Maryland Nursing Home Lawyer Blog

Maryland Nursing Home Fined, Report Says Facility Harmed Residents in A/C Malfunction

July 23, 2010 | Lebowitz & Mzhen

In a recent blog, our nursing home injury attorneys at Lebowitz and Mzhen Personal Injury Lawyers discussed a news story involving a Baltimore, Maryland nursing home that moved 150 residents out of the center after the building’s air conditioning system malfunctioned—failing to keep residents cool during a heat wave, and reportedly affecting the health and safety of the residents.

This week, the Maryland Department of Health and Mental Hygiene (DHMH) released a lengthy report, after conducting a thorough investigation, and claimed that the Ravenswood Nursing Home gave nursing home residents a “substandard” quality of care that resulted in “actual harm” to the residents.

Maryland regulators reportedly fined Ravenswood $52,500 after the air conditioning malfunction left residents sweltering in nearly 100-degree heat in the nursing home.

In the DHMH report, six state and federal violations were reportedly cited, that focus on the air conditioning problem. The report also found that the nursing home facility was storing food that was potentially hazardous at unsafe temperatures, the building was not in good shape, and that the nursing home residents were receiving inadequate care, treatment and services.

Maryland OHCQ Issues Code Red Heat Alert for Nursing Homes

July 14, 2010 | Lebowitz & Mzhen

In a recent blog, our Baltimore, Maryland Nursing Home Abuse and Neglect Attorneys discussed the recent relocation of 220 nursing home residents, after an unprecedented heat wave in Baltimore lead to air conditioning malfunctions that closed two nursing homes—in an effort to protect the health and safety of the residents until the center’s heating and cooling systems are repaired.

The Maryland Office of Health Care Quality (OHCQ) issued a “Code Red – Heat Alert” last week, along with the Baltimore City Health Department, cautioning all Maryland licensed health care and residential facilities to implement appropriate plans to ensure the health and safety of residents while the outside temperatures are near or above 100°F.

The health department made recommendations for nursing homes to:

• Relocate resident activities to cooler areas, and caution nursing home residents to cut back on outdoor activities during the extremely hot days to prevent nursing home injury or illness.
• Monitor and address the behavior of dementia patients, or confused patients who may want to be wrapped in blankets, or wear too many clothes.
• Make sure the cold water is constantly available for residents, and offer it frequently.
• To keep residents cool, offer ice packs, or washcloths that are cool and wet, to help them endure the heat. Also give residents baths or shower that are cool, or lukewarm in temperature.
• As nursing home A/C systems will be operating at their maximum potential during the heat wave, contact maintenance staff to check the A/C systems, and perform required maintenance measures in advance, to prevent system failures.
• Rearrange any nursing home equipment or furniture that may be blocking any vents on the walls or floor to improve air circulation and make sure that the movement of air is not obstructed.
• Check the operation of all refrigerators and ice makers in facilities that do not have A/C or where kitchens are not cooled with A/C, to make sure that the refrigeration units are maintaining the correct temperatures.
• Make sure all medications for residents are stored at the temperatures listen on the packaging or prescription labels. Relocate the drugs to secure storage if necessary, to prevent any nursing home negligence or injury.
• Turn off any unnecessary lights that do not impact any activity for residents or staff, and close the curtains to keep out the hot sun. Also avoid the use of heat producing equipment like vacuums, stoves, or ovens.

Maryland Residents Moved Out of Nursing Home After A/C Malfunctions

July 12, 2010 | Lebowitz & Mzhen

In recent Baltimore, Maryland nursing home news, the Ravenwood Nursing Home and Rehabilitation Center in downtown Baltimore closed its doors last week, moving 150 residents out of the center due to safety concerns—after the building’s air conditioning system malfunctioned, failing to keep residents cool in the city’s scorching heat.

Although many residents claimed that the malfunction occurred on Friday, July 2, it was determined by authorities to occur on Sunday. Many residents claimed that their complaints were not heard, until a Ravenwood resident called 911 on Monday for help. The temperature inside the building was reportedly 92 degrees at the time.

The center could reportedly face new environmental deficiencies, as it did not report the issues until a few days after the nursing home had been without air conditioning. Ravenwood is currently under investigation by the state Office of Health Care and Quality to make sure that the home followed proper procedure, to ensure the health and safety of the residents.

The Ravenwood staff claimed to do everything that they could to make sure that the residents were not in medical danger during the period of time without air conditioning. Many of the residents are vulnerable adults who need special medical attention, some of whom are under 65 and suffer from a variety of medical conditions, including amputation, HIV/AIDS, and paralysis.

Resident Death and Antipsychotic Drug Violations in Nursing Homes

June 30, 2010 | Lebowitz & Mzhen

Our Washington D.C. Nursing Home Abuse Attorneys recently discussed the topic of chemical restraints in a blog, and the unnecessary use of antipsychotics in nursing homes. The Food and Drug Administration (FDA) estimates that around 15,000 nursing home deaths occur every year from the off-label use of antipsychotic medications that are unapproved by the FDA.

Center for Medicare Advocacy Senior Policy Attorney Toby Edelman, recently released a statement in reaction to a Senate Special Committee on Aging hearing, claiming that nursing home residents die every day from the inappropriate use of antipsychotic medications given to residents who have no diagnosis of psychosis. Edelman claims that nursing home facilities are violating the Controlled Substances Act and the 1987 Nursing Home Reform Law, by failing to provide the residents with proper medical attention, and physicians who are available to treat them 24 hrs a day.

According to the statement, under the 1987 Nursing Home Reform Law, every resident must be under the care of a physician, and each nursing home must provide a physician for medical care in case of an emergency, with another physician on-call. Edelman claims that nursing homes and long-term care pharmacies have long been relying on the practice of “chart orders,” for medications, where nurses assess the nursing home resident’s changed condition, and contact the physician—who then prescribes pain medication recommendations.

The Drug Enforcement Administration (DEA) has reportedly begun to enforce the rules and policy of the Controlled Substances Act, requiring physicians to write and sign prescriptions, sending nursing home and nursing home pharmacy industries into a frenzy, claiming that without these practices, residents will not receive the pain medication they need.

Jury Awards $4.85 Million to Family in Nursing Home Wrongful Death Lawsuit

June 29, 2010 | Lebowitz & Mzhen

In recent news that our Baltimore, Maryland Nursing Home Neglect Attorneys have been following, the family of a patient who died from an overdose of morphine while receiving physical therapy at a nursing home, has been awarded $4.85 million—after accusing the home of nursing home negligence and wrongful death in a lawsuit.

According to the civil lawsuit filed by the family in 2005, Burr Needham, arrived in the center on April 26, 2002, to receive physical therapy for a hip fracture, and was administered a lethal overdose of morphine. The suit accused Dr. Arun Gupta and a staff of five nurses at the home of nursing home negligence, causing the 76-year-old’s wrongful death on May 2nd.

According to the medical examiner, the death was a homicide, caused by severe morphine intoxication. The documentation in the suit showed that the staff at the nursing home was unable to account for the dosage of morphine administered to Needham.

The jury ruled that the staff was professionally negligent, and awarded Mrs. Needham, who died of cancer in 2007, $3 million for the loss of companionship she experienced after her husband died. The jury also awarded $1.5 million for Needham’s suffering and pain, and $350,000 in damages.

Nurse Indicted for Chemical Restraint Leading to Nursing Home Resident’s Death

June 28, 2010 | Lebowitz & Mzhen

In recent blog, our Baltimore, Maryland Nursing Home Attorneys discussed the topic of chemical restraints, in regard to a February case, where Britthaven of Chapel Hill Nursing Home was investigated by local and state authorities after Alzheimer’s patients tested positive for opiates that had not been prescribed to them.

This month, Angela Almore, a 44-year old registered nurse, was indicted in the case, on one count of second-degree murder in relation to the death of Rachel Holliday, a resident of the nursing home who died after being given a heavy dose of morphine. Almore was also charged with six counts of felony resident abuse, related to administering morphine to several patients of the nursing home, causing hospitalization.

The investigation reportedly began after a few patients from the Alzheimer’s wing of the nursing home were hospitalized for odd behavior, which led to the discovery of opiates in their blood. The North Carolina State Bureau of Investigation (SBI) and the Attorney General’s Medicaid Investigations Unit, with the Orange County District Attorney, launched a criminal investigation of the nursing home in February to determine if the patients were being over-medicated, abused or neglected, or being subjected to chemical restraint.

The North Carolina Attorney General’s Office claims that after testing, nine out of over twenty-five Alzheimer’s patients at the nursing home tested positive for opiates in February. Holliday, one of the hospitalized patients with high levels of morphine in her system, died on February 16, 2010.

Another Nursing Home Abuse and Negligence Lawsuit Against Good Samaritan and Former Aides

June 25, 2010 | Lebowitz & Mzhen

In a recent nursing home abuse case that our attorneys at Lebowitz and Mzhen Personal Injury Lawyers discussed in a blog, the Evangelical Lutheran Good Samaritan Society in Albert Lea, Minnesota, was sued, after nursing home residents were reportedly subjected to a pattern of nursing home abuse over a period of around five months by nursing assistants in 2008.

Another lawsuit was filed last week in the same elder abuse incident, seeking damages from Good Samaritan, and accusing the supervisors of nursing home negligence for failing to screen employees to prevent abuse. The lawsuit claims that the nursing home failed to properly supervise the four nursing assistants, who are accused of abusing patients in a sexual, physical and emotional way.

In the original case filed earlier this year, the four former nursing assistants were accused of physically and emotionally abusing fifteen Alzheimer’s and dementia patients while videotaping the abuse. The nurses were accused of civil assault, battery and causing emotional distress, and the nursing home was accused of failing to protect the elderly residents from abuse and neglect, and neglecting to properly supervise the nursing aides.

This is the fourth civil lawsuit filed in South Dakota connected with the case, filed on behalf of Beverly Butts. It is similar to the Freeborn County case from January, but the reported victims named in the case have since died, and according to the Globe Gazette, when Minnesota victims die, liability goes away. But family members of the victim can pursue claims in South Dakota, as Sioux Falls is the headquarters for the nursing home chain.

Maryland Health Care Field Takes Action to Prevent Bedsores

June 24, 2010 | Lebowitz & Mzhen

Nursing homes and hospitals are working together in Baltimore, Maryland to reduce the amount of bed sores, or decubitus ulcers, that develop when patients stay in one position too long—restricting blood flow, which can lead to skin breakdown.

According to a recent report in the Baltimore Sun, Maryland has a higher than the national average of bed sore incidents in nursing homes and hospitals. The National Pressure Ulcer Advisory Panel reported that in the second quarter of 2009, the national average of bed sores was 11 percent, with bed sores developing among 14 percent of residents staying in Maryland nursing homes.

The Agency for Healthcare Research and Quality reports that after a patient develops pressure sores, their stay in the hospital or nursing home, can double, even triple, with complications arising from bed sores such as osteomyelitis, or sepsis, which can also lead to wrongful death. The treatment of severe bed sores can reportedly cost as much as $55,000, and hospitals are often not reimbursed by insurers when a patient needs to stay longer as a result of a bed sore.

All stages of bed sores are preventable, as long as nursing home residents are provided with appropriate care, and nursing home staff is educated on bed sore prevention. In a statewide effort to reduce bedsores, the Maryland health care field is taking action, to prevent bedsores from developing, to prevent patient injury, and to reduce cost for the state.

White House Honors Elder Abuse Awareness Day

June 17, 2010 | Lebowitz & Mzhen

In Washington D.C. this Tuesday, the White House honored the 5th annual World Elder Abuse Awareness Day, that was launched in 2006 by the International Network for the Prevention of Elder Abuse (INPEA) and global organizations as a direct response to the growing problem of elder abuse and neglect around the country and world.

According to a White House press release, every year approximately 700,000 to 3.5 million elderly Americans are abused, neglected or exploited. Seniors who experience abuse and neglect reportedly face a higher risk of premature death—300% more than elderly residents who have not experienced abuse.

Although all Americans have the legal right to live out their senior years with integrity and respect, many of our elderly residents experience abuse and neglect, often times by the very people giving them care, with a reportedly large percentage of female victims. In 2006, funds were added to the Violence Against Women Act (VAWA) to help elderly abuse victims, and victims of late life domestic violence—however only 1% of the funds are allotted to older women.

To honor World Elder Abuse Awareness, organizations and agencies around the country are encouraging individuals to raise public awareness of elder abuse and neglect, and to recognize this devastating problem that afflicts senior citizens and often goes unreported. According to research, as few as 1 in 6 reports of elder abuse are brought to the attention of the authorities.

Family of 100-year old Nursing Home Resident files Wrongful Death Suit Against Home

June 10, 2010 | Lebowitz & Mzhen

A wrongful death lawsuit has recently been brought against Brandon Woods of Dartmouth nursing home, by the family of Elizabeth W. Barrow, a 100-year old resident of the facility who was allegedly strangled to death last year by her roommate, who was 98-years old.

Barrow reportedly shared a room with Laura Lundquist, a 98-year old who has been diagnosed with having dementia and paranoia. According to Barrow’s son Scott, Lundquist allegedly harassed his mother for weeks, making her life miserable because she was jealous of all the attention that Barrow received, as well as the window view. Scott Barrow reportedly asked for the women to be separated, but according to the director of the home, Scott Picone, Barrow declined the option of moving rooms. Picone said the two roommates acted like “sisters” and took walks together.

On September 24th of last year, Elizabeth Barrow was reportedly strangled to death in her bed with a plastic bad. The autopsy revealed that she died by means of asphyxiation, but also received blunt force trauma to her arms, leg, skull and chest. Lundquist has been charged with the murder.

The lawsuit claims that the nursing home staff and executive director were negligent, as they were responsible for providing his mother with a safe environment, and they failed. He claims that as a result of the nursing home’s carelessness and negligence, Barrow was forced to suffer consciously until the time of her death.