Articles Tagged with elder care

799px-Alcohol_bottles_photographed_while_drunkHow broad is the term nursing home neglect? For instance, when a senior has a problem with drug or alcohol abuse and lives in a nursing home or an assisted-living facility in Southern California, does the facility have a duty to prevent the senior from obtaining potentially harmful substances? And if the facility knows about a history of drug or alcohol abuse and does not take precautions to limit a senior resident’s access to alcohol or prescription drugs, can the nursing home be responsible for injuries that occur? According to a fact sheet from the National Council on Alcoholism and Drug Dependence (NCADD), it can be difficult to recognize signs and symptoms of substance abuse among older adults.

Should we be able to expect that facilities will look into signs and symptoms of substance abuse among elderly residents? And if a facility in San Diego already knows that one of its residents has a history of drug or alcohol abuse, what must it do differently in other to avoid allegations of nursing home negligence?

Difficulty Identifying Senior Residents with Substance Abuse Problems

Q2191986_noun_108043_ccNicolasVicent_elderly.svgWhen you have a loved one residing in a San Diego nursing home, it is extremely important to think about how the facility is managing fall risks. According to a fact sheet from the Centers for Disease Control and Prevention (CDC), millions of seniors suffer injuries from falls each year, and about 25% of the elderly population will fall in any given year. As the CDC points out, about 20% of those falls among seniors result in serious injuries such as a traumatic brain injury (TBI) or broken bones. More than 800,000 older adults require hospitalization because of a fall-related injury each year, and around 300,000 seniors need to be hospitalized specifically because of a hip fracture. All in all, approximately 2.8 million elderly adults are treated in emergency departments each year due to falls. Of those seniors who get hurt, about 1,800 die as a result of their injuries.

Since falls are so common among older adults, and given that they often result in serious injuries, what should nursing homes do to help prevent falls from happening? If nursing facilities in San Diego do not take proper precautions when it comes to fall prevention, can they be liable for nursing home neglect?

Nursing Home Falls Occur in Many Different Contexts

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

file000790132663Throughout the San Diego area, residents are aging and requiring care in nursing homes. According to a fact sheet from the California Department of Aging, our state is “projected to be one of the fastest growing states in the nation in total population” of seniors. By the year 2020, the California Department of Aging predicts that around 14% of California’s population will be aged 65 and older, totaling nearly 16 million people. Given that so many adults in California will need to think about long-term care, it is important that they, along with their families, have the right tools for choosing the best nursing facilities and avoiding situations of elder abuse.

What goes into choosing the right nursing home for your elderly parents? What questions should you ask? What should you look for at the facility to determine quality of care? A fact sheet from the California Advocates for Nursing Home Reform (CANHR) provides helpful information for selecting a facility.

Thinking About Medicare and Medi-Cal

file3451272140532How often does the California Department of Public Health fine nursing homes and assisted-living facilities for elderly patient injuries and deaths? When facilities do receive significant fines as a result of nursing home abuse or neglect, are those fines sufficient to protect other residents in the future? According to a recent article in the Los Angeles Daily News, the California Department of Public Health issued a $75,000 fine for a Southern California nursing home due to neglect resulting in a patient’s death.

Fatal Injuries Caused By Nursing Home Neglect in Canoga Park

As the article explains, Topanga Terrace, a nursing home in Canoga Park, was issued a $75,000 fine “after staff there failed to monitor a resident who kept removing his own breathing tube, resulting in death.” The patient needed a tracheostomy tube in order to breathe following a surgery in 2013. In addition to the use of the tracheostomy tube, the patient also “suffered from multiple illnesses including dementia, chronic respiratory failure, and tuberculosis.” Despite his medical needs, however, the facility did not have a treatment plan that included methods to prevent or deter the patient from removing his breathing tube.

William_Albert_Ackman_signatureFor more than a year, mandatory arbitration agreements have been illegal in California nursing homes. Instead, patients at facilities in San Diego can only be asked to sign voluntary binding arbitration agreements. Over the last year, the Centers for Medicare and Medicaid Services (CMS) has been working on a federal rule that would prohibit forced arbitration agreements in nursing homes across the country, permitting facilities instead to have only voluntary binding arbitration agreements (like those in California). Yet according to a recent article in The New York Times, even voluntary binding arbitration agreements can put a nursing home resident in a vulnerable position in relation to a facility. Should we be talking about banning all arbitration agreements if we want to ensure patients get justice when nursing home abuse happens?

No Legal Recourse for Harmed Patients in Arbitration?

As the article in The New York Times explains, federal rules concerning forced arbitration agreements in nursing homes will soon be finalized. However, are those protections sufficient to ensure that nursing homes are held accountable when nursing home abuse or neglect occurs? As a brief reminder, arbitration agreements—both those that are “forced” or required for a patient to enter a nursing home, as well as those that a patient agrees to voluntarily upon entering a facility—require patients and their families to settle legal issues “through private arbitration rather than through lawsuits.”

Vr_(14798594120)A recent article in Reuters Health reported that one out of every five nursing home residents that suffers verbal or physical nursing home abuse is not enduring that abuse at the hands of one of the staff members at a facility. Rather, about 20% of all verbal and physical nursing home abuse cases involve violence committed by another resident. While these cases may result from serious issues of nursing home neglect and understaffing (and the general failure to properly monitor patients in a facility), a recent article from NPR and KQED News, a new virtual reality device is helping seniors in nursing homes and assisted-living facilities to remain calmer and to, perhaps, live fuller lives.

Can such technology help to prevent elder abuse when it is perpetrated by other residents?

Virtual Reality Improving the Lives of Seniors

DSC_0041While it might sound unlikely, perpetrators of nursing home abuse are not always those employed as caregivers for the elderly. According to a recent article in HealthDay, many elderly residents at nursing homes suffer injuries at the hands of other patients. The article cites a recent study that determined “one in five nursing home residents had been involved in an incident with a fellow resident within the past month.” In a majority of cases, those “incidents” were only verbal altercations and did not involve physical violence. However, as the article explains, “some seniors were involved in physical scuffles, and some experienced inappropriate sexual behavior.”

It is difficult enough to feel like you have conducted sufficient background research into the caregivers at a nursing home or assisted-living facility before feeling comfortable with your elderly loved one receiving care at such a place. But how can you determine whether some instances of elder abuse actually were caused by patients living within the facility?

Elder Mistreatment Not Openly Discussed

file0001185596879If an elderly patient visits an outpatient healthcare facility and is not advised to seek an opinion from a specialist, can that outpatient healthcare facility be liable for elder neglect? According to a recent article from the Courthouse News Service, the California Supreme Court recently ruled in favor of an outpatient healthcare facility in such a case. The court’s decision in Winn v. Pioneer Medical Group, Inc. suggests a limiting of the reach of the Elder Abuse and Dependent Adult Civil Protection Act.

What do San Diego residents need to know about this recent case and its potential impact on elder abuse lawsuits?

Facts of Winn v. Pioneer Medical Group, Inc.

handsOne of the largest nursing homes in Stockton, CA is facing numerous allegations of nursing home abuse and neglect, according to a recent article from Recordnet.com. Reports from patients and their families allege lack of privacy, physical abuse, and serious neglect at Wagner Heights Nursing and Rehabilitation Center. What else do you need to know about these allegations? Can they help families to understand the importance of researching a nursing home or assisted-living facility before allowing an elderly loved one to become a resident at a facility without the best patient ratings?

Serious Citations at Wagner Heights Nursing and Rehabilitation Center

Based on data provided by California Advocates for Nursing Home Reform (CANHR), Wagner “has been issued the greatest number of serious citations going back to 2010 . . . of any skilled nursing home in Stockton.” Over the last six years, it has received six serious citations. Why were those citations issued? According to the article, the following represent some of the most serious fines levied against Wagner Heights:

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