video_surveillance_lawsMany Californians have loved ones in nursing homes or assisted-living facilities. While we want to put our trust in these facilities and to believe that they are treating our elderly parents and relatives properly, many of us worry about the risks of nursing home abuse and neglect. According to a recent article from NBC San Diego, local families want to install cameras in patient bedrooms, “but they are facing a roadblock from the state.”

Documenting Elder Neglect in Southern California

Why wouldn’t the state want to use video cameras in patient rooms to monitor for elder abuse or neglect? According to Joe Balbas, the co-owner of Vista Gardens, “elderly patients in nursing facilities should have the option of having security cameras in their room[s].” Vista Gardens is a residential facility for patients with Alzheimer’s and other forms of dementia. Balbas believes that installing cameras in rooms—at the request of patients and their families—could help to prevent serious injuries.

euthanasia-300x175Many Californians are in favor of legislation that would permit assisted suicide in certain situations, yet some elder advocates worry that such legislation won’t have sufficient safeguards to protect against elder abuse. According to a recent article in the Modesto Bee, the Death with Dignity bill, or assisted-suicide legislation, can have “many unintended consequences” that can negatively impact elderly Californians.

Pressure to Agree to Assisted Suicide

The article in the Modesto Bee provides the viewpoint of a former hospital social worker, whose “primary concern is for individuals who might feel pressured into ending their lives.” While assisted suicide may allow individuals with terminal illnesses to end their lives on their own terms, there’s a real concern that such legislation can be dangerous when it comes to “those who might not have a strong support system; access to health care, palliative care, and hospice; or the benefit of a loving, caring family.”

Amidst news reports of elder abuse and neglect in assisted-living facilities, nursing homes, and residential care facilities for the elderly (RCFEs) across the state, the California Department of Public Health (CDPH) has been criticized for its failure to investigate. What did it fail to investigate, exactly? Elderly patients and their families argue that they reported nursing home abuse incidents to the CDPH, yet they contend that the department didn’t investigate those complaints in a timely manner and failed to properly fine the responsible facilities.

budgetcalculatorMore Funding for Elder Abuse Investigations

According to a recent press release from the California Advocates for Nursing Home Reform (CANHR), Governor Jerry Brown has proposed a budget for the coming fiscal year that would “add more than $30 million and about 260 positions for the Licensing & Certification Division of the California Department of Public Health.” Yet, the most surprising part of the new budget isn’t merely about licensing and certification. Rather, as the CANHR suggests, it’s about taking complaints about nursing home abuse investigations more seriously.

Many of us know that the state of California has been under intense scrutiny for the way it has handled nursing home abuse and neglect violations. In addition to concerns about the frequency with which the California Department of Public Health has investigated a number of complaints, victim advocates also contend that facilities across the state aren’t fined enough to prevent future elder abuse violations.

According to a recent news release from the California Advocates for Nursing Home Reform (CANHR), the Department of Public Health has cited a couple of facilities in southern California for serious violations. And, according to the report, each of the facilities received a $75,000 fine—an amount that suggests that the state is heading in the right direction.

empty-bed-in-nursing-homeResident Death at Paramount Meadows

ElderCare-1024x571When does a staffing shortage at a nursing home or assisted-living facility become grounds for an elder neglect case? According to a recent article in the San Francisco Examiner, staffing levels at skilled nursing facilities and other residences for elderly Californians “is an ever-expanding problem.” The need for support services continues to grow in the state, yet the demand doesn’t always fit the need.

To be sure, “individuals 85 years and older, the oldest of the old, are one of the fastest-growing segments of the population.” But, does California have the tools it needs to properly care for these elderly residents?

Rapidly Growing Elderly Population

Does race play a role in evaluating a loved one’s risk of nursing home abuse? According to a recent article from New America Media, Latino/a seniors may be at greater risk of elder abuse once they enter a nursing home or assisted-living facility due to cultural differences and discrimination.

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The Pew Research Hispanic Center Project emphasizes that Latinos are “the nation’s largest minority group and among its fastest growing populations.” To be sure, the Latino population made up 17 percent of the U.S. population in 2012, and it “accounted for more than half of the nation’s population growth” between 2000 and 2010. Given that California has a particularly high Latino/a population (with Los Angeles featuring the largest Hispanic population in any U.S. metropolitan area), it’s important to consider the ways in which nursing home abuse and neglect might distinctly affect these older adults.

Physical Abuse and Discrimination

We know that California assisted-living facilities need to be better regulated by the state. After all, many of the serious and life-threatening injuries sustained by patients in nursing homes and residential care facilities for the elderly (RCFEs) are preventable. But what happens when similar incidents of elder neglect occur at home? According to a recent article in The Atlantic, there’s a significant regulation problem—lack of regulation, to be precise—with California’s in-home supportive services (IHSS) program.

As the article explains, this program “pays people to look after seniors,” but without sufficient regulation, many older adults end up sustaining severe injuries as a direct result of elder abuse and neglect.

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State-Funded Care at Home

Are our elderly loved ones receiving proper end-of-life care at California hospices? A recent article in the Huffington Post reported that, unlike other healthcare facilities that receive Medicare funding, hospices aren’t being punished sufficiently when they commit elder abuse and violate rules related to patient health and safety. To be sure, when a hospice fails to provide the promised comfort and care at the end of a person’s life, “it almost always escapes sanctions.” Why isn’t the federal government punishing these hospices for failing to do their jobs?

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Inspections Don’t Yield Sanctions

One of the primary issues, the article suggests, is that federal regulators just aren’t doling out sanctions to hospices in the same way that they often do for nursing homes. The problem isn’t that the federal government isn’t investigating claims of abuse, neglect, and patient mistreatment at hospice facilities. Indeed, “inspections do occur and problems are identified,” yet inspectors often tend to accept “hospices promises that they’ll reform.”

Many of us know that nursing homes, assisted-living facilities, and residential care facilities for the elderly (RCFEs) in California made national news over the last year for undesirable reasons related to elder abuse and neglect. Even more recently, an audit report exposed serious elder abuse investigation delays within the California Department of Public Health (CDPH). Now, according to an article in the Pasadena Star News, the Los Angeles County Public Health Department has been accused of falsifying the dates on which it received complaints about nursing home abuse.

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Why would the department do this? According to two employees, pressure had increased to “meet state deadlines for launching investigations,” and when the department couldn’t comply, it changed the dates of the complaints it had received.

Allegations of Abuse, Falls, and Pressure Sores

We recently discussed the growing problem of severe and fatal injuries resulting from falls among the elderly population, as reported in an article in the New York Times. As most of us know, falls are a type of preventable injury. But what, precisely, can we do to prevent older adults from falling? And should residents in nursing homes and assisted-living facilities undergo greater education about the risks and dangers of falls?

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Education About Fall-Related Accident Prevention

When the Centers for Disease Control and Prevention (CDC) released statistics showing that the number of fall-related deaths and life-threatening injuries has risen drastically over the last decade, a number of facilities for the elderly began to think about ways to prevent falls and to ensure that elderly residents aren’t being neglected.

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