Maryland Nursing Home Lawyer Blog

The use of surveillance cameras to monitor treatment of elderly patients by nursing home staff, sometimes known as “granny cams,” is becoming more and more common in Maryland and around the country. While granny cams raise some concerns about the privacy rights of the patients, they have proven to be effective at exposing abuse that might have otherwise gone undiscovered, and state legislatures and agencies are taking notice.

This Maryland Nursing Home Lawyer Blog has previously reported on incidents when granny cams provided evidence of abuse, including a New Jersey case in which the family of a nursing home patient have sued for wrongful death after finding footage of an employee removing the patient’s oxygen mask and hitting her, which they claim led to her death. An Ohio man captured evidence of nursing home staff slapping his Alzheimer’s-stricken mother, shoving her into bed and into her wheelchair, and slamming her against walls. Three nursing home workers in Pennsylvania were arrested when hidden camera footage showed them mocking a patient while forcing her to stand topless.

The nursing home industry has vigorously fought legislative efforts to compel nursing homes to allow placement of cameras in patients’ rooms. Privacy advocates, as well as doctors, have also opposed such legislation at times, arguing that placement of cameras could be used to violate patients’ privacy, considering that nursing home patients requiring assistance in performing daily routines may often appear undressed on camera. Nursing homes further argue that the use of cameras may erode the trust between patients and staff and act as an invitation to lawsuits without good cause. Nursing home reform advocates, however, increasingly favor legal requirements that nursing homes allow cameras.

Some states have passed legislation preventing nursing homes from blocking the use of cameras, although Maryland is not yet one of them. Former Maryland Delegate Sue Hecht introduced such legislation several times beginning in 2001, after she witnessed her mother, Vera, suffering abuse at the hands of nursing home staff. Several bills titled “Vera’s Law” did not make it out of their committees, but a bill passed in 2003, also titled “Vera’s Law,” that required the Maryland Department of Health and Mental Hygiene to develop guidelines that do opt to allow use of electronic monitoring devices with the consent of the patient or the patient’s guardian. The Department issued its guidelines on December 1, 2003, and those guidelines remain in effect today.

Continue reading ""Granny Cam" Technology May Be Effective at Deterring Nursing Home Abuse" »

In a recent Hartford County nursing home lawyer injury blog, our attorneys discussed the problem of falls in nursing homes, with over 300,000 individuals over the age of 65 experiencing a hip fracture every year, often leading to injury or even death.

According to a recent University of Maryland School of Medicine study, hip fractures continue to be a major challenge among older individuals and will continue to grow rapidly as our population ages. The study discusses the opportunity available for the medical community to help prevent falls, by intervening and taking precautions with the elderly population.

The study recommends the following interventions:

• Screening for and treating osteoporosis in elderly patients, especially elder men who are rarely diagnosed for osteoporosis, even after an osteoporotic fracture.
• Nutritional interventions have proven to be effective in preventing hip fractures, including the appropriate levels of vitamin D and calcium, as the majority of elderly individuals who are at-risk for falls and fractures have a deficiency in key nutrients.
• Behavioral exercises that include physical activity encouraging walking, weight-beating activity and resistance training have been linked to the reduction of nursing home falls and fractures.
• Other prevention strategies to decrease falls include reducing the number of medications, especially sedatives, sleeping pills, antihistamines, or psychoactive drugs, as well as modifying an elderly person’s home to avoid fall hazards, especially with a person who has previously fallen or is at-risk for falling.

The study hopes that by implementing fall-related interventions, future generations of elderly individuals will be better able to handle the traumatic falls without injury because of better bone health and strength. Also, the study states that with continuing research, experts will be able to identify new approaches to the treatment and rehabilitation of individuals who have suffered from hip fractures in order to improve quality of life and reduce the problem of fall-related injuries on individuals, their families and on society as a whole.

Continue reading "Prevention of Nursing Home Falls and Hip-Fractures in the Elderly" »

Our Baltimore nursing home injury attorneys have been following a recent University of Maryland School of Medicine study, published in the American Geriatrics Society’s Clinical Geriatrics Journal, stating that over 300,000 people over the age of sixty-five in the United States will experience a hip fracture every year, making it the second leading cause of hospitalizations for older persons.

As our attorneys discussed in a related Maryland nursing home blog post, traumatic injuries involving nursing home falls are a major concern for elderly individuals and seniors in nursing homes around the country. Hip fractures are frequently the result of a nursing home fall or minor trauma, or when the bone becomes fragile and deteriorated to the point that it cannot hold the weight of the person. By the year 2040, it is estimated there will be an increase of 500,000 annual hip fractures.

Hip fractures challenge the quality of life for older adults, as it can lead to mortality, restricted mobility, and decline in strength, lean body mass, and bone mineral density, as well as depression and constant pain.

According to the study, 18-33 percent of elderly patients with fractured hips will die within one year of their hip fracture, with 13.5 percent dying within the first 6 months. The study also found that those who survive the hip fracture will experience a reduction of mobility, and will have problems functioning on their own, with only 50-60 percent of hip fracture patients recovering their pre-injury walking capabilities in the first year following the fracture. Many of the patients who were completely independent in their daily activities were found to have developed new dependencies after the fracture of the hip.

Continue reading "Elderly Hip Fractures and Nursing Home Falls" »

In yet another nursing home fall and wrongful death lawsuit that our Frederick County, Maryland nursing home attorneys have been following, a Texas nursing home is being sued by the daughter of a deceased resident for negligence.

According to the lawsuit, Miriam Davis is suing Friendswood nursing home for negligence, after her mother died from multiple falls while she was a resident in the nursing home. Davis claims that the nursing home admitted her mother, Virginia Melghem, in November 2009, even though they were aware that she was at-risk for falling, and that they could not properly care for, supervise, or monitor her mother’s needs for safe care and nursing home treatment.

Davis claims that she was told her mother would receive proper care that would be administered to her in a manner that was appropriate to her physical and mental condition. As a resident however, Davis claims that her mother went on to sustain injuries and trauma that included multiple nursing home falls, that last of which led to a broken hip. After her last fall, Melghem died one week later.

According to the CDC, 20 - 30% of elderly people who fall, experience moderate to severe fall-related injuries such as fractured hips, lacerations, or traumas to the head—which can increase the risk of early death. The CDC also claims that the death rates from falls with elderly men and women have spiked over the past decade.

Continue reading "Daughter Sues For Nursing Home Negligence After Mother’s Fall-related Death" »

Our Washington D.C. nursing home injury attorneys recently discussed the prevalence of falls in nursing homes and hospitals in a blog, and how to reduce the number of falls that can result in nursing home resident injury and wrongful death throughout the nation.

The CDC reports that over 1,800 residents die each year from falls in nursing homes. Injuries sustained from nursing homes and hospital falls can be frequent, debilitating, and expensive health care issues for elderly adults to face. As the CDC reports, finding ways to prevent fall-related injuries with elderly residents in nursing homes and hospitals is extremely important in preventing future injuries.

Elderly residents who are weak, have difficulty caring for themselves or have difficulty walking, are often prone to nursing home or hospital falls, along with patients who have chronic health conditions, or memory problems like Alzheimer’s or dementia.

According to Dr. Ronald I. Shorr, MD, in hospitals, there are generally two types of patients who fall: patients who are frail, and patients who don’t want to interrupt or bother the hospital staff. Hospital providers have reportedly found success in preventing falls by installing alarms, scheduling the administration of medication to prevent falls, redesigning rooms to have bathrooms closer to beds, and updating fall-risk assessments that are shared with healthcare teams and patients, while they are hospitalized and after they leave to return home. Shorr is reportedly in the middle of a study funded by the National Institute of Health on how to prevent falls.

Continue reading "Reducing Nursing Home and Hospital Falls to Prevent Patient Injury" »

As our Baltimore, Maryland nursing home injury attorneys discussed in a recent blog, under the federal Nursing Home Reform Act of 1987, (NHRA), all residents living in nursing homes are entitled to receive quality care and attention in an environment that improves and maintains their highest physical, mental health and psychosocial well being.

According to AARP, in 1986, Congress ordered a nursing home study to be performed by the Institute of Medicine, IOM. The study reportedly revealed widespread nursing home negligence, abuse, and substandard care. The IOM proposed massive reforms, a large majority of which became law in the passing of the NHRA, which is part of the Omnibus Budget Reconciliation act of 1987, (OBRA).

The NHRA secures quality care by requiring certain nursing home services to every resident and by establishing standards for these services. Required services include, periodic assessments of each resident, pharmaceutical, rehabilitation, and social services, a care plan for each resident that is comprehensive, and the services of a full-time social worker if there are more than 120 beds in a nursing home.

A Bill of Rights was also established under the NHRA to secure quality care for each resident. Under the Resident’s Bill of Rights, a resident has the right to freedom of nursing home neglect, abuse and mistreatment, and the right to treatment that is free from physical restraints. Under the act, residents and patients also have the right to privacy, the right to be treated with dignity, the right communicate freely, the right to have medical, social, physical and psychological needs accommodated, the right to exercise self determination, and the right to participate in reviewing their own plan, with full disclosure in advance about any changes in treatment, care, or status change within the nursing home. Nursing home residents are also entitled to communicate any problems without experiencing any discrimination or retaliation.

Continue reading "Residents’ Rights under the Nursing Home Reform Act of 1987" »

In a recent nursing home investigation that our Washington D.C. nursing home abuse attorneys discussed in a blog, Attorney General of the State of New York, Andrew Cuomo, and his Medicaid Fraud Control Unit (MFCU) have engaged in a state-wide investigation into nursing home abuse and neglect, using hidden cameras in New York nursing homes, to ensure that residents are receiving quality nursing home care, that is free from negligence and abuse.

Earlier this year fourteen healthcare workers at Northwoods Rehabilitation and Extended Care Facility were arrested for nursing home abuse and neglect, and last week, nine of the licensed nurses and aides were charged in a 175-count indictment, alleging that the nurses neglected to provide proper care and treatment for a patient who was incapacitated.

The nurses have been reportedly charged with endangering the welfare of a person who is physically disabled or incompetent, and willful violation of health laws—both of which are misdemeanors. They have also been charged with a felony for falsifying business records to cover up their nursing home negligence. The nurses all pleaded not guilty. The five other defendants with similar charges have already settled their nursing home negligence cases with guilty pleas.

The Attorney General Cuomo’s office reported that along with falsifying records to hide negligence, the nurses and aides neglected to administer the incapacitated patient’s medications and also neglected to treat the patient’s pressure sores. They also reportedly neglected to check the patient for incontinence, and failed to change the patient’s undergarments for long time periods. As our Washington D.C. nursing home injury attorneys have reported in a previous blog, when residents have limited movement or are immobile, resting in the same position for long periods puts them at high risk for developing bedsores.

Continue reading "Hidden Camera Investigation Leads to Nursing Home Abuse Charges for Nurses, Aides" »

Our Baltimore nursing home attorneys have been following the recent news release that the state of Maryland is slated to collect around $1.7 million in grants by the U.S. Department of Health and Human Services (HHS), to help disabled people, seniors, and their health care givers to better comprehend and explore their long-term health care options.

The Maryland grants are reportedly being distributed by HHS as part of a new program under the Affordable Care Act. HHS Secretary Kathleen Sebelius announced yesterday that under the act, around $68 million in grants will be awarded to states, tribal and community-based organizations, and territories across the country.

Sebelius stated that the Affordable Care Act will help to give individuals more power to make decisions about finding quality health care in nursing homes or rehabilitation facilities— to improve the level of care, and reduce the cost.

The national funds will reportedly be used for programs that will aim to help disabled people and the elderly and their families and caregivers to better comprehend their benefits under Medicaid and Medicare. The grant money is also intended to help seniors and disabled individuals to better understand their long-term health care options, including those that help people to remain with in nursing homes, and those to help ease the transition for people who are moving back to their home residents, after residing in a nursing home or rehabilitation facility.

Continue reading "Maryland to Receive $1.7 M in HHS Grants to Help Seniors and Disabled Individuals in Homes" »

In a previous blog, our nursing home negligence attorneys in Baltimore, Maryland discussed a recent lawsuit verdict, where a jury handed Skilled Healthcare Group Inc., a nursing home company based in California, a $677 million verdict over nursing home negligence due to understaffing in the homes.

According to Bloomberg news, Skilled Healthcare announced a $50 million lawsuit settlement today, in an effort to avoid the $677 million verdict in damages—what Bloomberg calls the largest award announced in the U.S. this year, by the Humboldt County jury in July.

In the July verdict, Skilled Healthcare was found to be negligent for violating state regulations by failing to properly staff the number of nurses required for duty in the 22 facilities throughout California.

According to California State law, nursing homes are required to provide 3.2 hours of direct skilled nursing care per day, per patient. The federal recommendation standard for nursing requirements is reportedly 4.1 nursing hours per patient. As part of the settlement, the facilities operating the nursing homes will be responsible for providing the legally mandated nurse staffing, and complying with federal and state regulations on staffing.

Continue reading "Skilled Healthcare Announces Nursing Home Lawsuit Settlement—After Recent $677 M Verdict" »

As Washington D.C. nursing home negligence attorneys, we have been watching a recent lawsuit where a Humboldt County jury slapped a California nursing home company with a $677 million verdict over staffing.

According to Cindy Cool, whose father was a resident of Eureka Healthcare and Rehabilitation and suffered from Alzheimer’s disease, she would often come to visit the home and find her father wearing clothes that were soaked in urine, due to nursing home negligence. Cool claimed that it would often take more than 20 minutes to find a staff member to help care for her father.

Cool is a member of the class-action lawsuit that represents over 30,000 patients that blame the nursing home for abuse and negligence due to staff shortages—a reportedly common complaint with for-profit nursing homes across the country, that homes are more concerned with money than the nursing home care. Cool provided a key testimony last month, which led to the jury deciding on a $677 million verdict.

Cool’s father lived in a home that is operated by Skilled Healthcare, and last month the jury found that the public corporation violated state regulations numerous times, by failing to maintain the number of nurses required for duty, 3.2 nursing hours per patient per day, in its 22 nursing homes throughout the state. The federal recommendation standard for nursing requirements is 4.1 nursing hours per patient.

Continue reading "For-profit Nursing Home Industry Slammed in $677 Million Nursing Home Verdict" »

In a recent nursing home lawsuit verdict that our Maryland nursing home injury attorneys have read about, the stepdaughter of a former nursing home resident has been awarded $400,000 after years of fighting to hold the home accountable for the nursing home abuse of her step father.

According to the lawsuit, John J. Donahue was a nursing home resident of Embassy House in Brockton, Massachusetts, that is owned by Kindred Healthcare. While a resident at the home, in 2005, Donahue’s left eye was reportedly gouged by the metal safety hook on a machine that one of the employees used to move him from his bed. The state investigation into the case stated that the machine used on Donahue was supposed to be operated by two employees and not one, which the lawsuit claimed was negligent on the part of the nursing home.

Donahue’s eye had to be surgically removed after the incident, and he died 46 days later at the age of 93, from sepsis, a blood infection, that reportedly came from a result of the eye removal. Sepsis is a life-threatening condition, when bacteria enters the bloodstream and spreads throughout the body. Sepsis progresses rapidly and can cause organ failure and death.

The jury reportedly found the nursing home negligent in failing to prevent the eye injury, and awarded Donahue’s stepdaughter $400,000 plus interest for suffering, pain and disfigurement while a resident of the home. Kindred was not held accountable for Donahue’s death.

Continue reading "Jury Awards Stepdaughter with $400,000 in Nursing Home Abuse Lawsuit Verdict" »

Our Washington D.C. Nursing Home Abuse Attorneys recently discussed the topic of chemical restraints in a blog, and the unnecessary use of antipsychotics in nursing homes. The Food and Drug Administration (FDA) estimates that around 15,000 nursing home deaths occur every year from the off-label use of antipsychotic medications that are unapproved by the FDA.

Center for Medicare Advocacy Senior Policy Attorney Toby Edelman, recently released a statement in reaction to a Senate Special Committee on Aging hearing, claiming that nursing home residents die every day from the inappropriate use of antipsychotic medications given to residents who have no diagnosis of psychosis. Edelman claims that nursing home facilities are violating the Controlled Substances Act and the 1987 Nursing Home Reform Law, by failing to provide the residents with proper medical attention, and physicians who are available to treat them 24 hrs a day.

According to the statement, under the 1987 Nursing Home Reform Law, every resident must be under the care of a physician, and each nursing home must provide a physician for medical care in case of an emergency, with another physician on-call. Edelman claims that nursing homes and long-term care pharmacies have long been relying on the practice of “chart orders,” for medications, where nurses assess the nursing home resident’s changed condition, and contact the physician—who then prescribes pain medication recommendations.

The Drug Enforcement Administration (DEA) has reportedly begun to enforce the rules and policy of the Controlled Substances Act, requiring physicians to write and sign prescriptions, sending nursing home and nursing home pharmacy industries into a frenzy, claiming that without these practices, residents will not receive the pain medication they need.

Continue reading "Resident Death and Antipsychotic Drug Violations in Nursing Homes" »

In yesterday’s blog post, our lawyers from Lebowitz and Mzhen, LLC, discussed the resent release of the annual state-by-state check-up of healthcare ratings, in the National Healthcare Quality Report from 2009, which includes Maryland’s ratings on nursing home care, and the use of physical restraint.

Nursing home restraint is a physical or pharmacologic restraint used to keep a resident or patient from moving freely, and is only allowed when medically necessary, as it can also cause patients to become weak or develop other health complications like pressure sores, isolation, loss of walking ability, incontinence, or injury from trying to escape the restraints, leading to possible injury or wrongful death.

Restraints have been used in nursing homes when impaired residents with mental conditions are prone to nursing home falls, wandering, or the potential for personal injury—but are controversial as they have been also been used for the purposes of discipline, or for the convenience of the nursing home—leading to nursing home abuse and neglect.

The Center for Medicare and Medicaid Services (CMS) reports that the use of physical and chemical restraints has reduced substantially after the implementation the CMS restraint regulation in 1990, showing that physical restraints had serious negative effects including the risk of wrongful death, and nursing home abuse and neglect.

Continue reading "Physical Restraints in Maryland Nursing Homes" »

In recent nursing home patient safety and technology news, our Maryland Nursing Home Abuse and Negligence Lawyers have been following the required development of electronic point-of-care devices, to be installed in Vestal Nursing Center, along with eight other nursing homes in New York. This nursing home healthcare technology development was as part of a deal made with the state Attorney General’s Office, after 14 employees were convicted of criminal charges for falsely testifying that they had provided appropriate care to patients—and were caught on a surveillance camera doing otherwise.

In 2005, Feliz Ortiz suspected that his father, a dementia patient resident at the Rochester nursing home wasn’t getting the proper care he deserved. His family was visiting him every day, and suspected serious nursing home abuse and neglect. After the state Department of Health checked the records of his care and suspected that the records were doctored, the state Attorney’s Office installed a hidden surveillance camera in his father’s room—to investigate of the level of care being provided.

The video results corroborated with Ortiz’s suspicions—his father wasn’t being turned every two hours to prevent bed sores, wasn’t being hydrated properly, and was left for hours on end lying in his own waste, while the nursing home caregivers claimed to be treating him properly. Employees were found allegedly sleeping, smoking, watching movies and not providing the promised nursing home care.

Point-of-care technology uses electronic devices to record services at health-care facilities, like the turning of a bed-ridden patient and the dispensing of patient medication in actual time. The new system of technology will also allow the nursing home caregivers to record information about the residents in their rooms, instead of having to walk back and forth to the nursing station—a process that will save time spent on paperwork, and give more time to the patients.

Electronic records will then be created for patients’ medical charts with the necessary information that can be easily accessible in the future after the implementation of electronic medical records occurs—where patient information for doctor visits, nursing homes, and critical care-facilities are all available electronically.

Continue reading "Negligence Lawsuit Demands Nursing Homes Install Patient Care Devices" »