Monday, April 9, 2018

Tonight on Marti Oakley's T. S. Radio: Abolishing Probate with Lisa Belanger







5:00 pm PST … 6:00 pm MST … 7:00 pm CST … 8:00 pm EST
Join Marti Oakley with Luanne Fleming and Robin Austin as we host Atty. Lisa Belanger from Massachusetts..

Lisa has just organized The People's Center for Law & Justice and is working to end the probate/guardian system that is operating across the country. Lisa's organization will also work to counter bogus legislation which is actually intended to worsen the problems with professional, for-profit guardians and the ensuing plundering of estates.

We will also discuss the difference between public and private guardians...is there actually a difference?

A recent bill in Massachusetts offered by the former AG of Mass., would have given immunity to virtually every person involved in these guardianship scams. Even those the former AG identified as having committed "ordinary negligence" would have been immune from prosecution under this bill. Subsequent letters to the former AG asking him to define just exactly what ordinary negligence is, have gone unanswered.

LISTEN to the show live or listen to the archive later

Marti Oakley: Minnesota Boomers Express Fear of Doctors

“Attendee’s reported that when they were hospitalized, they were given sedatives (chemical restraint) against their will. Add to this that many talked about the callous treatment they received by hospital staff, including at times (but not often), physical abuse. Virtually all in attendance were concerned that if they were hospitalized, they would never return home.”

At a recent local meeting here in Minnesota with approximately 60 elderly individuals, 60 and over, several things caught my attention that I found alarming. The recent revelations about the lack of oversight, concern, and ongoing abuse, neglect and exploitation of seniors in nursing homes was paramount, many fearing or believing that at some point they would end up in one of these houses of horror.   Reports of a senior in an assisted living facility, who had died two days prior without anyone noticing, must have terrorized these people even more.




Full Article and Source:
Marti Oakley: Minnesota Boomers Express Fear of Doctors

One of America’s most popular drugs — first aimed at schizophrenia — reveals the issues of ‘off-label’ use



The first warning came a dozen years ago, when the Food and Drug Administration accused the drug company AstraZeneca of “false or misleading” information about health risks in the marketing material for its blockbuster medication Seroquel, an antipsychotic developed to treat schizophrenia but increasingly prescribed “off label” for insomnia.

What followed was an onslaught of litigation by state attorneys general, who charged AstraZeneca with fraudulently promoting Seroquel for unapproved uses, and by individual patients, who claimed that it had failed to alert consumers about some of the drug’s most pernicious side effects. Although the company never admitted wrongdoing, by the end of 2011 it had paid out more than $1 billion to settle many of the cases.

Another product might have been derailed, but not Seroquel. Despite generic competition and lingering lawsuits, AstraZeneca’s annual reports show Seroquel remained a blockbuster, with $3.6 billion in sales from 2014 to 2016. In the drug’s titanic success and its strong link to off-label prescribing lies a cautionary tale — about the sometimes conflicting forces within health care, the relationship between medications and marketing, and the limits of regulatory protections.

Full Article and Source:
One of America’s most popular drugs — first aimed at schizophrenia — reveals the issues of ‘off-label’ use

NY Judge Leticia Astacio Gets Pay Raise After Working 213 Out of 214 Days

Rochester City Court Judge Leticia Astacio has received a pay raise, increasing her compensation to $187,200.

An agreement issued by the Commission on Legislative, Judicial and Executive Compensation Board is responsible for the pay increase. It is the final of four installments agreed upon for all judges working in New York. This process began in 2015.

Chief Administrative Judge Craig Doran confirmed Monday that Astacio is still not showing up for work as directed.

Astacio did report for work on Tuesday, February 27 for one day– and has not been back since. Judge Doran sent a letter to Astacio on February 23, ordering her to return to work at the Hall of Justice on February 26. Prior to this, she had not reported to work since August 31.

Astacio was assigned to handle legal work that did not put her on the bench. She subsequently provided Doran with a doctor's note, stating that she could not work.

The Rochester City Court judge was charged with DWI in February 2016 after she was involved in a car accident on Rt. 490 West while on her way to court to handle criminal arraignments. She was sentenced to 60 days in jail, three years probation, and six months with an alcohol ankle monitor in July 2017.

The New York State Judicial Conduct Commission has remained largely silent on whether it will or will not take up the case of Astacio's position of the bench.

Source:
After not working 213 of 214 days, Judge Astacio receives pay raise

See Also:
Editorial: Astacio Case Shows Need to Reform How New York Disciplines Judges

NY Judge Arrested, Led From Courthouse in Handcuffs

Judge Astacio Arrested, Sent to Jail Until Thursday's Hearing

Illinois Woman Arrested for Financial Exploitation of Disabled Person

A Franklin Grove woman was charged Wednesday with financially exploiting a disabled woman.

Dixon police arrested Tina M. Parks, 53, on two counts of financial exploitation of a disabled person, one instance ranging between $300 and $5,000 and the other for less than $300.

The felony charges carry sentences of 2 to 5 years and 1 to 3 years, respectively. The exploitation took place on March 30 and 31 when Parks, “standing in a position of trust or confidence ... knowingly and by deception or intimidation” used the disabled person’s assets, according to court documents.

Full Article and Source:
Franklin Grove Woman Arrested for Financial Exploitation of Disabled Person

Sunday, April 8, 2018

Georgia Probate Judge Indicted After $430K Goes Missing


WALB.com, South Georgia News, Weather, Sports

A Georgia probate judge has been indicted on charges of racketeering and theft by taking after nearly half a million dollars was stolen from the Atkinson County Probate Court's Office.

Probate Judge Marjorie O’Brien was arrested on January 27, 2017, and charged with one count of theft by taking.

An investigation was launched into the possible theft of funds by the Georgia Bureau of Investigation at the request of Superior Court Judge Howard McClain on January 17, 2017.

During the investigation, the GBI determined O’Brien had stolen approximately $430,000 from the Atkinson County Probate court's Office between 2010 and 2016.

On Monday, O'Brien was indicted by an Atkinson County grand jury on two counts of racketeering and 81 counts of theft by taking.

Atkinson County Sheriff David Moore says the whole situation caught him completely off guard.

"It's like a kick in the stomach. One it's a small county, everybody knows everybody. We may talk about you, but we still like you. It was hard. It's hard for a lot of people," said Moore.

The case is being prosecuted by the Georgia Attorney General's Office.

Texas Probate Judge Kelly Cross Disputes Claim Made by County Clerk

In a letter sent this week to the San Antonio Express-News, Probate Court No. 1 Judge Kelly Cross disputed a claim made by Bexar County Clerk Gerry Rickhoff about events that preceded a horrific double-homicide.

Rickhoff was “totally wrong,” Cross wrote, when he stated that a mental health warrant to detain Casey Farrell Marshall was denied because of a lack of bed space. Cross, who has not responded to multiple requests for an interview, implied in the letter that the warrant was denied for failing to meet “applicable criteria.”

According to police, Marshall killed his girlfriend, Andrea Gonzalez, and her 11-year-old daughter, Azriah, with a hatchet on the city’s Northwest Side on March 17 — two days after the warrant to detain him was denied.

I reported Rickhoff’s statement in my column this week, along with former associate probate-court judge Oscar Kazen’s reaction to it. Kazen, who is running to oust Cross in November, called the failure to detain Marshall before the killings “a breakdown of process.”

Rickhoff has declined to release the file on Marshall due to civil rights and privacy laws. After consulting with his staff and his attorney, however, the county clerk on Wednesday stood by his initial statement.

“I went and reread that file,” Rickhoff said. “And yeah, I’m going to stand by what I said. … I’m a truth teller. I don’t care if it hurts me. I’m going to tell the truth.”

He added, “I did meet with my staff on this issue and consulted with them. They indicated the truthfulness of my remarks.

Full Article and Source:
Judge Disputes Claim Made by County Clerk

Minnesota Department of Health Seeks Input on Elder Abuse Complaints







Taking another step to improve the efficiency and effectiveness of Minnesota’s elder care regulation, the Minnesota Department of Health (MDH) today issued a formal request for information (RFI) seeking stakeholder feedback on specifications and functions of a new electronic case management system to replace the antiquated system currently in use in its Office of Health Facility Complaints (OHFC).

Posted on the MDH website at Request for Information: Vulnerable Adult Abuse Case Management System (PDF), the RFI was developed in collaboration with the Minnesota Department of Human Services and Minnesota Information Technology Services. The process is designed to generate information that will be used in evaluating and contrasting various private-sector case management systems, potential pricing and possible options. MDH intends to make public the results of the RFI and discuss the findings with legislators prior to selecting any system.

“Minnesotans expect safe, quality care for their loved ones in long-term care settings, and they expect us to hold care providers accountable,” said Minnesota Health Commissioner Jan Malcolm. “Having a modern, highly functioning case management system in place is an important step toward ensuring that OHFC can do its work more efficiently and effectively.”

The RFI lists several features expected to be part of the new case management system, including:

  *Receiving and coordinating new complaints, including documentation and evidence;
  *Assessing complaints to determine urgency, jurisdiction and need for onsite investigation;
  *Real-time monitoring and updates on the status of each complaint and investigation;
  *Ensuring compliance with all state and federal deadlines;
  *Notification of all parties on complaint status, as permitted by law;
  *Tracking staff workload for future assignments and performance outcomes;
  *Tracking appeals and required activities; and
  *Providing easy access to publicly reported data for trends analysis and prevention.

MDH anticipates responses to the RFI document will come from two general categories: interested stakeholders (including legislators, consumer advocates, long-term care providers and family members) and interested vendors (non-profit and for-profit organizations with experience in design and implementation of case management systems). RFI responses are due by 4 p.m. on Friday, May 4, 2018. MDH will summarize results and post them publicly to the OHFC Project website later that month.

Source:
Press Release: MDH seeks input on new electronic case management system for elder abuse complaints

Saturday, April 7, 2018

Brookdale Senior Living residents join class action lawsuit

Bernie Jestrabek-Hart calls her Brookdale Senior Living Scotts Valley apartment a ‘live-in art studio.’ (Dan Coyro -- Santa Cruz Sentinel)
SCOTTS VALLEY >> Two residents of Brookdale Senior Living Scotts Valley have joined a lawsuit filed in federal court in San Francisco alleging the company based in Brentwood, Tennessee, committed elder financial abuse through understaffing that makes it impossible to provide services residents were promised and have paid for.

The lawsuit, which names seven plaintiffs, seeks class action status for 5,000-plus residents in Brookdale’s 89 assisted living facilities in California and at least $45 million in damages, $9,000 for each affected resident.

The lawsuit alleges Brookdale, a publicly traded company that is the largest provider of assisted living for senior citizens in the U.S., violated the Americans with Disabilities Act by failing to make its facilities readily accessible by individuals with disabilities.

Bernie Jestrabek-Hart, 72, of Scotts Valley, is one of the plaintiffs. The other Scotts Valley plaintiff is Patricia Lindstrom, 81, whose husband Art died in February of a heart attack.

The lawsuit alleges Brookdale staffing is based on predetermined labor budgets and desired profit margins, with permission from corporate headquarters required for deviation. This creates a disincentive for executive directors at a facility to request increased staffing “because they are not eligible for bonuses unless they meet earnings targets,” according to the lawsuit. Gay Crosthwait Grunfeld of Rosen Bien Galvan & Grunfeld, one of three law firms representing plaintiffs, contends the incidents detailed in the initial lawsuit filed in July are symptoms of a systematic problem at Brookdale facilities.

Jestrabek-Hart read about the lawsuit and contacted the law firm to share her story.

Brookdale spokeswoman Heather Hunter said, “We believe this lawsuit is without merit. We are not able speak directly to specifics, but we are defending ourselves vigorously.”

In February, Brookdale Senior Living reported a net loss of $572 million for 2017 on $4.75 billion in revenue, compared with a net loss of $405 million on $4.98 billion in revenue for 2017.

STAFFING ISSUES

Brookdale Scotts Valley, licensed for 220 beds at 100 Lockwood Lane, was called Oak Tree Villa before Brookdale took over.

Jestrabek-Hart, who uses a wheelchair, came to Brookdale Scotts Valley in October 2015 and is paying $4,477 per month plus $834 per month for assistance with dressing and showering.

Fees have risen 21 percent and 11 percent respectively since she moved in, compared to the 2016 consumer price index was 3.4 percent, according to the lawsuit.

A metal sculptor for 30 years, Jestrabek-Hart overcame polio and ran an equestrian facility in Idaho. In 2012, she switched to fabric creations after surgeries to fuse her back and replace her shoulders. She’s dealt with arthritis and fractured toes on her right foot.

She expected she would get help showering four times a week as per her contract and that she would be able to take the Brookdale shuttle bus to doctor’s visits and social outings, as the company website stated.

After she moved in, she learned transportation was limited — Monday and Thursday 10 a.m. to 4 p.m. — and she was told her motorized wheelchair was too heavy — which had not been an obstacle at her prior assisted living residence in San Jose.

She said she calls Para Cruz, and pays for the service herself.

According to the lawsuit, the fees have risen due to the cost of providing services but Jestrabek-Hart said there are not enough staff.

She was one of several residents stranded on the first floor for three hours, unable to reach her room on the second floor, when the power went out. She was unable to use to her CPAP machine, prescribed for sleep apnea; there was only one generator-powered outlet in another wing, inaccessible to her.

She has waited two to three hours for a staffer to help her shower, sometimes falling asleep before assistance arrives, and she has waited 90 minutes to an hour in the morning and evening for help dressing and undressing. She’s been told only one staff member is on duty to meet the needs of 150 residents.

She once fell out of her wheelchair onto the floor of the laundry room, enclosed by a heavy hard-to-open door and lacking emergency pull cords, with no way to summon help; by chance someone walked in and assisted her.

She notified the facility, but nothing has changed.

MEALS ISSUE

Lindstrom and her husband came to Brookdale Senior Living in November 2015, attracted by “nutritious meals and snacks planned by a registered dietician,” as one of the forms said.

Her husband had diabetes, heart disease and cognitive impairment. They paid $5,900 per month for a two-bedroom unit plus $400 per month as a second-resident fee, before moving to a smaller studio for $4,295 per month plus the $400 per month second-resident fee.

Lindstrom found there was no dietician on staff and too few staff to pay attention to individual dietary needs. The menus, determined in Tennessee, were starchy, mashed potatoes, baked potatoes and root vegetables, lots of canned foods rather than fresh, and “sugar, not just in desserts,” she said.
In three months, her husband gained 20 pounds, she said.

“His blood sugar was high repeatedly,” she said. “That meant his brain didn’t work right.”

COMPLAINTS

In April 2017, the state Department of Social Services, which licenses residential care facilities for the elderly, issued a $10,000 penalty to Brookdale Senior Living Scotts Valley after an investigation into a fall by elderly man on Feb. 21, 2016 and discovered the next day.

The man was hospitalized in the intensive care unit for dehydration and rhabdomyoloysis, which is when damaged muscle issue breaks down.

The state found the man had not received food or water for 24 hours, concluding “staff failed to provide.”

Jestrabek-Hart is serving her second one-year stint as president of the resident’s council. She sent letters last fall to then-CEO Andy Smith and in March to the new CEO, Cindy Baier, describing issues such as not enough staffing, transportation problems for those with electric wheelchairs and uneven sidewalks due to tree roots creating trip hazards.

State law requires residential facilities to respond in writing within 14 days to any written concerns or recommendations submitted by a family council representing residents, but Jestrabek-Hart did not get a response to her letters.

She said the new executive director, May Sunglao, who started in August, made some improvements, such as painting the sidewalk trip hazards yellow so they are easier to see and taking care of the lawn.

“Our staff is wonderful. They work very hard trying to do what’s right,” said Jestrabek-Hart.

If the lawsuit should be successful, she would like to see more staff.

At the front desk is a notice saying seven positions are available.

Baier, who became CEO Feb. 28, told McKnight’s Senior Living that the Brookdale plans to increase total compensation costs 5.5 percent to 6 percent, improving salaries and wages to boost employee retention.

Full Article & Source:
Brookdale Senior Living residents join class action lawsuit