A former nurse, who previously pled guilty to tampering with a consumer product, was sentenced to imprisonment for a term of 48 months.  Christina Lovern Calloway, while working as a nurse in a nursing home, diverted liquid morphine intended for patients to her own use. The defendant, on more than one occasion, took some of the liquid morphine from a bottle and used it herself. She then used tap water to refill the bottle in an attempt to hide her crime. The diluted morphine was then administered to patients.

 

KTLO reported that additional charges have been filed against a nurse who fled from law enforcement officers earlier this month following a traffic stop after police responded to a complaint of an intoxicated driver on July 16. When they located the vehicle and attempted to conduct a traffic stop, the driver refused to stop, and a short pursuit ensued.

The driver, Geneva Liveley, was apprehended and taken into custody. An inventory of the vehicle revealed numerous prescription medications belonging to other individuals, a loaded firearm, drug paraphernalia and cash totaling $1,110.

Liveley was charged with simultaneous possession of drugs and firearms, possession of a controlled substance (Hydrocodone), both felony counts, as well as misdemeanor charges.

Chief Manuel says an investigation began into Liveley’s possession of prescription medications belonging to other individuals. It was learned she worked at a local nursing home and stole medications from residents. The medications in her possession were logged by her as being received by the residents.

Liveley was arrested again and charged with four felony counts of controlled substances-fraudulent practices and six misdemeanor offenses.

Goupstate reported the arrest of Natalia Mikhailovna Roberts, a caregiver at Lake Emory Post Acute Care in Inman, S.C.  Roberts is accused of taking medications from patients and charged with two counts of violating drug distribution laws and theft of a controlled substance.

Warrants from the Department of Health and Environmental Control accuse her of intentionally taking doses of hydrocodone and oxycodone that were intended for patients.

In one incident on May 27, records reflect that there were 78 doses of oxycodone for a patient when there should have been 96 tablets remaining, according to a warrant.

Another warrant states that on June 17, a page was missing from a controlled medication utilization record for another patient regarding hydrocodone doses.

Until a few months ago, Lake Emory was designated as a Special Focus Facility and was even fined almost $200,000 on Jan. 11, 2017.  Lake Emory is owned and operated by Fundamental Long Term Care now known as Hunt Valley Holdins, a national for-profit chain with hundreds of nursing homes in numerous states.

A nursing home employee at Bethany Lutheran Home has been accused of scamming nursing home residents out of more than 9,700 painkiller pills while working there.  Laurine Wilhite is charged with theft, tampering with records and two counts of dependent adult abuse.

Authorities say Wilhite ordered medications for residents of Bethany Lutheran Home while working there as a nurse and then stole 9,727 narcotic hydrocodone pills from 44 different residents at Bethany Home.

Police estimated the worth of the pills at $6,562. Reports stated Wilhite ordered the medications for residents and then allegedly stole them when they were delivered by the pharmacy, but before they were logged in as received by the facility.

The Columbus Dispatch reported that Eric Banks was accused of causing a fatal overdose by selling fentanyl to a resident of Manor at Whitehall Nursing Home.   Banks has been indicted for involuntary manslaughter and other charges. In addition to involuntary manslaughter, Banks was indicted on one count of corrupting another with drugs and two counts of aggravated trafficking in drugs.

Prosecutor Ron O’Brien said Banks went to the Manor at Whitehall Nursing Home on Feb. 10 and sold fentanyl, a powerful synthetic opioid, to Dale Rogers, 56.  Nursing staff found Rogers unresponsive, started CPR and called 911. Whitehall medics administered Narcan, which can reverse the effects of an opioid overdose, and took him to a hospital, where he was pronounced dead.

Rogers had texted an order for ”‘Chinese food’, which is slang for heroin, fentanyl or a mixture,” O’Brien said. Investigators found that Banks was the recipient of the text.

Toxicology tests on Rogers and lab work on drugs that investigators found on Banks all came back as fentanyl, O’Brien said.

The American Pharmacist Association published on their website that the FDA has since 2005 warned about the risks of transdermal fentanyl patches, particularly among opioid-naive patients, but nursing homes have not completely phased out the long-acting analgesics.

FDA has since 2005 warned about the risks of transdermal fentanyl patches, particularly among opioid-naive patients, but nursing homes have not completely phased out the long-acting analgesics. A study led by Camilla Pimentel, MPH, PhD, of the University of Massachusetts Medical School analyzed a sample of Medicare patients living in long-stay facilities in 2011. Of more than 12,250 patients who received the patch within 30 days of admission that year, 9.4% had not taken opioid analgesics in the prior 60-day period.

The practice, according to Pimentel, is contrary to FDA recommendations, which indicate that the long-acting opioids “should only be given to patients who have developed tolerance to opioid medications through regular treatment with other opioids. Otherwise, they are at higher risk of unintentional fatal overdose because of respiratory depression.” Although use of the patch persists in opioid-naive patients in nursing homes, Pimentel and colleagues report in the Journal of the American Geriatric Society, use of long-acting opioids overall is down in this setting, accounting for just 5% of all long-stay Medicare nursing home residents.

http://www.painmedicinenews.com/Clinical-Pain-Medicine/Article/06-17/Use-of-Fentanyl-Patches-in-Nursing-Homes-Persists-After-FDA-Warning/41582

 

Prosecutors say three nursing home caregivers carelessly made a mistake with dangerous morphine causing a resident’s death.  The wrongful death happened in 2015 at Greenbriar Healthcare Center in Boardman.  In November of 2015, just after the death, Greenbriar Health Care was placed on a Medicaid “worst of the worst” watch list.

Johonna Hull was arrested and charged with abuse of a patient and tampering with medical records.  Brenda Lamancusa is also charged with patient abuse. Another person, who hasn’t yet been arrested, also faces charges.

The family has filed suit against the three facility employees who are accused of neglect and trying to coverup their negligence. The employees are accused of giving William Wolfe extended release morphine that had not been prescribed. He was found unresponsive the next morning and pronounced dead at the hospital.

“Evidence indicated, and the autopsy showed, that a gentleman … was mistakenly given the wrong medication … The charges are largely over not only the mistake in providing him that medication, but probably even more importantly, the lack of action that was taken by the staff at Greenbriar,” Michael McBride, an assistant Mahoning County prosecutor, said to station WKBN.

JAMA Network had another article on the overuse and abuse of anti-psychotics in nurisng homes.  In May 2011, the Office of Inspector General (OIG) released a widely publicized report, “Medicare Atypical Antipsychotic Drug Claims for Elderly Nursing Home Residents,” revealing that 83% of atypical antipsychotic drug claims were prescribed for nursing home residents without a US Food and Drug Administration (FDA) indication, and that 88% of claims were related to use in residents with dementia, for whom antipsychotics are associated with an increased risk of mortality as specified in the FDA black box warning.

“Despite long-standing and widely recognized concerns about safety and efficacy, antipsychotic agents, including older “typical” agents (ie, haloperidol and chlorpromazine) and newer “atypical” agents (ie, quetiapine, risperidone, and olanzapine), have been commonly used to treat behavioral and psychological symptoms of dementia.”

This Viewpoint describes a national initiative of the Centers for Medicare & Medicaid Services (CMS) focused on the use of antipsychotics in nursing homes. These efforts have led to a 33% relative reduction (from 23.9% to 16.0%) in the prevalence of antipsychotic use among long-term nursing home residents over the past 5 years.

Percentage of Long-Term Nursing Home Residents Receiving Antipsychotic Medication, 2011-2016

New York Magazine had an article about GOP moderates worried about TrumpCare’s health care cuts affecting the opiod crisis.  “During the worst year of the HIV/AIDS crisis, 43,000 Americans lost their lives to the virus. In 2015, 52,000 died of a drug overdose. Never in recorded history had opioids killed so many Americans in a single year; the drug-induced death toll was so staggering, it helped reduce life expectancy in the United States for the first time since 1993.”

The Medicaid cuts in TrumpCare will devastate addiction resources.  Medicaid expansion accounted for 61 percent of total Medicaid spending on substance abuse treatment in Kentucky, 47 percent in West Virginia, 56 percent in Michigan, 59 percent in Maryland, and 31 percent in Rhode Island. In Ohio, the expansion accounted for 43 percent of Medicaid spending in 2016 on behavioral health, a category that includes mental health and substance abuse.

As the New York Times reports:

Republican senators from states that have been hit hard by the opioid drug crisis have tried to cushion the Medicaid blow with a separate funding stream of $45 billion over 10 years for substance abuse treatment and prevention costs, now covered by the expansion of Medicaid under the Affordable Care Act.

But that, too, is running into opposition from conservatives. They have been tussling over the issue with moderate Republican senators like Rob Portman of Ohio, Shelley Moore Capito of West Virginia and Susan Collins of Maine.

Without some opioid funding, Mr. Portman cannot vote for the bill, he said, adding, “Any replacement is going to have to do something to address this opioid crisis that is gripping our country.”

The Star-Tribune reported that Annandale Care Center “had no system, policies or procedures in place” to ensure that certain medications and some other services were being provided as prescribed.  An unnamed  nursing home resident developed internal bleeding and died after being denied crucial blood-thinning medication for 15 days, according to a state investigation that blamed the death on the facility’s procedural shortcomings.

The Health Department said a nurse discovered that the resident’s doses of Coumadin, a blood-thinning medication, had been stopped without a doctor’s order. A required dosage test had not been performed, and that missing information triggered an automatic entry in the resident’s electronic medication record for the drug’s administration to be halted.

In response to the finding of neglect, the home revised its policies concerning the administration of blood-thinning medication, reviewed the records of residents who receive that type of medication and briefed staff on proper procedures, the report said.

Despite treatment at one hospital and then another, the resident died about two weeks after the medication error was discovered, the report said.