Maryland Nursing Home Lawyer Blog

According to a report from the Agency for Healthcare Research and Quality (AHRQ), the number of American residents living in nursing homes who are subjected to physical restraint has dropped by more than half, from 1999 to 2007. This reportedly came from part of the National Healthcare Quality & Disparities Report from 2009.

The report states that the number of physically restrained nursing home residents dropped from around 10.4% in 2000 to 5% in 2007. As our Maryland nursing home attorneys reported in a recent blog, physical restraints can be 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. Common restraints include belts, wrist ties or bands, vests, bedside rails, or special chairs.

The report also discovered that number of Asian and Hispanic residents living in nursing homes who were physically restrained fell from around 16% in 1999 to around 7% in 2007.

According to Karen K. Ho, MHS, research analyst for Maryland’s Center for Quality Improvement and Patient Safety at AHRQ, there is a disparity between white and Asian populations being restrained in nursing homes. Ho claimed that the report shows that Asians and Hispanics are reportedly more likely to be restrained in nursing homes, and this could be because of language and literature issues. Ho claims that the ability to communicate with a health care provider, and the ability for the health care provider to talk to the patient is hugely important. If there is a language barrier and communication problems arise, the patient will most likely not get the care that they would like, or that is recommended.

Continue reading "Report Shows Less Physical Restraint in Nursing Homes" »

In a recent blog, our Baltimore, Maryland Nursing Home Attorneys discussed a new Maryland initiative, led by the Maryland Patient Safety Center (MPSC), to reduce the number of nursing home resident falls that can result in nursing home injury and deaths throughout the country.

According to the CDC, more than 1,800 people die in nursing home falls every year. In 2003, 1.5 million people over the age of 65 reportedly lived in nursing homes. The CDC projects that if this rate continues to rise, by 2030, there will be around 3 million nursing home residents—so understanding and evaluating nursing home falls and ways of preventing them is necessary for the health and safety of nursing home residents, to prevent nursing home injury and wrongful death.

Nursing home falls can be linked to the result of many health problems, including older residents who are weak, have difficulty caring for themselves or have difficulty walking, have chronic health conditions, or residents who have memory problems like Alzheimer’s or dementia.

Among the most common causes of nursing home falls are muscle weaknesses and walking problems, leading to 24% of falls. Environmental hazards like wet floors, poorly fitted wheelchairs, bad lighting, or improper bed heights, have also lead to a reported 16-27% of nursing home falls. Medications can also increase the risk of falls, especially if a patient is taking drugs that affect the nervous system, like sedatives or anti-anxiety drugs. Physical restraints, the controversial method used to try and keep residents from falling, can actually increase the risk of fall-related injuries and wrongful deaths.

Nursing home falls can also be caused by poorly trained staff, understaffing, or by using incorrect or outdated equipment to transfer or transport nursing home residents properly.

Continue reading "CDC Guide to Nursing Home Fall Prevention" »

In recent Maryland nursing home injury news, more than 24 hospitals in the state of Maryland are taking part of the Maryland Patient Safety Center’s (MPSC) SAFE from FALLS initiative, a program providing state facilities with a "road map" to prevent patient and resident falls—to reduce personal injury and harm.

The Maryland program, based on an original program in Minnesota, was created through the Maryland legislature, with the Delmarva Foundation and the Maryland Hospital Association chosen as operators, to work to decrease nursing home and healthcare falls overall, and decrease the severity of resident falls, especially falls with personal injury.

The SAFE from FALLS "road map" was developed by studying acute care, home health care, and nursing home care—the three environments that the project is aiming to help. The program was then tested in these healthcare settings during 2008 and 2009. Today there are reportedly 50-60 nursing homes using the program’s road map, with 30 hospitals and 12 home health agencies as well.

According to the Centers for Disease Control and Prevention, every year, an average 100-bed nursing home reports around 100-200 nursing home falls. Nearly 1,800 people living in nursing homes reportedly die in this country every year from injuries related to nursing home falls. Those nursing home residents with falls that are non-fatal can suffer serious nursing home injuries.

Continue reading "Program Aims to Reduce Falls in Maryland Nursing Homes" »

In a recent nursing home injury blog, our Washington D.C.-based attorneys reported on a current case in Northern California, where a nursing home is being accused of recklessly poor resident care and nursing home negligence, leading to the wrongful death of Frances Tanner, a Stockton native.

On Wednesday of this week, Colonial Healthcare was found guilty of elder abuse, and Tanner’s daughter, Elizabeth Pao was awarded $1.1 million in monetary damages for Tanner’s suffering and pain, after enduring a nursing home fall in 2005 that broke her hip and led to a bedsore that became so infected it reportedly took her life.

Colonial Healthcare, over the course of the two week trial, has been accused of poor care, chronic and extreme understaffing, nursing home corporate greed, and failing to care for Tanner in every way—by allowing her to fall and break her hip, neglecting to record her level of treatment and care, and neglecting to prevent the bed sores that after becoming so infected, lead to her death.

According to the Sacramento Bee, yesterday, in the second phase of the case, the jury panel awarded $28 million in punitive damages for Frances Tanner’s abuse and wrongful death, in an effort to send a message to Horizon West Healthcare and its company leaders to stop the chronic understaffing and substandard care that has lead to nursing home negligence and resident death. The jury reportedly decided on the punitive damages after hearing evidence in court about the finances of the corporation—the corporation is reportedly worth around $200 million. This is said to be the largest elder-abuse award in Sacramento County history.

Continue reading "Jury Demands Nursing Home Pays $28 Million in Punitive Damages for Elder Abuse Case" »

As Washington D.C. Nursing Home Abuse and Neglect Attorneys, we have been following a recent case of elder abuse, where a Sacramento County Superior Court jury found a nursing home guilty for the 2005 wrongful death of a Northern California resident.

Frances Tanner, a former administrative worker who had been employed by various agencies including the FBI and the IRS, reportedly moved into Colonial Healthcare, a nursing home in Auburn, California, in March of 2005 at the age of 79. Although she was suffering from mild dementia, Tanner was reportedly mobile, strong, talkative and in great spirits.

In September of 2005, Tanner suffered a nursing home fall and broke her hip. According to the lawsuit testimony, Tanner was not properly diagnosed with a hip fracture for another eight days, during which time a bed sore was discovered. After the surgery, the bed sore progressed rapidly, and Tanner reportedly died a few weeks later from a massive infection of the pressure sore that caused her great pain and suffering.

During the course of past two weeks, the home has been accused of poor care, chronic and extreme understaffing, and nursing home corporation greed. Colonial was accused of recklessly failing to care for Tanner in every way—by allowing her to endure a broken hip, failing to keep accurate notes on her treatment and care, and neglecting to prevent or care for the bed sore that allegedly killed her.

Today, the jury awarded Elizabeth Pao, Tanner’s daughter, $1.1 million in monetary damages for Tanner’s suffering and pain, and for the loss of companionship. The punitive damages will be announced on Thursday.

Continue reading "Jury Delivers Elder Abuse Verdict—Nursing Home to Pay $1.1 Million for Wrongful Death" »

In a recent blog, our Washington D.C.-based Nursing Home Neglect Attorneys discussed the prevalence of violent elder abuse incidents including nursing home falls occurring in seven veterans homes in the state of Texas, as reported by the Dallas Morning News.

According to the state’s Department of Aging and Disability Services, inspections in the Amarillo veterans home uncovered a series of nursing home neglect incidents and resident falls. In one case an elderly patient with Alzheimer’s was allegedly found on the floor, after the neck of her nightgown got stuck in the bedrails, causing redness around her neck. After an investigation, it was discovered that this patient had been previously assessed and that staff members were supposed to assist the woman get in and out of bed, to prevent nursing home falls and personal injury. The assessment did not order restraints, which are controversial, but sometimes used to prevent falls, a topic that our lawyers discussed a few weeks ago in a blog.

In another nursing home fall incident at the Big Spring home, one of the seven veterans nursing homes has been cited for several violations since 2004, a man who was known to be at risk of falling out of bed was reportedly not carefully monitored and fell twice in the bathroom, experiencing personal injury both times. Another man experienced a fall after his bed rolled—as there was no system established for ensuring that the beds were locked into place. Another resident who needed supervision from nursing home falls and wandering was found on the floor at least four times in a period of less than two months.

In another wandering case in Big Spring Home, where felony charges were filed against two employees last month for nursing home abuse, a resident was found eighty feet from the nursing home building after being left unattended in his wheelchair. He was allegedly found lying on the cement with a swollen face and spent two days in the hospital.

Continue reading "Nursing Home Falls and Injury in Veterans State 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 news that Maryland Nursing Home Abuse and Neglect Attorneys have been following, Attorney General for the State of New York Andrew Cuomo announced this week that twenty-two health care employees, both former and current, have been arrested after hidden camera footage in two separate nursing homes revealed alleged abuse and neglect as well as other behavior that harmed the health and safety of residents.

Cuomo claimed that his Medicaid Fraud Control Unit (MFCU) is using hidden surveillance cameras in nursing homes all over the state of New York, with the consent of family members, to make sure that residents are receiving the and nursing home care that they lawfully deserve. Cuomo and his team are reportedly setting a precedent in this country, for using surveillance cameras to investigate the possible nursing home abuse and neglect of patients in nursing homes. The MFCU has, to date, convicted 30 nursing home workers based on the results of the hidden cameras.

The first case announced this week involved the arrest of 14 health care workers at Northwoods Rehabilitation and Extended Care Facility, after six weeks of footage revealed that the workers failed to consistently turn residents who were immobile, neglected to check or care for bedsores, routinely failed to give patients necessary medications, or check residents for incontinence and change residents’ undergarments in a timely manner. The medical records were also allegedly falsified to reflect a level of care that was not being administered.

The second case involving incidents at Williamsville Suburban Nursing Home, lead to the arrest of 8 workers. The investigation took place over a seven-week period of time, and revealed that staff failed to use a mechanical lift assisted by two other caregivers to properly transfer residents to and from the bed—causing a great potential for nursing home falls and injury. The footage also showed that patients weren’t given insulin, weren’t treated for wounds on the skin, and weren’t checked for vital signs, or given range of motion exercises. The resident’s medical records were also falsified to conceal neglect.

Continue reading "NY Nursing Home Hidden Cameras Capture Neglect—22 Health Care Workers Arrested" »

In a recent blog, our Maryland Accident Attorneys discussed the topic of whether bed rails in Maryland nursing homes are a potential health hazard, or whether they protect the health and safety of residents.

According to the Food and Drug Administration (F.D.A.), nearly 2.5 million nursing home and hospital beds are currently used in this country. In an F.D.A. study, from 1985 to 2008, there have reportedly been 772 incidents where hospital and nursing home patients have been trapped, stuck, or strangled in beds that had rails. Out of this number, 176 were saved by the staff before experiencing injury, 136 experienced personal injuries that were nonfatal, and 460 patients died.

Bedrails are designed to aid in helping patients pull themselves up, turn into a different positions in the bed, provide a feeling of security, and keep patients who are frail, or who have been diagnosed with dementia or Alzheimer’s safe from harm, such as falling, or rolling out of bed.

Unfortunately these very patients often get trapped or stuck in the space between the mattress and the bedrails, causing personal injury, strangulation, suffocating, and wrongful death, which can result in a Maryland personal injury lawsuit. Bedrail injuries can often result in nursing home falls, when a patient attempts to climb over the rails, bruising or scrapes to the skin, as well as a feeling of restriction, and agitated behavior from being restrained.

Continue reading "F.D.A. Bed Rail Safety Guidelines for Maryland Nursing Homes" »

As Maryland Nursing Home Negligence Attorneys we recently discussed the blog topic of health and safety in nursing homes and the importance of supervising residents who suffer from dementia or Alzheimer’s disease, to prevent the common problem of resident wandering and nursing home falls that can lead to wrongful deaths.

In related nursing home negligence news, an Illinois family is suing Maryville Manor’s nursing home for negligence and the wrongful death of Jewel Lane, a resident of the home. In the suit they allege that the nursing home allowed Lane to escape—an act that reportedly lead to his death.

According to the suit, Lane was admitted to the nursing home on March 24, and suffered a nursing home fall days later on April 1. The suit alleges that one week later, Lane was allowed to leave the nursing home premises, and died shortly after from pulmonary arrest, hypothermia, and exposure to the outside elements. The home is being accused of negligence for failing to supervise Lane properly, failure to properly secure the exits and windows to prevent wandering residents, failure to protect Lane from harming himself, and failing to house Lane in a room that would prevent him from leaving the premises unnoticed.

The Lanes seek a judgment of more than $200,000 as well as fees and costs for the attorneys, and funeral and medical costs. Lane’s wife and daughter claim that because of his death, they have lost his financial support, companionship, and affection.

Continue reading " Wrongful Death and Nursing Home Negligence Lawsuit—Family Sues for Damages" »

In recent news that our Washington D.C. Nursing Home Negligence Attorneys have been following, a nursing home resident filed a negligence lawsuit after the home allegedly failed to keep him safe from nursing home falls, and diagnose, treat and care for his injuries after a fall—which lead to infection, gangrene, and ultimately the amputation of his finger.

According to the suit, Juan Riostirado, a resident of Glenbridge Nursing and Rehabilitation Center in Illinois, fell in his room and injured his hand on December 7, 2008. Although Riostirado was reported to have a high risk for such falls, there were no notes recording the fall or the personal injury in his paperwork until December 19, 2008.

The suit alleges that the only record of the injury was on December 19th, 2008, when a nurse wrote that Riostirado’s right ring finger was swollen, and that the finger should be monitored for five days. There were no more notes entered between December 19th and December 16th, 2008.

Riostirado was reportedly experiencing severe pain and swelling of his right ring finger on January 4, 2009, and according to the suit was diagnosed with gangrene of the finger the next day. Five days later, Riostirado was sent into surgery to have his finger amputated from complications due to gangrene.

The lawsuit claims that the nursing home is responsible for keeping its residents safe from nursing home falls, and should have treated and cared for Riostirado’s personal injury before it resulted in amputation. The suit is seeking over $50,000 in damages.

If you are worried that a friend or loved one staying at a nursing home in Maryland or the Washington D.C. area is suffering from nursing home falls due to negligence, contact our attorneys at Lebowitz and Mzhen, LLC for a free consultation. Call us at 1-800-654-1949.

Man Sues Nursing Home After Losing Finger, Niles Herald-Spectator, February 16, 2010

Related Web Resources:

Centers for Disease Control and Prevention: (CDC), Falls in Nursing Homes

Our Maryland Nursing Home Attorneys have been following the recent story about a New York nursing home that is hoping to use new Israeli devices that can reportedly track wandering nursing home patients to maintain resident health and safety, and prevent nursing home falls or injury.

According to the article, the Hebrew Home, a prominent nursing home in New York, has been awarded a special legislation by New York State to try a new healthcare project, as part of the Managed Long-Term Care of the state.

The goal of the Hebrew Home’s CEO, Dan Reingold is to work with cutting edge technology companies and government officials in Israel to utilize innovative technologies, to find ways to maintain the health and safety of the residents, provide quality care, reduce nursing home falls with frail patients or patients experiencing dementia, and at the same time, cut nursing home costs. Reingold claims that the medical technology in Israel is far more advanced than technologies in the United States.

Some of the new technologies that are being developed focus on monitoring patients with devices that can keep track of how much time a person spends in bed, as well as monitoring patients who have a tendency to wander, and are at risk for falls or nursing home injury.

Continue reading "NY Nursing Home Looks to Israel Technology to Stop Resident Wandering and Falls" »

As Maryland Nursing Home Abuse and Neglect Attorneys, we have been following a lawsuit in which a 65-year old paralyzed patient in a nursing home was allegedly dropped to the floor twice. Her family claims that the second nursing home fall resulted in her wrongful death.

According to the lawsuit, Adriana Neagoe fainted in front of her church and was diagnosed with a brain tumor. After surgery to treat the tumor left her body paralyzed with the ability to only move one arm, her family decided on Midway Nursing Home in Queens, New York for her care.

In the spring of 2008, Neagoe’s family was told that she had fallen from her bed, a bed that is protected by guardrails. Her family claims in the suit that she couldn’t have fallen, as she was paralyzed. The resident needed constant care—to be lifted up for bathing, and so the sheets could be changed.

Neagoe reportedly told her family that they dropped her on her head, from five feet up in the air. After she experienced the second nursing home fall, she was rushed to the hospital, where she died six days later from severe head injuries. Her family claims her death was caused from complications of these falls, due to nursing home negligence.

Continue reading "Family Sues for Nursing Home Falls and Wrongful Death" »

As Maryland Nursing Home Injury Attorneys, we have been following the Chicago Tribune article published yesterday about an epidemic of unnecessary and dangerous drugging going on in nursing homes—causing nursing home injury and threatening the lives of elderly residents.

The report details that many vulnerable elderly residents in nursing homes are being given strong psychotropic drugs that they neither need or want—leaving them with dangerous side effects like tremors, severe lethargy, and a high possibility for falls or wrongful death.

This review of more than 40,000 federal and state inspection reports found that a wide variety of nursing homes ranging from high end facilities to run down centers, are in violation for improperly treating patients with psychotropic drugs. The violations included chemical restraint, unnecessary drug administering, dosages exceeding safety standards, and cases where dosages led to nursing home resident falls.

Since 2001, the Tribune identified 1,200 nursing home violations that involved psychotropic medications. These infractions reportedly affected 2,900 residents, although the actual statistics are likely to be far higher, as regulation inspections are only enforced once every 15 months.

Congress passed landmark laws protecting patients from unnecessary drugs in 1987—and since then, it is unlawful for facilities to give psychotropic drugs to patients without a doctor’s orders, patient’s consent and treatment justification.

Continue reading "Unnecessary Drugging in Nursing Homes Threatens Lives of Residents" »

Our Maryland Nursing Home Injury Lawyers have been following a recent case in which Ruxton Health, a local nursing facility in Virginia, has been charged with another wrongful death lawsuit—the third nursing home injury lawsuit from this year.

Bob Wiggins filed the civil lawsuit last week on behalf of his mother, Lorina Wiggins, who had been under Ruxton Heath’s care for a year when she was brought to the emergency room in March 2008 with deeply infected bedsores. Wiggins, who was 84 at the time, died a week later from complications of these wounds.

This nursing home injury lawsuit claims that one of the seven bedsores that Wiggins developed over the year that she was cared for at Ruxton Health, had become so deeply infected that in the course of three months it exposed her ankle bone.

Bob Wiggins claims in the suit that he was never informed about his mother’s infected bedsores that advanced to a deadly degree during final few months of her life. When he was unable to visit the facility in person, he claims that when we could call to check on her, he was incorrectly reassured by the Ruxton staff that she was doing “fine” and had “no problems”.

When Lorina Wiggins entered the nursing home, she was at high risk for skin breakdown, and according to the suit needed specific nursing home care to prevent any sores or lesions from developing, which included being physically moved every few hours.

The lawsuit is seeking $35 million from Ruxton Health and former nursing home administrator Sue Myatt.

The Wiggins case is the third nursing home wrongful death lawsuit brought against Ruxton Health this year. The first wrongful death lawsuit was filed on behalf of Lillian Funn—who died from skin ulcers and multiple nursing home bedsores in 2008.

Continue reading "Repeat Offender—Nursing Home Charged With Third Wrongful Death Lawsuit This Year" »