DO YOU SUSPECT ABUSE OR NEGLECT? Contact Us for a Free Consultation

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handsIf California nursing home employees go on strike, who will provide care for patients residing in the facilities? Should families of those patients have concerns about nursing home neglect? According to an article in the Marin Independent Journal, sixty nursing home workers went on strike last month in San Rafael following a string of nursing facility violations from government regulators. The strike was aimed at forcing the nursing facility to cease its understaffing practices and to encourage a work environment in which providing a threshold level of care for patients is among the most important logistics of running the facility. Even if such a strike is intended to improve conditions, who cares for patients while employees are on strike?

Understaffing and High Turnover Limits Quality of Care

The recent strike occurred at San Rafael Healthcare and Wellness Center, which is owned by Brius Healthcare Services. With more than 80 facilities in California, Brius is the largest nursing home chain in our state. For the last 18 months, employees of the nursing home have been working without having a contract. Why are employees working without a contract? About a year and a half ago, those workers rejected the terms of a union-negotiated contracted because it did not do enough to deal with the serious understaffing problem at the facility.

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file000356994816When older adults continue to live at home with help from a caregiver, elder neglect can become a serious issue. Although some caregivers have medical training and should be expected to care for the elderly in a manner that emphasizes safety, some caregivers are not properly trained and can be implicated in situations of elder abuse and neglect. These situations can become even worse when an older adult needs medical treatment and cannot rely on a caregiver for transport to a hospital or a physician’s office. That is where a new transportation service for the elderly comes in, according to a recent article from the California Health Report.

Mobility is a Significant Issue for the Elderly

Mobility is a significant issue for elderly California residents. Whether an older adult needs transportation to a medical appointment or simply to the grocery store to buy food, a new service can help. Recognizing that elderly Californians often have difficulty getting where they need to—or would like to—go, Eric Wong developed Lift Hero. Lift Hero t is a service that looks a lot like Uber or Lyft, but it is designed specifically for seniors who do not have other modes of transportation.

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Could helping more of America’s seniors to live independently be a method for preventing nursing home abuse? If an elderly San Diego resident does not require the kind of care that an assisted-living facility or a residential care facility for the elderly (RCFE) would provide—if she can have that same kind of care at home—would she take away some of the risks of becoming a victim of elder abuse? One of our first steps in preventing elder abuse should be to make care facilities safer for older adults. But at the same time, even if we did want to push for more seniors to live independently, a recent article in Forbes Magazine suggests that our country simply is not providing the kind of assistance that would make this possible.7622108790_a2a735a94a

Older Americans Act (OAA) and Providing Assistance to Seniors

Every year, elder rights advocates and others attend the National Home and Community Based Services Conferences, which brings together professionals in various fields to discuss the state of independent living for older adults and those with disabilities. The conference is sponsored by the National Association of States United for Aging and Disability, and it has more than 1,400 participants. Indeed, Kathy Greenlee, the Assistant Secretary for Aging, gave an opening speech that marked the 50th anniversary of the Older Americans Act (OAA).

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What does required care for a nursing home patient with burn injuries look like? Patients who suffer from substantial burn injuries and are residing in nursing homes in Southern California must receive a certain level of care in order to be safe from additional injuries. However, according to a recent article from the Los Angeles Daily News, a Montrose skilled nursing home and two of its staff have been charged in relation to the death of a burn patient. According to the newspaper, the charges indicate that the facility and staff members failed “to provide required care to a resident who was a burn victim.” When does negligence rise to the level or nursing home abuse or neglect?2222910959_90b0c86fa5

Nursing Home Neglect

The nursing home, Verdugo Valley Skilled Nursing and Wellness Center LLC, is alleged to have been “grossly negligent” in its care of a burn victim who previously resided at the facility. The patient had burns on 90 percent of his body, injuries that resulted from an arson fire that occurred about 20 years ago. According to the complaint, which was filed by Attorney General Kamala D. Harris, the nursing home did not provide proper care to the patient, and because of its negligence, the patient died.

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Elder advocates and those who work tirelessly to prevent nursing home abuse can be involved in many different professions, including medicine. According to a recent news release from USC News, geriatrician Laura Mosqueda is a “leader in the study and prevention of elder abuse,” and she’s continuing to work toward the prevention and early detection of elder neglect in California. Mosqueda is currently the director of the National Center on Elder Abuse (NCEA), and she hopes that her work in Southern California will have lasting impact on older throughout the region.6240576176_62b88ae159

Interdisciplinary Work to Prevent Elder Abuse and Neglect

One of Mosqueda’s focuses in the prevention and detection of elder abuse and neglect is taking an interdisciplinary approach to the problem. Sometimes we think of elder abuse prevention as a job that falls within the realm of community advocates or healthcare professionals who have daily contact with older adults. And sometimes we note that dedicated San Diego nursing home abuse attorneys play an important role in holding abusers accountable. But Mosqueda has worked to bring together elder advocates in multiple fields and professions on behalf of the elderly community.

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According to a recent article from Kaiser Health News and NPR, proposed federal rules are aiming at “modernizing” nursing home safety requirements across the country. What does modernization mean in this context? Given that the proposal contains “hundreds of pages of proposed changes,” which “cover everything from meal times to use of antipsychotic drugs to staffing,” it looks like modernization would require quite a bit of effort. In all likelihood, such modernization is deeply needed to help prevent nursing home neglect at facilities in California and throughout the nation.

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Better Technology Requires Revision to the Rules

If approved the proposed rules will require nursing homes comply in order to qualify for payments from Medicare and Medicaid. Medicare officials also think it’s time for a change. According to Dr. Shari Ling, the deputy chief medical officer for Medicare, “the existing regulations don’t even conceive of electronic communications the way they exist today.”

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According to a recent article from Kaiser Health News, until recently, a California law permitted nursing homes to make decisions—include about end-of-life care—for nursing home residents who have been declared incompetent. However, a state court recently held that the law, which was enacted more than twenty years ago, is unconstitutional.7750519890_1720d30f09

Nursing Homes Cannot Violate Patients’ Rights

The law remained in effect until Alameda County Superior Court Judge Evelio M. Grillo ruled that the law is unconstitutional in a decision that came down at the end of last month. As the judge explained, “the law violates patients’ due process rights because it doesn’t require nursing homes to notify patients they have been deemed incapacitated or to give them the chance to object.” While Grillo indicated that he knows the decision “is likely to cause problems” for regular nursing home operations, it’s more important to put nursing home patients’ rights above practical logistics.

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A common blood-thinning drug, Coumadin, has been cited as the cause for numerous deaths in nursing homes, according to a recent article in the Washington Post. What’s the problem with Coumadin? In short, it requires that a very precise amount be administered to patients, and either too much or too little of the medication can result in fatal injuries to the elderly.12175858204_36c6287934

What is Coumadin?

According to WebMD, Coumadin is the brand name for the generic drug Warfarin. It’s generally used to treat blood clots, or to prevent clots from forming (and thus to help reduce a patient’s risk of a stroke or a heart attack). This medication often is described as a blood thinner, but as WebMD explains, “the more correct term is anticoagulant.” Coumadin, when used properly, can decrease the clotting proteins in your blood, which ultimately can help blood to flow better if there’s a risk of clotting.

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When the costs of nursing home care are too high to provide families with seemingly decent options, do the risks of nursing home abuse and neglect become more prominent? According to a recent article from The Associated Press, elderly Americans are realizing that, if they require care in a nursing home, they’ll quickly outlive the amount of money they’ve managed to save. Indeed, “for the two-thirds of Americans over 65 who are expected to need some long-term care, the costs are increasingly beyond reach.” But will lower-cost options result in a lower quality of care?5846273434_ffcbff26a6

Unreachable Costs of Care

How much does it cost to receive long-term care? According to the article, “the median bill for a private room in a U.S. nursing home now runs $91,000 a year,” and “one year of visits from home-health aides runs $45,760.” Those numbers are even higher in California.

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The Centers for Medicare & Medicaid Services (CMS) recently proposed a rule forbidding nursing homes from “requiring residents to sign binding arbitration agreements,” and according to a recent article in Modern Healthcare, the rule is “long overdue.” While California currently requires nursing homes to use only voluntary arbitration agreements—something that the American Health Care Association has been seeking—even voluntary agreements can pose problems for nursing home residents in the event of an elder abuse claim.6337308344_52480361a7

Are Voluntary Agreements Always Voluntary?

To have a better understanding of why even voluntary arbitration agreements might not be so great, it’s important to recognize why nursing homes and other facilities use them in the first place. In short, they “help nursing homes avoid costly litigation.” In other words, if a patient (or her family) thinks about filing a nursing home neglect lawsuit, an arbitration agreement can prevent her from doing so. Instead, she’ll have to go through arbitration. And many arbitration agreements—even voluntary ones—appear amidst a lot of other paperwork that appears when a patient enters a nursing home.

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