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Earlier this month in El Dorado, Kansas, a male nurse named Geofrey Nyanswego appeared before a judge in Butler County and entered a not guilty plea to several counts of neglect and abuse of patients at Victoria Falls Nursing Center. Evidently, the man was charged with the abuse or neglect of at least one patient and also the false imprisonment of another.

According to a report by a local news source, after entering his guilty plea, the man was released on his own recognizance and will return to court later this summer for a preliminary hearing. If convicted of the offenses, he faces potential jail time as well as a fine of up to $100,000. He was forced to surrender his nursing license and is prohibited from contacting the nursing home management, its employees, or its patients.

The CEO of the nursing home told reporters that the man has been fired from his post and that two other nurses were suspended as a result of the investigation. The nursing home was fined $155,000 for its failure to meet regulations.

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Earlier this month, a two-alarm fire in a Towson assisted living facility threatened to evacuate a multi-story building. According to a report by a local news source, the fire occurred in an assisted living facility on Joppa Road shortly after 7:30 in the morning. Evidently, fire officials say that they found thick, black smoke on the fourth, fifth, and sixth floors. The fire apparently began in one of the units’ kitchen and was kept under control by the kitchen’s sprinkler system.

While no one was forced to evacuate the building, several residents chose to do so on their own, citing concerns over their own safety. After fire crews arrived and began to put the fire out, it was completely contained within 20 minutes. Thankfully, there were no injuries.

Fire Preparedness is Crucial in Assisted Living Facilities

The assisted living facility mentioned above was a high-rise with hundreds of people inside. Many of the people in the building had limited mobility due to a variety of health conditions. Therefore, the threat of a fire must be taken very seriously.

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Earlier this month in Kansas, state officials conducted a surprise visit to a nursing home in order to inspect the level of patient care that was being provided to residents. According to a report by a local news agency, the report came back showing that several residents were being neglected and/or abused by nursing home staff members.

Evidently, the surprise visit and subsequent report were triggered by a report of inadequate resident care back in November 2013. State officials received the complaint and decided to look into the issue more thoroughly. Upon doing so, investigators discovered four instances of potential neglect or abuse. The nursing home has approximately 63 residents, 27 of which were interviewed.

The 150-page report explains all the violations found by the investigation, as well as remedial measures that the nursing home is expected to take. According to federal guidelines, the nursing home has six months to comply with the report before it will lose its Medicare funding. In addition, the home is being fined $8,2000 per day for each day between March 26 and April 13th. In addition, the nursing home will be fined $1,000 a day until it is back in compliance.

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In May of this year, a Colorado man and his sister recovered $3.3 million in a lawsuit against a nursing home for the negligent care the home provided to the man. According to a report by a local news affiliate, the man, who suffers from dementia and mild mental retardation, was admitted to the home in 2011.

After her brother spent some time in the facility, the woman began to notice that he “wasn’t treated with dignity and respect.” Moreover, according to the co-plaintiff, her brother suffered various preventable conditions, including “bed sores, dehydration, malnutrition, UTIs, skin tears and abrasions, hyperkalemia (high potassium), multiple infections including E. coli, and significant weight loss.”

After taking the case to trial, a jury awarded the woman and her brother $3.3 million. Of that total, $300,000 was based on the nursing home’s negligence, and the remaining $3 million were punitive damages assessed due to the reprehensible behavior of the nursing home.

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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.

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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.

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  • 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.

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    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:

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    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.

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    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.

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