Bedsores, Pressure Sores, Decubitus Ulcers

Caregiver Receives Prison Sentence for Nursing Home Negligence

January 6, 2011 | Lebowitz & Mzhen

A recent special report entitled “Seniors for Sale,” published by the Seattle Times, uncovered hundreds of cases of nursing home abuse, negligence and wrongful death in adult homes in Washington, where seniors had been injured or died as a result of neglect or substandard care in adult homes, often by receiving care from healthcare providers who were not properly trained.

As nursing home neglect lawyers based in Baltimore, Maryland, we have been following the recent news that in one of the cases, the former owner of an adult family home received a one year prison sentence for her role in the nursing home negligence and wrongful death of an 87-year old at Houghton’s Lakeview adult home.

According to the Seattle Times, 62-year-old Patricia Goodwill pleaded guilty to second-degree criminal mistreatment, for creating a substantial risk of death for resident Jean Rudolph, by failing to protect the elderly woman from developing pressure sores, and for failing to ensure proper care. Rudolph reportedly died of pressure sores that were untreated, and suffered greatly for three weeks prior to her death without proper treatment for her wounds.

As our Maryland nursing home attorneys discussed in a previous blog, elderly or immobile residents are at great risk for pressure sores, and one small inflammation can quickly develop into a deep crater that can be extremely painful, hard to heal, and can cause serious infection. It is important for nursing homes and adult care facilities to practice pressure sore prevention and treatment, to avoid nursing home neglect or wrongful death.

Steps to Prevent Bedsore Development in Nursing Homes

December 30, 2010 | Lebowitz & Mzhen

In a recent blog, our Maryland nursing home attorneys discussed nursing home negligence and the prevalence of pressure sores plaguing elderly and immobile residents in nursing homes across the country, as well as the importance of pressure sore prevention to avoid nursing home injury or wrongful death.

Pressure ulcers commonly develop on areas of the body that are bony and close to the skin, with less padding by muscle and fat. Common areas include the tailbone, heels, hips, ankles, tailbones, shoulder blades, elbows, backs, shoulders as well as the back of the head. With pressure sores, one small inflammation can quickly develop into a deep crater that can be extremely painful, hard to heal, and can cause infections that are life-threatening.

To prevent bedsores, also called pressure sores, or decubitus ulcers, it is important to avoid lying directly on bony areas, as they are prone to pressure sore development. The Mayo Clinic recommends:

• If lying on your side, try lying at a 30-degree angle.
• When lying on your back, always support your legs with a pillow or soft pad from the middle of the calf to the ankle, to increase blood flow.
• Try to keep bony areas like ankles and knees from touching.
• Try and avoid raising the head of the bed more than 30 degrees, as this could cause the resident to slide down and increase friction. If the bed needs to be raised to a high height, pillows or foam wedges should be placed on hips and shoulders to help maintain proper alignment to reduce any rubbing.
• Patients who are lying down should be moved every two hours, and if in a wheel chair, should be manually moved every 15 minutes.

• Try mattresses and wheelchairs that are pressure-reducing.

For elderly or post-surgery residents who are immobile, diet is an essential part of pressure sore prevention and healing, as balanced meals supply the necessary nutrients needed to keep residents healthy. The Mayo Clinic recommends to:

• Eat smaller meals more frequently, to help ensure that residents are getting enough calories, protein, minerals and vitamins.
• Take advantage of times when residents have a hearty appetite, like when they are rested in the morning.
• Limit the amount of fluids given to residents during mealtime. Liquids can prevent a resident from eating higher calorie foods.
• If swallowing is a challenge, pureed foods, shakes and soups with protein can be easier to ensure calorie intake.

• Never rush a resident’s mealtime.

For families who have loved ones in a nursing home or care facility, it is also important to check the resident’s condition with each visit. The resident’s skin condition, weight, and general healthcare should be monitored with each visit, as well as weight. If there are any signs of nursing home neglect, like pressure sores, the nursing staff and doctor should be contacted immediately.

Nursing Home Negligence—The Four Stages of Pressure Sore Development

December 29, 2010 | Lebowitz & Mzhen

In a recent blog, our Washington D.C. nursing home injury lawyers discussed nursing home negligence, and the danger of pressure sores in nursing homes today. Pressure sores, also known as decubitus ulcers or bedsores, affect around one million people across the country with nearly 60,000 people dying each year from complications of the very advanced stages of pressure sores, like osteomyelitis, a bacterial inflammation of the bones, and sepsis, an infection of the blood.

Pressure sores often develop as a result of nursing home negligence, when nursing home residents are immobile, confined to their beds or wheelchairs, have circulation problems, debilitating illnesses, incontinence, diabetes, dementia or other mental disabilities that lead to decreased mobility. When a nursing home resident sits or rests in the same position for long time periods without being moved by the nursing home staff, the circulation of blood to the skin is cut off, leading to the breakdown of skin, and pressure sores can rapidly develop.

There are four stages of pressure sore development, starting with Stage I, where an area of skin becomes red and discolored. In Stage II, the red area develops into a scrape or blister that forms an open sore, which results from the skin deterioration. If the wound is not cared for immediately, the skin continues to breakdown, leading to Stage III, where there is a greater degree of soft tissue loss beneath the surface of the skin, forming a shallow crater. With a Stage IV pressure sore, the crater becomes deeper, in some cases as large as a grapefruit, and the bone and muscle can be severely damaged, as well as joints and tendons. There is serious pain and depression associated with Stage IV pressure sores, and the deep craters can lead to life-threatening infections like osteomyelitis or sepsis, that can lead to nursing home injury or wrongful death.

As our nursing home attorneys in Washington D.C. discussed in a related blog, pressure sores are preventable, and at-risk residents should receive daily skin inspections for pressure sores, especially the bony areas of the body. Every two hours, bedridden residents should have their positions changed to relieve pressure on the skin, and every 15 minutes while sitting in a wheelchair. Residents should also have their skin protected from dampness caused by wound drainage, sweat, or incontinence. Some residents may benefit from a mattress or pad to relieve pressure on the skin, along with other technology designed to prevent pressure sores and nursing home injury. All nursing home residents should be also be given a healthy diet that is rich in vitamins and minerals to assist in pressure sore prevention and healing.

Nursing Home Sued For Failing to Prevent Resident’s Death from Pressure Sores, Falls

December 27, 2010 | Lebowitz & Mzhen

In recent news that our nursing home injury attorneys in Baltimore, Maryland have been following, the wife of a nursing home resident who died last year after suffering from multiple nursing home falls as well as an infected pressure sore, has filed a lawsuit against the Illinois nursing home, seeking more than $50,000 in damages for nursing home negligence.

According to the lawsuit, Ralph Shafer was admitted to the nursing home in September of 2007, after suffering from two strokes, with signs of hypertension, dementia, and diabetes, among other health concerns. Shafer, who was 87 at the time, was reportedly at risk for nursing home falls, and according to Shafer’s wife, the nursing home facility failed to prevent his frequent falls. One tragic fall in 2008 led to a massive nursing home injury, where Shafer broke his hip and required surgery.

Shafer’s wife is also accusing the nursing home of failing to prevent the infection of a pressure sore on Shafer’s ankle, that reportedly developed as a result of his diabetes. Shafer died in April of 2009 from gangrene and osteomyelitis at the site of the wound, as well as complications from advanced dementia.

Osteomyelitis is a bacterial inflammation of the bones, that can develop when a Stage IV pressure sore causes severe damage to the skin, muscle and bone. As our Maryland nursing home injury lawyers discussed in a related blog, if a nursing home resident is bedridden, in a wheelchair, immobile with diabetes, has circulation issues or mental disabilities, and incontinence, the residents should be checked daily for pressure sores, and moved every two hours to relieve pressure and prevent skin breakdown that leads to pressure sores. The primary goal of pressure sore treatment is preventing them before they start.

ManorCare Sued by Injured Woman for Nursing Home Fall

November 25, 2010 | Lebowitz & Mzhen

As nursing home attorneys in Baltimore, Maryland, we have been following a recent lawsuit filed by a former resident who accused the home of nursing home negligence after she fell and broke her leg while residing at the home.

According to the lawsuit, Margaret Mock, a 77-year-old woman from Schaumburg, Illinois, was living at ManorCare nursing home for rehabilitation after undergoing hip surgery. Mock claims that on September 26, 2009, while being transported by an employee from her bed to a wheelchair, she fell and reportedly broke her leg in two different places.

Mock claims in the lawsuit that because of her already weakened state, she was unable to undergo surgery to repair her broken leg—causing her to remain in the nursing home for another five months. Mock is also suing St. Alexius Medical Center for negligence, along with ManorCare and their parent companies, as she developed a pressure sore during her stay at the hospital.

As our Maryland nursing home injury lawyers reported in a recent blog, according to the CDC, muscle weaknesses and walking problems are among the most frequent causes of nursing home falls, leading to 24% of reported falls. Medications can also increase the risk of falls, as well as environmental hazards like wet floors, poor lighting, ill-fitting wheelchairs, or incorrect bed heights, leading to a reported 16-27% of nursing home falls.

Civil Jury Finds Nursing Home Negligent for Resident’s Bedsores

November 1, 2010 | Lebowitz & Mzhen

In recent news that our nursing home abuse attorneys in Baltimore, Maryland have been following, a civil jury has found a nursing home in San Antonio, Texas, negligent, for the death of a resident who developed huge bedsores that became severely infected under the home’s care.

According to My San Antonio news, Mary Koenig filed the lawsuit on behalf of her father, Emilio Gonzalez, who was a resident of Retama Manor Nursing Center from 2001 until 2007, when he died at the age of 76. Gonzalez was reportedly taken to the hospital in August of 2007, after two bedsores became infected, rotting down to the bone. His stay was then extended at a hospital that specialized in wound treatment before his death.

In the trial, Koening’s attorneys alleged that the nursing home was understaffed intentionally to make profits, which would often leave nurses with over 60 nursing home residents to oversee and care for at a time.

Retama Manor Nursing Center was ordered by jurors to pay the estate of Emilio Gonzalez $250,000 for his suffering and physical pan, $150,000 for mental anguish and pain and over $190,000 in medical bills. The nursing home neglect verdict is expected to be reduced, however, due to Texas tort reform caps put into place in 2003.

NY Nursing Home Faces Class Action Lawsuit for Negligence and Abuse

October 29, 2010 | Lebowitz & Mzhen

A class action lawsuit has been filed this week against four New York State nursing homes and the company that operates them, Legacy Health Care, for depriving patients of their legal nursing home rights.

As our Baltimore-based attorneys reported in a blog, in March of this year, New York State Attorney General Andrew Cuomo, and his Medicaid Fraud Control Unit (MFCU) engaged in an investigation into nursing home neglect and abuse using surveillance cameras in nursing homes in the state of New York, to ensure that residents were receiving proper nursing home care that was free from abuse and neglect.

After the Attorney General’s seven-week investigation, eight workers who were employed by Williamsville Suburban Nursing Home were arrested for charges regarding the quality of patient care. The investigation revealed that the nursing home staff neglected to properly transfer residents to and from the bed with a mechanical lift, increasing the chances for nursing home injury and falls. The footage also showed that the staff neglected to treat patients for wounds, check for vital signs, or administer insulin. The resident’s medical records were also reportedly falsified to cover up the home’s consistent neglect.

According to the class action lawsuit, filed on behalf of all residents who have lived at Legacy Health Care from the year 2007 until now, Legacy is being accused of endangering the welfare of nursing home residents through failure to provide residents with their legally entitled nursing home right to quality healthcare, proper staffing, and an existence that is dignified.

Hidden Camera Investigation Leads to Nursing Home Abuse Charges for Nurses, Aides

October 1, 2010 | Lebowitz & Mzhen

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

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

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

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

The Danger of Sepsis in Nursing Homes

September 27, 2010 | Lebowitz & Mzhen

In a recent blog, our nursing home abuse and negligence attorneys in Baltimore, Maryland discussed the danger of sepsis in nursing homes, a leading cause of death among elderly residents.

Sepsis is a deadly blood disease that forms a massive infection in the body, resulting in blood poisoning. In nursing homes across the country, sepsis often results from an infection of surgical wounds, surgical drains, intravenous lines, and stage IV pressure sores, or decubitus ulcers, and is often associated with nursing home neglect and abuse.

It is reported that every year, over 200,000 people in this country die from different forms of sepsis. Sepsis usually begins as an infection and spreads quickly, causing tissue damage, organ failure and also death. Sepsis is very dangerous with nursing home residents, as their immune systems are often weak.

Preventative measures for sepsis in nursing homes include early detection and treatment of infected areas, like pressure sores, a leading cause of nursing home injury that affects nearly one million Americans every year. As our Maryland nursing home injury attorneys reported in a blog, pressure sores often develop after a resident stays in one position for too long, which causes a restriction of the resident’s blood supply to the skin, wherein pressure sores form due to the unrelieved pressure.

Nursing home residents who are elderly and have restricted movement are highly susceptible to bed sores, and if the sores go untreated, they can lead to bacterial sepsis. Many cases of advanced pressure sores are often the result of nursing home neglect, and many times lead to a resident’s death. Nursing home staff should pay special attention to elderly residents who are at risk for developing bed sores, or sepsis, in order to prevent nursing home injury or wrongful death. Around 60,000 people are reported to die every year from some form of complication surrounding the more advanced stages of pressure sores.

Wrongful Death Lawsuit Settled—Resident’s Family To Receive $2.24 M

September 25, 2010 | Lebowitz & Mzhen

Our Maryland nursing home negligence attorneys recently discussed a wrongful death settlement of 43.5 million in a blog, after a nursing home operator was found responsible for negligence that allegedly led to a resident’s death.

In another recent wrongful death lawsuit settlement from this week that our attorneys have been following, a Wisconsin nursing home will pay $2.25 million, after a resident died in the home from an infection.

According to the lawsuit, Cynthia Wilms was a patient at the Willows Nursing and Rehabilitation Center after a 2007 hip replacement surgery. The home is being accused of neglecting Wilms’ surgical wound, which led to sepsis, a blood disease that forms when bacteria enters the bloodstream and spreads throughout the body. Sepsis is a potentially lethal condition that progresses rapidly and can lead to organ failure. Wilms died a few weeks after the surgery.

In nursing homes across the country, sepsis often results from an infection of surgical wounds, surgical drains, intravenous lines, and stage IV pressure sores, and is often associated with nursing home neglect and abuse. Sepsis is very dangerous with nursing home residents, as their immune systems are often weak. Sepsis can cause death, as it is a blood infection that travels through the body rapidly. It is reported that every year, over 200,000 people in the United States die from different forms of sepsis.