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Monday, January 20, 2025

Families object to settlement amounts in class action lawsuit against disgraced nursing home owner


Story by Shay O'Connor

On Thursday, a Jefferson Parish judge announced that families involved in a class action suit against disgraced nursing home owner Bob Dean would receive final payments soon.

This, as some plaintiffs appeared in court and pleaded for more money.

Hundreds sued Dean for transporting their older family members to a warehouse in Tangipahoa Parish during Hurricane Ida.

About a dozen people died at the site.

Mitchell Harris is the son of Debra Whiltberger.

"We didn't get justice through Bob Dean. He's living in a nice, beautiful mansion. We are here with nothing," Harris said.

Harris said his mom was 60 years old when she died just weeks after enduring horrid conditions at a warehouse in Independence in the wake of Hurricane Ida.

"She was bedridden. She had had several strokes. Couldn't walk or eat by herself. Had no water, during that time, no nothing. Just laid there. I don't know how she did it," Harris said.

Harris said his family was allocated $10,000 in an initial settlement, and he has to pay attorney fees out of that amount.

It's why he went before the judge to object.

"I'd rather take a loss and fight it than someone offer me an insult on what they think my mom's life was worth," Harris said.

He is not alone. Jeanette Triplette said her mom is still dealing with the latest effects from the terrible experience.

"You can't put a price on someone's life. You can't put a price on someone's quality of life," Triplette said.

More than 400 patients or their living family members are to split under $9 million in Bob Dean's insurance proceedings. Each of the families who participated in the class action lawsuit received allocation letters based on how much officials believed they are owed.

People received different amounts.

These requests come as attorneys said they feel the process has been smooth, given the circumstances.

"Watching from the outside, it seems like it's been longer. But inside the legal system, it has moved very quickly," said attorney Rob Couhig Jr.

Attorneys said most should have received at least two payments. The biggest lump sum is expected to go out to families. Another payment could follow based on what is left after that.

WDSU spoke with at least one family who said they received their allocation letter, but so far, no payments.

"None whatsoever. They sent like $1,000 and $1,700 out. We never got none of that," said Rachael Ayo, daughter of Ella May Alario.

Dean was sentenced to three years' probation last July and ordered to pay $2 million in restitution. There is expected to be another hearing to address the plaintiff's request.

The judge also said if he agrees to the objection it will slow the process for those families who objected. But he will look into the matter.

Full Article & Source:
Families object to settlement amounts in class action lawsuit against disgraced nursing home owner

See Also:
Bob Dean

Monday, December 9, 2024

Settlement offers nearly $9M to Louisiana nursing home residents kept in warehouse during hurricane

Associated Press


Some of the elderly residents of seven Louisiana nursing homes who were sent in 2021 to ride out Hurricane Ida in a crowded, ill-equipped warehouse are being offered shares of a nearly $9 million settlement after they sued.

Retired state judge William “Rusty” Knight told The Times-Picayune of New Orleans that all the 427 former residents who filed legal claims are being sent letters outlining the proposed settlement. Knight said amounts differ based on patients’ individual circumstances.

People who don’t contest the amount offered can expect to receive money within a few weeks. A hearing for those who want to fight the settlement will be held in January.

“It’s been a longer road getting here than we wanted it to be,” Knight said. “Nobody’s getting what they should. quite frankly, because there’s not enough money.”

Bob Dean Jr., 70, owned seven nursing homes in New Orleans and southeast Louisiana. As Ida approached, Dean moved hundreds of residents into a building in the town of Independence, roughly 70 miles (110 kilometers) northwest of New Orleans.

Authorities said conditions at the warehouse deteriorated rapidly after the powerful storm hit on Aug. 29, 2021. They found ill and elderly bedridden people on mattresses on the wet floor, some crying for help, some lying in their own waste. Civil suits against Dean’s corporation said the ceiling leaked and toilets overflowed at the sweltering warehouse, and there was too little food and water.

Within days after the storm hit, the state reported the deaths of seven of the evacuees, five of them classified as storm-related.

By the time Dean was arrested on state charges in June 2022, he had lost state licenses and federal funding for his nursing homes. Dean pleaded no contest to 15 criminal counts in July and was sentenced to three years of probation, paying $258,000 in restitution and more than $1 million as a penalty.

Last month, Dean agreed to pay $8.2 million to the federal government to settle allegations that he misused assets and income from four nursing homes whose loans were insured by the Federal Housing Administration. Prosecutors say he funneled nursing home money to his personal bank accounts, using the money to buy antiques, guns and cars.

But Dean also faced civil lawsuits or legal claims from 427 of the 843 patients who were taken to Independence, or their surviving relatives. Many of the plaintiffs and their lawyers have suggested Dean was hiding other assets.

Knight said he knows of 165 of Dean’s former residents who have died since the evacuation, and he said he expects to learn more people have died as responses to the settlement offer are returned.

Full Article & Source:
Settlement offers nearly $9M to Louisiana nursing home residents kept in warehouse during hurricane

Wednesday, July 24, 2024

Nursing home owner who left 800 people in warehouse during Hurricane Ida avoids jail time

Bob Dean Jr gets probation after pleading no contest to counts of cruelty to infirmed people and healthcare fraud

By: Ramon Antonio Vargas


A Louisiana nursing home magnate who left 800 elderly residents to endure a potent hurricane inside a fetid warehouse has avoided prison time after choosing not to dispute the cruelty charges facing him.

Bob Dean Jr on Monday received three years of probation – along with about $2m in penalties, court costs and restitution – after pleading no contest to eight counts of cruelty to infirmed people, five of healthcare fraud and two of obstruction of justice.

An undated image provided by the Tangipahoa parish sheriff’s office of Bob Dean Jr. Photograph: AP

Dean entered his plea at a state courthouse in Amite City, Louisiana, about three years after several deaths during Hurricane Ida in 2021 were linked to the storage facility at the center of the case against him.

Louisiana’s state attorney general, Liz Murrill, said prosecutors had unsuccessfully asked Judge Brian Abels to sentence Dean to least five years imprisoned and not “only probation”. Abels technically handed Dean a 20-year prison sentence but deferred it in its entirety in favor of probation.

“Our prosecutors urged that Mr Dean be held accountable for his actions, which led to the deaths of numerous elderly individuals,” Murrill said in a statement. “I respect our judicial system and that the judge has the ultimate discretion over the appropriate sentence, but I remain of the opinion that Dean should be serving prison time.”

Abels said the 70-year-old Dean’s age, lack of prior criminal convictions and the amount he had to repay all factored into his sentence, according to a report from the CBS affiliate WWL Louisiana.

The outlet added that family members of people who died at the warehouse addressed Abels through tears Monday, saying they never got a chance to say goodbye to loved ones who were left to die at the facility.

Dean sent 843 residents of seven Louisiana nursing homes to a squalid, former pesticide plant in the town of Independence, about 70 miles (110km) north-west of New Orleans, to ride out Ida as the category 4 storm took aim at the region.

With winds of about 150 miles (241km) an hour, Ida caused widespread power outages and other devastation across south-east Louisiana in August 2021. Residents of Dean’s nursing homes were later found sleeping on mattresses atop a wet floor – without access to their medicines, sobbing and lying in their own feces.

Warehouse conditions devolved after the failure of generators meant to provide electricity to the facility. Indoor temperatures soared to dangerous levels, prompting warnings from caretakers that Dean ignored.

The ceiling leaked, toilets overflowed and there was not enough food or water for residents who were packed in so closely it was impossible to comply with social distancing guidelines in effect at the time because of the Covid-19 pandemic.

Officials ultimately linked five of the 26 deaths that occurred in Louisiana because of Ida to the warehouse in question. Ensuing investigations determined Dean had billed the federal Medicaid program for dates his residents were not receiving care, refused to move clients out of the warehouse and “engaged in conduct intended to intimidate or obstruct public health officials and law enforcement”.

Dean later lost his licenses and federal funding to operate his nursing homes. And in June 2022, prosecutors filed the criminal charges to which he later pleaded no contest.

Though Abels said Dean had no history of criminal convictions, the case resolved on Monday was far from Dean’s only recent legal issue.

Notably, he also grappled with several lawsuits from families of those left in the Independence warehouse.

About three months after authorities charged him, attorneys for the plaintiffs announced a $12m settlement with Dean. A February 2023 report from the Louisiana news outlet nola.com reported that the families had not gotten any settlement payments, which average about $10,000 per nursing home at the warehouse after accounting for attorneys’ fees and other costs.

Elsewhere, Georgia authorities charged Dean with criminal conduct after he shot his thumb off there – and Oregon officials scrutinized him after cattle from his ranch in that state needed to be rescued from a snowstorm, nola.com also reported.

Dean’s attorney, J Garrison Jordan, told nola.com that his client’s plea and sentence Monday were “a fair disposition of the case, and everybody has closure”.

Full Article & Source:
Nursing home owner who left 800 people in warehouse during Hurricane Ida avoids jail time

Wednesday, November 9, 2022

Plaintiffs win class action lawsuit against Bob Dean over Hurricane Ida nursing home evacuations

In advance of the Hurricane Ida, 843 nursing home residents from Orleans, Jefferson, Lafourche, and Terrebonne parishes were packed into a warehouse in Independence.


NEW ORLEANS — After hearing dueling legal arguments from high-powered local plaintiffs’ attorneys, a Jefferson Parish judge ruled Monday in favor of a class-action settlement against nursing home owner Bob Dean stemming from his ill-fated evacuation of 843 of his patients during Hurricane Ida.

Judge Michael Mentz approved the settlement that would divvy up Dean’s insurance coverage – about $15 million – with 22.5 percent of that covering legal fees for Couhig Partners, LLC, the law firm that pushed for the quick resolution.

Early estimates peg the amount going to individual plaintiffs at less than $10,000 each, although the amounts will be higher or lower depending on hardships suffered by each patient.

Several patients died and others had to be hospitalized after they were rescued by state officials from Dean’s warehouse in Tangipahoa. WWL-TV was the first to report on the unsanitary conditions at the shelter, including lack of food, water and bathroom facilities.

The settlement agreement was far from unanimous, with other attorneys led by well-known accident attorney Morris Bart objecting, saying the agreement lets Dean personally off the hook. However, Couhig Partners, LLC, which negotiated the settlement said time is of the essence for the aging plaintiffs.

Don Massey, of the Couhig firm, applauded the judge’s ruling to go forward with the settlement.

“We’re pleased that the judge took into account the important facts of our clients’ age and how much they suffered already and the need to give folks some closure,” Massey said after the hearing. “We’re pleased that the judge recognized the obvious, that Mr. Dean no longer has any assets, he’s under criminal prosecution, he’s under a guardianship.”

But other attorneys with lawsuits believe that Dean has not fully disclosed all of his assets, which had included everything from an antique car collection to several houses across the country.

Well-known New Orleans accident attorney Morris Bart, who represents more than 100 plaintiffs, was among those who unsuccessfully argued to spend more time investigating Dean’s assets.

“This class-action settlement is very unfair,” Bart said outside of the courthouse. “We have fought for our clients and despite the judge’s ruling today, we are going to continue to fight for our clients to get them the compensation they deserve for this horrible travesty that they have been through.”

Bart said his firm will appeal Mentz’s ruling.

“We will 100 percent appeal this,” he said. “This judgment allows Bob Dean to walk away without paying one dollar for his actions. Not one dollar for what he did. We think that’s unfair. We presented evidence that Bob Dean is worth $15 to $20 million dollars and right now today continues to live as a king in his estate in Georgia.”

Mentz acknowledged the different positions taken by the attorneys, but said that after hearings last week, he was not convinced that Dean’s assets exceeded the amount of his debts.

“Every day that the settlement is delayed, the amount of debt against Mr. Dean continues to grow,” Mentz said in his ruling from the bench. “And every day, more plaintiffs die.”

In the end, Mentz said he was faced with a “lose, lose, lose situation” in which Dean has lost his nursing home empire while his patients and their families suffered greatly during the storm and, as a result of Dean’s crumbling fortunes, “they lost the ability to be fully compensated.”

Dean, who lives in Georgia, still faces felony criminal charges in Louisiana, including cruelty to the infirm and Medicaid fraud.

Full Article & Source:
Plaintiffs win class action lawsuit against Bob Dean over Hurricane Ida nursing home evacuations

Sunday, November 6, 2022

Jefferson Parish judge will give ruling Monday on Bob Dean nursing home settlement

by Cassie Schirm

A Jefferson Parish judge rule on a proposed class-action settlement over nursing home owner Bob Dean Jr.'s deadly evacuation of 843 Louisiana residents during Hurricane Ida will happen Monday.

Dean is accused of evacuating seven nursing homes to a warehouse in Independence.

Conditions in the warehouse in Tangipahoa Parish quickly deteriorated, with one lawsuit claiming things were "horrific."

At least four people died, and the state quickly shut down the site and transferred residents.

Records show Dean wasn't there and ignored staff begging for help.

Since then, Dean has been, according to his attorneys, diagnosed with dementia at age 69 and under guardianship. His wife, Karen Dean, has been named his guardian.

Back in September, the class action council and the plaintiff attorneys met to discuss an all-or-nothing class action settlement that would be paid through insurance and give each resident roughly $17,000. That is not including attorney fees and costs.

Some lawyers requested additional time to determine if Dean has more money or assets to put toward a settlement.

In this week's hearings, Dean's attorneys argued that Dean is now at least $40 million in debt and now owes over $73 million in lawsuit judgments and that there was no way he would ever get out of the red.

Attorneys went on to say that he had no more money to give after having everything taken away from him.

Even though he was subpoenaed, Dean did not show up to court this week.

Matthew Hemmer, an attorney for the Morris Bart law firm, pushed back pointing out that Dean has not filed for bankruptcy, and they have not seen his full financials. Saying there could be more assets in the dozens of properties possibly connected.

Hemmer said if there is more money, the families have a right to fight for it.

"That's really what we're trying to get at," Hemmer said. "We want them to have the choice to be able to say this is a fair deal or no we want to chase them for more, that's what it comes down to. Should the victims have a choice."

Attorney Rob Couhig, co-class counsel, said the time is now as it's costing the families more by dragging it out mentally and financially saying the debt for Dean grows by $12,500 a day.

“We can’t bring back those five days, but we can make it a little bit better for the families and those who have survived,” Couhig said. “These people are dying. They’re old."

Since the evacuation over a year ago, attorneys believe more than 100 residents have passed away.

District Judge Michael Mentz said he would give a ruling by Monday on whether to approve the all-or-nothing class action settlement.

Full Article & Source:
Jefferson Parish judge will give ruling Monday on Bob Dean nursing home settlement

Wednesday, November 2, 2022

Nursing home owner Bob Dean loses legal control as judge weighs Ida evacuation settlement


BY JOHN SIMERMAN

A Jefferson Parish judge is scheduled to consider a proposed class-action settlement Wednesday over nursing home owner Bob Dean Jr.’s botched evacuation of 843 south Louisiana patients for Hurricane Ida.

Dean likely won’t appear to testify, though he's received a subpoena. That's because a probate judge in Georgia last month granted a petition to appoint Dean's wife, Karen Dean, as his emergency guardian, records show.

Those records cite medical evaluations that “support a determination (Dean) is diagnosed with dementia, short-term memory issues, and bipolar disorder,” the court order states. 

In Georgia, judges may name a guardian or conservator if they find an adult “lacks sufficient capacity to make or communicate significant responsible decisions concerning the management of his or her property.”

The Sept. 26 order grants Karen Dean authority over her husband's medical treatment, contracts and legal matters. It says Bob Dean, 69, is at least $40 million in debt. There is no end date to the guardianship, a court official said.

How the Georgia order might affect the hearing this week before 24th Judicial District Judge Michael Mentz is uncertain.

Dean's lawyers have long argued that Dean suffers from dementia, and he's managed to avoid giving sworn statements over the evacuation of seven south Louisiana nursing homes to a Tangipahoa Parish warehouse. 

His attorneys are also fighting Dean's subpoena, citing the guardianship order from Georgia. Forcing Dean to appear in a Jefferson Parish courtroom would be "oppressive, harassing, embarrassing, and unduly burdensome" for the former nursing home magnate, they argued in a request for a protective order.

"Dean's health and finances are in a state of collapse," they said.

Attorneys for some of Dean's former patients have cast doubt on that dire picture, suspecting an attempt to skirt accountability for the squalor he allegedly left his patients to wallow in at the warehouse in Independence.

Dean's attorneys claim he was "never the same" after he underwent dental surgery in April 2021, months before he launched an evacuation of his nursing homes as Hurricane Ida approached. 

More than a dozen residents died in the evacuation’s aftermath, though coroners have classified only five of those deaths as "storm-related.” Records show Dean, who wasn't there, ignored staff pleas for help and browbeat state health inspectors who were trying to intervene.

Dean’s seven nursing homes were seized by lenders after state health officials pulled his operating licenses shortly after the evacuation. He quickly got behind on paying off a mountain of debt on the vacant homes. His attorneys cite $40 million in judgments related to those and other debts.

Dean also faces criminal charges related to the ill-fated evacuation. Attorney General Jeff Landry’s office booked him in June on eight counts of cruelty to the infirm, five counts of Medicaid fraud and two counts of obstruction of justice. He has pleaded not guilty to all charges.

Advocates pushing for the settlement, led by attorney Rob Couhig, argue that time is wasting for elderly former patients who are rapidly dying off.

They say they’ve found little in the way of available assets to supplement insurance proceeds pegged at $13 million to $15 million. More than 100 of Dean’s former patients have died since the storm, attorneys estimate.

But lawyers for many of Dean’s former patients have balked at the proposed all-or-nothing settlement, calling it premature and claiming it lets Dean off the hook.

Morris Bart, whose firm represents scores of Dean’s former patients or their families, is opposing the proposed settlement, claiming it ignores possible assets Dean may be hiding.

Bart cites about $10.4 million that he argues could be available from additional insurance proceeds and frozen bank funds that Dean is trying to reclaim.

Staff writer Andrea Gallo contributed to this story.

Full Article & Source:
Nursing home owner Bob Dean loses legal control as judge weighs Ida evacuation settlement

Friday, September 23, 2022

Embattled nursing home owner Bob Dean could soon lose control over his affairs

Ruling may not affect Dean's criminal case, though a conservator could replace him in civil lawsuits

 


by John Simerman

Former Louisiana nursing home magnate Bob Dean could be stripped of control over his affairs in a pending Georgia court proceeding, according to attorneys involved in a slew of lawsuits over Dean’s botched evacuation of 843 patients last year for Hurricane Ida.

The move could cast Dean to the sidelines as lawyers weigh a proposed class-action settlement over the evacuation of seven south Louisiana nursing homes to a warehouse in Tangipahoa Parish, where conditions quickly soured and his patients languished for days.

It wouldn’t affect Dean’s need to answer to criminal charges he faces in both Louisiana and Oregon, said one Georgia legal expert.

Attorney H. Minor Pipes III, who is defending Dean over the lawsuits related to the evacuation, told plaintiffs’ attorneys that Dean was being “interdicted,” one of those attorneys told a judge in court on Tuesday.

Pipes declined to comment afterward, saying he wasn’t Dean’s lawyer in that process and hadn’t seen a court order. A probate court clerk in Fulton County, Georgia, said information about the case would remain sealed until a final decision. Dean’s attorney in Georgia, where he faces criminal charges over an incident in which he shot off his own thumb, and also a felony obstruction count, declined to comment. 

Dean, 68, has managed to avoid sitting for depositions over the ill-fated evacuation, which forced patients to sit in squalor while Dean ignored staff pleas for help and browbeat state health inspectors who were trying to intervene, records show.

His attorneys have fought to keep it that way, presenting evidence that Dean suffers from dementia.

In Louisiana, Attorney General Jeff Landry’s office booked Dean in June on eight counts of cruelty to the infirm, five counts of Medicaid fraud and two counts of obstruction of justice.

Dean’s seven nursing homes all remain shuttered, having been seized by lenders. After state health officials pulled his licenses to run them shortly after the evacuation, Dean quickly got behind on a mountain of debt, court records show.

In Georgia, judges may name a guardian or conservator if they find an adult “lacks sufficient capacity to make or communicate significant responsible decisions concerning the management of his or her property.”

Mary Radford, a law professor emerita at Georgia State University who authored a textbook on guardianships and conservatorships in Georgia, said the law means “the adult loses his right to bring or defend any action” in court, except for the conservatorship.

“He’s also going to lose the right to make contracts, which means he couldn’t settle” lawsuits, Radford said.

A conservator would take Dean’s place in the civil lawsuits, but criminal courts judges make their own calls on whether defendants are competent to stand trial, Radford said.

“The mere fact that he has become a ward does not mean these actions can’t proceed against him,” Radford said. “There will be judicial proceedings. He may not be participating in the same way.”

Radford noted that probate judges can also limit a conservator’s power, leaving the ward with some agency.

Monica Hof Wallace, a Loyola University law professor, said a Georgia ruling to place Dean under a conservatorship wouldn’t restrain civil court judges in Louisiana from making their own decisions over his ability to sit for depositions.

“The trial judge gets to decide,” she said.

Suzette Bagneris, an attorney for several plaintiffs suing Dean over the evacuation, raised the specter of lengthy delays from an interdiction as she lobbied Tuesday for swift approval of a proposed settlement to cover all of the evacuated residents or their family members.

Plaintiffs’ attorneys jousted Tuesday over the proposed settlement, which is pegged at $13 million to $15 million. That money, to be paid out by Dean’s insurance companies, might average around $13,000 per patient after attorneys fees under the proposed deal.

More than a dozen residents died in the aftermath of the evacuations, though coroners have classified only five as "storm-related.” Bagneris claimed Tuesday that at least 100 and possibly up to 200 of Dean’s former residents have since passed away.

Attorney Rob Couhig, who is leading the push to settle, argued that time is wasting for those who suffered at the warehouse. Couhig said few other Dean assets have turned up to add to the amount.

“We went and found all the insurance that’s there,” Couhig said. “Many of these people will continue to die. Many of these people will continue to become more infirm.”

Morris Bart, whose firm represents scores of Dean’s former patients or their families, has objected to the proposed settlement, however, along with a few other attorneys who claim they were blindsided by it.

They argue that Couhig and others are trying to ramrod through a deal that may not be in the best interests of the plaintiffs and lets Dean off the financial hook.

Bart claimed Tuesday that he’s found nearly $8 million in equity on Dean‘s other properties that the settlement ignores. He pleaded with District Judge Michael Mentz for more time to flesh it out.

“How do I go tell 180 clients (that) Bob Dean, despite the misery and death he’s caused, is going to walk away from this and not pay one dollar, and continue to live in his mansion?” Bart said. “It’s so patently unfair.”

Mentz delayed a hearing to debate the proposed settlement until Nov. 2.

Full Article & Source:

Tuesday, June 28, 2022

Nursing home owner who left 800 in fetid warehouse during hurricane jailed

by Ramon Antonio Vargas 

Homes and businesses damaged after the hurricane tore through Louisiana. Photograph: Adrees Latif/Reuters

A Louisiana nursing home owner who sent more than 800 elderly residents to endure Hurricane Ida in a ramshackle warehouse was charged on Wednesday with neglect and other crimes.

Bob Dean, 68, surrendered to the Louisiana attorney general’s office and was jailed on eight counts of cruelty to infirmed people, five counts of healthcare fraud and two counts of obstruction of justice.

A statement from Louisiana’s attorney general, Jeff Landry, alleged that Dean had billed the federal Medicaid program for dates his residents were not receiving care, refused to move residents out of the warehouse and “engaged in conduct intended to intimidate or obstruct public health officials and law enforcement”.

Dean flew in from Georgia to turn himself over to authorities on an arrest warrant they obtained for him in recent days. His attorney, John McClindon, told the Associated Press that his client would be released on a $350,000 bond.

McClindon added: “I don’t think Bob Dean did anything that rose to the level of criminal.”

The criminal charges mark only the latest set of complications for Dean, who is facing a mound of unresolved civil litigation over his decision to send residents to the squalid warehouse in Independence, a town about 70 miles (110km) north-west of New Orleans while Ida caused widespread power outages and other devastation in south-east Louisiana in August 2021.

Besides losing his licenses and federal funding to operate his seven nursing homes in Louisiana, his attorneys have said Dean is battling dementia and other memory problems.

Bob Dean in an image provided by the Tangipahoa parish sheriff’s office. Photograph: AP

He is facing an unrelated reckless conduct criminal charge in Georgia after he shot his thumb off and Oregon authorities are investigating him after cattle from his ranch in that state had to be rescued from a snowstorm, the Baton Rouge Advocate newspaper reported.

Authorities say some of the residents Dean’s nursing homes sent to the Independence warehouse were found sleeping on mattresses atop a wet floor, sobbing and lying in their own feces.

Some came without their medicines to endure a Category 4 storm packing winds of 150 miles an hour. Conditions at the facility devolved rapidly, with generators used to provide electricity failing, driving indoor temperatures to dangerously high levels. The ceiling leaked, toilets overflowed and there was a dearth of food and water for residents who were packed in so closely it was impossible to follow social distancing guidelines in place because of the ongoing Covid-19 pandemic.

Five of the 26 deaths that occurred in Louisiana for reasons related to Ida were linked to the fetid warehouse, according to officials, who had since launched an investigation into Dean and his nursing homes.

A total of more than a dozen others who had been at the facility died in the aftermath of Ida’s landfall in the state on 29 August, the 16th anniversary of Hurricane Katrina.

The most serious charges filed against Dean are the ones alleging cruelty to people with infirmities. Under Louisiana law, any one of those counts can carry up to 10 years in prison if he is convicted.

Dean owns two nursing homes in New Orleans, three in adjacent Jefferson parish and one each in nearby Lafourche and Terrebonne parishes. All of those areas directly experienced Ida’s effects.

Full Article & Source:

Sunday, September 12, 2021

Class action lawsuit filed on behalf of families of nursing home residents placed in warehouse

A class-action lawsuit has been filed on behalf of families whose loved ones were evacuated to a warehouse in Tangipahoa Parish and left in deplorable conditions.

The lawsuit was filed Monday against Bob Dean, the owner of seven facilities at the center of an investigation.

The lawsuit was filed in Jefferson Parish by Nancy Anderson, on behalf of her mother-in-law, Mrs. Leona Anderson; Joy Manguno, on behalf of her husband, Joseph T. Manguno; Jayme Songy, as curator for Malvina Songy; and Janice Verdin, as a responsible party for Catherine Roussell, according to the lawsuit.

The seven nursing homes evacuated more than 800 residents to Waterbury Cos. warehouse in Tangipahoa Parish ahead of Hurricane Ida, and had their licenses revoked, the Louisiana Department of Health announced Tuesday. The facilities' Medicaid provider agreements have also been terminated, the agency said.

The seven nursing homes are:

  • River Palms Nursing and Rehab, Orleans Parish
  • South Lafourche Nursing and Rehab, Lafourche Parish
  • Maison Orleans Healthcare Center, Orleans Parish
  • Park Place Healthcare Nursing Home, Jefferson Parish
  • West Jefferson Health Care Center, Jefferson Parish
  • Maison De Ville Nursing Home, Terrebonne Parish
  • Maison Deville Nursing Home of Harvey, Jefferson Parish

The announcement comes after seven nursing homes residents taken to the Waterbury Cos. warehouse died. State health officials were turned away when they went to inspect the facility the day after the storm, having received reports that conditions inside had worsened.

The lawsuit alleges that Dean denied the defendants their dignity, accusing him of abuse.

The lawsuit seeks damages and a jury trial.

Full Article & Source:

Tuesday, September 7, 2021

Families scramble to find elderly nursing home patients taken to warehouse ahead of Ida

Paramedics evacuate people at a mass shelter on Thursday in Independence, La. More than 800 residents from seven nursing homes were brought to this facility in anticipation of Hurricane Ida, but the conditions were so bad they had to be moved, officials said. (Chris Granger/Times-Picayune/New Orleans Advocate/AP)

By Ashley Cusick and Hannah Knowles

NEW ORLEANS — In the days after Hurricane Ida blew into Louisiana, flooding streets, destroying homes and downing power lines, Melissa Barbier struggled to get any word about her 64-year-old mother.

She heard nothing from Maison DeVille Nursing Home in Harvey, La., where her mom lived. Through the news, she learned that residents of the nursing home had been evacuated to a warehouse, where conditions were so appalling that people had to be rushed elsewhere — and some had died. She called phone number after phone number, only to be redirected.

Finally, Barbier said, on Sunday someone working at a shelter in Alexandria, La., called to say that she had seen her mother, Madeleine Bergeron. But Barbier said it was not clear when she might get to speak with Bergeron, who has dementia and needs help using the restroom.

“We’re in South Louisiana,” said Barbier, 36, who lives in Lafayette, about an hour away. “An emergency care plan should be in place. … I can’t wrap my head around how nobody has contacted me. Who gave the authority to the nursing home to evacuate?”

“I feel like they herded my mom and these poor people like cattle,” she said.

Families are scrambling for basic information on vulnerable loved ones as Louisiana authorities investigate the evacuation of more than 800 residents at seven nursing homes to the warehouse in the town of Independence. Local officials there soon raised alarms about putrid smells, packed-in mattresses and EMTs allegedly being sent away after residents called for help. The state health department ordered the homes to close Saturday, saying seven residents who were sent to the warehouse had died, with five of the fatalities deemed “storm-related.”

Hurricane Ida’s death toll surpassed 60 on Sept. 5 while more than 60 percent of New Orleans remained without power a week after the storm made landfall. (Reuters)

The deaths underscored Ida’s threat to some of the state’s most vulnerable residents — the frail and elderly — 16 years after Hurricane Katrina drowned nearly three dozen patients in a single nursing home. The storm’s death toll rose Sunday as state leaders announced a 13th fatality: a 74-year-old man who they said died of heat exhaustion and lack of oxygen amid punishing temperatures and huge power outages that make it hard to stay cool.

Gov. John Bel Edwards (D) said Sunday afternoon that nearly 600,000 customers around the state still lack power a week after Ida’s landfall, with some parishes virtually devoid of electricity and reliant on generators. He said authorities are still trying to assess the hurricane’s damage as National Guard members from as far as away as Alaska join a massive relief effort.

Evacuations can be necessary but perilous with a “frail and fragile population,” Edwards said at a news conference, and “the question is whether we are doing them the way that we should and whether we’re learning. … I don’t have all the answers for that right now.”

Authorities have vowed further action against the nursing homes that evacuated to Independence, and Louisiana Attorney General Jeff Landry (R) said he is investigating the deaths — trying to determine who moved the patients to an “apparently unsafe” place and who rebuffed authorities’ first attempts to intervene. The state health department said its inspectors tried to visit the warehouse on Tuesday after hearing about “deteriorating conditions” but were kicked out and subjected to “intimidation” from the nursing homes’ owner.

The health department reviews nursing homes’ emergency plans, and The Times-Picayune/The New Orleans Advocate reported that the agency approved a plan for an “alternate care facility” where people from seven nursing homes could evacuate. The health department did not comment on its oversight Sunday, but leaders have decried the conditions at the warehouse.

“What happened in Independence is reprehensible, and I know there are many families hurting as a result,” said Louisiana Health Secretary Courtney N. Phillips, while Louisiana State Health Officer Joseph Kanter called residents’ treatment an “affront to human dignity.”

The owner of the nursing homes, Bob Dean, could not be reached for comment Sunday but suggested to a local news station that deaths among his residents were expected.

“Normally with 850 people, you’ll have a couple a day, so we did really good with taking care of people,” Dean told WAFB-TV.

Dean’s nursing homes have drawn scrutiny before. Most of the seven ordered to close received the lowest possible ratings after inspections, according to Medicare.gov.

In 1998, an 86-year-old resident of one of Dean’s nursing homes died among a group who reportedly spent hours on a bus without air conditioning while waiting to be unloaded at a Baton Rouge shelter, the Associated Press said. And in 2005, the Times-Picayune raised alarms about patient care at Dean’s facilities. One resident, the newspaper reported, was hospitalized after being attacked by ants.

Louisiana state Rep. Nicholas Muscarello Jr. (R), who represents the parish that includes Independence, said he went to the warehouse Tuesday with the town’s mayor and others after hearing that “a lot of emergency calls” were coming from the facility. They arrived to find trash heaped outside — with no dumpsters in sight — and inside, elderly evacuees crowded onto mattresses only a few feet apart.

Muscarello said he was alarmed their group could walk right in. “I’ve seen enough,” he recalled quickly telling his colleagues before escalating the issue to others in the legislature.

“Clearly [Dean] chose not to put any … resources into making this shelter a viable shelter,” the lawmaker said. If investigations prove wrongdoing, Muscarello said, “he should lose every license, and he needs to be out of the nursing business.”

Residents of Dean’s nursing homes across four parishes were evacuated to the warehouse on Aug. 27 in anticipation of Hurricane Ida, authorities said. By Sept. 1, the state health department was working to move them again. Officials started with “the most vulnerable” and “had rescued the vast majority” by the end of that day, the department said, adding that all nursing home residents were evacuated by Sept. 2.

Authorities have released few details about the deaths among residents of Dean’s homes. A spokeswoman for the state health department, Mindy Faciane, said Sunday that five of the victims ranged in age from 52 to 84 but did not share names, causes of death or other details.

As of Saturday, the department said it had connected with more than 200 of the residents’ families and urged people to call 211 for help finding their relatives.

But loved ones and authorities alike said they were wondering how residents ended up in such conditions.

Connie Mahler, 47, said she spent the past few days trying to locate her grandmother, 88-year-old Bonnie Correnti, who was evacuated from Maison Orleans Healthcare Center to the Independence warehouse. Without access to reliable cellphone service or local media reports, she enlisted the help of a police officer friend before finally hearing from relatives that Correnti had been transferred to the Bayou Vista Community Care Center in Bunkie, La., more than two hours north of her old facility in New Orleans.

She said she has mixed feelings about the decision to shut down that nursing home and others owned by Dean.

“If they shut him down, he needed to be. That’s cruelty,” she said. “But … now what? Now I’m worried about what’s going to happen to her. Like, where is she going to go?”

Renetta DeRosia, 55, was finally able to set eyes on her 84-year-old mother, Loretta Duet, on Saturday. “She said they’re being very well taken care of, but she’s ready to come closer to home,” DeRosia said.

She said she saw the conditions outside the Independence warehouse herself after last week’s relocations — noting trash and wheelchairs left behind.

Evacuees are now spread across the state. About a fourth of the more than 800 residents were brought to the Bossier Civic Center, more than four hours from Independence, where a team of doctors evaluated them for covid-19 and other medical concerns, said Peter Seidenberg, chair of family medicine at the LSU Health Shreveport School of Medicine.

Seidenberg said the evacuees showed up with a range of ailments typical of those in nursing home care: mobility issues, dementia, diabetes, heart and lung disease. They were also hungry and tired, he said.

“They were in a warehouse for about two days without air conditioning. Many had not eaten or received their medicines in about a day,” Seidenberg said. “They were very thankful to have some food and to have some medical attention and to have a place to sleep and get some rest.”

An on-site pharmacist ran between the facility and a nearby CVS, filling prescriptions for evacuees whose medicines were lost during the transfer.

Remarkably, Seidenberg said, most were in stable condition, with only six needing transfer to a hospital. But two of the evacuees tested positive for the coronavirus, prompting medical personnel to split the shelter into thirds: one isolated section for those two patients, another for everyone who made the long journey on their bus, and a third for the remaining evacuees.

“The evacuation likely saved their lives,” Seidenberg said.

Knowles reported from Washington.

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Thursday, September 24, 2020

When Conservatorship Goes Terribly Wrong

My family's troubling experience with the man appointed to manage my mother's life

 
The author's mother
By Erica Loberg

When people ask me about the circumstances surrounding the painful story of my mother’s probate conservatorship — where the man appointed by a judge to manage my mother’s finances and daily life inflicted financial and mental abuse on her — there’s one question I always encounter: How did this happen to your family?

A simple answer: it can happen to anyone.

Roughly 1.5 million Americans are under guardianship or conservatorship, most of them over 65. Although many conservators and guardians do excellent work, some are notorious. One AARP article said: “Activists charge that in some cases, unscrupulous professional guardians have turned legally sanctioned exploitation into a cottage industry, abetted by greedy attorneys and pliable judges.”

A more complicated answer: our family fell apart after my father died.

I was caught in the middle, not sure what best for my mom.

It took me almost two years and half a dozen court hearings to successfully remove the conservator who I’d describe as a criminal sociopath. He charged several thousands of dollars a month for my mother’s minimal care, blew through a massive amount of my mother’s money and emptied her house.

My Family’s Conservatorship Story

Here is my story, followed by advice so something similar doesn’t happen to you:

My father, a Los Angeles orthodontist and UCLA School of Dentistry faculty member, was diagnosed with cancer in 2016 and passed away 11 days later at 69. After his death, my family realized that he did not leave a will, and there was no guidance on how we should proceed with caring for my mom or managing her estate. As a result, my two sisters and I had different opinions on what should transpire.

With the shock of our father’s death and our immersion in grieving, we weren’t able to come together and move forward collectively. So, shortly after my dad died, my 70-year-old mother was appointed a conservator. (A conservator — sometimes called a guardian — is appointed by a judge when someone is no longer able to make financial or health decisions for themselves.)

For several years prior to my father’s death, he was in charge of the household finances, managing most of the day-to-day tasks like grocery shopping and handling all the bills. My mom was no longer able to manage the stressors of maintaining the household at the time.

When my father died, my older sister thought it would be better for our mother to live in an assisted living facility; my younger sister thought she should remain at home. I was caught in the middle, not sure what was best for my mom.

Initially, my mom wanted to go to an assisted living facility, but after a few months there, she decided she wanted to be back in her home. Mayhem unfolded. So, I decided to reach out to my mom’s older brother for guidance and help. He and my younger sister got my mother back home and found her a lawyer who recommended that my mother be conserved.

The Conservator Is Appointed

The lawyer filed the paperwork to make it happen.

The requirements to become a professional, licensed conservator vary from state to state. Not all states require licensing; others mandate a credential from a professional organization in addition to licensing. To become a conservator in California, either you must file a petition with the court and nominate yourself or another interested party can nominate you.

Given the contentious nature of our family, we weren’t given any options to decide on a particular conservator. We showed up to court and the conservator the judge appointed was there, ready to take over. His fees would be paid by the estate, which he controlled.

It was all very confusing, and my sisters and I were operating more or less in the dark.

Prior to this conservatorship assignment, I discovered, the man who became my mother’s conservator was listed on a website about guardianship abuse. Its victims shared personal warning and tragic stories.

I remember the night before the hearing at the Los Angeles Superior Court probate department to approve his position, my mother was held hostage in her home and not allowed to speak to any family members.

Her own best friend flew in from out of state to speak to her and explain the dangers of her situation, and my mom was instructed not to open the door to anyone or else she would be sent to a nursing home. I only found out later that anytime he wanted something, he would use the nursing home as a threat so he could do as he pleased.

Trying to Stop the Conservator

When I went to the hearing to try to stop his petition for appointment, I presented the judge the list of testimonials I’d seen of his abuse. But I was immediately shut down.

I walked home that day and thought to myself, something’s not right.

After that, the court assigned us an attorney representing the interests of my mom to make sure the chosen conservator was the right fit for the family. In LA County, this kind of lawyer is known as a member of the Probate Volunteer Panel — attorneys who register with the court to help resolve probate proceedings.

During the hearing with the PVP, it was my older sister and I (who didn’t want this conservator) on one side of the courtroom and my younger sister (who did) on the other. The PVP chose to side with my younger sibling’s wishes, and the conservator was officially appointed.

Soon after, all the belongings from my mom’s house, where I grew up, were removed, with no indication of their whereabouts and with no communication about this with the family.

I remember the first time I walked into the house once this had happened; it looked like a living room set from “The Price Is Right” game show with all the furniture replaced by what looked like IKEA home ware. The family heirlooms, including paintings of my mother’s, were removed, too.

“I used to work in nursing homes over a decade ago, and he was known to prey on vulnerable women.”

The kitchen had been completely remodeled. Those adobe tiles my dad had personally laid in the floor were replaced with plain ugly squares. I opened the cupboards only to find all the china was missing. The box of recipes passed down from generation to generation was nowhere to be found, either.

Down in the basement, the wine cellar was gone. I wandered upstairs to an empty second floor and found the walls that used to hang family photos where bare. My childhood bedroom was a hallow box.

All attempts to connect with the conservator were for naught.

Shut Out From Information About Mom

I only found out that my mother was hospitalized for dehydration days afterwards. When I did, I tried phoning the conservator’s office to insist on  being alerted if my mother was sick, especially a hospitalization; he wouldn’t take my call.

I followed up with an email stating that correspondence about serious matters concerning my mother’s health was unacceptable. I didn’t receive a reply, but the conservator charged my mother’s estate for receiving the email, and for my phone call.

When I contacted St. John’s Hospital, where my mom had been discharged. I asked to speak to the social worker. I got her on the phone, mentioned my mom’s conservator’s name and she fell silent.

I asked if she knew him and she said, “I used to work in nursing homes over a decade ago, and he was known to prey on vulnerable women.”

Then one day, I received a call from another woman who had been victimized by the same conservator. She was involuntarily removed from her home and placed in a nursing care facility. This was one of several similar stories I heard.

Over time, I began to understand his pattern: Prey on vulnerable victims, isolate them from their loved ones, allow no open lines of communication with the family, provide no transparency in billing, bleed the estate, then toss the people in conservatorship into nursing homes. When they run out of money there, leave them there to rot and die.

The Estate Gets Drained

I remember when the conservator did unnecessary renovations on the house, which were expensive and draining the estate, I asked my mom why she allowed them. She told me that if she didn’t go along with what he had recommended, she’d end up back in a nursing home.

My mom was constantly subject to manipulative abusive bullying behavior that came from the conservator.

As far as I can tell, my mother had very little in-person communication with him. For the most part, he employed his minions to do his dirty work, which only calls into question the caregiving company he employed to watch over my mother. In fact, this conservator is practically invisible; you’ll never find a picture online or a profile on social media about him.

When I tried to contact my mom by phone, her number had always been changed. That happened numerous times.

There was only one time my mom called me. It came in on an unidentified number, so I didn’t pick up. However there was an accidental message left on my voicemail:

“She’s not picking up, call her back.” (Mom)

“She doesn’t want to speak to you.” (Her caregiver)

The Conservator Tries to Keep Me Away From My Mother

I remember the one time I picked my mom up when no one was there and took her downtown to spend the night with me. We left a note on the refrigerator letting the caregiver know she was with me, and that we were going to have brunch together. When the caregiver found out, she was instructed to immediately show up at my building to retrieve my mother. After that incident, she had 24/7 people in her home to watch her.

They were more or less bodyguards to keep her away from spending any private time with the family. Once my mother’s conservator realized I was after him, he tried to put a restraining order on me to keep me from talking to my mom, saying I was causing my mother stress by voicing my concerns about him stealing her money.

To avoid the worst outcome for my mom, I immediately went to work to try and remove him as soon as possible.

I decided I’d do this on my own, rather than hiring a Los Angeles attorney at $500 an hour — something I couldn’t afford. I also believed I would be the best advocate for my mom, even though I knew nothing about the law or much about the process of conservatorship appeal.

I’m grateful I took on this endeavor by myself because later, when I spoke with other victims, I learned they’d spent hundreds of thousands of dollars fighting this same conservator over the years. And they’re still trying to remove him.

We just wanted the original conservator out, so we succumbed to his ultimatum.

The first thing I did was file a complaint with California’s Probate Fiduciary Bureau; it’s supposed to be a watchdog for complaints regarding conservators. The Bureau said, after conducting their “investigation,” they didn’t find any foul play.

Next, I filed two Adult Protective Services reports, a police report and an FBI complaint.

Finally, a Break

For months I blanketed Los Angeles to find any and all outlets who could help. Then one day I got a break.

I had filed a complaint with the county’s Probate Investigators Office, and after months of the financial and emotional abuse inflicted on my mother, my complaint finally led to a report recommending his removal.

I went back to court and presented the report, arguing that my mother’s mental, emotional and psychological health was deteriorating. The judge assigned a new PVP to put fresh eyes on the case.

This opened the door for me to get the conservator temporarily removed. The initial judge who appointed the conservator had retired, which I thought might help the situation.

I argued that my mother’s PVP who recommended her conservator had never interviewed all the siblings, asked for a new PVP and the judge agreed.

The Troubled Mediation

After this PVP conducted her investigation, she provided a report calling for a new conservator. Because my mother’s conservator didn’t want to step down, we were off to mediation.

The next thing I knew, I was in an office with my older sister, the new PVP, the new temporary conservator and me in one room and the original conservator with his lawyer in another.

The mediation turned out to be a disaster.

The conservator lied about stealing all the family belongings, among other things. But the new temporary conservator had uncovered his wrongdoings. The conservator agreed to relinquish his position only if we fired the temporary one and went with one of his suggestions.

After 10 hours of torture, my sister and I gave in. We just wanted the original conservator out, so we succumbed to his ultimatum.

After the mediation I researched the new permanent conservator my mother was given, and discovered questionable articles written about her in The Los Angeles Times. I also learned that they both she and the original conservator used the same caregiving company, which struck me as odd.

I raced back to court and filed paperwork to undo the original conservator’s “suggestion.” Thankfully, at the next hearing, we won.

Getting Mom the Care She Needed and Deserved

We were able to make the good, temporary conservator my mother’s permanent conservator. Finally, after almost two years, my mom was able to start getting the care she needed and deserved.

Before the new conservator, my mother didn’t see any doctors, except that one time she was hospitalized. Now, she was seeing a primary care doctor and a therapist.

I’ve since seen my mom a handful of times; mostly we speak on the phone. She’s doing pretty well.

But when I walk into her house, I don’t recognize anything, and it makes me sad.

I doubt we’ll ever get back any of the items that were ransacked. It’s so depressing not to find my dad’s vinyl record collection in the living room or the wallpaper in the dining room where we shared family dinners every night together. Seeing the chandelier over the dining room table replaced with a cheap tacky light traumatizes me.

I don’t need my high school trophies or any other items from my old bedroom, but why did the conservator find it necessary to remove all the belongings from the house?

Best as I can tell, he was preparing the house for someone else to inhabit, so he could make money from the sale while my mother would live alone in a nursing home.

I still have hope that one day, my mother’s initial conservator will be brought to justice.

4 Ways to Prevent a Conservatorship Disaster

How can you avoid an experience like my family and I had? There’s no guarantee, but here are four suggestions:

Discuss your parents’ estate wishes and their finances while they are alive. I wish we had done that with my dad.

Find out if your parents have wills, what they entail and where they are. Learn about your parents’ assets and debts as well as how they’d like to live if their spouse dies before they do.

If you can, get a durable power of attorney and a health care advance directive, giving you or someone whom you trust the authority to make decisions for a parent if they can’t.

If you will need to hire someone who isn’t a family member or friend to be a conservator for your parent, do your homework. Make sure you choose a conservator with an excellent resumé and with reliable recommendations. Don’t do what we did and accept some random person assigned by the court.

If my sisters and I had taken these steps, most likely none of the abuse our mother suffered would have happened.

If things do go wrong with a conservatorship, document everything. I cannot emphasize this enough. It means keeping a record of all conversations you have with parent that are concerning, with dates and times. This will help you make a solid case to get the conservator removed.

If applicable, cover all aspects of the conservatorship abuse, including mental abuse — not just financial abuse.

Don’t give up. Despite the long odds to remove my mother’s conservator, I never quit, despite his evil attempts to silence me and taint my relationship with my mother. If I can do it, you can do it.

If you can afford to hire a conservatorship attorney to remove a conservator, you might want to do it.

Now, back to my initial question: How did this happen to your family?

The bigger question is how was this allowed to happen to my family?

And another question: Why aren’t there better checks and balances in the conservatorship system?

The Problems With Conservatorship in America

While states have laws designed to protect people under conservatorship, in reality, there’s very little oversight. A National Center for State Courts report said: “Nationally, there is a dire need for guardianship/conservatorship reform, as relatively few courts have the resources, staffing or expertise to actively monitor conservatorships.”

In 2017, the Uniform Guardianship, Conservatorship, and Other Protective Arrangements Act was approved by a group called the Uniform Law Commission. Among other things, it’s supposed to get rid of guardians and conservators not acting in the best interest of the people they’re assisting; let courts “remove a conservator for failure to perform the conservator’s duties or other good cause” and limit the ability of unscrupulous guardians to drain assets by charging unreasonable fees.

But so far, only two states (Maine and New Mexico) have adopted any or all of this model act.

At a 2018 Senate Special Committee on Aging hearing, Sen. Bob Casey (D-Pa.) said: “Some states have taken efforts to improve guardianship, but it’s also clear that much more work needs to be done.”

At that hearing, Nina Kohn, associate dean at Syracuse University College of Law, said: “Currently, monitoring is typically anemic, and the ability to monitor is generally limited to under-resourced courts.”

So, how did this happen to my family?

You tell me.

(You can read more about my experience with my mother’s conservatorship in my recent book of poetry,  “I’m Not Playing.”)

Full Article & Source:

Tuesday, September 15, 2020

'I Care a Lot': Film Review | TIFF 2020

by David Rooney

Courtesy of TIFF
From left: Eiza González, Dianne Wiest and Rosamund Pike in 'I Care a Lot'
Rosamund Pike stars as a legal conservator running a lucrative guardianship grift who strikes trouble when she messes with a gangster played by Peter Dinklage in this acidic thriller.


Seldom has a film's title been more thoroughly doused in darkest irony than J. Blakeson's breathtakingly vicious thriller I Care a Lot. In a role that makes riveting use of her chilly poise, Rosamund Pike brings crisp efficiency and dead-eyed amorality to a legal conservator scamming defenseless seniors out of their assets as she and her co-conspirators take control of their lives, shutting out pesky family members whenever necessary. At a time when governments in many countries seem to be abandoning traditional watchdog responsibilities and turning a blind eye to corporate malfeasance, the phrase "ward of the state" here takes on an alarming new meaning.

Stories of elder abuse and companies exploiting the weaknesses of people whose failing physical or mental faculties leave them unable to take care of themselves in the eyes of the courts are an ugly fact of contemporary reality. So your enjoyment of this slick, well-crafted crime caper might depend on your ability to separate thoughts of your own aging parents or grandparents from the scenario.

The movie is either delectably wicked or dyspeptically sour — you decide. I went back and forth while watching, though there was never a moment when I wasn't glued, even if some of the plotting in the script by Blakeson (The Disappearance of Alice Creed, The 5th Wave) becomes a stretch as Pike's character, Marla Grayson, shifts from fooling the gullible courts into outmaneuvering a ruthless crime boss and his deadly flunkies. Some audiences may also find it off-putting that the characters across the board are pretty much irredeemable, or in the case of the family court judge Marla effortlessly dupes, stupid.

Marla might be the perfect villainous antihero for the age of Trump, who of course has made no secret of his contempt for "losers." Over sunny slo-mo opening footage of smiling elder-care workers distributing medication to gaga patients, Marla informs us there's no such thing as good people. "Playing fair is a joke invented by the rich to keep the rest of us poor." Revealing that she has been poor and it doesn't agree with her, Marla explains that there are two types of people: predators and prey, lions and lambs. "My name is Marla Grayson and I am no lamb. I am a fucking lioness."

We first glimpse her from behind in the courtroom of Judge Lomax (Isiah Whitlock Jr.), her silvery-blond bob so sharp it looks like it could draw blood. But Marla can turn on the guardian-angel sincerity as required. She doubles down on her position as Feldstrom (Macon Blair), the adult son of one of her wards, fights a non-visitation order preventing him from seeing his mother, whose home and assets have been auctioned off by Marla, ostensibly to fund the old woman's care.

When Feldstrom confronts her outside the court, smugly preparing to take off with her business and romantic partner Fran (Eiza González), Marla reveals her glacial true self. It's also here that the script introduces its blunt feminist subtext that men don't have exclusive domain over playing dirty, yet nothing stings them worse than being beaten by a woman.

Marla's company, Grayson Guardianship, is a major enterprise with stylish offices and a wall of headshots in the executive suite showing the status of her many wards and their cash yield. The news that one of them has died unexpectedly brings annoyance, since Marla expected to keep bilking him for at least another six years: "Now I have to cash him out, turn over everything to his inheritors. What a fucking waste." But it also creates opportunity, with the sudden vacancy of a plum room at a pricey facility whose sleazy administrator, Sam Rice (Damian Young), is in on the scam.

Dr. Karen Amos (Alicia Witt) is also part of the operation, with her hand out for a cut; she steers fresh cash cows in Marla's direction, fudging their medical assessments as necessary. In Jennifer Peterson (Dianne Wiest), a well-heeled woman who downsized for retirement and is sitting on a fortune, Karen believes she has found a "cherry," a patient with no known family and vast assets to be tapped, including a large house in an upscale neighborhood. Gumshoe Fran's investigation indicates that Jennifer fits the mold.

Wiest is in fine form as a still very much competent woman, who goes from confusion to anger to shell-shocked compliance when faced with Marla's court order and cops standing by in case she resists as they relocate her from her home without warning.

The heartlessness of this scene alone will be distressing for many audiences, even more so when Jennifer is checked into the facility run by Sam, and swiftly relieved of her cell phone. (A 2017 New Yorker article illustrated the horrifying truth and hazy legal oversight of guardianship fraud, with people like Marla gaming the system of state parens patriae laws to drain the resources of the 1.5 million elderly Americans living under professional care.)

The payday looks suddenly more interesting when Marla discovers that Jennifer's safe deposit box contains a pouch of chunky diamonds not listed on the insurance form. But it's also revealed that Jennifer has ties to Roman Lunyov (Peter Dinklage), a powerful career criminal with a taste for French patisserie. Turns out that the "cherry" was actually a "spider's web," observes Fran, the only character with a glimmer of morality.

After first sending his legal shark, Dean Ericson (Chris Messina, reliably savory), to try bribes and death threats, then assigning his goon Alexi (a droll Nicholas Logan) to break Jennifer out of the home where she is under lockdown with no visitors, Roman learns that Marla is not easily intimidated. She retaliates by having Jennifer's meds, diet, sleep and exercise routines modified in punishing ways. "I'm the worst mistake you'll ever make," Jennifer tells Marla, a malicious hint of a smile peeking through her drugged-up fog.

The treacherous face-off between combatants ostensibly on opposite sides of the law wades into dark comedy territory, especially when Marla's indignation is spiked by Roman resorting to thuggery rather than beating her fair and square in the courts. The inference that her entire scheme is more or less legal makes the whole scenario even queasier. "To make it in this country you need to be brave … and stupid and ruthless and focused," says Marla while tied to a chair at Roman's mercy. "Playing fair, being scared, that gets you nowhere. That gets you beat."

The twisty acceleration of reciprocal payback moves is gruesome fun, if not always entirely plausible. But Blakeson and editor Mark Eckersley keep the pace zippy and the plotting taut, despite its density of incident. The sinister techno score by Marc Canham also helps maintain the momentum, while DP Doug Emmett (Sorry to Bother You) provides a sleek visual canvas.

LGBTQ audiences might question what the story gains by making Marla a lesbian, other than a faint whiff of old-school homophobia by adding an extra layer of otherness to a character unencumbered by ethics or compassion. Blakeson would likely argue that it's when Roman sends his men after Fran that Marla strikes back with renewed determination.

And in a movie that makes a big point of women being just as cold-blooded as men, it seems ungenerous not to give Wiest's grossly mistreated Jennifer the chance to exact her own revenge, especially after establishing that she's no sweet old lady. Instead, she's shuffled quietly off to the sidelines as the Marla-Roman smackdown takes a more cynical turn, suggesting the endless scope for legitimized corporate skullduggery in 21st century America.

Whether you find this entertaining or repugnant will depend on your stomach for a despicable reality. But the movie delivers unquestionable pleasures in the pairing of Pike's monstrous manipulator with the always wonderful Dinklage's cool, calm killer, a man too smart not to recognize and respect his adversary's formidable intelligence.

Venue: Toronto Film Festival (Gala Presentations)
Production company: Black Bear Pictures, Crimple Beck
Cast: Rosamund Pike, Peter Dinklage, Eiza González, Dianne Wiest, Chris Messina, Isiah Whitlock Jr., Macon Blair, Nicholas Logan, Damian Young, Alicia Witt
Director-screenwriter: J. Blakeson
Producers: Teddy Schwarzman, Ben Stillman, Michael Heimler
Executive producers: Andrea Ajemian, Sacha Guttenstein
Director of photography: Doug Emmett
Production designer: Michael Grasley
Costume designer: Deborah Newhall
Music: Mark Canham
Editor: Mark Eckersley
Casting: Jeanne McCarthy, Rori Bergman
Sales: CAA, STX International
118 minutes


Full Article & Source:
'I Care a Lot': Film Review | TIFF 2020