Nursing Home Abuse

Multiple Residents Report Abuse by Nursing Home Employee Who Was Not Authorized to Provide One-On-One Care

December 28, 2016 | Lebowitz & Mzhen

An employee of an Ohio nursing home has been convicted of felony charges of elder abuse after she physically assaulted a defenseless 85-year-old female nursing home resident, who was left bloodied and injured after an incident in the victim’s bedroom. According to a local news report, the defendant is currently incarcerated for other unrelated criminal charges and will be sentenced on the abuse charge in early 2017. Other residents of the same nursing home have also reported physical abuse by the same woman in separate incidents, leading to questions regarding the role of the nursing home management and other staff in detecting and addressing the abuse of residents by nursing home employees and assistants.

The Former Nursing Home Employee Admitted to At Least One Act of Abuse

The recent abuse conviction was the result of an incident that occurred in March 2016 at a Chillicothe, Ohio nursing facility. Earlier this month, a former nursing home employee pleaded guilty to felony abuse charges for beating an 85-year-old woman in her room after the resident was reportedly “acting belligerent” and calling the defendant names.

After the assault occurred, the nursing home released a statement that the employee was a state-tested nursing assistant and should not have been alone in the resident’s room with her. The nursing home stated that they terminated the woman’s employment once the abuse was reported, but according to a Centers for Medicare and Medicaid Services report that was prepared by government investigators, several other residents reported being abused by the woman, and the nursing home failed to prevent such acts of abuse, resulting in actual harm to at least one resident.

Convictions of Nursing Home Employees for Abusing Residents’ Dolls Highlight Nursing Home Dangers

December 7, 2016 | Lebowitz & Mzhen

Having an aging family member can be stressful and unnerving. Every family wants to make sure their loved one is cared for properly, but figuring out how to make that happen is not always easy. According to the National Council on Aging, about one in 10 Americans age 60 or older has experienced some form of elder abuse—and many cases go unreported. In fact, some estimates are that only one in 14 cases of elder abuse is reported. As a result, many advocates find abuse is even more common than most people think. Elder abuse includes physical abuse, as well as sexual abuse, exploitation, emotional abuse, neglect, and abandonment. Abusers can be family members, or they can be staff at nursing homes and other caretakers.

Elder Americans are especially vulnerable to abuse, in part because they are often isolated and suffer from mental impairment. Abuse can result in injuries and death and also can negatively affect elders’ financial security, health, and dignity. And as the American population ages, more people are at risk of abuse. In 2014, long-term care providers served about nine million people in the United States. A recent case showed a strange and unexpected case of abuse that affected many vulnerable nursing home residents.

Nursing Home Employees Convicted After Harming Residents’ Dolls

According to one news source, two nursing home employees were recently convicted for abusing residents’ dementia dolls. The two women pleaded guilty for their treatment of residents at a nursing home. The employees, who were both in their 20s, were employees at a nursing home where dolls were used a therapeutic tool for residents to care for as if they were their own children. The nursing home housed residents with dementia and Alzheimer’s disease.

Lack of Trained and Competent Nurse Aides Results in Hygiene Problems, or Worse

November 10, 2016 | Lebowitz & Mzhen

An article recently published by an NBC affiliate in New York helps document a disturbing trend of nursing home abuse and neglect that appears to be caused by understaffed nursing homes, as well as a lack of adequate training and competence among existing staff. According to the news report, an elderly nursing home resident and her family have filed a nursing home abuse lawsuit against a New Jersey nursing home after the resident was allegedly left covered in her own feces for hours as the nursing home staff failed to answer her calls for assistance. Although the proceedings are only in the early stages, the defendant has issued a statement denying any wrongdoing and attempting to discredit the plaintiffs’ claims.

Nursing Care Is Facing an Epidemic of Neglect and Incompetence

Many factors result in the recent increase in nursing home abuse and neglect complaints, which are often focused on the duties of lower-level staff, such as nursing aides and assistants. Many nursing home residents are not physically active and have few visitors or family members to check up on them. When neglect or abuse does occur, some patients are afraid or embarrassed to tell anyone about it, or they may not know what their rights are or how to make a claim. The majority of funding for nursing home care comes from the federal government through Medicare, and providers have been known to take advantage of the lack of accountability for government funds by employing too few workers and hiring low-cost, incompetent employees to provide care.

The Importance of Pre-Employment Screening of Nursing Home Employees

September 30, 2016 | Lebowitz & Mzhen

When someone can no longer care for themselves, and their loved ones are also incapable of providing the necessary level of care, many families turn to nursing homes. Nursing homes are charged with caring for those who cannot fully care for themselves, and the duties that come along with this are varied and often depend on the condition of each individual resident. However, some duties are present no matter the condition the resident is in, including providing a safe environment that is free of abusive and neglectful staff.

One way that nursing homes are able to ensure the quality of the nurses whom they employ is through pre-employment and background checks. These checks look into the past of the applicant nurse to determine which other positions the nurse has held, whether there have been any disciplinary actions taken against the nurse, and whether the nurse has any past criminal convictions. Not only are these types of checks legal, but also they are necessary to ensure a safe nursing home for all residents.

Investigation into Nursing Home Abuse Discovers Management Did Not Perform Pre-Employment Background Checks

Earlier last year, nursing home aides at a New York nursing facility taunted an elderly resident and then took pictures of the abuse. After the discovery of this behavior, an official investigation was conducted, which revealed that the nursing home employing the aides had failed to conduct pre-employment background checks on four of its newly hired employees. It was also discovered that the nursing home failed to provide any abuse prevention training and even failed to follow up on reported cases of abuse. According to a recent news article discussing the facility’s deficiencies, the nursing home has a one-star rating and had 24 deficiencies total in 2015 and 2016. This amounts to more than four times the state average.

Federal Government Expands Regulations to Protect Nursing Home Patients from Other Types of Abuse

August 19, 2016 | Lebowitz & Mzhen

The federal government has recently announced plans for new regulations that will crack down on the problem of residents being abused by nursing home employees. Specifically, the new regulations are designed to target a recently occurring problem of nursing home employees taking demeaning photographs and videos of residents and sharing them on social media sites. Recently published articles by a patient advocacy group have documented the worsening phenomenon and the federal response.

The Federal Government Can Use Medicare to Urge States and Nursing Homes to Prevent Abuse

Most nursing homes are administered by private organizations or state or municipal governments, but the federal government contributes to the costs for each resident in a vast majority of those homes in the form of Medicare payments made on the resident’s behalf. Although the federal government generally lacks direct regulatory authority to compel state or privately run nursing homes to implement certain policies, it can tie compliance with anti-abuse policies into the nursing home’s receipt of Medicare funds, which often comprise most of the payments the nursing homes receive.

Nursing Home Arbitration Clauses May Punish Patients and Families For Expecting Quality Care

August 5, 2016 | Lebowitz & Mzhen

Arbitration clauses have become more and more common in many types of contracts between consumers and businesses over the last 50 years, However, the dramatic increase in the use of arbitration clauses in medical care agreements should be of special concern to consumers and their advocates. By agreeing to an arbitration clause, a patient or their family may be giving up their right to sue the other party in state or federal court and instead assenting to resolve disputes through what is known as binding arbitration. Binding arbitration is a process that closely resembles a judicial proceeding, although the “judge” of an arbitrated dispute is simply a private party, and the court rules and procedures that are used in judicial proceedings may not apply.

Why Do Providers Propose Binding Arbitration, and Why Would Consumers Agree to It?

Binding arbitration is promoted by companies and industry groups as a simplified way of resolving disputes that could get out of hand if they were processed through a full-fledged judicial proceeding. Complainants are legally entitled to a fair process through arbitration, and state and federal laws are applied to their claims.

In reality, the differences between an arbitration proceeding and a judicial proceeding almost always favor the large company, with consumers and patients receiving the short end of the agreement. A recent New York Times article discussing the use of arbitration agreements in nursing home contracts notes that although agreeing to binding arbitration cannot be mandatory for a prospective patient, the agreements are often structured to hide that fact. Many consumers agree to arbitrating potential disputes because they don’t know they have the right to refuse it.

Increasing Use of Social Media Has Resulted in Unexpected Nursing Home Abuse

July 26, 2016 | Lebowitz & Mzhen

A recently published news article discusses the difficulty that law enforcement and regulatory authorities have been facing nationwide in attempting to apply existing laws to curb the increasing pattern of “social media abuse” of long-term care and nursing home residents by health care workers. According to the article, there have been dozens of reported instances in which health care workers publish explicit photos or videos of nursing home patients on social media. The resulting posts have been offensive, hurtful, and exploitative of the nursing home patients, and they demonstrate the unprofessional levels of care that some nursing facilities provide.

Current Laws Addressing Nursing Home Abuse May Not Go Far Enough

According to a recently published report noted in the article, current laws in many states protect nursing home patients from social media abuse by making it illegal for a health care worker or assistant to post an image containing a resident’s genitals on social media. Unfortunately, many of the abusive and humiliating posts that have been made don’t include an image of a patient’s genitals but remain extremely offensive. One such post mentioned in the article included an image of an elderly resident’s hands and legs covered in feces, accompanied by a caption that contained profanity and made fun of the man.

Court Holds Failure to Comply with Mandatory Nursing Home Abuse Reporting Requirements May Give Rise to Liability

May 20, 2016 | Lebowitz & Mzhen

Earlier this month, the Supreme Court of Washington issued a groundbreaking opinion extending potential liability in a nursing home abuse lawsuit to nurses who were required to report discovered instances of nursing home abuse but failed to do so. In the case, Kim v. Lakeside Adult Family Home, the court determined that the Abuse of Vulnerable Adults Act (AVAA), a state-enacted law to protect the elderly, creates a separate cause of action against those who are required to report discovered instances of nursing home abuse but fail to do so.

The Facts of the Case

The plaintiffs in this case are the surviving loved ones of an elderly woman who was given a lethal dose of the pain-killer drug morphine. The drug was not prescribed by a physician but was administered by a nurse who was not a party to this lawsuit.

The defendants were two nurses who were not employed by the facility charged with caring for the deceased, and they were in no way responsible for her care. Both defendants were caring for another individual at the facility when they witnessed what appeared to be lapses in care. On March 28 or 29, one of the defendants witnessed the deceased lying on the floor. The defendant confronted the other nurse, who told the defendant that the patient “falls a lot” and that it was nothing out of the ordinary.

Nursing Home Resident Dies After Being Left Outside in the Sun

May 13, 2016 | Lebowitz & Mzhen

Nursing homes should be places where people can feel at ease placing their aging parents to help them get the medical care and attention that they need in their final years. However, the reality of what nursing homes have come to become in our society is far from that. Partly since nursing homes operate on a for-profit model, the level of care provided to patients is secondary or tertiary to other concerns, including staffing costs.

Just as in any other business scenario, nursing homes get what they pay for when they consider whom they should hire. By hiring inexperienced nurses or those with poor records or care, nursing homes may be able to save a few dollars in the short-term but place their patients at risk. Indeed, these are the very nurses who are likely to act in abusive or neglectful ways when placed under stress.

However, working in a stressful environment is no excuse to neglect or abuse another human being who has been placed in your care. For these reasons, the State of Maryland allows nursing home residents or their families to bring lawsuits against nursing home employees and management in situations in which the nursing home failed to adequately care for their loved one.

One State Considers Banning Anonymous Abuse Complaints in Nursing Homes

April 28, 2016 | Lebowitz & Mzhen

Nursing home abuse is a tragic phenomenon, and everything should be done to curb it. Whether it be an overworked nurse who snaps at a difficult resident, or an angry employee who takes out their own aggression on those who cannot fight back, there is no excuse for engaging in nursing home abuse. However, the sad reality is that nursing home abuse is grossly underreported, with many residents afraid to report the abuse of those who are responsible for their daily care out of fear of reprisal.

Despite that fact, one state is considering a bill that would eliminate a person’s ability to anonymously report nursing home abuse. According to an article by U.S. News and World Report, Illinois legislators are considering a bill that would require each complaint of nursing home abuse to be accompanied by the reporter’s name. If the person calling does not want to provide their name, the report will not be filed.

Of course, doing away with anonymous reporting will limit the number of complaints of abuse, which is why the nursing home industry is in favor of the bill. In fact, about 20% of all abuse allegations currently reported are done so through anonymous calls. While the bill’s sponsor claims that the names of reporters would be held confidential, the mere fact that callers are require to disclose their identity will likely result in fewer calls.