Maryland Nursing Home Lawyer Blog

New Studies Consider the Effect of Nursing Home Staff Turnover on Resident Care

May 27, 2014 | Lebowitz & Mzhen

Two studies were recently released by the American Medical Directors Association and the Journal of Nursing Administration that looked at the relationship between higher nursing home staff turnover and the quality of care being provided to residents. Not surprisingly, both studies found an adverse relationship, meaning the higher the turnover in the nursing home, the lower the quality of care being provided to residents. A recent article by Nurse.com outlines the findings of both reports.

The first study, entitled ““Are Nursing Home Survey Deficiencies Higher in Facilities with Greater Staff Turnover,” was published by the American Medical Directors Association and found that “turnover for both licensed nurses and certified nursing assistants was associated with quality problems as measured by deficiencies considered to be closely related to nursing care.”

The second study, “Turnover Staffing, Skill Mix, and Resident Outcomes in a National Sample of U.S. Nursing Homes,” published by the Journal of Nursing Administration, looked at adverse patient effects, such as bedsores and pain, and tried to see if there was a tie to a higher staff turnover rate. After controlling for a number of factors, the study did find that, as nursing home staff turnover rates increase, especially in the certified nurse assistant position, adverse patient experiences increase.

Two Charged with Elder Abuse after Videotaping the Abuse

May 20, 2014 | Lebowitz & Mzhen

Earlier this month, police caught up with two employees of the Emeritus at Farm Pond in Framingham, Massachusetts, who had videotaped themselves abusing elderly residents in the nursing facility. According to a report by a local news affiliate, one of the employees had several videos on her phone detailing a number of abusive situations including:

One video of a female employee hitting a 78-year-old Alzheimer’s patient on the arms, flicking her ears, and then pinching her nose closed. Once the woman was let go, the employee wiped mucus from the patient’s nose and rubbed it on her mouth.

Another video shows a male employee taking a boxing stance opposite a 71-year-old Alzheimer’s patient, slapping the patient as he tried to defend himself. When the man turned away to escape the assault, the employee slapped the man on the buttocks, nearly knocking him over.

There were also photos of partially nude residents on the female employee’s phone.

In an interview with investigators, the female employee claimed that the attacks were a poor attempt at humor, indicating no ill-will towards the patients. The male employee claimed that his behavior was necessary to get the man back into the room which he was supposed to be in. He did not comment when asked if he thought that there was a better way of handling the situation.

Both employees have been fired from the nursing facility and are facing criminal charges of assault and battery against an elderly person. The female employee is also facing charges of unauthorized nude photography.

Seventeen Employees of Michigan Nursing Home Facing Charges for Patient Abuse

May 13, 2014 | Lebowitz & Mzhen

Seventeen employees of the Highpointe nursing facility have been accused of patient abuse and will be facing charges filed by the State’s Attorney General. According to a report by BuffaloNews.com, the employees are all facing felony charges for alleged abuse committed against patients. Highpointe is owned and operated by a larger corporation, Kalieda Health, which owns several nursing home facilities.

Highpointe is a 300-bed facility that cost $64 million to build back in 2011, when it first opened. In the most recent report, the nursing home was operating at 97% occupancy (April).

Over the past few years, Highpointe has had a higher-than-average complaint ratio, averaging 44.8 per 100 residents. The average is closer to 34 per 100 residents. The nursing home also had more citations issued after inspection than comparable nursing homes. For instance, in 2014, the citation ration was 6.6 per 100 occupied beds, which was almost three times the rate for other nursing homes in the area.

New Legislation in Florida Changes the Landscape of Nursing Home Injury Cases

May 6, 2014 | Lebowitz & Mzhen

State legislatures understand that a significant number of cases each year arise out of nursing home negligence and nursing home abuse. Indeed, one recent study indicated that 10% of all elders suffer some kind of abuse in their old age. Because most older people end up at a nursing home at one point in their lives, a significant portion of these victims are victimized in nursing homes.

Florida’s Response to Increasing Nursing Home Litigation

The State of Florida recently passed Senate Bill 670, that changes the landscape of some nursing home cases. While the law has no practical effect in Maryland, it is a good guidepost to see what other state legislatures consider to be “problem areas” with current nursing home litigation.

The new bill tweaked several aspects of the existing laws in Florida, including:

Sexual Assault in Pennsylvania Nursing Home Sends Authorities on a Search

April 23, 2014 | Lebowitz & Mzhen

Last week, a nursing home resident in West Chester, Pennsylvania reported that she had been raped by a nursing home employee. According to a report by a local news agency, the woman reported that she had been raped on the Saturday morning following the Friday night attack. The incident, which occurred at Heritage Spring, is currently under investigation by both the police as well as by the nursing home’s management.

The nursing home has said that it intends to cooperate fully with police, and has even gone so far to remove all male employees from the schedule until the matter is resolved. The nursing home has also resubmitted all of the background checks for its employees, noting that they all came back clean.

The victim was immediately taken to the emergency room, where she was questioned about the attack and underwent a physical examination to confirm the event. She is doing as well as can be expected, given the circumstances.

Nursing Home Residents Bring Class Action for Preventable Hepatitis C Outbreak

April 16, 2014 | Lebowitz & Mzhen

Two nursing home residents in North Dakota are alleging that the nursing home they resided in provided negligent care resulting in a Hepatitis C outbreak. According to a report by McKnight’s Long-Term Care and Assisted Living, forty-four residents in a 114-bed facility contracted the incurable disease. The residents filed the suit in a federal court in North Dakota earlier this month.

They allege that the nursing home’s negligent care, specifically foot and nail care, or blood work may have caused the outbreak. The plaintiffs are seeking certification as a class to continue as a class action and have claimed unspecified monetary damages. An attorney for the residents claims that even the most basic level of care could have prevented the outbreak.

The nursing home claims that the lawsuit is premature, as the cause of the outbreak is still officially undetermined. In a recent statement the nursing home claims to be “cooperative and proactive” about ensuring all protocol is followed in the wake of the outbreak. While that is true, the North Dakota Department of Health is conducting in thorough investigation into the cause of the serious outbreak.

Maryland Nurse Convicted of Sexual Abuse Against Pregnant Patient

April 9, 2014 | Lebowitz & Mzhen

In truly disturbing news out of Ohio earlier this week, a Maryland man was convicted of abusing a patient after having unwanted sexual contact with a pregnant patient. He plead guilty to the charge and is now serving his sentence of 11 to 60 days in jail and 2 years of probation. He will also be forced to register as a sex offender for 15 years. According to a report by the Baltimore Sun, the man was a nurse in Ohio but was found and arrested in Maryland. He is serving time in an Ohio jail for the offense.

The man had a record of assaulting patients in Ohio. Back in 2012, at Fairview Hospital in Cleveland, he was accused of touching the breast of a woman during her delivery. He also forced her to touch his penis over his pants.

In the most recent case, the man initially plead not guilty to more serious charges, but accepted a plea bargain. He does not have any patient complaints, nor a criminal record, here in Maryland. It is unclear if the man was working as a nurse after the incident but before his arrest.

Nursing Home Employee Facing Assault Charges for the Abuse of a Resident

April 2, 2014 | Lebowitz & Mzhen

Earlier this month in Pennsylvania, a nursing home employee was charged with the assault of an elderly patient for whom she was in charge of caring for. According to a report by a local news agency, the nursing home employee was employed by Guardian Elder Care Center.

The court documents indicate that the patient got into a fight with the nursing aide, and the aide eventually covered her face with a pillow, took some of her belongings, and the left her room. The aide responded that the patient was scratching and biting her, and she held down the patient to prevent injury to herself. She denies covering the patient’s face with a pillow.

The elderly patient, who suffers from dementia, did not suffer permanent injury although she was traumatized by the incident. Other patients in the nursing home have expressed their surprise that the aide lashed out the way she did, explaining “I’m shocked. I didn’t think she was, I didn’t think she was that type. She didn’t look like the mean type.”

Nursing Home Fire Sends Two to the Hospital

March 25, 2014 | Lebowitz & Mzhen

Earlier this month in New York, a nursing home caught fire and several of its residents had to be taken to the hospital. According to a report by the Riverdale Press, the Kingsbridge Heights Rehabilitation Care Center caught fire around 5:30 a.m. on March 9th.

Nearly 60 firefighters from the Fire Department of New York responded to the call, putting the fire out in just about 22 minutes. Two were taken to the hospital, one with life threatening injuries and another with more minor injuries. Only one of the injured was a resident of the nursing home, at the time of the story, it was unclear whether the severely injured victim was a resident or whether it was the non-resident.

A spokesperson for Kingsbridge Heights Rehabilitation Care Center explained that, “Representatives from the fire marshal’s office did come to inspect, and stated the staff should be commended.” However, the police are still investigating the cause of the fire and have not yet ruled out the possibility that it had something to do with the negligence of a nursing home employee or staff member.

Recent Study Finds that 22% of Nursing Home Residents Suffer Preventable Injuries

March 18, 2014 | Lebowitz & Mzhen

Nursing homes are not known for their stellar safety records. In fact, they are usually known by most for the exact opposite; for providing substandard care that can lead to resident injury and even premature death in some cases. A recent study administered by the Health and Human Services Department found that 22% of nursing home residents suffered some kind of preventable injury such as medication errors, falls, and infections.

According to an article by Modern Healthcare, one of the biggest problems for consumers about the nursing home industry is the lack of awareness of individual nursing home reputations. The article notes that the study suggests that nursing homes are subject to heightened government scrutiny and also create “a list of potential events to help nursing home staff better recognize harm; a review of nursing home practices by state surveyors; and encouraging nursing homes to report adverse events to patient safety organizations, among other measures.”

Others suggest that, in order to make a real difference in the quality of nursing homes, the number and types of safety incidents should be made public for each nursing home.