October 6, 2008

Nursing Home Ombudsman Jobs Cut

The California Long-Term Care Ombudsman Program is the state program responsible to investigate and resolve complaints made by individuals (or their representatives) residing in long-term care facilities such as nursing homes. Last week, when the California budget was signed by Governor Schwarzenegger, he cut state funding for the ombudsman program.

The decision has not gone over well with elder care advocates. The governor's cuts removes roughly 15% of the budget for the program, which translates into a loss of 1.25 of every 3.7 positions.

To contact your local ombudsman's office call the appropriate telephone number in the geographical area the incident leading to the complaint occurred.

Los Angeles
Region I Santa Monica (310) 899-1483
Region II Los Angeles (213) 617-8957
Region III Reseda (818) 757-1580
Region IV Pasadena (626) 793-3510
Region V Lakewood (562) 925-2346
Region VI San Dimas (909) 394-0416
Region VII Lancaster (661) 945-5563
Region VIII Burbank (818) 563-1957

Orange (714) 479-0107, (800) 300-6222
Riverside (951) 686-4402, (800) 464-1123
San Bernardino (909) 891-3928, (866) 229-0284
San Diego (858) 560-2507, (800) 640-4661

Walton Barber LLP represents people who have been victimized by elder abuse, elder neglect, mistreatment, and nursing malpractice. Cases are accepted in the counties of San Diego, Los Angeles, Orange, Riverside, San Bernardino, Ventura, and Imperial.

September 9, 2008

Southern California Nursing Home Citation Watch

This list contains the issuance of citations to Southern California nursing facilities by the California Department of Public Health over the last six months. All the citations listed are issued for reasons related to patient care. For verification of the citation, please contact the local department office or Walton Barber LLP.

FacilityDateCitation
Los Angeles County
Brighton Convalescent Center05/23/08Class B
Heritage Manor03/7/08Class B
Imperial Convalescent Hosp03/26/08Class B
Ramona Care Center05/23/08Class B
Studio City Rehabilitation Center02/21/08Class A
Villa Oaks Convalescent06/23/08Class B
Windsor Convalescent Long Beach.05/22/08Class B
Windsor Palms Artesia05/23/08Class A
Orange County
Evergreen Fullerton Healthcare04/15/08Class B
French Park Care Center05/20/08Class B
Kindred Healthcare of Orange04/29/08Class B
New Orange Hills04/16/08Class B
Parkview Healthcare04/15/08Class AA
Riverside County
Cypress Gardens06/10/08Class AA
San Diego County
Edgemoor Geriatric Hosp.06/26/08Class A
Cypress Gardens Rehabilitation03/20/08Class A
Lemon Grove Care & Rehab.07/16/08Class B
Villa Las Palmas07/01/08Class B
Vista Healthcare04/11/08Class B
Santa Barbara
La Cumbre Senior Living07/24/08Class B & A
Country Oaks Care Center5/20/08Class B

Class AA: The most serious violation, AA citations are issued when a resident death has occurred in such a way that it has been directly and officially attributed to the responsibility of the facility, and carry fines of $25,000 to $100,000.

Class A: Class A citations are issued when violations present imminent danger to patients or the substantial probability of death or serious harm, and carry fines from $2,000 to $20,000.

Class B: Class B citations carry fines from $100 to $1000 and are issued for violations which have a direct or immediate relationship to health, safety, or security, but do not qualify as A or AA citations.

August 22, 2008

Orange County Nursing Home Faces Second Elder Abuse Lawsuit

A Laguna Hills nursing home faces its second lawsuit for elder abuse in three years for the neglect of one of its residents. In both cases the resident died.

Theresa Sperry died in July 2007 after a short stay a Villa Valencia skilled nursing facility. The lawsuit alleges that with two weeks of admission, Sperry developed pressure ulcers on both of her heels that were left untreated, and worsened to the point of spreading to her muscles and exposing bone. The complaint also alleges that Villa Valencia was not adequately staffed to care for its residents.

Pressure ulcers (also called decubitus ulcers or bed sores) are a big problem in nursing homes. Walton Barber LLP has represented numerous nursing home residents who have developed very serious ulcers while under nursing home care. Most sores are a result of a combination of factors: poor nutrition, immobility, and neglectful treatment.

The Orange County nursing home lawsuit seeks unspecified damages.

August 5, 2008

Preventing Elder Abuse in the Nursing Home

We are frequently asked how nursing home neglect or abuse can be prevented. There is no magic answer, but there are things one can do to lessen the odds that a loved one will be subject to physical neglect, financial abuse, or suffer the decline in health caused by poor care. The California Advocates for Nursing Home Reform have published a guide for preventing abuse in long-term care facilities. How does one increase the odds there will be no abuse or neglect?

1. Be very supportive of the transfer to a nursing home. Under most circumstances, the initial entrance to a nursing facility will engender feelings of loss or abandonment. Visit frequently to help with the adjustment.

2. Make the most of visits. Visit frequently, and at different times. Also visit during meal time. This will give you a more complete picture of care and the performance of staff.

3. Get to know the staff. Building personal relationships with the caregivers can be an excellent way to ensure good care.

4. Participate in care planning meeting. No one knows your family member better than you. The care plan meeting will give you an opportunity to alter the course of treatment to meet the needs of your loved one.

5. Be an advocate! Do not be afraid to advocate for the rights of your loved one. All residents have basic rights (click here) and you need to fight for them without fear of retaliation.

Don’t try to do this all alone. Enlist other family members and friends to help, and communicate often. Most nursing homes can provide good care; it’s just a matter of making it happen.

The law firm of Walton Barber LLP is based in Southern California, and represents individuals impacted by neglect and abuse in the nursing home and residential care setting. Cases are accepted in all Southern California counties.

July 18, 2008

Elder Abuse Lawyer – Do You Need One?

Elder abuse comes in a variety of forms. The abuse we hear about most frequently is physical abuse, which includes assault, battery, and sexual offenses, and financial abuse, which is usually a matter of fraud or undue influence upon a senior citizen. Both physical and financial abuse are very serous offenses that should be promptly reported to the police, and a private civil attorney.

Another, less discussed, form of abuse is abuse in the nursing home or assisted living setting. In California, there are approximately 100,000 nursing home beds, and probably an equal number of assisted living beds, and the health and well being inside these facilities usually depends on the quality of the care they are receiving. In truth, the word “abuse” is probably a bit misleading, as these occurrences are usually a matter of neglect of the elderly resident, not physical abuse.

Unfortunately, most instances of neglect or abuse are not reported. Elderly residents are often afraid to report an act of abuse or neglect for fear of retribution by staff, or simply because they cannot stand the thought of being transferred to a different facility. Or, more often, the decline in health caused by the neglect is attributed to some other cause, usually related to old age.

I typically tell people that if there is any unexpected injury, illness, or death, then it’s important to take a look at the records to determine the actual cause. Yes, people of advanced age usually have a variety of health problems, and most of the time illness or death is a naturally occurring event, and not the result of neglect or abuse. But if you, as the loved one, have a sense that something is not right, then I would suggest that an attorney with experience in nursing home abuse or neglect cases take a look at the person’s medical file.

The law firm of Walton Barber LLP represents seniors and dependent adults who are victims of neglect, abuse, mistreatment, and malpractice in the nursing home, assisted living, and residential care setting. Cases in all Southern California counties are accepted, including San Diego, Los Angeles, Orange, Riverside, San Bernardino, Ventura, and Imperial.

June 26, 2008

Southern California Nursing Home Citation Watch

This list contains the issuance of citations to Southern California nursing facilities by the California Department of Public Health over the last six months. All the citations listed are issued for reasons related to patient care. For verification of the citation, please contact the local department office or Walton Barber LLP.

FacilityDateCitation
Los Angeles County
Alden Terrace Convalescent Hosp.04/09/08Class B
Chandler Convalescent02/13/08Class A
Chatsworth Park Care Center03/13/08Class B
Country Villa Park Marino01/28/08Class B(3)
Country Villa Pavilion Nursing03/19/08Class B
Ember Health Care01/31/08Class AA
Gardena Convalescent Hosp.02/05/08Class B
Heritage Manor03/07/08Class B
Imperial Convalescent03/27/08Class B
Lancaster Health Care Center02/13/08Class A
Oceanview Convalescent02/20/08Class B
Royal Oaks Care Center12/11/07Class B
Sophia Lyn Convalescent04/14/08Class B
St. John of God Retirement02/27/08Class B
Studio City Rehabilitation04/02/08Class A
Sunnyview Care Center04/29/08Class B
Tarzana Health and Rehab.02/13/08Class A
Whittier Hills Health Care Center01/07/08Class B
Windsor Palms Care Center of Artesia04/15/08Class B
Orange County
Country Villa Plaza Convalescent03/12/08Class B
Fountain Care Center03/13/08Class B
Newport Subacute Healthcare02/06/08Class A
Palm Terrace Healthcare & Rehab Center02/01/08Class AA
Park Regency Care Center04/11/08Class B
San Bernardino County
Cherry Valley Healthcare02/14/08Class B
Country Villa Rancho Mirage02/05/08Class A(2)
Cypress Gardens Rehabilitation03/20/08Class A
The Springs At The Carlotta03/21/08Class AA
San Diego County
Children's Convalescent Hospital02/21/08Class B
Edgemoor Geriatric Hospital05/09/08Class B
Point Loma Convalescent Hosp.03/10/08Class B
Ventura County
Brighton Gardens of Camirillo.4/16/08.Class B

Class AA: The most serious violation, AA citations are issued when a resident death has occurred in such a way that it has been directly and officially attributed to the responsibility of the facility, and carry fines of $25,000 to $100,000.

Class A: Class A citations are issued when violations present imminent danger to patients or the substantial probability of death or serious harm, and carry fines from $2,000 to $20,000.

Class B: Class B citations carry fines from $100 to $1000 and are issued for violations which have a direct or immediate relationship to health, safety, or security, but do not qualify as A or AA citations.

June 21, 2008

Orange County Jury Awards $2 Million in Nursing Home Neglect Case

A jury in Santa Ana awarded the family of Mary Adams $2 million after the 104-year-old was neglected in a Laguna Hills nursing home. The jury awarded $1 million for the Villa Valencia Health Care's negligence, and another $1 million in punitive damages.

Juror Rory Paster, a 41-year-old engineering analyst who lives in Huntington Beach, said the jury wanted to "send a message that the company should do a better job of treating patients."

According to reports, Adams admitted herself into the nursing home after suffering a fractured leg. Shortly after admission, Adams developed pressure sores on her heels, which were ignored, and not adequately treated. As a result, she contracted sepsis, and died about two months after her admission.

Attorneys for the family alleged neglect and wrongful death, including allegations that the facility’s owner, Sunrise Senior Living, purposely understaffed the facility in an effort to increase profits.

June 18, 2008

Orange County Nursing Home Fined In Resident Death

A nursing home in Anaheim has received a $50,000 fine in the choking death of a resident. The resident, a brain injured man in his forties who had swallowing difficulty, choked on a piece of burrito.

According to reports, a caregiver was preparing the man's meal at Parkview Healthcare Center when he reached for the burrito and put it in his mouth. When he began choking, the Heimlich maneuver was attempted but failed. Caregivers were then instructed to begin CPR, but before doing so, looked in the resident's file to determine to see of there was a DNR (do not resuscitate) order. There was.

A doubtful nursing then called the man's sister, telling her "your bother is turning black, do you want him revived?" When the sister responded "yes." The DNR order was wrong. CPR was started. The man was pronounced dead approximately 30 minutes later. The fine was issued due to the nursing facility's failure to provide "prompt emergency medical care" as requested by the resident.

This was the second time in recent months that the Department of Public Health has fined an Orange County nursing home for a choking death. In April, Palm Terrace Healthcare in Laguna Hills received a fine of $75,000 after a patient drowsy from morphine was given meat and choked to death in her room.