Nursing Home Legislation

Maryland Nursing Homes Rated in National Healthcare Quality Report

April 14, 2010 | Lebowitz & Mzhen

In recent Maryland Nursing Home News, the state has received the results of the 2009 National Healthcare Quality Report, first ordered by Congress in 2003, to monitor the quality of healthcare, including nursing homes across the country.

The report is published by the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality, and according to the study, the overall the quality of Maryland’s health care rates between weak and average.

According to the Ethan Moore, the Health Policy Director of the Health Facilities Association of Maryland, Maryland nursing homes reportedly provided “expert care” in the 2009 study, but the critical issue Moore expects to arise in Maryland’s future is providing the projected explosion of the 65-year and older adult residents with proper Maryland nursing home healthcare and safety in the next twenty years.

Moore stated that Maryland has neither the budget nor capacity to take care of this future increase of seniors in nursing homes—but hopes that the state can find a solution to provide residents with quality care nursing homes and communities that are free from nursing home abuse and neglect in the future.

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

March 24, 2010 | Lebowitz & Mzhen

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.

Landmark Settlement Moves Mentally Ill Residents Out of Nursing Homes

March 15, 2010 | Lebowitz & Mzhen

In a previous blog, our Hartford, Maryland Nursing Home Attorneys discussed the ongoing and serious issue many nursing homes are facing today—how to keep elderly residents who share facilities with younger mentally ill patients and criminals, safe from nursing home abuse and violence.

The Chicago Tribune reported today after an historic Illinois court settlement, that thousands of mentally ill patients are likely to move out of nursing homes over the next five years and into settings that are more community-based, due to a new legal agreement that has been created to rework the long-term health care system in Illinois.

According to the Chicago Tribune, more than any other state, Illinois uses nursing home facilities to house younger mentally ill adults, and this includes thousands of residents with felony records. The Tribune spearheaded a massive investigation recently, reporting a long list of nursing home violence, sexual assault, substandard care, and drug abuse in nursing home facilities, where psychiatric patients weren’t adequately supervised or monitored to maintain their safety as well as the health and safety of the elderly residents of the nursing home, to prevent resident injury or harm.

The agreement reportedly plans for state officials to offer around 4,500 nursing home residents who are mentally ill a choice between staying in the 24 large facilities that are known as IMDs, or “institutions for mental diseases,” or to move into smaller environments that are better suited for their disabilities and reportedly less expensive. The settlement reportedly only covers residents of the IMDs, which will still leave nearly 10,000 mentally ill residents living in nursing home facilities without the IMD classification among elderly and disabled residents.

Maryland Lawmaker Supports Nursing Home Video Monitoring Legislation

January 19, 2010 | Lebowitz & Mzhen

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

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

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

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

Unnecessary Drugging in Nursing Homes Threatens Lives of Residents

October 28, 2009 | Lebowitz & Mzhen

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.

Nursing Home Abuse and Neglect Violations

October 12, 2009 | Lebowitz & Mzhen

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

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

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

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

• Resident malnutrition and dehydration
• Not assisting residents with walking, which can lead to immobility, and falls
• Abuse from a staff member, visitor, or intruder—which can involve using physical force in feeding, while administering medicine, or while moving a resident

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

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