WREG reported that maggots were found inside the wound from an amputation according to police.  Memphis Police said they are investigating an elder abuse case involving a patient.  According to a police report, the elderly resident of Ashton Place was transferred to the hospital after he started running a high fever. Hospital workers discovered five open wounds to different parts of his body and a bruise to his stomach during treatment.  Ambulance service employees also said they had found the man in feces.

“Even the police got violently ill witnessing that,” the victim’s daughter said.  “I’ve been in the medical field for a while and this is one of the worst I’ve ever witnessed and this is my father,” the victim’s daughter said. “It’s indicative he wasn’t getting basic care.”

As nurses were treating the individual, they discovered the staples had not been removed from his right leg and the bandages were labeled “October 7.”

 

ABC Action News reported the controversy surrounding a nursing home’s refusal to provide certain medicine to one of their residents. Zephyrhills Health and Rehab Center, which is operated by Adventist Health System, refuses to allow Charlotte Simpson pain relief by refusing to allow her to have the medical marijuana she has a legal prescription to take.  Simpson is confined to a wheelchair and suffers Parkinson’s Disease, arthritis and other ailments.

“You should see the condition she’s in. It’s horrible,” said Bert Greene, describing his mother Charlotte Simpson. “She’s got uncontrollably shaking, excruciating pain.”

Greene said after medical marijuana became legal in Florida, a doctor prescribed it for his mother and she applied for a compassionate use permit.

“When she was finally approved, and the medicine was delivered, they gave it to me and told me I had to take it home with me,” Greene said.

 

 

The Telegram reported the Aug. 7 death and cover-up of Walter E. Haddad.  State and federal agencies investigated the suspsicious circumstances surrounding the death of Haddad who died after he fell and hit his head, and nursing home staff covered up the fall rather than send him to the hospital.

The report said that after hearing a loud thud about midnight on Aug. 6, a certified nurse assistant and a licensed practical nurse found Mr. Haddad lying on the floor and they put him back in his bed.  No assessment by a registered nurse was done. The CNA told investigators that he did not report the fall, as required by the facility, because the LPN had asked him not to.

“However, staff did not complete a thorough clinical evaluation or neurological assessment on (Mr. Haddad), which resulted in a delay of transfer to the hospital for evaluation of possible injury,” investigators said in the report.

Mr. Haddad’s daughter, Lorna Haddad, took issue with the report. She said staff should have been more careful because they knew that her father, who helped found the nursing home, had a history of falls. The retired accountant had moved into the nursing home last year, after Parkinson’s disease left him prone to falls. She said notification of his fall risk was posted throughout his area of the facility.

“I think the report is meaningless,” she said. “The fact that he didn’t have an alarmed bed or an alarmed chair is alarming.”

The report in general said professional standards of quality were not met because of the actions or inactions of the staff.  Every time a patient falls, injury or not, they’re required to call the physician and the patient’s family.

The morning after he fell, Mr. Haddad told several staff about the incident. The only thing that they did was to give him Tylenol. When Mr. Haddad’s family came to visit, he told them that he had fallen the night before and hit his head. Staff told the family that there was no report of a fall and that Mr. Haddad may have been mistaken or confused. When his speech became slurred and he complained of neck pain, he was taken to the trauma unit at UMass Memorial Medical Center, where he died.

St. Louis Today reported the tragic death of a nursing home resident who choked and died in July after the patient was fed through a tube in 30 minutes instead of the one hour that was prescribed, according to a federal report.  Then a nurse failed to check on the patient, perform CPR and call 911, as required by the patient’s medical record and the nursing home’s policies, investigators with the U.S. Centers for Medicare and Medicaid Services found during an August inspection. The home was cited for placing residents in immediate jeopardy and could be fined for the incident.

A doctor at the nursing home told investigators that the formula coming out of the patient’s nose and mouth at the time of death indicated that he or she choked on the food and suffocated.

Because of the patient’s risk for choking, the formula tube feeding was supposed to be infused over one hour with supervision. At a 4 a.m. feeding on July 23, the nurse infused the formula through the tube in 30 minutes and left the patient after checking vital signs. One hour later, a nursing aide checked on the patient and couldn’t find a pulse. The aide called the nurse, who tried and failed to take the patient’s blood pressure and also could not locate a pulse, according to investigators’ interviews with the staff.

 The nurse then looked at the medical records and realized that CPR should have been performed and 911 called. In the report, investigators wrote “during that shift, Nurse A was very overwhelmed with trying to learn the facility procedures and there were no other nurses on duty to answer his/her questions … Nurse A knew what was expected of him/her and there was no excuse for failing to follow proper procedure.”

 

 

WUSA reported that the police are investigating a nursing home for alleged sexual misconduct between an employee and one of the senior citizens.  A similar allegation against an employee was already being investigated.  Forestville Health and Rehabilitation Center is owned by an company called CommuniCare.

 

 

 

Democracy Now had an article blaming deregulation and lack of enforcement on the 9 deaths at Rehabilitation Center at Hollywood Hills in the aftermath of Hurricane Irma.  Florida Governor Rick Scott has now directed the Agency for Health Care Administration to terminate the nursing home as a Medicaid provider.   It is incredible that Rick Scott blames everyone except himself.  See article at Miami Herald stating that Governor Scott deleted the messages from the nursing home begging for his help.

Scott gave out his number to nursing homes and assisted living facilities ahead of the hurricane so administrators could report concerns, according to a timeline released by Scott’s office. In the days following Irma, the staff at the Rehabilitation Center at Hollywood Hills called four times. But the messages they left the governor were ignored and then deleted.

New details about the nursing home include the fact a number of safety violations had already been reported at the facility, including two violations about its backup power capabilities—this was before the storm. However, Scott’s administration did nothing.

Unapproved work was done without city permits to the air conditioning and back-up generator systems.  City building officials say they discovered a temporary generator had been placed outside the facility and wired into the building without the necessary city permits.  The city also says officials discovered the air conditioning cooling tower was replaced without a permit — also a violation of the city’s building code.

Florida Power & Light refused to speed up its response to senior living facilities because Scott never listed nursing homes as critical facilities in power outages.

The main owner of the nursing home, Dr. Jack Michel, also has a history of running afoul of healthcare regulators. In 2006, the Justice Department fined another hospital that Michel runs, the Larkin Community Hospital, $15.4 million over civil fraud allegations.

“And it raises questions and concerns, not just about what happened in this particular situation, but how all nursing homes in Florida are regulated, and whether we’re going to require accountability and transparency, and whether nursing home owners, like the owner of this particular facility, that have a history of abuse should even be allowed to operate healthcare facilities. Certainly, things like putting them higher up on the FPL list and requiring facilities to have standby generators that would run air conditioning systems would make a whole lot of sense in a place like Florida. But there are broader questions about what we’re willing to allow nursing homes to get away with and what kind of accountability we want to have for the billions of dollars in public money that supports this industry.”

“The problem is that nursing homes are funded by our tax dollars; 70, 80 percent of the revenue that supports this industry is our money through Medicaid and Medicare. And it is simply not appropriate to have an industry that’s on the public dole. I mean, I would say we should question whether it’s appropriate to have an industry that takes care of frail elderly people that is run by for-profit corporations. But if we’re going to do that, then we have to have appropriate regulation that makes sure that staffing levels are sufficient to provide quality care and that nursing home operators are accountable for the money they receive and for standards of care. And that’s a problem that, you know, is not—that’s a day-to-day, 365-day-a-year problem, not just in natural disasters like this.”

“Most of the hands-on care that’s done in nursing homes is done by certified nursing assistants. And they, tragically, subsidize this industry through poverty-level wages and poor healthcare and retirement benefits. It’s a labor of love, but it is a crime that we ask our nursing home residents and our nursing home caregivers to subsidize the activities of for-profit corporations.”

The Atlanta Journal Constitution reported the tragic and preventable death of nursing home resident Dorothy Broome.  Police were dispatched to the area about 10 p.m. Aug. 25 after a man saw the woman’s wheelchair in the ditch on his way home from work.  Broome was found face down along South Main Street.

Broome was a wheelchair dependent resident at Gilmer Nursing Home who was found in a nearby ditch and later died after she fell while leaving the facility after a fire alarm was pulled, unlocking the doors.  Earlier that night, a fire alarm was pulled and Broome fell as she was leaving the building and sustained multiple injuries, the nursing home said in a statement to The Atlanta Journal-Constitution through its attorneys.

 

The News-Gazette reported on another tragic wrongful death caused by neglect at a nursing home.  Sonya J. Kington, a resident at Champaign County Nursing Home, was found dead in the home’s courtyard on June 6, a Saturday when the high temperature reached 87 degrees.  Kingston’s body was found in an exterior courtyard. Ms. Kington was lying in direct sunlight, her skin was “very hot to touch” and she had vomit on both sides of her mouth.

According to an investigation by the coroner’s office, video footage from inside the nursing home appeared to show Ms. Kington entering the courtyard at 1:47 p.m. It isn’t until about 5:15 p.m. that staff members are seen searching for her.  The report noted that the investigation “could not account for Ms. Kington’s whereabouts” during the more-than-three-hour period

“Staff is seen visibly shaken at 5:30 p.m. when it appears they have located Ms. Kington unresponsive in the courtyard,” says the report by Deputy Coroner Tracy Brookshire.

The report said that a nurse and certified nursing assistant on duty at the time violated the nursing home’s door alarm policy and policies for providing adequate supervision to residents in the courtyard.

Numerous media outlets have told the story of the nursing home residents at Rehabilitation Center at Hollywood Hills.  The nursing home failed to have a backup generator or an emergency plan to evacuate the residents after the nursing home lost air-conditioning after Hurricane Irma.  State and federal regulations (and common sense and decency) require nursing home residents to be evacuated if it gets too hot inside

The nursing home appeared to have electricity, but the hurricane had knocked out power in a critical spot: A tree had apparently hit the transformer that powered the cooling system, intensifying the subtropical heat from oppressive to fatal.

By Wednesday of this week, residents needed to be evacuated immediately. Checking the nursing home room by room, the hospital staff found four people who were already dead and nearly 40 others were critical. The workers rushed them to Memorial’s emergency room.  Four were so ill that they died soon after arriving. Rescue workers saved more than 100 residents. Dozens of hospital workers established a command center outside, giving red wristbands to patients with critical, life-threatening conditions.

Florida requires nursing homes to ensure emergency power in a disaster as well as food, water, staffing and 72 hours of supplies. A new federal rule, which takes effect in November, adds that the alternative source of energy must be capable of maintaining safe temperatures.  Florida officials had cited a deficiency related to the building’s generator as recently as February 2016. An inspection called for backup power systems to be “installed, tested and maintained” by March 2016, records show.

The 152-bed nursing home was acquired in 2015 by Larkin Community Hospital, a growing Miami-area network that includes hospitals, nursing homes and assisted living facilities.  Larkin Community were among defendants who paid $15.4 million in 2006 to settle federal and state civil claims that the hospital paid kickbacks to doctors in exchange for patient admissions.

 

St. Louis Today reported the tragic and preventable death of Robert L. Baehr.  Baehr died in November 2015 of low blood sugar about two weeks after nurses at Bent-Wood Nursing and Rehab Center mistakenly gave him a prescription drug used to treat diabetes, which Baehr did not have.  Baehr also received one dose of an antibiotic and four doses of a drug to lower blood pressure that he was not prescribed, the investigative report shows.

The drug was intended for another resident of the nursing home, and a nurse mixed up their records, according to an investigation by the U.S. Centers for Medicare and Medicaid Services.  After Baehr’s death, the federal agency cited Bent-Wood for placing residents in immediate jeopardy, putting its funding at risk.

 Baehr’s widow and daughter filed a lawsuit last year in St. Louis County Circuit Court against Bent-Wood claiming negligence by the nursing home; its owner, MGM Healthcare of Creve Coeur; and Dr. John Laird, who was Robert Baehr’s doctor.

Baehr’s drug list got switched with another resident’s who was admitted the same day, according to investigators’ interviews with nursing staff.  Investigators discovered that Baehr was given seven doses of glyburide, used to treat high blood sugar, one on Nov. 5 and two on each of the next three days. On Nov. 8, Baehr was found unresponsive and had a blood sugar level of 33 (normal levels are 70 to 100). He was revived with a sugar solution and orange juice. The next day he again became unresponsive with a blood sugar level of 33, and the sugar solution did not revive him. He never regained consciousness and died on Nov. 22. Federal records show the cause of death was profound hypoglycemia, or low blood sugar.