Showing posts with label CANHR. Show all posts
Showing posts with label CANHR. Show all posts

Thursday, March 16, 2017

Dear CA Attorney General: Nursing Home Residents Need Your Attention

With the confirmation of Xavier Becerra as California’s new Attorney General, we have an opportunity to re-introduce our state’s top law enforcement agency to the problems in our state’s nursing homes.

For over ten years, the AG’s office has largely forsaken nursing home residents - contributing to a weak enforcement system that leads to poor care, broken promises, and victimized residents.


Call the AG’s office today to tell them we need their help in addressing abuse and neglect in nursing homes.

The AG’s public inquiry line is (800) 952-5225. 


Full Article and Source:
Dear New Attorney General:  Nursing Home Residents Need Your Attention

Wednesday, July 27, 2016

CANHR: STOP SB503: A Nursing Home Nightmare

Imagine you are an elderly person who recently suffered a fall at home, injuring your leg and ankle. You are sent to a hospital for treatment. At the hospital, you develop an infection and suffer mild delirium. As a result of the delirium, you are prescribed Ativan, a powerful tranquilizer, and Ambien, a sleeping pill, to make sure you stay in bed to protect your leg. You are sent to a nursing home for rehabilitation. You do not sign an admission agreement with the nursing home.

At the nursing home, you receive a notice that the nursing home physician, who has never met you, has determined you are not capable of making your own treatment decisions and so the nursing home will make them for you. The physician has proposed you continue to receive Ativan and Ambien, although they make you groggy and dizzy. He has also proposed the amputation of your leg because of the injuries sustained in the fall. The notice tells you that if you want to keep your leg or avoid the sedating drugs, you must contact an attorney and file a lawsuit.

However, you cannot go to an attorney's office because the physician has ordered that you may not leave the facility due to your incapacity. You have no options.

Full Article and Source:
Stop SB503:  A Nursing Home Nightmare

Saturday, March 19, 2016

CANHR's California Legislative Objectives for 2016

CANHR is sponsoring or co-sponsoring the following bills for the 2016 legislative session.

Sponsored
SB 33 (Hernandez): Medi-Cal Recovery Reform
This bill would limit Medi-Cal recovery for those who are 55+ years of age to only what is required by federal law, and eliminate optional recovery for other services; eliminate recovery on surviving spouses’ estates; allow hardship exemptions for homesteads of modest value. SB 33 is co-sponsored by Western Center on Law and Poverty. Status: SB 33 is pending on the Assembly floor..

SB 924 (Roth): Insurance: Annuity Transactions
Under existing law insurance companies must comply with specific requirements regarding the purchase, exchange, or replacement of an annuity recommended to a senior consumer. The insurance company must have reasonable grounds to believe that the annuity transaction would be suitable for the senior based on certain information including: age, annual income, and whether the consumer has a reverse mortgage. This bill would add the requirement that an insurance company ascertain whether the purchase of an annuity is connected to an attempt to qualify for a government benefit. If a senior is trying to qualify for a government benefit, then the insurance company must determine whether or not it is a suitable transaction. Status: SB 924 has been referred to the Senate Committee on Insurance.

SB 938 (Jackson): Ensuring Appropriate Care for Conservatees with Dementia
This bill would help ensure appropriate care for people with dementia who are conserved. It requires greater detail from a conservatee’s treating health care provider to demonstrate that a proposed psychotropic drug prescription is appropriate and the least intrusive treatment alternative before a court can approve the use of psychotropic drugs for a conservatee with dementia. The bill also updates the definition of dementia to reflect the latest Diagnostic and Statistical Manual of Mental Disorders (DSM) classification of “major neurocognitive disorders.” Status: SB 938 has been referred to the Senate Judiciary Committee.

Please send letters of support to:

Senate Judiciary Committee State Capitol,
Room 2187
Sacramento, CA 95814
Fax: (916) 445-8390 CANHR Support

AB 1655 (Dodd): Medi-Cal: personal needs allowance
This bill would increase the personal needs allowance for Medi-Cal beneficiaries in skilled nursing facilities from $35 to $80 per month, and would require the department to annually increase this amount based on the percentage increase in the California Consumer Price Index. Status: Referred to Assembly Committee on Health.

SB 939 (Monning): CCRC Refunds
This bill would require the continuing care retirement facility to pay the full lump-sum payment that is conditioned upon resale of a unit to the resident within 14 days after resale of the unit and would require the CCRC, for contracts signed after January 1, 2016, to pay at least 20% of the full lump-sum payment to the resident within 120 days after a formerly occupied unit has been vacated. Among other provisions, the bill would require the facility to make the lump-sum payment to the resident’s estate if the resident is deceased. Status: Senate Human Services

Oppose
AB 1779 (Gatto): Nonprobate transfers: revocable transfer on death deed
Existing law creates the revocable transfer on death deed (revocable TOD deed), which can transfer real property on the death of its owner without a probate proceeding. AB 1779 would clarify that a beneficiary of a TOD may include an entity such as a trust. CANHR opposes the TOD, which is an instrument that will likely make many elders even more susceptible to undue influence and elder abuse. These deeds are subject to estate recovery, which means that the low-income elders who are likely to execute TODs in lieu of hiring an attorney, will also be more likely to be on Medi-Cal and thus subject their estates to recovery. CANHR opposes this bill unless amended to specifically exclude TODs from the beneficiary’s recoverable estate. Status: SB 1779 has been referred to the Assembly Judiciary Committee.

For details on specific bills, go to: www.leginfo.ca.gov

Source:
CANHR (California Advocates for Nursing Home Reform)

Friday, January 15, 2016

Community Care Licensing "Confounded" by Elder Abuse



Elder rights advocates testified to failures of Community Care Licensing (CCL), a Division of California's Department of Social Services (DSS). Testimony addressed CCL's failure to intervene in crimes against elders, failure to assess penalties for crimes, and failure to report crimes to law enforcement. Crimes disregarded by CCL included sexual assault, battery, false imprisonment, isolation, and financial exploitation.

Department Director Will Lightbourne testified that he was "confounded" by the Department's backlog. Lightbourne is California's highest paid government employee, receiving $343,000 in pay and benefits annually.

Lightbourne was formerly Director of Santa Clara County's Social Services Agency. Santa Clara County's Public Guardian was in the news for abuse of conservatees, some of which occurred during Lightbourne's tenure in Santa Clara County.

Source:
Community Care Licensing "Confounded" by Elder Abuse

See Also:
Investigating the Public Guardian

Friday, June 26, 2015

California Court Says No More Nursing Home Death Panels


The Alameda County Superior Court has ruled nursing homes that give mind-altering drugs and withdraw life-sustaining treatment to “unrepresented” residents are violating the state constitution and must stop immediately. The case, CANHR v. Chapman, was brought by Professor Mort Cohen of Golden Gate University Law School on behalf of California Advocates for Nursing Home Reform (CANHR) and several nursing home residents against the California Department of Public Health (DPH).

Since 1992, California nursing homes have used Health and Safety Code §1418.8, a law allowing nursing homes to make routine medical decisions for residents who lack mental capacity and do not have family or other surrogate decision-makers, to drastically limit the lives and liberty of their residents. DPH has interpreted this law to permit facilities to tie residents to their beds, force them to take antipsychotic drugs as chemical restraints, and authorize the withdrawal of treatment necessary to sustain life.

The Court found Section 1418.8 facially unconstitutional for its failure to provide residents with any notice they had been determined “incapacitated” or that medical decisions were being considered without their input. The Court also held that the state constitution prohibits nursing homes from drugging residents or withdrawing life-sustaining treatment without more due process than Section 1418.8 provides.

According to Professor Cohen, “The judge understood that what is convenient for nursing homes turns out to be highly intrusive to residents. This decision recognizes that people do not lose their rights to life and liberty simply because they live in a nursing home.”

Pat McGinnis, Executive Director of CANHR stated “This is an amazing victory for nursing home residents and all Californians. The decision will ensure that residents are protected from poorly considered treatment and are given the full respect that our constitution affords.”

The Court recognized that its ruling “will likely create problems in how many skilled nursing facilities operate” but “the court has considered this burden and weighed it against due process concerns, and finds that the due process rights of these patients is more compelling.” [emphasis added]

Click here to see the court’s full decision...

Full Article & Source:
California Court Says No More Nursing Home Death Panels

Sunday, February 2, 2014

Plans for Sweeping Change at CA Assisted Living Homes!

A bipartisan group of California legislators is calling for widespread changes in how the state licenses assisted-living homes, from increasing the public's ability to review complaints made against facilities to quadrupling the number of training hours required of caregivers.

With more than a dozen bills making up a residential-care-facility reform package - their costs not yet determined - advocates calling for greater transparency and accountability say they feel confident the money needed to fix the Department of Social Services' Community Care Licensing Division will be there.

Those efforts will be aided by state Sen. Mark Leno, D-San Francisco, and Assemblywoman Nancy Skinner, D-Berkeley, who control the purse strings in each house as budget chairs. Both are authoring bills addressing residential-care concerns borne from last year's faulty closure of Valley Springs Manor in Castro Valley.

More than a dozen residents were left behind at the assisted- living facility after the state ordered the care home to be closed but did little to ensure that its elderly residents were transferred or cared for.

A cook and a janitor with no training in caring for the elderly stayed with the residents after caregivers and managers left. The two, working without pay, repeatedly called 911, saying the residents needed help. The owner of the facility had previous violations at a facility in Oakland.

Most of the bills highlighted by lawmakers on Monday are sponsored by the California Advocates for Nursing Home Reform. State Senate Majority Leader Ellen Corbett, D-San Leandro, has one of the key bills of the reform package, which requires annual state inspections of assisted-care facilities, compared with the every-five-years model currently in place.

Leno is planning to introduce a bill that bans assisted-living facilities from accepting new residents if serious health or safety violations have not been addressed or if there are unpaid fines. Other lawmakers have plans for bills that increase fines or require caregivers to have 40 hours of training, instead of 10 hours, before working with elderly residents.

Full Article and Source:
Plans for Sweeping Change At Assisted Living Homes

See Also:
CANHR.org

Monday, May 13, 2013

Linda Kincaid Reports: Elder Advocates Urge Support for California AB937 to Curb Elder Abuse

California's AB937, introduced by Assembly Member Bob Wieckowski,codifies basic personal rights for the state’s most vulnerable citizens. The right to have visitors, the right to receive phone calls, and the right to receive mail are already part of California law. However, these personal rights are often violated by court appointed conservators seeking unbridled power over vulnerable individuals.

Section 2351 of the Probate Code is amended to read:
(a) Subject to subdivision (b), the guardian or conservator, but not a limited conservator, has the care, custody, and control of, and has charge of the education of, the ward or conservatee. This control shall not extend to personal rights retained by the conservatee, including, but not limited to, the right to receive visitors, telephone calls, and personal mail, unless specifically limited by court order.
In favor of the bill are  California Advocateds for Nursing Home Reform (CANHR),  Consumer Advocates for RCFE Reform (CARR), numerous Long-Term Care Ombudsman and elder advocates throughout the state. Families of abuse victims strongly favor the rights stated in AB937.

Opposing the bill is the Californial Association of Public Administrators, Public Guardians and Public Conservators.  Santa Clara County Public Guardian Don Moody and Director of the California Department of Social Services Will Lightbourne are also on record as opposing personal rights for conservatees.

Opposition from Moody and Lightbourne is not surprising. Moody’s department unlawfully imprisoned and isolated conservatees Gisela Riordan and Lillie Scalia for years. The abuse began when Lightbourne was Santa Clara County Social Services Agency Director. After moving to Sacramento, Lightbourne publicly supported ongoing abuse by Moody. Riordan and Scalia regained their rights only after coverage by the ABC7 I-Team in San Francisco.

AB937 does not change California law. The bill simply clarifies existing personal rights and codifies those rights into the Probate Code.

The full Assembly will vote on AB937 on Thursday, May 16, 2013.
Letters of support can be sent to:
Legislative Aide Heather Falkenthal
Assemblymember Bob Wieckowski
Office: (916) 319 - 2025
Fax: (916) 319 - 2125
Heather.Falkenthal@asm.ca.gov

Full Article and Source:
Elder Advocates Urge Support of California AB937 to Curb Elder Abuse

Read AB937

Sunday, February 3, 2013

Current Women’s Equality Issues Public Policy Conference




CANHR's Executive Director Patricia McGinnis will be a speaker at the Current Women’s Equality Issues Public Policy Conference on Saturday February 9, 2013 at the Ontario Airport Hotel in Ontario, CA.

For More Information

Friday, December 21, 2012

CANHR Lawsuit Targets Nursing Home Management and Fees

A lawsuit filed by CANHR against the Department of Public Health and Country Villa Service Corp, challenges the state-approved practice of allowing Country Villa nursing homes to contract out their operations to another entity owned by Country Villa.

The “management’ company then receives a percentage of revenues (often 5%) from the facilities they operate. Besides CANHR, the plaintiffs include Gail Dawson, an individual. CANHR and Ms. Dawson are represented by Russell Balisok and Silvo Nardoni of Glendale. The lawsuit asks for declaratory relief invalidating state statutes as in conflict with federal law; for an order requiring disgorgement of all management fees paid; and for a permanent injunction.

Source:
CANHR Lawsuit Targets Nursing Home Management and Fees

See Also:
Read CANHR's Lawsuit

Wednesday, September 26, 2012

Use of Chemical Restraints in Nursing Homes Called an Epidemic

Nearly 25 percent of the residents in California's nursing homes are placed on antipsychotic drugs, often used as sort of a chemical leash to control behavior in a trend a watchdog called an epidemic Thursday at a symposium.

The drugs can double the risk of death for seniors with dementia and cause side effects ranging from stroke to delirium, according to speakers at an Oxnard conference called "Toxic Medicine." Often the drugs are given in nursing homes or other facilities for dementia without the informed consent of residents or surrogates and are used as a restraint rather than to treat psychiatric conditions.

Over the past decade the use of the drugs has evolved from a sniffle to a flu to something much worse, said Sylvia Taylor Stein, of the Long Term Care Services of Ventura County ombudsman program.

"By 2010 we had an epidemic," she said in a symposium organized by her group and the California Advocates for Nursing Home Reform. It was attended by a packed house of nursing home leaders, assisted-living administrators, elder abuse lawyers and state licensing agencies.

Some at the conference linked the use of antipsychotics to staff shortages that make it impossible for employees to properly care for patients, state cuts in mental health programs that have brought more patients with psychiatric problems to long-term care facilities and doctors who have a drug-first mentality when it comes to long-term care residents.

Anthony Chicotel, an attorney with the California Advocates for Nursing Home Reform, said there are appropriate uses of the medication, such as when a patient has illnesses like schizophrenia. But Medicare statistics from the second quarter of last year showed 24.2 percent of the residents in the state's nursing homes were on antipsychotics. Medicare statistics from 2009 showed the use of the medication fluctuated greatly at different Ventura County nursing homes — from a low of 7 percent of the patients on the drugs seven days over one week to a high of about 30.6 percent.

Often, use of the drugs becomes ingrained in a long-term care site's culture, Chicotel said. When patients with dementia or other issues yell in the middle night, hit other residents or try to flee the place, staff members call the physician.

"Hey doc, we have a new resident. He's out of control. He's throwing feces. We need a pill," he said.

Full Article and Source:
Use of Chemical Restraints in Nursing Homes Called an Epidemic

See Also:
CANHR.org

Wednesday, September 12, 2012

CANHR: STOP Drugging Our Elderly!

California Advocates for Nursing Home Reform has launched a campaign to end the misuse of psychoactive drugs in California nursing homes.

Source:
"Stop Drugging Our Elderly" Part 1 of 3 by California Advocates for Nursing Home Reform"


Source:
"Stop Drugging Our Elderly" Part 2 of 3 by California Advocates for Nursing Home Reform"


Source:
"Stop Druggng Our Elderly" Part 3 of 3 by California Advocates for Nursing Home Reform"

See Also:
CANHR.org

New "Nursing Home Inspect" Tool

ProPublica, an independent, non-profit newsroom that produces investigative journalism in the public interest, has unveiled a new interactive tool to search nursing home inspection reports.

The site, called Nursing Home Inspect, allows users to search through thousands of recent government inspection reports from around the country, most since the beginning of 2011. Nursing Home Inspect also allows searches by keyword and city, as well as by a home’s name, and allows searches across all the reports at once. Users can search by state or by the severity level of the deficiencies cited.

The default search ranks results by the severity level of the problem found. As of August 14, 2012, the underlying database covers nearly 118,000 deficiencies at 14,565 homes. There are more than 15,000 nursing homes in the U.S., and as CMS releases newer inspection reports in the future, we plan to add them.
Go to: Nursing Home Inspect

Source:
CANHR: New Nursing Home Inspect Tool

Monday, July 30, 2012

CANHR Releases 'Operation Guardians' Report

Untreated bed sores and infections, residents left for hours lying in their own waste, a resident with maggots in a festering rectal wound. Despite a generation’s worth of state and federal laws to guarantee a satisfactory standard of care in California nursing homes, an alarming number of facilities are failing to deliver decent humane care to their residents. This is the takeaway from CANHR’s hair-raising review of fourteen reports from California’s Operation Guardians, a project of the state Department of Justice’s Bureau of Medi-Cal Fraud and Elder Abuse. The reports reveal a shameful state of affairs in the reviewed nursing homes that is fostered, in part, by a lack of statewide enforcement from the Department of Public Health (DPH).

Operation Guardians began in 2000 to conduct surprise, on-site inspections of California nursing homes in an effort to protect residents and improve care for elderly and dependent adult residents. (See Operation Guardians description) While the project has scaled back its number of inspections, it still manages to inspect about one new nursing home each month. Each inspection results in a report detailing the facility’s compliance with basic sanitation and quality of care standards. The reports are sent to DPH so it can conduct an independent investigation and issue appropriate enforcement actions. The reports are not made available to the public. CANHR made a Public Records Act request to obtain all reports issued from January 1, 2010 through March 7, 2012 and has subsequently posted the reports to its website. It is believed that CANHR is the first organization to publicly reveal the Operation Guardians reports.




Each of the nursing homes listed below were investigated by Operation Guardians staff between January 1, 2010 and March 7, 2012. If you click on the facility’s name, you will see a summary of the findings as well as a link to the full report and, where available, a supplemental physician’s report.

Bakersfield Healthcare Center - Bakersfield

Braswell's Hampton Manor - Yucaipa

Desert Knolls Convalescent Hospital - Victorville

Evergreen Healthcare Centers of Vallejo - Springs Road (aka. Springs Road Healthcare) – Vallejo

Florin Healthcare Center - Sacramento

Golden Cross Health Care - Pasadena

Motion Picture and Television Fund Skilled Nursing Units - Woodland Hills

Plott Nursing Home - Ontario

Roseville Point Health & Wellness Center - Roseville

Sunrise Convalescent Hospital - Pasadena

Tarzana Health and Rehabilitation Center - Tarzana

Windsor Redding Care Center - Windsor

Winsor House Care Center (aka. Orchard Post Acute Care) – Vacaville

Yuba Skilled Nursing Center - Yuba City

Source:
Operation Guardians - Executive Summary

Press Release: Canhr Releases Attorney General Reports Showing Rampant Abuse and Neglect in Fourteen California Nursing Homes

Attorney General's Description of Operation Guardians

California Advocates for Nursing Home Reform - CANHR

Monday, November 28, 2011

Falsified Patient Records are Untold Story of California Nursing Home Care


On September 18th and 19th, the Sacramento Bee published an alarming series on the common complaint that nursing home records often have little to do with reality. The two-day series examined cases involving falsified nursing home records, including fabricated records that played a role in the death of a resident. In addition to pointing the finger at nursing homes for creating fake records, the articles illustrate how little the California Department of Public Health is doing to address this problem.

The series included the following tips from CANHR on monitoring nursing home records.

CHARTING - YOUR CHECKLIST

• Nursing home residents and their representatives have a right to review the individual's medical records.

• Review the resident's written assessment, known as the minimum data set, or MDS. Also ask to see the resident's care plan upon admission, and each time it is updated. Ask the nursing home to make changes and corrections as needed.

• Review medication records periodically to make sure the resident is not being given any drugs, especially psychoactive drugs, without knowledge and consent.

• Check routine nursing records, such as bathing ledgers, if neglect is suspected.

• If a resident is injured or abuse is suspected, review the nursing notes during the period in question and ask for copies of any official reports.

• If therapy services are being discontinued, denied or are otherwise in question, examine the therapy notes and physician orders to evaluate if the resident's therapy needs and services are appropriately documented.

• Social service notes can be a good source for learning the resident's overall status and care needs.

• If the doctor has ordered lab work, review test results and whether the staff and doctor have taken appropriate action.

• If you have concerns about the content or accuracy of any records, request copies immediately.

Source:
Falsified Patient Records are Untold Story of California Nursing Home Care

See Also:
CANHR.org

Wednesday, February 24, 2010

Drugged Into Silence - and Death

Psychotropic drugs were used to control residents who didn't need them at a Kern Valley Healthcare District center, complaint alleges. Three people died.

An an elder abuse case described by one investigator as the most outrageous he has ever seen, three former top managers at a Kern County nursing home have been arrested in the deaths of three residents who allegedly were given needless doses of psychotropic medications.

The state attorney general's office contended in a criminal complaint that more than 20 residents at a skilled nursing center run by the Kern Valley Healthcare District were drugged "for staff convenience." Many of them experienced side effects that included dramatic weight loss, slurred speech, tremors, loss of cognition and even psychosis, according to the complaint.

"These people maliciously violated the trust of their patients by holding them down and forcibly administering psychotropic medications if they dared to question their care," state Atty. Gen. Jerry Brown said.

All three have been charged with elder abuse. [Former nursing director Gwen] Hughes and [former chief pharmacist Debbi C.]Hayes, who are accused of administering shots by force and without consent, also face charges of assault with a deadly weapon.

Source:
Three Arrested in Nursing Home Deaths in Lake Isabella

See Also:
CANHR Report: Toxic Medicine

Saturday, February 13, 2010

CANHR Report: Toxic Medicine

CANHR is pleased to announce the release of "Toxic Medicine: What You Should Know to Fight the Misuse of Psychoactive Drugs in Nursing Homes."

The new guidebook covers all of the basics regarding psychoactive drugs in nursing homes, from a description of their uses and side effects to an examination of the applicable laws.

Most importantly, the guide gives practical tips for nursing home residents or their family members to prevent misuse of psychoactive drugs. Releasing the guide is just the first stage of CANHR's 2010 Campaign to End Inappropriate Drugging of California Nursing Home Residents.

Source:
TOXIC MEDICINE: What You Should Know to Fight the Misuse of Psychoactive Drugs in California Nursing Homes

See Also:
California Adovcates for Nursing Home Reform (CANHR) website