Articles Posted in Elder Abuse

file451297827287-1-300x225 Whether you have an elderly loved one who lives in San Diego County or elsewhere in California, it is important to understand how elder abuse laws in our state can help to provide compensation for seniors who suffer injuries as a result of abuse and neglect in the assisted living setting. According to a recent report from the North Coast Journal, a California jury awarded $5 million to the family of an elderly woman who died while under the care of Timber Ridge McKinleyville. The jury, according to the article, “found the facility liable for wrongful death and elder abuse.” Of the $5 million jury verdict, $2.5 million in punitive damages was awarded.

Congratulations to attorneys Tim Needham and Michael Thamer for such outstanding work on behalf of this family.

This jury verdict emphasizes the importance of speaking with an experienced San Diego County nursing home abuse lawyer in the event that an elderly loved one sustains serious or fatal injuries resulting from elder abuse or neglect. If you have questions, do not hesitate to contact the Walton Law Firm.

DSC_0761-300x199Chronic nursing home abuse that results in frequent trips to hospitals and intensive care units is a problem in San Diego County and throughout Southern California. According to a recent article in the Compton Herald, a chronic nursing home neglect case in Inglewood highlights the risk of serious injuries in particular facilities and the threat of continuing healthcare violations. In the recent case, the facility, Centinela Skilled Nursing & Wellness Centre, is one of numerous facilities owned by the Los Angeles billionaire Schlomo Y. Rechnitz, which are operated under the chain name of Brius Healthcare Services and have already came under scrutiny in 2016. Does the recent case suggest that Southern California residents need to be wary of this healthcare chain? What can family members do to help prevent nursing home abuse and neglect?

Details of the Recent Nursing Home Abuse and Neglect Case

As the article reports, a Southern California woman was admitted into the Centinela Skilled Nursing & Wellness Centre in Inglewood, where she was supposed to obtain rehabilitative services after being discharged from the Centinela Hospital Medical Center. While in the hospital, the patient had received care for about six weeks for “a severe body infection.” When she enters Centinela Skilled Nursing, her family members indicated that she was “progressing steadily,” recuperating from the infection that required her hospitalization. However, when the family visited her at the nursing facility a short time later, they found her “sitting in a wheelchair in a seemingly catatonic state, trembling uncontrollably, mumbling jibberish with her eyes rolling back in her head.”

zdunbsai3p0-geo-darwin-300x225When many of us think about nursing home abuse or neglect in Carlsbad, California, we imagine scenarios in which patients have clearly been subjected to inadequate care. Yet nursing home neglect can be much more insidious, particularly when it involves malnutrition. What is malnutrition, exactly? An article in the Huffington Post clarifies that malnutrition simply refers to “insufficient food intake compared with nutrition requirements.”

As a recent peer-reviewed article in Current Opinion in Clinical Nutrition & Metabolic Care explains, “malnutrition in the nursing home is increasingly recognized as a major international research priority, given the expanding geriatric populations, serious consequences, and challenges conducting research in nursing homes.” What do you need to know about the connections between nursing home neglect and malnutrition in Southern California?

Learning More About Malnutrition Among Elderly California Residents

503px-Paracetamol_acetaminophen_500_mg_pills_crop-1-252x300This past spring, a right-to-die law took effect in California, permitting residents of San Diego County who are terminally ill to make the decision to end their lives through doctor-prescribed medications. As an article from NBC News explained back in June 2016, California’s “End of Life Option Act” made the state the fifth in the nation “to create a legal process for patients to obtain aid in dying.”

While the law comes with many protections to prevent a situation in which a person takes life-ending drugs without making that choice for him or herself, numerous elderly safety advocates have voiced concerns about how the law could enable certain forms of elder abuse, particularly among patients with dementia. At the same time, however, some Californians think the law has not gone far enough to protect patients suffering from dementia. What do you need to know about the law and how it may impact elderly patients affected by Alzheimer’s and other forms of dementia?

Understanding the Key Tenets of the End of Life Option Act

LAFD_ambulanceWhen an elderly loved one in San Diego requires nearly constant medical care, many family members are at their most concerned when that loved one has to be hospitalized. However, according to a recent article in California Healthline, one of the most dangerous periods for elderly patients actually starts after they leave the hospital, and perhaps not for the reasons you might think. The problem is not that the elderly person does not receive sufficient care after a hospital visit, but rather that the patient failed to receive proper care while in the healthcare facility. Does this rise to the level of elder neglect?

Problems Associated with Poor Transitional Care

The time between leaving the hospital and receiving care either from a home caregiver or staff members at a nursing home in Southern California is known as a period of “transitional care.” As Alicia Arbaje, an assistant professor at the Johns Hopkins School of Medicine explains, “poor transitional care is a huge, huge issue for everybody, but especially for older people with complex needs.” While “the most risky transition,” Arbaje explains, “is from hospital to home with the additional need for home care services,” since it is the type of situation about which the least is known, injuries resulting from poor transitional care can also happen when the patient goes from a hospital to a local nursing home.

800px-Cbh_emergencydepartment1If an elderly San Diego County resident who has sustained injuries as a result of nursing home abuse ends up in an emergency department, will he or she be properly diagnosed with injuries caused by elder abuse? According to a recent article in Psych Central, formal diagnoses of elder abuse are made in only one out of every 7,700 visits to emergency rooms across the country. This information comes from a new study conducted by researchers at the University of North Carolina at Chapel Hill, the University of California San Diego, and Weil Cornell Medicine.

Given what we know about rates of elder neglect and nursing home abuse—a fact sheet from the National Council on Aging (NCOA) predicts that about 10% of all Americans aged 60 and older have been subject to some form of elder abuse—the notion that only about .01% of seniors who seek treatment in emergency departments are diagnosed with injuries caused by elder abuse seems startling. What else does this study teach us, and what can we do to help?

Majority of Elder Abuse Cases are Not Reported or Go Undiagnosed

800px-Old_Man_in_San_JoseCalifornia law has proven to be a step ahead of federal law when it comes to banning arbitration agreements in nursing homes in order to prevent elder abuse. A recent Medicare final rule has banned nursing homes “from requiring patients to agree to mandatory arbitration prior to admission,” according to an article in Bloomberg BNA. Another article in The New York Times emphasized the importance of this new rule. When the Centers for Medicare & Medicaid Services (CMS) released news of the final rule on September 28, San Diego nursing home residents already were protected against mandatory arbitration agreements under section 1599.81 of the California Health & Safety Code.

Yet the Medicare final rule still has relevance for San Diego residents. First, anyone living in Southern California who has elderly loved ones in another state now can be assured that those seniors, too, are protected against mandatory arbitration agreements. In addition, the new Medicare final rule also does more than protect against mandatory arbitration agreements, and those additional requirements will apply to elderly residents of nursing homes and assisted-living facilities in the San Diego area.

How California Law Compares to CMS Final Rule on Arbitration Agreements

file000430141928Nursing home abuse is a serious problem in San Diego. For a number of years, elder safety advocates have been looking for new ways to prevent nursing home abuse, as well as to properly identify it when it does happen. According to a recent article from USC News, “doctors, first responders, and other health care professionals can use techniques inspired by law enforcement to better identify and address cases of elder abuse.” This new methodology for detecting nursing home neglect arose from a clinical study at USC’s Leonard Davis School of Gerontology.

When we say that healthcare providers and emergency responders should take a cue from law enforcement when looking for signs and symptoms of elder abuse, what, precisely, do we mean? In short, the study suggests that a “forensic lens” approach can help those not trained in law enforcement to determine where there is “cause to believe neglect or abuse [has] taken place.”

Looking for Clues in Two Different Case Studies

Very Old LadyIs the quality of life improving for Southern California residents in assisted-living facilities? And if so, how much attention do we need to pay to the risks of nursing home abuse and neglect in these communities if a majority of seniors say they are content? According to a recent article in McKnight’s Senior Living, “residents of assisted living communities in California are very satisfied with their living situations” on the whole. While this is good news for many elder justice advocates in the state, we should not let it obscure the fact that there remain a number of seniors who are not satisfied with their living situations and who become victims of elder abuse.

Although the recent article presents promising data on elderly assisted living in the state, we still need to consider the risks to California seniors who do not fall into this depicted majority.

Many Seniors in California are Indeed Happy, Survey Says

DSC05005Do you know enough about restraints in nursing homes and the importance of restraint-free care? According to a fact sheet from the California Advocates for Nursing Home Reform (CANHR), we as a society used to believe that the use of restraints was acceptable in nursing homes for elderly adults and those with disabilities. Yet the use of restraints in nursing homes is very dangerous, and it may rise to the level of nursing home abuse. As the fact sheet highlights, restraints “often entail more risks than benefits,” and recent studies “recommend more dignified methods to improve residents’ safety.”

Yet, as the CANHR fact sheet illumines, many nursing homes and assisted-living facilities continue to use unnecessary restraints, putting patients at risk of physical harm. And on the whole, California nursing homes, in particular, may be particularly heavy-handed in their use of unnecessary restraints. The fact sheet notes that “California nursing homes use physical restraints at a rate about fifty percent higher than the rest of the nation.” What else do you need to know about restraints and helping your loved one to obtain restraint-free care in a skilled nursing facility in San Diego?

California and Federal Law Prohibits Unnecessary Restraints

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