 residents
      • 2.4 hours per resident/day
    • Worst – West Chicago Terrace (West Chicago)
      • For profit
      • 107 residents
      • .2 hours per resident/day
  • Kane County:
    • Best – Greenfields of Geneva
      • Non profit
      • 41 residents
      • 1.8 hours per resident/day
    • Worst – North Aurora Care Center
      • For profit
      • 105 residents
      • .1 hours per resident/day
  • Lake County:
    • Best – Lake Forest Place (Lake Forest)
      • Non profit
      • 50 residents
      • 1.9 hours per resident/day
    • Worst – The Grove at The Lake (Zion)
      • For profit
      • 170 residents
      • .3 hours per resident/day
  • Will County:
    • Best – Alden Courts of Shorewood
      •  For profit
      • 35 residents
      • 2.3 hours per resident/day
    • Worst – Aperion Care Wilmington
      • For profit
      • 158 residents
      • .1 hours per resident/per day


Average Total Direct Care Staffing Hours Per Resident/Per Day By County (RN, LPN, CNA)

  • Cook County:
    • Best – Rush Oak Park Hospital’s Skilled Nursing Unit
      • Non profit
      • 16 patients
      • 6.6 hours per resident/day
    • Worst – Parkshore Estates Nursing & Rehab (Chicago)
      • For profit
      • 228 residents
      • 1.4 hours per resident/day
  • DuPage County:
    • Best – Franciscan Village (Lemont)
      • Non profit
      • 58 residents
      • 7.1 hours per resident/day
    • Worst – Wynscape Health & Rehab (Wheaton)
      • For profit
      • 120 residents
      • 1.3 hours per resident/day
  • Kane County:
    • Best – Alden Courts of Waterford (Aurora)
      • For profit
      • 17 residents
      • 7.0 hours per resident/day
    • Worst – River View Rehab Center (Elgin)
      • For profit
      • 175 residents
      • 1.8 hours per resident/day
  • Lake County:
    • Best – Radford Green (Lincolnshire)
      • For profit
      • 75 residents
      • 1.5 hours per resident/day
    • Worst – Claridge Healthcare Center (Lake Bluff)
      • For profit
      • 102 residents
      • 2.1 hours per resident/day
  • Will County:
    • Best – Victorian Village Health & Wellness Center (Homer Glen)
      • Non profit
      • 45 residents
      • 5.9 hours per resident/day
    • Worst – Joliet Terrace Nursing Center
      • For Profit
      • 113 residents
      • 1.4 hours per resident/day

 

Let Levin & Perconti Help You
Levin & Perconti is one of the nation’s most recognized and respected leaders in the areas of elder abuse and nursing home negligence. We have successfully litigated and settled abuse and neglect cases throughout the city of Chicago, surrounding suburbs, and the entire state of Illinois.

If you suspect neglect or abuse of a loved one in a nursing home or skilled nursing facility, please contact us now for a FREE consultation with one of our attorneys. Call us toll free at 1-877-374-1417, in Chicago at (312) 332-2872, or complete our online case evaluation form.

 

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The latest quarterly report on Illinois nursing home violations is in and the number of Type AA and Type A violations has increased since the first quarter of 2018.

The Illinois Department of Public Health’s (IDPH) Second Quarterly Report of Nursing Home Violators includes some repeat offenders from quarter 1, as well as one facility that received a $50,000 fine for a Type AA violation for the second time this year.

According to IDPH, Type AA violations are given when a nursing home has a “condition or occurrence at the facility that proximately caused a resident’s death.” Type A violations are situations “in which there is a substantial probability that death or serious mental or physical harm will result, or has resulted.” IDPH defines Type B Violations as those that would likely cause mental or physical harm to a resident.

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nursing home violations

New Report Shows Serious Care Violations and Doubled Fines For 56 Illinois Nursing Homes

The Illinois Department of Health produces quarterly reports on nursing home violators. The most recent report, dating January 2018 thru March 2018, highlights more than 50 Illinois facilities determined to be lacking in patient care abilities related to the Nursing Home Care Act, a statute that provides nursing home residents and their families with the assurance that proper and safe care will be received.

Some violations heightened with a serious high-risk designation, and all homes received fines of no less than $1,000 while others reached more than $50,000 fines for issues that caused actual harm or immediate jeopardy to residents. Several problems were related to infected bedsores, medication mix-ups, poor nutrition, and abuse and neglect of patients caused by lack of support or inexperienced, overburdened staff. These violations may result in an official recommendation for decertification to the Department of Healthcare and Family Service, or the Secretary of the United States Department of Health and Human Services. Facilities included in this report are:

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On July 24th, our attorneys secured $875,000 for the family of Antonio Mares, a resident of the Center Home for Hispanic Elderly in Chicago’s Wicker Park neighborhood. Physician’s orders indicated that Mr. Mares was to only receive soft foods, a requirement that was violated by the facility and resulted in his death.

In November 2012, a CNA brought Mr. Mares his dinner, which consisted of a food not allowed by his diet plan, and left his room. The CNA returned to find Mr. Mares choking and unsuccessfully attempted the Heimlich maneuver. The CNA also used the call button in his room, but no members of the nursing staff responded. Mr. Mares’ death is the result of neglecting to follow a physician-ordered diet plan, as well as failing to adhere to the standard of care for those who are at risk of choking. All nursing home residents who are determined to be at risk for choking are to be closely supervised while eating.

In a statement made by Isela Mares, Mr. Mares’ daughter, she says “Our family was robbed of the opportunity to properly say goodbye to my father, and while no sum of money will ever make up for our loss, we are hopeful that this settlement will incentivize the nursing home to make some needed changes.”

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Every month, the Centers for Medicare & Medicaid Services (CMS) update their list of nursing homes that have proven to be in dire need of improvement to avoid patient safety events and to hang on to funding from Medicare and Medicaid. The nursing homes, referred to as Special Focus Facilities (SFFs), have all been found to have higher than average numbers of safety violations or deficiencies, including actions that have the ability to cause immediate harm or death to residents. Facilities are only able to graduate from the SFF list by having a clean record during two consecutive inspection visits by CMS.

‘Graduation’ from SFF Not the Same Thing as Giving Better Care

In a report by Kaiser Health News, over half of the 528 facilities that graduated from the SFF list before 2014 have gone on to seriously harm and even kill patients. The report says that the same facilities still have nurse staffing levels at an average of 12% lower than typical resident to nurse ratios that many other nursing homes maintain, a significant difference in an industry where ratios are already at shockingly low levels.

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What happens when a nursing home is cited by state or federal regulators for quality of care problems? Most assume that the regulators will ensure that that negligent facility will be forced to improve or face closure. And in theory that is how the regulators are set to work. While the specific procedure depends on the state in question, most regulators will conduct investigations into practices and protocols at a nursing home during routine inspections or following a particular incident. Following those inspections, the facility may face financial penalties and is often forced to make changes and show improvement. Regulators will often conduct follow-up visits to ensure changes have actually been made.

In some cases, the facility may have committed so many egregious offenses or continually fail to improve, that more drastic actions are taken. This may result in the facility losing its ability to participate in Medicare and Medicaid programs (a death knell for many facilities which cannot financially survive otherwise). Alternatively, a state may deny the facility the ability to receive the proper licensing to legally operate. In those instances, the facility may be closed.

For example, SF Gate reported last week on a nursing home that is slated to close following the end of a two year legal battle with state and federal regulatory officials.