Maryland Nursing Home Lawyer Blog

As nursing home attorneys in the state of Maryland and the Washington D.C. area, we have been following the recent Britthaven of Chapel Hill Nursing Home investigation where Alzheimer’s patients have tested positive for serious pain-management prescription drugs that weren’t prescribed for them, and that they weren’t supposed to be receiving.

According to a recent news article, the North Carolina State Bureau of Investigation (SBI) and the Attorney General’s Medicaid Investigations Unit have launched a criminal investigation of the nursing home to determine if the patients were being over-medicated, abused or neglected, or being subjected to chemical restraint.

The investigation began after three Alzheimer’s patients from the nursing home were taken to local hospitals after nursing home staff claimed the patients were acting in an unusual manner. The hospital officials contacted the police, and the state Department of Health and Human Services, and officials from Britthaven after their blood tests showed strong drugs in their system that were not prescribed to them as patients.

The nursing home officials then reportedly tested all of the nearly 25 residents in the Alzheimer’s unit for drugs. Six of these patients tested positively for opiates, the drugs often used for pain management. Three of the patients were subsequently hospitalized, one of which died two days later.

Continue reading "State Investigates Nursing Home for Possible Negligence and Chemical Restraint" »

In national news, our Maryland-based nursing home abuse lawyers have been reading about a recent lawsuit filed against the operators and four former aides of the Evangelical Lutheran Good Samaritan Society Home in Albert Lea, Minnesota, where nursing home residents were reportedly subjected to a five month pattern of nursing home abuse that involved verbal, sexual and emotional abuse.

According to the Star Tribune, the four former nursing assistants are facing criminal charges for the alleged nursing home abuse of up to fifteen Alzheimer’s and dementia patients in 2008. This lawsuit comes in addition to criminal charges that have already been filed in the case in Freeborn County Court. The incidents reportedly surfaced in May of 2008, and became public after the release of a report from the Minnesota Department of Health that concluded that the four nursing aides who were teenagers at the time were involved in nursing home abuse and neglect.

The former nursing aides, Ashton Larson and Brianna Broitzman, Alicia Heilmann and Kaylee Nash are being accused of abusing residents, by entering their rooms and locking the doors in order to sexually grope and poke at the breasts, genitals and rectums of the residents, spit in residents’ mouths, and simulate sexual activity with residents, among other charges. The suit also accuses the former nursing assistants of video taping the sexual acts and battery and laughing while the frail and vulnerable adults are screaming from the abuse. Broitzman and Larson are scheduled for trial later this year on a total of 21 criminal charges.

In the lawsuit, the nurses are being accused of civil assault and battery, causing emotional distress, and failure to report the unlawful treatment of the residents. Good Samaritan is being accused of failing to protect the elderly residents from abuse and negligence in management and supervision of the nursing aides. The suit states that Good Samaritan owed a duty to the residents to protect them from abuse and neglect, to ensure that the nursing staff were properly supervised and train to care for the needs of vulnerable adults and residents in the nursing home.

Continue reading "Former Nursing Home Assistants and Good Samaritan Home Sued for Abuse and Negligence" »

In yesterday’s blog, our Maryland Nursing Home Abuse Attorneys discussed the complaint filed last week by the U.S. Justice Department against Johnson & Johnson, for allegedly paying millions of dollars in kickback payments Omnicare, the largest pharmacy in the country, to increase sales of antipsychotic prescription drugs given to nursing home patients. According to the complaint, Omnicare was allegedly persuading physicians to prescribe drugs like the antipsychotic Risperdal for patients with dementia, even though the Food and Drug Administration has not approved the drug for dementia treatment.

In 1987, Congress passed landmark laws protecting patients from unnecessary drugs, and, according to these regulations, nursing home residents have the right to be protected from chemical restraints and medication for the sake of convenience or discipline to nursing home staff or doctors. It is illegal for facilities to give strong psychotropic drugs to patients without a doctor’s orders, patient’s consent and treatment justification, as patients may experience dangerous side effects like tremors, severe lethargy, nursing home falls, and wrongful death.

The Department of Health and Human Services states that nursing homes are required to have an outside pharmacist consult and review a patient’s medication schedule at least once a month. Once the outside pharmacist checks with the patient, they are obligated to report any oddities in the prescription drug schedule with the physician, and are able to make recommendations on how they would alter the medicine plan. But according to the complaint by the government, Johnson & Johnson used the consultant pharmacists as a tool to increase market share—dissolving the trust and integrity that should be a cornerstone for the health and safety of nursing home residents.

The New York Times reported this is not the first time that a drug company has been charged for using antipsychotic prescriptions to drug elderly residents. Eli Lilly pleaded guilty to a misdemeanor last January in a nearly $1.5 billion settlement of criminal and civil charges that the pharmaceutical company had marketed Zyprexa, the antipsychotic drug for the treatment of dementia with elderly people. Omnicare and Johnson & Johnson were reportedly trying to compete against AstraZenica’s antipsychotics, by increasing market share for Risperdal.

Continue reading " Nursing Home Residents Allegedly Drugged for Pharmacy Gain" »

In a recent nursing home injury blog, our Maryland-based attorneys discussed the epidemic of unnecessary drugging and chemical restraints going on in nursing homes, that can cause nursing home injury and threaten the lives of elderly residents.

Last week, the U.S. Justice Department filed a civil False Claims Act complaint against the drug giant Johnson & Johnson, for allegedly paying millions of dollars in kickback payments to a pharmacy company, in order to boost sales of antipsychotic prescription drugs for nursing home patients—drugs that can be used as chemical restraints with residents, that patients may or may not need.

The complaint alleges that from 1999—2004, pharmacists from Omnicare, the nation’s largest pharmacy, worked intensively to persuade physicians to prescribe Johnson & Johnson drugs in nursing homes, including the antipsychotic drug Risperdal, in exchange for kickback payments. The kickbacks were reportedly delivered to Omnicare in the form of rebates, grants, or educational funding.

Johnson & Johnson reportedly turned to Omnicare to increase the building of market share, knowing that physicians accepted advice on drugs from Omnicare pharmacists more than 80% of the time, and they were seen as an extension of the Johnson & Johnson workforce. The nursing home residents allegedly included people suffering from Alzheimer’s disease and dementia.

Continue reading "Johnson & Johnson Accused of Pharmacy Kickbacks" »

Maryland Lawmakers headed to Annapolis last week for the annual 90-day session of the Maryland General Assembly, and Delegate Sue Hecht from Frederick County, a Democrat, has returned to support one of her bills that would allow families to use video cameras to monitor the treatment of elderly residents in a nursing home or assisted living facility.

Hecht is reportedly reintroducing Vera’s Law, HB557—Video Monitoring Legislation, a longtime bill she has worked on, to allow elderly residents to have video monitoring in their rooms for protection against nursing home abuse, negligence and violence.

Delegate Hecht originally introduced the bill after she witnessed her grandmother experience nursing home abuse by a nurse’s aid while residing in a home, over ten years ago. Vera’s Law is named after her Grandmother.

Hecht also reintroduced this legislative proposal in 2009—to give assisted nursing home and assisted living facility residents and their families the right to install video cameras or monitoring devices in the resident’s room, with consent of the roommate. The bill from 2009 did not require that the monitoring was paid for by the facility—the cost would be covered by the resident or resident’s family, as would the mounting device for the camera.

Continue reading "Maryland Lawmaker Supports Nursing Home Video Monitoring Legislation" »

In a recent article discussing decubitus ulcers, a leading cause of nursing home injury and death in this country affecting nearly one million Americans every year, our Maryland-based attorneys from Lebowitz and Mzhen, LLC have read about another tragic case, where a resident of a nursing home developed multiple non-healing pressure ulcers that allegedly lead to his death.

According to the lawsuit, Edwin Ley developed multiple pressure sores or decubitus ulcers while staying in Collinsville Rehabilitation and Health Care, that developed on his buttocks, feet, elbows and coccyx. Ley reportedly died from the complications of these sores and from severe malnourishment and neglect while being a patient at the center from December 4, 2007 through January 23, 2008.

When a nursing home resident rests for too long in one position without shifting weight, the resident’s blood supply to the skin is cut off, due to unrelieved pressure. The skin then begins to breaks down, and causes decubitus ulcers to form.

The suit was filed by Dorothy Ley, special administrator for Ley’s estate, and she states in the complaint that Ley’s condition deteriorated to such an extreme state that he was sent to the emergency room and diagnosed with dehydration and pressure ulcers. Edwin Ley died on June 10, 2008 from his condition, and according to the suit, in the months before his death, he suffered pain, disability, medical costs, and disfigurement.

Continue reading "Pressure Ulcers Claim Resident’s Life—Nursing Home Sued for Negligence" »

In national nursing home abuse news, our Maryland-based Nursing Home Abuse and Neglect Lawyers have been following the recent lawsuit in which Valerie Lamb, one of three former employees of Madison Manor who were indicted for nursing home abuse, pleaded guilty yesterday to a misdemeanor charge, for abusing an adult patient.

Lamb, a former employee of Madison Manor, otherwise known as Richmond Health and Rehabilitation Complex, was indicted in a grand jury trial in April, after being filmed on a hidden camera abusing Armeda Thomas, an Alzheimer’s patient and resident of the Kentucky home.

The family of Thomas suspected that Armeda was experiencing nursing home abuse, and they planted a hidden surveillance camera to film her treatment in August of 2008. The camera caught incidents of abuse and neglect on tape by several of the nursing home staff members.

In the indictment, Lamb was accused of reckless nursing home abuse and neglect of an adult, and charged her with holding Thomas up by her neck and raising her legs to a height that caused personal injury and pain when she changed her adult diapers for incontinence.

Continue reading " Former Nurse’s Aide Enters Guilty Plea for Nursing Home Abuse" »

Our nursing home abuse and neglect lawyers in Maryland and the Washington D.C. area have been following the news of a lawsuit settlement announced yesterday between five Missouri-based nursing homes, the operator of the homes, and federal prosecutors. The homes were charged with severe negligence, inadequate care, lack of staffing, and complaints of fraud.

The five nursing homes are all operated by Cathedral Rock of Texas, but are located in Missouri. According to the Star-Telegram, the nursing home company acted with severe nursing home neglect, by leaving nursing home residents’ skin sores untreated for so long that they became infested with maggots and amputations were necessary. The staff was also accused of not bathing, feeding, or providing the proper bathroom accommodations for the nursing home residents.

In the plea agreements, the company admitted that the homes were not equipped with enough staff to provide adequate nursing home care and that residents often did not receive required medication or proper wound care treatment. The company also admitted to doctoring the medical records to give the appearance that all patient medications had been administered, regardless of whether they had been given or not. The nursing home was also charged with cheating Medicare and Missouri Medicaid, by submitting fraudulent claims for services that weren’t provided or were of no value.

Cathedral Rock of Texas pleaded guilty to felony health care fraud, and C. Kent Harrington, a majority owner in Forth Worth, entered a plea agreement that will require him to pay, along with Cathedral Rock, $1 million in criminal fines. Harrington and the nursing home company must also pay $628,000 to resolve civil allegations of fraudulent claims made to Medicare and Missouri Medicaid, as well as implement programs that protect nursing home residents from abuse and neglect in the future.

Continue reading "Nursing Homes and Operator Admit to Fraud and Negligence in 1.6 Million Settlement" »

In a recent blog on nursing home injury, our Maryland-based attorneys discussed the problem many nursing homes are facing today, of creating a safe environment for residents who live in nursing home facilities with patients who are mentally ill or have violent criminal pasts.

After the Chicago Tribune’s investigative reports over the past few months, fueled by a series of nursing home abuse and assault cases, the publication has shed light on the high numbers of felons and sex offenders that reside in Illinois nursing homes, and how this is affecting the safety of nursing home residents. Last week, twenty federal marshals and the County Cook sheriff’s police, initiated by the Illinois Attorney General’s office, conducted a raid of two Chicago-based homes, looking for felons with outstanding arrest warrants.

After the sweep of the nursing homes, eighteen residents were discovered in the homes who are wanted on charges that vary from burglary and assault to disorderly conduct. The authorities arrested five people, including an unregistered sex offender from another state. According to the Attorney General’s office, this was the first step in an ongoing effort to identify residents in nursing homes who are wanted on arrest warrants.

The Chicago Tribune reports that the number of residents living in Illinois nursing homes who are felons has grown as the state continues to rely on the nursing home facilities to place younger psychiatric patients, many of whom have criminal records, which can endanger resident safety and cause nursing home injury or abuse to older residents.

Continue reading "Sweep in Nursing Home Finds Felons and Sex Offenders with Outstanding Warrants" »

In a previous blog from October, our Maryland Nursing Home Abuse Attorneys reported on a nursing home assault from earlier this year that shed light on the ongoing problem many nursing homes are facing today—on how to maintain nursing home safety for residents who share facilities with mentally ill patients and criminals with violent pasts.

In January of this year, a 69-year old female resident of Maplewood care nursing home in Elgin, Illinois was found assaulted and raped in her room, allegedly by 21-year old Christopher Shelton, a mentally ill patient from the second floor of the nursing home. Reports stated the Shelton was reported missing during the evening bed check, and was later found in the woman’s bathroom after the assault.

This week Shelton, who suffers from bipolar disorder, pleaded guilty to the sexual assault, and agreed to a sentence of 12 years in prison in exchange for the guilty plea of one count of aggravated criminal sexual assault— a Class X felony. Illinois law states that Shelton must serve at least 85 percent of his sentence, or about 10 years. He will receive 335 days of credit from his time served in the county jail since he was arrested in January.

Before Shelton moved into the nursing home at the end of last year, the staff didn’t properly check his criminal background, or listen to the warnings from the previous nursing home’s director on his violent behavior. Shelton reportedly had a violent history including an aggravated battery conviction, as well as other aggression related arrests. The Chicago Tribune reported that Shelton was arrested last year three times for alleged offenses that all included nursing home violence. At Maplewood, officials reserve rooms on the nursing home’s second floor for the psychiatric patients—but the separation between floors was not safely protected or monitored, so Shelton allegedly easily found his way to the resident’s room on the first floor.

Continue reading "Mentally Ill Man Charged in Nursing Home Rape" »

In recent nursing home abuse news, our Maryland-based Attorneys have been following the case announced last week, where the family of a nursing home resident who sued Fillmore Convalescent Center for elder abuse and was awarded $7.75 million in monetary damages.

According to the lawsuit, in 2006, the family of Maria Arellano, a 71-year-old resident and stroke victim, noticed substantial bruising on Arellano. The family complained to the management at the center, but they did not investigate the bruises. The family then placed a video camera that was hidden to the center and staff—to find out what was happening to the resident in the room.

The camera allegedly caught Monica Garcia, a worker at the center, engaging in nursing home abuse, by pulling Arellano's hair, forcefully bending her neck, wrists and fingers, slapping her, and using violent behavior while bathing her.

After the 22 day trial, Garcia received a criminal charge, and reportedly pleaded no contest to simple battery. The verdict from the trial splits the liability between the three defendants—20 percent to Garcia, 40 percent to the center, and 40 percent to the owner of the center.

Continue reading "Elderly Resident at Nursing Home Wins $7.75 Million in Abuse Case" »

A recent report that our nursing home abuse and neglect attorneys have been following gives an expert recommended list of ten top considerations for choosing nursing home care.

• Discuss with the resident what their goals and expectations are proactively, before the resident goes into the home. Also discuss the diagnosis with health-care providers to determine what kind of care is needed: from a nursing facility, to community based-care, long-term care, or other possible institution options.

• Always start looking for an establishment that is close to family and friends, so visitation is easy and accessible.

• Search the Nursing Home Compare Website, which lists Medicare-and Medicaid certified facilities with Five-Star ratings that compare national quality standards on short-term as well as long-term care.

• Always meet with the administrator, to discuss care planning, safety systems, wander alerts, specialized services, policies and the cost. Also ask about policies on physical and chemical restraints, as well as the nursing facilities’ history of bedsores or decubitus ulcers.

• Visit the home at least twice to check the level of care—both at busy times, as well as times when the staff is less busy. Try to witness the level of care during mealtimes, as well as early evenings, or just before a staff shift change.

Continue reading "Top Ten Important Considerations for Choosing a Nursing Home" »

In a related post from last week, our Maryland Nursing Home Injury Lawyers discussed the importance of researching the up to date results on recent inspections when choosing a nursing home in the state of Maryland, especially with regard to complaints and deficiencies in homes that can lead to nursing home negligence, abuse or personal injury.

The American Association of Retired Persons (AARP) stresses the importance of having nursing home performance data available for consumers, and how important it is to rate facilities based on recent inspections. Many states electronically post “report cards” of various types for consumers to access.

The Maryland Health Care Commission’s Maryland Nursing Home Guide is a rating resource that covers specific information on facilities such as quality measures, deficiencies, recent state inspections, and bed counts, as well as family satisfaction surveys. The guide offers a look at more than 200 nursing facilities and 34 Continuing Care Retirement Communities (CCRCs). This service allows visitors to compare and contrast information on each facility, review quality measures, inspections results, and quality indicators.

The Nursing Home Compare website ranks around 16,000 Medicare and Medicaid-certified national nursing homes on a Five-Star Quality rating system that compares the quality standards on short-term as well as long-term care. The U.S. Nursing Home Information & Registry from Member of the Family.net also reports on 16,000 homes by the state, for survey ratings, complaint information and reports of repeat violations.

Continue reading "Inspection Reports in Nursing Homes—Preventing Personal Injury" »

In a previous post from this week, our Maryland Nursing Home Attorneys reported on basic planning tips for families searching for the right nursing home environment that promotes proper care, protects the health and safety of the resident, and is free from nursing home neglect and abuse.

One recommendation was for families to search Nursing Home Compare, the database from the from the U.S. Department of Health & Human Services’ Centers for Medicare and Medicare Services (CMS), that ranks around 16,000 Medicare and Medicaid-certified nursing homes in the country on a Five-Star Quality Rating.

The Five-Star Quality Rating was developed to help residents, families, and caregivers compare nursing facilities by giving them a snapshot of the current status of health inspections, staffing for each nursing home, and quality measures. This rating system developed as a direct result of the continued efforts made since the nursing home reform law enacted in 1987, the Omnibus Reconciliation Act (OBRA ’87).

The Nursing Home Compare Website uses this quality rating system to give each nursing home a score ranging from one to five stars. One star gives a much below average quality ranking, whereas a five star rating gives a much above average quality ranking.

Continue reading "Rating Nursing Homes—The Five-Star Quality Rating System" »

In a recent nursing home abuse case that our Maryland attorneys at Lebowitz and Mzhen, LLC have been following, a 56-year mentally disabled resident in Minnesota was physically abused by being force-fed against her will.

According to a Fox 9 News report, an employee from the Homeward Bound Group Home was charged last week for allegedly physically abusing the nursing home resident by forcing her to eat against her will. The Minnesota Health Department investigated the case over a period of four months, and concluded that the resident—who is mentally retarded, has cerebral palsy, and swallowing problems—was forced to eat by an employee, even when she was not hungry.

According to the Minnesota Health Department report, Alemayehu Seboka Abdi, placed his hand on the victim’s head while he would force-feed her, even when she nodded that she did not want food, and tried to stop the employee. He was reportedly seen retelling the story to other employees and laughing about his forceful behavior.

In an incident from May of this year, Abdi allegedly took the woman outside in the cold, wearing only a t-shirt, and forced her to eat— pushing her head back, forcing large quantities of food down her throat with a spoon that was larger than what the resident would normally use to eat. Abdi would then let her head drop forward.

By shaking her head in response to questions asked by investigators, the resident communicated that it was very difficult to breathe during the force-feeding. Because she had swallowing difficulties, she claimed that it was necessary for her to take small bites to eat. She told investigators that the physical abuse left her feeling scared, upset and sad for a week.

Continue reading "Nursing Home Worker Charged with Neglect and Force-feeding" »

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" »

In a previous post from this week, our Maryland Nursing Home Abuse and Neglect Lawyers discussed the serious problem of Decubitus ulcers in nursing homes—pressure sores or bedsores that develop when immobile residents go for too long without being moved.

If a decubitus ulcer is not detected, the nursing home injury can become infected and progress to a more advanced stage, causing extensive damage to the deeper structures under the skin. These infections are often very difficult and painful for nursing home residents, as they take a long time to heal, and can cause complications, or even death.

One serious complication that comes from pressure sores is blood poisoning, or septicemia. Many residents also develop osteomyelitis, an inflammation of the bones that is caused by bacteria that enters the body through the open wound and attacks the bone. If not treated, osteomyelitis can spread into the bone marrow and the surrounding joints. The mortality rate for people with osteomyelitis is extremely high.

Treatment of serious decubitus ulcers may include drying out the wound, or surgical debridement, where a surgeon uses a scalpel to remove the dead tissue, bone and fluid from the area around the bedsore, and administers systemic antibiotics to the resident.

Surgical debridement of the bedsore can also be accompanied by ‘flap reconstruction’ to cover the open wound with healthy tissue to avoid infection. The surgery is done to make sure that the skin is free of dead or damaged tissue, to promote healing. This reconstruction is considered a last resort in cases involving advanced stage bedsores, as it has an extremely high complication rate, and recovery from the procedure is often slow and painful.

Continue reading "Nursing Home Injury and Wrongful Death from Decubitus Ulcer Complications" »

Decubitus ulcers, also known as bedsores or pressure sores, are a serious problem in nursing homes today—a leading cause of nursing home injury that affects nearly one million Americans every year. Decubitus ulcers develop when the blood supply to a resident’s skin is cut off, due to unrelieved pressure on the skin, from staying too long in one position without movement or shifting weight.

All stages of decubitus ulcers are preventable, as long as nursing home residents are provided with appropriate care. Elderly residents in nursing homes who are immobile or confined to wheelchairs are some of the most vulnerable to pressure ulcers, and the frequency of these sores can be seen as an indicator of the quality of care in many nursing home facilities. Many advanced decubitus ulcer cases are often the result of nursing home abuse and neglect, and can end in wrongful death.

According to data from the National Nursing Survey from 2004, one out of ten nursing home residents in this country have pressure sores. Of the study’s 1.5 million nursing home residents evaluated, 159,000, or 11%, had pressure ulcers. Around sixty thousand people die each year from complications of some of the more advanced stages of bedsores.

When residents are left lying or sitting for long periods of time in the same position, their skin begins to break down, and pressure sores can quickly develop. Pressure ulcers commonly develop over bony areas that are close to the skin and are less padded by muscle and fat—like heels, ankles, hips, tailbones, shoulders, elbows, backs, and the back of the head. One small irritation can quickly develop into a crater that is painful, difficult to heal, and can become a life-threatening nursing home injury.

Continue reading "The Risk of Decubitus Ulcers—Resident Abuse and Negligence in Nursing Homes" »

In yesterday's post, our Maryland Nursing Home Injury Attorneys wrote about the difficulty of maintaining resident safety in nursing homes that take in mentally ill patients and violent criminals. Elderly nursing home residents who are often weak and unable to protect themselves from the violent actions of younger, mentally ill patients.

In the Chicago Tribune's ongoing reporting on security and safety reform in nursing homes, today's article recommends a serious overhaul of nursing home operations, to better protect elderly residents in nursing homes from the violence of mentally ill residents and convicted felons.

Nursing homes have become known as “dumping grounds” for young and middle aged individuals with mental illnesses, according to U.S. data and Associated Press interviews. The placement of mentally ill patients into nursing homes in this country has increased by 41% between the years of 2002 and 2008, as well as the incidents of nursing home crime and violence.

The Centers for Medicare and Medicaid Services (CMS), released data earlier this year that nearly 125,000 individuals with mental illnesses like schizophrenia, depression, or bipolar disorder lived in U.S. nursing homes last year—many of whom moved directly into homes from jail cells, shelters and psychiatric wards.

According to the Associated Press, many states are mixing the mentally ill with the elderly because the federal government will help pay for resident care under Medicaid regardless of their age—as long as the nursing home’s mentally ill residents stay under 50%.

Continue reading "Violence in Nursing Homes—Protecting Elderly Residents from Criminals and the Mentally Ill" »

A brutal nursing home assault in Illinois recently shed light on an ongoing problem many nursing homes are facing today—how to maintain resident safety in homes that take in violent mentally ill patients and criminals.

In January of this year, a 69-year old female resident of Maplewood care nursing home in Elgin, Illinois was found crying and terrified in her room, moaning in pain. According to police reports, 21-year old Christopher Shelton, a mentally ill patient from the second floor, had assaulted the woman—raping her, as she begged him to stop.

Although psychiatric patients are not an inherent threat in homes, some residents have criminal records, and if not carefully assessed, treated or monitored, can be a big concern for resident safety. At Maplewood, officials had reserved rooms on the nursing home’s second floor for psychiatric patients—but the separation between floors was not safely protected or monitored.

When Shelton, who suffers from bipolar disorder, moved into the nursing home, he had a violent history including an aggravated battery conviction, as well as other aggression related arrests. According to an article in the Chicago Tribune, Shelton was arrested three times last year for alleged offenses that all included nursing home violence.

Before Shelton entered the home at the end of last year, the facility staff didn’t properly check his criminal background, or listen to the director’s warnings from the previous nursing home on his violent and disturbing behavior. After the resident assault and injury, facility officials told the state investigators that Shelton and the woman had been involved in “consensual” sex—a suggestion that the emergency room staff, the prosecutors as well as the police vehemently rejected.

Continue reading "Nursing Home Rape Leads to Resident Safety Concerns" »

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" »

In a tragic case that our Maryland-based Nursing Home Abuse and Neglect Lawyers have been following, Everett Care & Rehabilitation Center, a Washington state nursing home, is being sued for abuse and negligence, for failing to care for 97-year old resident Charles Bradley—who suffered from an untreated penile infection that allegedly caused his death.

Bradley entered Everett Care & Rehabilitation when he was 93, in the winter of 2004. He lived in the nursing home until two weeks before his death, in March 2008, when Bradley was suddenly taken to the emergency room. Upon admittance to the hospital, doctors discovered a life threatening penile infection that caused his genitals to disintegrate, leaving nothing but a gaping wound. The court documents claim that Bradley’s wound went untreated for months in the nursing facility, and developed into severe penile cancer. Bradley died 18 days after entering hospital.

The lawsuit, filed this month by Bradley’s son in Snohomish County Superior Court, claims that the nursing home allowed the injury to continue to develop for months, without properly caring for Bradley, or reporting the wound to the doctors or family—violating the center’s promise to care and protect for elderly residents. Bradley’s family trusted that the center would provide him with the best care as promised, but they claim the nursing home neglected Bradley’s basic daily needs.

According to the suit, in November 2007, the staff at the nursing home noticed skin breakdown while changing Bradley’s diaper and reported the problem to a care manager, who failed to alert his doctor. Four months after this report, Bradley’s skin continued to break down in his genital region, and he started to lose large amounts of weight. Two weeks before he was taken to the hospital, the staff allegedly reported the skin breakdown one more time, but the managers again ignored the problem. By the time he reached the hospital on March 13, 2008, he was diagnosed with an infected wound, that doctors later diagnosed as severe penile cancer.

Washington State Department of Social and Health Services (DSHS) began investigating Bradley’s case before his death, and issued a citation to the center for failure to follow the quality of care standards required by law. The DSHS claimed that there was no evidence that the home had ever reported Bradley’s condition to the family, the facility’s doctor, or their social services department—necessary for a life-saving intervention. The center was cited and forced to take corrective action.

Continue reading "Family Sues Nursing Home for Neglecting Resident’s Penile Cancer" »

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" »

As Maryland Nursing Home Abuse and Neglect Lawyers, we support the rights for Maryland residents to receive quality care, and be protected with treatment that is free from criminal acts, abuse, and the kind neglect that often results in injury or wrongful death. Under the Nursing Home Reform Act of 1987, all residents living in nursing homes or long-term care living facilities are entitled to receive this quality of care and attention in an environment that improves and maintains their mental and physical health.

Nursing home abuse and neglect occurs when a facility fails to protect and care for the residents, by paying proper attention to situations that could cause harm or pain. In an effort to educate families and consumers, and protect residents' rights, the National Consumer Voice for Quality Long-Term Care (NCCNHR) publishes a consumer fact sheet aimed to prevent future nursing home abuse and neglect violations. The NCCNHR reports these common violations:

• Poor positioning of the body, which can lead to bedsores and frozen joints.

• Lack of cleanliness, hygiene, and proper toileting—causing incontinence, falls, bedsores.

• Resident malnutrition and dehydration

• Not assisting residents with walking, which can lead to immobility, and falls

• Abuse from a staff member, visitor, or intruder—which can involve using physical force in feeding, while administering medicine, or while moving a resident

• Ignoring, antagonizing, or depriving a resident of adequate needs, which can lead to emotional and psychological abuse.

• Inappropriate sexual touching or forcing residents into performing sexual acts

Other common nursing home injury violations to be aware of include failure to supervise residents adequately, administer proper medication to each resident, and provide patients who are mentally ill or who have dementia with special attention and care.

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