August 24, 2010

Woman Injured by Morphine Overdose Gets $3M in Nursing Home Negligence Lawsuit

In recent nursing home news that our Baltimore nursing home neglect attorneys have been following, a California jury decided this week that a patient who was given a morphine overdose while recovering from surgery at a nursing facility should be awarded over $3 million from the nursing facility and a podiatrist, for nursing home negligence.

Barbara Lefforge, 57, reportedly entered the St. Edna nursing facility in the fall of 2007 to recover from surgery after a tendon was repaired. When Lefforge was out of surgery less than 6 hours later, she was given an accidental overdose of morphine, after her podiatrist ordered 50 mg of morphine for pain management instead of 50 mg of Demerol. Lefforge reportedly suffered the overdose at home, and wasn’t taken to the hospital until the next day, which led to personal injury and brain damage.

Lefforge was awarded $3.1 million by the jury—$2 million for suffering and pain, and $1.1 million in cost for medical care, and the punitive damage amount is still pending. The jury found that the nursing facility is responsible for 90 percent of the medication error, while her podiatrist is being held responsible for 10 percent of the error. Lefforge’s nursing home negligence attorney stated that the nursing facility should have discovered the prescription error made by the podiatrist before the medication was administered. The pharmacist who filled the prescription reportedly even warned that the medication dosage was too strong, but the nurses at St. Edna, who were not even able to retrieve the entire medication dose for Lefforge, continued by acquiring the extra 30mg of morphine from an emergency office supply at the hospital.

Morphine is used as a narcotic pain reliever for moderate to severe pain treatment. It works by dulling the brain's pain perception center. Symptoms of an overdose of morphine could include confusion, clammy and cold skin, a weak pulse, severe drowsiness, fainting or shallow breathing, or breathing that stops. An individual who has overdosed on morphine should seek medical attention immediately.

If a nursing home or doctor incorrectly prescribes morphine it could result in a morphine overdose and cause patient injury or death, in which case the nursing home could be liable for nursing home negligence or wrongful death.

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August 17, 2010

Report Recommends CMS to Fine Britthaven Nursing Home for Wrongful Death

In a related blog, our Baltimore nursing home injury attorneys discussed the use of chemical restraints in nursing homes, and the recent indictment of a registered nurse from Britthaven of Chapel Hill Nursing Home, after a nursing home resident died from a morphine overdose. The nurse, 44-year-old Angela Almore was charged last month with one count of second-degree murder, and six counts of felony resident abuse, for over-medicating residents with morphine, that allegedly caused hospitalization and wrongful death.

The North Carolina Department of Health and Human Services announced last week that they are recommending that the Centers for Medicare and Medicaid Services should fine Britthaven nursing home the maximum allowed fine by federal law, $20,000.

The nearly 100-page report based on the investigation performed by the North Carolina Nursing Home Licensure and Certificate Section reportedly revealed details of patient lethargy and altered states with the residents who tested positive for opiates.

The Herald-Sun reports that further investigation from the toxicology reports indicate that 14 residents out of 29 in the Alzheimer’s wing at Britthaven tested positive for opiates in February. Not one of these patients had prescriptions for opiate medication. Rachel Holliday, an 84-year old resident, and one of the hospitalized patients with high levels of morphine in her system, died on February 16, 2010 from pneumonia due to reported morphine toxicity.

Britthaven was reportedly investigated after patients were hospitalized from the Alzheimer’s wing of the nursing home, which lead to the discovery of opiates in their blood. A criminal investigation was launched in February by the Attorney General’s Medicaid Investigations Unit, and The North Carolina State Bureau of Investigation (SBI), to investigate for nursing home abuse or neglect, over-medication, or chemical restraint in an effort to make the nursing home residents more manageable.

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August 13, 2010

Report Shows Less Physical Restraint in Nursing Homes

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.

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August 5, 2010

Kentucky Governor Orders a Review of Nursing Home Sexual Abuse Cases

Our Nursing Home Abuse Attorneys in Washington D.C. have been following the recent news from state of Kentucky, that Governor Beshear has asked for an investigation on how Kentucky is handling nursing home neglect and abuse reports, after a recent investigation by the Lexington Herald-Leader found serious problems with the system, as reported in our previous blog.

According to the Lexington Herald-Leader, from 2007 to 2010, 107 citations were issued by the Cabinet for Health and Family Services that endangered the health and safety of nursing home residents. The newspaper discovered that only seven out of the over 100 cases of nursing home abuse or deaths were ever prosecuted criminally.

Although the state reportedly hands serious violations of nursing home laws and regulations to the attorney general’s office, the attorney general can only prosecute if the local prosecutors grant the attorney general permission. And the local prosecutors claim that they are rarely made aware of such cases. Also, police and coroners are reportedly rarely alerted of nursing home deaths or serious injuries in nursing homes.

The Herald-Leader reported that of the 107 citations that were investigated, there were eighteen deaths, thirty occurrences of hospitalization, 5 incidents involving residents with bones broken, and two instances of amputation that reportedly were a result of nursing home state law and regulation violations. The citations also claimed that three residents experienced nursing home injuries after staff members failed to provide proper health care.

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July 31, 2010

Sexual Abuse in Kentucky Nursing Homes

In recent news, that our Hartford, Maryland Nursing Home Injury Attorneys have been following, a nursing home abuse lawsuit has brought to light the problem of unreported sexual abuse incidents in Kentucky nursing homes.

According to the Lexington Herald-Leader, Mae Campbell, an 88-year old, was sexually abused two times while being a resident at Hazard Nursing Home. Campbell suffers from Alzheimer’s disease, and was reportedly sitting in a hallway last year, in view of other staff members and a nursing supervisor, when a male nursing home resident sexually assaulted her by ejaculating onto her face. She was reportedly sexually abused three months later by another male resident of the home who had allegedly entered her room to perform a similar sexual act. The nurse on duty was told by her supervisor not to discuss the incident with anyone because Campbell had not been harmed.

Under Kentucky law, staff members and officials of nursing homes are legally mandated to report nursing home neglect or abuse. The Cabinet for Health and Family Services issued the home a Type A citation, claiming that Hazard Nursing Home did not follow state regulations and failed to protect Campbell from sexual contact that was unwanted, failed to protect her health and safety as a resident, failed to report the sexual abuse allegations to the necessary state agencies, and failed to investigate the sexual abuse allegations thoroughly.

The Herald-Leader reported that Campbell’s sexual abuse was only discovered after depositions in a wrongful death case led to a former nurse’s aide’s description of Campbell’s sexual assault, where the former employee claimed that she stopped working at Hazard Nursing Home after the incident, as she thought the home should have protected Campbell better. Another former nurse also admitted to witnessing Campbell’s other assault. She was told not to discuss it with anybody—because Campbell had not been harmed.

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July 30, 2010

The Prevalence of Pressure Sores—Family Sues Assisted Living Home for Negligence

In yesterday’s blog, our attorneys discussed the prevalence of pressure sores in nursing homes and assisted living residences, that often result in injury or wrongful death.

In a recent wrongful death lawsuit, the family of Frances Graham, a former 81-year old resident of an assisted living home in San Leandro, California, is suing Graham’s doctor, as well as the assisted living home, after Graham suffered from nursing home violence and devastating pressure sores all over her body, some reportedly as large as a baseballs—that lead to her tragic death. Graham’s family is also suing the nonprofit responsible for her care, the Center for Elders Independence, claiming that they put profits over her nursing home health and safety.

According to the suit, Graham was kept at the Andrew Elijah residential care home even though laws require that Alzheimer’s patients are cared for by a nursing staff that is skilled for such illnesses. Graham reportedly shared a room with a 72-year old dementia patient, who in June of last year, was found attacking Graham with a plastic hair pick. Graham suffered dozens of cuts on her body, and her left eye was bleeding and also bruised. Graham was reportedly treated by a doctor, and sent back to the Andrew Elijah home and put in a room that was private.

Graham’s son claims that soon after, Graham was rushed to the hospital with pneumonia, where a doctor discovered multiple bedsores on her body, so many that the doctors wrote in the notes that they weren’t sure that they even seen them all. The worst sore was allegedly a 4-inch hole that had eaten down to the tendons and smelled horribly. The doctor also found her to be anemic and dehydrated. Graham was moved to another health care center, and died two days later.

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July 29, 2010

Wrongful Death Lawsuit Blames Nursing Home for Untreated Pressure Sores

Pressure sores, also known as bedsores or decubitus ulcers, plague nearly one million Americans every year, and are a leading cause of nursing home injury, as our Maryland nursing home injury attorneys reported in a recent blog.

Pressure sores develop after an individual rests for too long in one position without moving, cutting off the blood supply to a resident’s skin, forming sores from the pressure on the skin that is unrelieved. Nursing homes residents who are elderly and immobile are highly vulnerable to pressure ulcers. Many advanced decubitus ulcer cases are often the result of nursing home abuse and neglect, and can end in wrongful death. Around sixty thousand people reportedly die each year from complications of some of the more advanced stages of bedsores.

In a recent wrongful death lawsuit, a hospital is being charged with allegedly failing to prevent, treat, and monitor the pressure sores of a patient, causing him to develop serious infections that allegedly lead to his wrongful death.

According to the suit, William B. McCuller became a resident of Memorial Hospital and Memorial Convalescent Center in April of last year, where he developed pressure ulcers that became infected. The hospital and center staff are being accused of negligence, for failing to properly treat McCuller, failing to monitor and care for his bedsores properly, failing to identify him as a high risk patient for bedsores, and failing to identify the early states of ulcer occurrence. The staff is also being accused of neglecting to treat McCuller with the proper wound prevention and treatment protocol, and to properly train their staff on the prevention protocol as well.

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July 27, 2010

Resident Assault Leads to Wrongful Death Lawsuit

In recent news that our Maryland Nursing Home Injury Attorneys have been following, an assisted-living facility in Rochester, Minnesota is being sued for negligence, wrongful death and medical malpractice, after a resident with dementia was allegedly assaulted and died.

According to the civil lawsuit, Donald R. Salli, 78, was assaulted by another resident in September of last year. The complaint claims that Salli was found by the staff at Sunrise Cottages on the floor on September 19th, with a resident assaulting him. Salli allegedly had a large hematoma on his head, as well as a red area from where he had been kicked in the back. He was reportedly not evaluated by a licensed nurse until seven hours after the attack.

The lawsuit also claims that the next day, Salli was found on the floor of his cottage apartment by three staff members, crying and in a great amount of pain, and was unable to walk on his own. He was documented as being unresponsive, sleeping through the day, was unable to stand or communicate, and yelled in pain when his back was touched.

After Salli’s daughter, Elizabeth Pulsifer, asked that Salli be sent to the emergency room, they discovered that he had suffered a fractured skull with internal bleeding and three ribs were fractured. He reportedly remained in the intensive care unit until he was transferred to hospice care, where he died on October 7, from a brain injury. According to the Minnesota Department of Health, neglect was the direct cause of his demise and they cited the facility for negligence.

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July 23, 2010

Maryland Nursing Home Fined, Report Says Facility Harmed Residents in A/C Malfunction

In a recent blog, our nursing home injury attorneys at Lebowitz and Mzhen, LLC discussed a news story involving a Baltimore, Maryland nursing home that moved 150 residents out of the center after the building’s air conditioning system malfunctioned—failing to keep residents cool during a heat wave, and reportedly affecting the health and safety of the residents.

This week, the Maryland Department of Health and Mental Hygiene (DHMH) released a lengthy report, after conducting a thorough investigation, and claimed that the Ravenswood Nursing Home gave nursing home residents a “substandard” quality of care that resulted in “actual harm” to the residents.

Maryland regulators reportedly fined Ravenswood $52,500 after the air conditioning malfunction left residents sweltering in nearly 100-degree heat in the nursing home.

In the DHMH report, six state and federal violations were reportedly cited, that focus on the air conditioning problem. The report also found that the nursing home facility was storing food that was potentially hazardous at unsafe temperatures, the building was not in good shape, and that the nursing home residents were receiving inadequate care, treatment and services.

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July 14, 2010

Maryland OHCQ Issues Code Red Heat Alert for Nursing Homes

In a recent blog, our Baltimore, Maryland Nursing Home Abuse and Neglect Attorneys discussed the recent relocation of 220 nursing home residents, after an unprecedented heat wave in Baltimore lead to air conditioning malfunctions that closed two nursing homes—in an effort to protect the health and safety of the residents until the center’s heating and cooling systems are repaired.

The Maryland Office of Health Care Quality (OHCQ) issued a “Code Red – Heat Alert” last week, along with the Baltimore City Health Department, cautioning all Maryland licensed health care and residential facilities to implement appropriate plans to ensure the health and safety of residents while the outside temperatures are near or above 100°F.

The health department made recommendations for nursing homes to:

• Relocate resident activities to cooler areas, and caution nursing home residents to cut back on outdoor activities during the extremely hot days to prevent nursing home injury or illness.
• Monitor and address the behavior of dementia patients, or confused patients who may want to be wrapped in blankets, or wear too many clothes.
• Make sure the cold water is constantly available for residents, and offer it frequently.
• To keep residents cool, offer ice packs, or washcloths that are cool and wet, to help them endure the heat. Also give residents baths or shower that are cool, or lukewarm in temperature.
• As nursing home A/C systems will be operating at their maximum potential during the heat wave, contact maintenance staff to check the A/C systems, and perform required maintenance measures in advance, to prevent system failures.
• Rearrange any nursing home equipment or furniture that may be blocking any vents on the walls or floor to improve air circulation and make sure that the movement of air is not obstructed.
• Check the operation of all refrigerators and ice makers in facilities that do not have A/C or where kitchens are not cooled with A/C, to make sure that the refrigeration units are maintaining the correct temperatures.
• Make sure all medications for residents are stored at the temperatures listen on the packaging or prescription labels. Relocate the drugs to secure storage if necessary, to prevent any nursing home negligence or injury.
• Turn off any unnecessary lights that do not impact any activity for residents or staff, and close the curtains to keep out the hot sun. Also avoid the use of heat producing equipment like vacuums, stoves, or ovens.

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June 30, 2010

Resident Death and Antipsychotic Drug Violations in Nursing Homes

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.

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June 29, 2010

Jury Awards $4.85 Million to Family in Nursing Home Wrongful Death Lawsuit

In recent news that our Baltimore, Maryland Nursing Home Neglect Attorneys have been following, the family of a patient who died from an overdose of morphine while receiving physical therapy at a nursing home, has been awarded $4.85 million—after accusing the home of nursing home negligence and wrongful death in a lawsuit.

According to the civil lawsuit filed by the family in 2005, Burr Needham, arrived in the center on April 26, 2002, to receive physical therapy for a hip fracture, and was administered a lethal overdose of morphine. The suit accused Dr. Arun Gupta and a staff of five nurses at the home of nursing home negligence, causing the 76-year-old’s wrongful death on May 2nd.

According to the medical examiner, the death was a homicide, caused by severe morphine intoxication. The documentation in the suit showed that the staff at the nursing home was unable to account for the dosage of morphine administered to Needham.

The jury ruled that the staff was professionally negligent, and awarded Mrs. Needham, who died of cancer in 2007, $3 million for the loss of companionship she experienced after her husband died. The jury also awarded $1.5 million for Needham’s suffering and pain, and $350,000 in damages.

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June 28, 2010

Nurse Indicted for Chemical Restraint Leading to Nursing Home Resident’s Death

In recent blog, our Baltimore, Maryland Nursing Home Attorneys discussed the topic of chemical restraints, in regard to a February case, where Britthaven of Chapel Hill Nursing Home was investigated by local and state authorities after Alzheimer’s patients tested positive for opiates that had not been prescribed to them.

This month, Angela Almore, a 44-year old registered nurse, was indicted in the case, on one count of second-degree murder in relation to the death of Rachel Holliday, a resident of the nursing home who died after being given a heavy dose of morphine. Almore was also charged with six counts of felony resident abuse, related to administering morphine to several patients of the nursing home, causing hospitalization.

The investigation reportedly began after a few patients from the Alzheimer’s wing of the nursing home were hospitalized for odd behavior, which led to the discovery of opiates in their blood. The North Carolina State Bureau of Investigation (SBI) and the Attorney General’s Medicaid Investigations Unit, with the Orange County District Attorney, launched a criminal investigation of the nursing home in February to determine if the patients were being over-medicated, abused or neglected, or being subjected to chemical restraint.

The North Carolina Attorney General’s Office claims that after testing, nine out of over twenty-five Alzheimer’s patients at the nursing home tested positive for opiates in February. Holliday, one of the hospitalized patients with high levels of morphine in her system, died on February 16, 2010.

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June 10, 2010

Family of 100-year old Nursing Home Resident files Wrongful Death Suit Against Home

A wrongful death lawsuit has recently been brought against Brandon Woods of Dartmouth nursing home, by the family of Elizabeth W. Barrow, a 100-year old resident of the facility who was allegedly strangled to death last year by her roommate, who was 98-years old.

Barrow reportedly shared a room with Laura Lundquist, a 98-year old who has been diagnosed with having dementia and paranoia. According to Barrow’s son Scott, Lundquist allegedly harassed his mother for weeks, making her life miserable because she was jealous of all the attention that Barrow received, as well as the window view. Scott Barrow reportedly asked for the women to be separated, but according to the director of the home, Scott Picone, Barrow declined the option of moving rooms. Picone said the two roommates acted like “sisters” and took walks together.

On September 24th of last year, Elizabeth Barrow was reportedly strangled to death in her bed with a plastic bad. The autopsy revealed that she died by means of asphyxiation, but also received blunt force trauma to her arms, leg, skull and chest. Lundquist has been charged with the murder.

The lawsuit claims that the nursing home staff and executive director were negligent, as they were responsible for providing his mother with a safe environment, and they failed. He claims that as a result of the nursing home’s carelessness and negligence, Barrow was forced to suffer consciously until the time of her death.

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May 28, 2010

CDC Guide to Nursing Home Fall Prevention

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.

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May 14, 2010

Jury Demands Nursing Home Pays $28 Million in Punitive Damages for Elder Abuse Case

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.

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May 12, 2010

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

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.

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April 30, 2010

Bed Rail Suffocation Settlement in Nursing Home Case—Family Paid $190,000

In a recent wrongful death and negligence settlement that our Baltimore Nursing Home Attorneys have been following, the family of a nursing home resident was awarded $190,000 in damages, after the resident suffocated in her bed.

According to the lawsuit, Lottie D’Aust, a resident of Champlain Valley Physicians Hospital Medical Center, in New York, died from suffocation after getting trapped between a bed rail and the mattress—a common and tragic cause of personal injury and wrongful death in nursing homes, and a topic that our Maryland nursing home injury attorneys have been discussing in a recent blog.

The Food and Drug Administration (F.D.A.), reports that from 1985 to 2008 nearly 772 incidents have occurred where hospital and nursing home patients have been trapped, stuck, or suffocated due to strangulation in beds that had rails. Out of this number, staff rescued 176 residents before they became injured, 136 experienced nonfatal personal injuries, and 460 residents died.

Although bed rails were designed as an aid to help patients maneuver their positions in the bed, and give security to the residents, many of these patients often experience bed rail entrapment, like Lottie D’Aust, getting caught in the space between the mattress and the bedrails, causing personal injury, strangulation, suffocation, and even wrongful death.

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April 28, 2010

Another Wrongful Death Lawsuit for Nursing Home Complex

In a previous blog, our Maryland-based Nursing Home Attorneys discussed a nursing home abuse case involving employees from Madison Manor, one of the Richmond Health and Rehabilitation Complex homes in Kentucky, who pleaded guilty of resident abuse.

This week, another lawsuit was brought against one of the Richmond complex homes—Kenwood Nursing Home. Charles Brock, the son of former patient Margaret Brock, is accusing the home of wrongful death, alleging that the nursing home administrators and employees failed to provide Brock’s mother with quality care, and protect her legal right to nursing home heath and safety.

According to the lawsuit, Margaret Brock, was admitted Kenwood Nursing Home on August 27, 2008 at the age of 80. Brock’s son claims that the home violated multiple nursing home health and safety regulations during her stay at the home—that lead to her wrongful death.

Brock claims that while under the care of Kenwood nursing home, his mother suffered nursing home falls, medication errors, malnutrition, dehydration, and pneumonia. Brock also reportedly suffered infections in the home including sepsis, methicillin-sensitive staphylococcus aureus, as well as great amounts of pain and eventually death.

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April 27, 2010

Nursing Home Charged with Resident Neglect—Pressure Sores Lead to Wrongful Death

As Washington D.C.-area Nursing Home Injury Attorneys, we have been following a case that has recently gone to trial accusing an Arizona-based nursing home of neglect, failure to prevent pressure sores, and wrongful death.

Irma Smith, 98, was a resident of Devon Gables Healthcare Center, and according to the lawsuit, when Smith died on September 7, 2006, she was experiencing unnecessary pain from a pressure sore on her backside that had grown so large that it was one inch deep and as wide as a grapefruit. The sore had reportedly eaten through both her bone and muscle and became infected, which lead to sepsis and allegedly caused Smith’s death.

Kathleen Havens, Smith’s daughter, and also a resident nurse, is bringing the wrongful death lawsuit against Devon Gables, and claimed that the nursing home had been making cutbacks in staffing, which lead to the nursing home negligence. In one incident, after being left unattended, Smith reportedly fell out of her wheelchair onto her face, suffering from head, leg and arm wounds.

Smith was admitted to Devon Gables in July of 2006, because Havens was having difficulty lifting and caring for her mother. Smith was a resident of the nursing home until the wheelchair fall, in which she was transferred to Tucson Medical Center. The pressure sore was so severely infected that Smith reportedly developed sepsis and died ten days later.

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April 15, 2010

Physical Restraints in Maryland 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.

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April 1, 2010

NY Nursing Home Hidden Cameras Capture Neglect—22 Health Care Workers Arrested

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.

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March 24, 2010

F.D.A. Bed Rail Safety Guidelines for Maryland Nursing Homes

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.

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March 9, 2010

Medication Mistake Leads to Wrongful Death in Nursing Home

As Washington D.C. area nursing home negligence and abuse attorneys, we have been following the recent news of the an 82-year old patient who experienced a wrongful death after receiving another patient's medication while staying at the Fair Oaks Lodge, a nursing facility in Minnesota.

According to ABC News, an employee at the home negligently gave the patient, who suffered from Alzheimer’s, another resident’s medicine on June 1, 2009. The medication mistake caused the patient’s blood pressure to seriously drop, and after being rushed to the hospital, the woman died six days later while in intensive care.

The article claims that this same medical mistake has happened at the facility twice before, with two different patients, from May 27 to June 23, 2009. The two residents reportedly survived, but the nursing home was held responsible by the state for nursing home neglect, and their procedures were audited.

As a result of the nursing home negligence, the employee who made the medical mistake was reportedly reprimanded and re-trained, but no longer works at the nursing home.

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March 1, 2010

Pressure Sores Lead to Wrongful Death—Nursing Homes Settles Suit with Family

In recent national news that our Maryland-based Nursing Home Attorneys have been following, two nursing homes have settled in a wrongful death lawsuit, after the family of a resident sued the homes for not providing adequate care, and acting with nursing home negligence.

In the lawsuit, the family members of Ralph Seewald claimed that both Riverside Health Care Center and Village Health Care Center failed to provide proper care for the late-87-year old resident during his stay at the homes before his death in November 2005.

According to the suit, Seewald entered the Riverside Health Care Center in December 2004, with slight symptoms of dementia, and the plan for his care required two nursing home attendants to use a safety gain belt to assist him with all lifting and transfers to and from the wheelchair. Seewald was reportedly often transferred from the wheelchair by only one attendant with no gain belt, which reportedly lead to numerous falls.

Seewald allegedly suffered a fall while being transferred by only one attendant without a gain belt, from his wheelchair to the toilet on May 23, 2005, and broke his neck—leaving him bound to his bed. While immobile and bedridden, he developed serious decubitus ulcers, or pressure sores, that progressed rapidly during a few months, and led to a case of gangrene in his leg that allegedly caused his wrongful death.

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February 26, 2010

State Investigates Nursing Home for Possible Negligence and Chemical Restraint

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.

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February 25, 2010

Wrongful Death and Nursing Home Negligence Lawsuit—Family Sues for Damages

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.


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January 28, 2010

Family Sues for Nursing Home Falls and Wrongful Death

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.

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January 22, 2010

Nursing Home Residents Allegedly Drugged for Pharmacy Gain

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.

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January 21, 2010

Johnson & Johnson Accused of Pharmacy Kickbacks

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.

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January 15, 2010

Pressure Ulcers Claim Resident’s Life—Nursing Home Sued for Negligence

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.

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December 30, 2009

Wrongful Death Lawsuit Accuses Nursing Home of Bedsore Negligence

As Maryland Nursing Home Negligence and Abuse Attorneys, we have been following the recent lawsuit filed against Caseyville Nursing and Rehabilitation Center—where a nursing home resident died after the staff at the center allegedly neglected to treat her multiple bedsores while she was a resident at the facility.

According to the lawsuit, Theresa Steiner was admitted to the nursing and rehabilitation center as a patient on December 12, 2008. She entered the home with pre-existing decubitus ulcers, or pressure sores— three on her buttocks that were stage II, and pressure sores that had developed on both heels after staying for a week at Anderson Hospital for abdominal bleeding.

One week later, Steiner's buttock ulcers had developed into stage IV bedsores, there were multiple sores on her heels, and she had developed sepsis, one of the greatest dangers of an advanced pressure sore—when bacteria enters the bloodstream and spreads throughout your body. Sepsis is a life-threatening condition that progresses rapidly and can cause organ failure.

Steiner was taken to the hospital on December 19, 2008, and died on January 7, 2009 from sepsis and acute respiratory failure. Steiner’s son accuses the center of nursing home negligence—for failing to screen his mother bedsores properly before entry, for properly treating the bedsores, and for failing to alert Steiner’s doctor on the seriousness of her the bedsores to prevent further deterioration. According to the suit, the facility did not have a nurse on staff that specialized in wound care, and who was properly trained in treating pressure sores.

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December 28, 2009

Sweep in Nursing Home Finds Felons and Sex Offenders with Outstanding Warrants

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.

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December 1, 2009

Rating Nursing Homes—The Five-Star Quality Rating System

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.

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November 6, 2009

Nursing Home Injury and Wrongful Death from Decubitus Ulcer Complications

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.

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November 4, 2009

The Risk of Decubitus Ulcers—Resident Abuse and Negligence in Nursing Homes

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.

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October 30, 2009

Violence in Nursing Homes—Protecting Elderly Residents from Criminals and the Mentally Ill

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%.

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October 28, 2009

Unnecessary Drugging in Nursing Homes Threatens Lives of Residents

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.

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October 27, 2009

Family Sues Nursing Home for Neglecting Resident’s Penile Cancer

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.

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October 16, 2009

Repeat Offender—Nursing Home Charged With Third Wrongful Death Lawsuit This Year

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.

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