Articles Posted in Uncategorized

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After surviving a stroke, Bill Owens completed inpatient rehabilitation and was released with instructions to begin physical therapy at home. After determining that in-home therapy would not be effective enough for Mr. Owens, he was referred to Carl Erskine Rehabilitation Center in Anderson, Indiana. The rehab facility is owned and operated by St. Vincent Regional Hospital.

Mr. Owens, a documented fall risk, relied on a walker and notified his physical therapist that he had recently fallen twice. The therapist marked in Mr. Owens’ file that he seemed weaker and shakier as a result of his falls. The next day, Mr. Owens was asked to walk unassisted from the waiting room to the therapy room at rehab. While attempting to walk, Mr. Owens fell and hit his head, striking the ground with such force that he suffered a subdural hematoma, a form of traumatic brain injury that is life threatening if not immediately and appropriately treated.

A Life Forever Changed

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The daughter of a Greeneville, TN man has settled a lawsuit against her father’s nursing home after he was given several powerful psychotropic medications that were not clinically warranted for a patient with Alzheimer’s and dementia, both from which he was suffering at the time of his death. Mr. Bobby Glenn Tweed died at age 79 due to complications from the unneeded drugs given to him by staff at Life Care Center of Greeneville. All 3 of the medications, Depakote, Seroquel, and Geodon, are contraindicated for use in treating elderly patients with dementia.  In fact, the Food & Drug Administration requires a ‘black box warning’ on both Seroquel and Geodon notifying prescribers that the medications are harmful to patients suffering from dementia and increase their risk of death.

While the terms of the settlement are confidential, the attorneys for the family reminded the press that any time psychotropic meds are used, prior consent must be given. In this case, Mr. Tweed’s daughter should have been notified that the facility needed to use such meds and allowed her to approve or deny their use on her father. According to the suit, these drugs were given over an “extended period of time” and “such medications were being given not because Mr. Tweed needed the medication to treat his illness or to improve his quality of life but to make him a more docile, compliant and passive patient.”

Unauthorized Use of Antipsychotics Due to Multiple Factors

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With a newly named adminstrator at the head of Centers for Medicare & Medicaid Services (CMS), LeadingAge, a group supposedly dedicated to the health and welfare of those in nursing homes, has taken advantage of a fresh set of ears.  Recently, senior leaders of the group took the opportunity to meet with Seema Verma, the newly minted head of CMS, to share their beliefs that the surging number of Immediate Jeopardy violations has caused a strain on the way they do business.

Immediate Jeopardy Violations are CMS’ Most Serious Offenses

According to CMS.gov, Immediate Jeopardy refers to “A situation in which the provider’s noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident.” LeadingAge, who is funded by many corporations, including those with financial interest in nursing homes and services provided to the elderly, is arguing that the standards that are required to be met are hindering their ability to do business as usual. Essentially, the group has asked for CMS to either lower their standards or to make the steps required to improve Immediate Jeopardy situations less daunting. It seems unbelievable that the group is upset about the impact the violations have caused and not the reasons for why the violations were issued in the first place. Why is it that the facilities are unable to meet standards that simply require not putting residents at risk of serious injury or death? If adequate staffing numbers are maintained, if proper training is given and if residents are truly a priority, why are these nursing homes facing increasing Immediate Jeopardy violations?

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A 52 year old woman has died after a nursing assistant did nothing to resuscitate her, even though she was not a DNR patient. A DNR refers to a ‘Do Not Resuscitate’ order, a legal document that indicates a patient does not wish to be resuscitated in the event of a life threatening emergency. The form must be present in a patient’s file in order for that person to be considered ‘DNR’ and the lack of such a document indicates the patient would like all measures to be taken to keep them alive.

Mrs. Kimberly Cencula was a short term resident at Warren Barr North Shore in Highland Park, Illinois, there to receive physical therapy after a bout of pneumonia. Instead, she contracted Elizabethkingia, a bacterial infection. When Mrs. Cencula coded, a nursing assistant misread her patient file, believing that a DNR was included among other documents. Believing Mrs. Cencula was DNR, the nursing assistant did not notify other staff or call a code (which would alert a designated medical team that resuscitation measures were urgently needed). Instead, the nursing assistant did nothing for 30 minutes. When a staff member finally realized the mistake, the facility called 911, but Mrs. Cencula had already passed.

The Illinois Department of Public Health has already investigated Mrs. Cencula’s death and cited and fined Warren Barr North Shore of Highland Park.

 

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A law firm in Eureka, California, is representing the families of two men who died from complications from pressure ulcers within 8 months of each other. The men were unknown to each other, but both received negligent care at facilities owned by the same company and run by the same nursing home administrator.

The lawsuits allege that understaffing was an intentional business decision and that the lack of available staff plus negligence on the part of nursing and medical staff caused both men’s deaths. Eureka Rehabilitation & Wellness Center and Seaview Rehabilitation & Wellness Center are both owned by Brius Healthcare and day-to-day operations of both facilities are overseen by Rockport Healthcare Services.

Avoidable Deaths

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Public Policy Polling (PPP) recently released data from phone polls conducted in late March on the topic of H.R. 1215, a House bill that will be voted on in the next several weeks. H.R. 1215 seeks to limit non-economic damages to $250,000 in medical malpractice, nursing home abuse, prescription and OTC drug and medical device lawsuits. PPP asked the same set of questions to between 500-700 registered voters in 7 red (Republican) and purple states (those that have voted both Republican & Democratic in the past several elections). Polling only red & purple states was intentional, as Republicans have traditionally leaned towards tort reform, the act of limiting medical malpractice and nursing home abuse lawsuits in favor of protecting big corporations. PPP found that in the polled states of Florida, Georgia, Pennsylvania, Texas, Utah, Alabama and Arizona, support for H.R. 1215 was virtually non-existent, with over 60% of polled citizens in every state disagreeing with the bill.

Even more impressive was the percentage of voters in each state that believed nursing homes should be held accountable if acts of negligence caused the injury or death of a loved one. The amount of support for nursing home abuse and negligence lawsuits was 77% at its lowest (Florida), and 86% at its highest (Georgia).

Finally, each state’s opposition to H.R. 1215 grew stronger as the person conducting the phone interview gave more information on the bill to voters.

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Gretchen Carlson, a Stanford-educated anchor of several past successful programs on Fox News, wants the world to know that Americans, and women in particular, are having their rights taken away by arbitration clauses in employment agreements. In a piece published in Motto, a TIME magazine affiliate, Carlson cites a 2010 statistic from the National Employment Lawyers Association: Nearly 1/3 of the non-unionized workforce is currently under an employment agreement that requires arbitration in the instance of any sort of employment dispute. Disputes could be anything from wrongful termination to sexual harassment.

Carlson vs. Fox News

Carlson is an important voice in the fight against sexual harassment in the workplace. After being fired from Fox News, she filed a lawsuit against 21st Century Fox (the owner of Fox News) and Fox News’ chairman, Roger Ailes, citing years of sexual harassment. After Carlson came forward in July 2016, many other women brought forth similar claims and within 2 months the news network settled the lawsuit for $20 million.  Fox attempted to push Carlson into arbitration, saying that she had signed an employment agreement that specified all workplace claims were to be settled through arbitration and not a jury trial. Carlson refused to back down, saying that forcing victims of sexual harassment into closed door negotiations meant that the public never learned of the crimes and let the perpetrator off too easily. In the article, Carlson also remarks that those forced into arbitration fare worse than if they were allowed their 7th amendment right to a trial by jury.

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The Symphony of Morgan Park, formerly known as the Renaissance Park South, is facing a lawsuit from the family of 89 year old Christine Young, who suffered from blindness and required supervision and assistance with eating and other daily tasks. The lawsuit alleges that the nursing home failed to properly supervise her and that she managed to obtain and choke on a piece of candy, ultimately dying from cardiac arrest. While the lawsuit does not specifically state that she was given the candy by staff, it does reference a bag of candy on her bedside table and her inability to reach for the candy herself, given her condition.

Elderly in Nursing Homes at High Risk for Choking Incidents

Sadly, choking happens frequently in nursing homes and to the elderly in general. Medications and medical conditions can affect a person’s ability to properly chew and swallow food, resulting in tragic circumstances. Although these risk factors are known to nursing home administrators and staff, oftentimes restrictions are not noted in care plans for residents or if documented, employees might overlook restrictions and allow residents to eat foods that should be avoided.

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In a CDC report released in mid-March, the government organization revealed that the number of reported brain injuries has increased dramatically since 2007. Brain injuries have been frequently studied and reported on in the news and medical community, with brain injuries in professional athletes and youths taking center stage. In 2015, Will Smith starred as pathologist Dr. Bennett Omalu, who, after examining a deceased NFL player, discovers he had suffered from severe neurological trauma and disease. Dr. Omalu became the face and voice against football-related brain injuries after realizing many other former professional players suffered from the same symptoms. Also in 2015, the mother of a former youth athlete sued her son’s football program after he commit suicide and was found to have serious brain injuries resulting from repeated concussions.  Nevertheless, despite headlines about professional athletes and youth football players, the driving force behind this spike in brain injuries is surprisingly a result of the increasing occurrence of elderly falls.

Latest Statistics about Brain Injuries

The CDC found that suicide, suicide attempts, and falls were all contributors to the increase in traumatic brain injuries. The number of brain injuries as a result of car accidents has actually decreased in recent years.

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A Pennsylvania news organization has outed the 18 biggest offenders of understaffing in Pennsylvania nursing homes. HCR Manorcare, the Toledo-based health care organization, took 10 out of 18 spots on the list assembled by Penn Live. While experts recommend at least 4.1 staff hours a day to be spent on a resident’s care, the worst offender on the list, ManorCare Health Services of Pottsville, averaged 2.77 hours of care a day. Even the ‘best’ on the list, ManorCare Health Services of Bethlehem, averaged only 2.89 hours of daily care.  Understaffing is problematic for nursing home residents because improper staffing ratios can lead to falls, resident wandering, medication and other serious clinical errors, poor hygiene, malnutrition, and dehydration.

ManorCare One of the Largest Nursing Home Chains in the Country

HCR ManorCare is the second largest nursing home chain in the country. The company has over 500 facilities, including short & long term care centers, rehab clinics, home health agencies, and hospice centers. ManorCare facilities operate under the names ManorCare, Arden Courts, or Heartland and currently have over 35 facilities in Illinois alone.