Sunday, May 30, 2021

The Price of Care: Investigating California Conservatorships | 'Set Up for Failure' (5 of 5)

 ABC10 investigative reporter Andie Judson's year-long investigation found an industry with little oversight from state regulators opening the door to potential abuse. So, what’s being done to regulate the $13 billion conservatorship industry in California? This episode examines legislation that’s currently being debated within our state capitol to answer the question of how to prevent conservatorship abuse. 

Conservatorships in California: Everything you need to know: https://www.abc10.com/article/news/lo...


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Senate Advances Protections, Quality of Life for Elder New Yorkers

Senate Majority Advances Legislation to Protect Elder New Yorkers

New legislation to support and protect the rights of elder New Yorkers has passed the New York State Senate. The new protections will prohibit termination of tenancy in certain senior housing facilities, establish an elder abuse aftercare program, require elder abuse training for senior service providers and will raise the income eligibility limit for rent increase exemptions. A newly-created State Office of the Utility Consumer Advocate will also help protect elder consumers.

In addition to safeguarding living arrangements, new quality-of-life legislation expands Medicare eligibility, establishes the public posting of a senior trail guide, and encourages entrepreneurship and workforce opportunities through a new Office of Older Adult Workforce Development.

“Our state’s seniors deserve to age in dignity and have their rights protected,” Senate Majority Leader Andrea Stewart-Cousins said. “Elder abuse, neglect, or exploitation cannot be tolerated, we must do everything we can to raise awareness and educate the public.  I am proud to sponsor legislation to better protect aging New Yorkers, and I thank my colleagues in the Senate Majority for their dedication to ensure the senior community has access to the services and support they need to prosper.”

Bill Sponsor, and Chair of the Senate Committee on Aging, Senator Rachel May, said, “As Chair of the Committee on Aging, I am very grateful to my colleagues for their work to protect older New Yorkers’ health and safety and help them stay active longer. This package of bills supports affordable senior housing, expands access to affordable prescription drugs, recognizes the need to prevent elder abuse, and creates opportunities for work and recreation. My bills acknowledge that more people are staying in the workforce longer, often starting new businesses late in life, and they may need assistance in navigating the new realities of commerce and employment.”

Read the Senate Majority Press Release.

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Caretaker Arrested, Charged With Elder Neglect: Cartersville PD

by Jim Massara

Inger Louise Mims was arrested Sunday by Cartersville police after a Percocet pill she couldn't produce a prescription for was found in her wallet, according to authorities. (Shutterstock)

CARTERSVILLE, GA — A woman accused of elder neglect is in jail Friday after a pill not prescribed for her fell out of her wallet while police were questioning her, according to authorities.

In addition to being charged with neglect to a disabled adult, elder person or resident, Inger Louise Mims of Cartersville is charged with possession of a schedule-II controlled substance. Both charges are felonies.

Mims was arrested Sunday after a niece at their residence on Beaureguard Street complained to Cartersville police that Mims was "taking advantage of her grandfather," according to the incident report.

When questioned, Mims told the investigating officer that she helped care for the grandfather and "does not mistreat him in any way," according to the report. But when Mims pulled out her wallet to show identification, a white pill — later identified as Gabapentin, used to control seizures and shingles — fell to the ground.

When Mims told the officer that the pill was medication for the grandfather, the officer asked for permission to search her wallet. There, he found two more white pills: tizanidine hydrochloride, a muscle relaxer; and Percocet, the brand name for oxycodone, a schedule-II controlled substance. Mims told the officer she had been prescribed the Percocet, but when she couldn't produce a prescription she was arrested.

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Saturday, May 29, 2021

The Price of Care: Investigating California Conservatorships | 'The Fight for Accountability' (4/5)

The job title of a fiduciary is broad and powerful. Fiduciaries are trained to manage their client’s wealth, well-being, and assets. It’s also the certification needed to be a conservator. 

After abuse was exposed in California conservatorships, the state created the Professional Fiduciary Bureau under the California Department of Consumer Affairs. The PFB was set up to regulate “non-family member professional fiduciaries.” 

But the state entity that was created to provide oversight and protect clients has never - once - issued a citation for abuse. Abuse that could be going under the radar, as the bureau only has one investigator to look into the hundreds of detailed complaints they receive. 

Our investigation shines a light on the failure of a bureau that was set up to ensure the protection of fiduciary clients, many who are society’s most vulnerable. Conservatorships in California: Everything you need to know: https://www.abc10.com/article/news/lo...


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Mayor, commissioners will not follow up on audit that criticized oversight of Guardian program

WESH 2 News is investigating the state's Guardian Program.

It's designed to care for people, often elderly, who are incapacitated.

WESH 2 News investigative reporter Greg Fox explains why Orange County's mayor and commissioners are not going to follow up on an audit that criticized oversight of the program.

Rebecca Fierle is a former professional guardian who is charged with aggravated abuse and neglect of the elderly, related to the death of one of her wards, Steven Stryker.

Jan Garwood was a former Fierle Ward, whose attorney persuaded a judge last fall to restore her rights.

"And I said, 'please, if anybody is reading this, please help me. I've been kidnapped and forced into a locked facility,'" Garwood said.

Fierle was just one of the professional guardians whose questionable financial control over their wards was exposed in a March audit by Orange County's comptroller. It also suggested that the clerk of courts who oversees the Guardian program was not doing an adequate job.

After examining 3,300 cases, the audit revealed in just 14 cases, "unsupported expenses" of $1.25 million, for living facilities, medical expenses, and for "other" unexplained expenses.

But Clerk Tiffany Moore Russell pushed back, saying comptroller Phil Diamond doesn't understand how the program works.

"That this could still happen? That's really the saddest point," Orange County Commissioner Mayra Uribe said.

That's why Uribe asked for a commission workshop, to learn more.

But at a recent Public Safety Coordinating Council meeting, Russell rejected the idea.

"This is not the venue," Tiffany Moore Russell, Orange County Clerk Of Courts, said, "to address those issues regarding Guardianship."

Instead, she referred WESH 2 News to the Florida Court Clerks and Comptrollers Association. In an email, a spokesman told WESH 2 News a new task force will "focus on Guardianship in Florida and make recommendations on improvements to the process."

"We will continue to work with our judiciary as far as our processes in making sure we are doing our best to protect those most vulnerable," Russell said.

Orange County Mayor Jerry Demings said what the clerk really needs, is more money from the state.

"To look at legislative relief and funding to better fund the guardianship program," Demings said.

But critics, who believe local clerks and judges can be manipulated by guardians and their attorneys, want lawmakers to establish a statewide court and jury.

The Clerk and Comptroller Association could not provide a timetable for the new task force beginning or completing its work.
 
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4 NKY hospital workers convicted for abusing a patient

Four employees of Saint Elizabeth's Hospital in Edgewood were charged and sentenced for abusing an elderly patient.

Ellyssa Klein, 28, and Sandra Nobbe, 31, Gary Ray, 74, and Ashley Flower, 33, were all arrested after an investigation by the Kentucky Attorney General Daniel Cameron's Office of Medicaid Fraud and Abuse Control.

The investigation found the defendants helped each other improperly restrain an elderly patient in the Behavioral Health Unit in July 2015.

At the time, Klein and Nobbe were both certified nursing assistants with the hospital's Behavioral Health Unit. Ray and Flower were registered nurses at the hospital.

The attorney general's office said the defendants rearranged furniture around the patient's medical recliner and put therapeutic water bags on top of the patient.

The bags each weighed more than 35 pounds and were left for about 15 hours.

"We will not tolerate abuse or neglect by those charged with their care," Cameron said. "I appreciate the work of our Medicaid Fraud and Abuse Control Unit to hold accountable those responsible for these terrible actions."

In April, Klein, Nobbe and Ray pleaded guilty to Reckless Abuse or Neglect of an Adult. They were sentenced to twelve months in jail, conditionally discharged for two years. They also agreed to forfeit their professional licenses and were placed on the Caregiver Misconduct Registry for seven years.

Last week, Flower pleaded guilty to Reckless Abuse or Neglect of an Adult and was sentenced to twelve months in jail, conditionally discharged for two years. Flower also agreed to forfeit her professional license.

Anyone who wants to report abuse, neglect, or exploitation in a Medicaid facility is encouraged to contact the Attorney General's elder abuse tip line at 1-877-228-7384.

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Friday, May 28, 2021

The Price of Care: Investigating California Conservatorships | 'The Old Boy's Club' (Episode Three)

Conservatorships give control over someone’s life, money and assets to another, and if families aren’t getting along, the probate court usually will appoint a third-party fiduciary to be conservator. It’s a life-changing decision that’s often made quickly; probate courts throughout California are inundated, with judges seeing hundreds of cases in a week, sometimes dozens an hour. 

This episode digs into how our probate court system works and narrows in on the happenings of the Sacramento County Probate Court, one that multiple insiders and experts have referred to as a “good old boys’ club” throughout ABC10’s year-long investigation. Many believe it’s a club that’s benefitting its members, particularly through loopholes that some believe are leading to corruption in conservatorships. 

Conservatorships in California: Everything you need to know: https://www.abc10.com/article/news/lo...


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Hearing date set for probate judge

By Scott Halasz

XENIA — A hearing date has been set for the Greene County Common Pleas Court judge accused of misconduct in his court room.

Probate Court Judge Thomas O’Diam will have a formal hearing in front of a three-member panel of the Board of Professional Conduct at 10 a.m. June 29 via video conference. The hearing is in response to a complaint made against O’Diam filed March 29.

The complaint with the Ohio Board of Professional Conduct of the Supreme Court, alleges that the judge violated rule 2.8(B) of the code, which states that “A judge shall be patient, dignified, and courteous to litigants, jurors, witnesses, lawyers, court staff, court officials, and others with whom the judge deals in an official capacity, and shall require similar conduct of lawyers, court staff, court officials, and others subject to the judge’s direction and control.”

It alleges that O’Diam spoke harshly to someone in his courtroom who previously told Greene County commissioners that the judge should “should recuse himself from cases in which ‘family members’ represent parties.”

In an April 19 response filed by attorney Joe Borchelt, O’Diam admitted to most of the allegations while saying other parts of the certified complaint speak for themselves.

The alleged violation occurred during a June 6, 2019 status conference regarding the estate of Carolee Buccalo, which was being handled by Brittany O’Diam, Judge O’Diam’s daughter. Buccalo’s son, Grant David Buccalo, was called to the stand and questioned at length about the comments he made to the commissioners in 2019 regarding family members representing parties in Judge O’Diam’s court.

According to county records, Brittany O’Diam has represented clients in her father’s courtroom more than 40 times since O’Diam took over the bench. The judge did not recuse himself — until Buccalo’s case — but Brittany O’Diam filed a waiver of disqualification, which is a form parties sign acknowledging the judge’s potential conflict of interest and agreeing to move forward with the case.

Buccalo did sign one of those forms when Brittany O’Diam took on the case, but he said he was an “emotional mess” when he signed the wavier. He also said his comments to the county were not meant to be taken personally by Judge O’Diam.

The complaint indicates that Buccalo did not specifically mention his mother’s estate case or express concern about his own involvement with Judge O’Diam, other than to say that he had never met him and wouldn’t recognize him. Buccalo then said he planned to file a grievance with the disciplinary counsel.

In his response, O’Diam requested that the boardreview the matter and “issue a decision that is right and just.”

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The guardianship guide: How to protect your loved ones

State laws are designed to prevent predatory behavior.

 

Texas has laws to protect incapacitated residents.(David Plunkert / Special Contributor)

By Mary Jacobs

It’s a nightmare scenario: A stranger knocks on the door and informs the resident, an elderly woman, that the court has appointed the visitor as her guardian.

The guardian tells the resident to pack her things immediately and whisks her off to an assisted living community. Family members try to step in, to no avail, as the guardian proceeds to sell the woman’s home and plunder her assets. And the most frightening part: It’s all legal.

That’s the opening scene of I Care a Lot, the Netflix movie starring Rosamund Pike, and shockingly, it mirrors the true story of a professional guardian named April Parks in Nevada. (The rest of the movie — involving Russian mobsters, a bag of stolen diamonds and multiple murders — is pure fiction.) Parks ripped off dozens of elderly people in Nevada; she’s now in prison.
 

If you saw the movie and you’re an older adult, you might wonder: Could this happen to me? If so, how can I protect myself?

Legal perspective

First, some good news: Texas has protections in place that prevent the kind of predatory scenario that occurred in Nevada.

“That story is unrecognizable to those of us who practice guardianship in Texas,” says Terry W. Hammond, executive director of the Texas Guardianship Association, an organization of professional and family guardians. “Basic due process has been infused in the system in Texas. But that’s not to say the system is perfect. We still have some work to do to improve our guardianship process.”

Guardianship involves the legal process of removing the rights of a person who is incapacitated and can’t manage affairs because of illness, injury or disability. A guardian may be appointed by a court to manage the incapacitated person, the estate or both.

There are two types of guardians: a guardian of a person who makes medical, residential and similar decisions for that ward and a guardian of the estate who manages property on behalf of a ward.

“Getting guardianship is not an easy process in Texas,” says Hammond, an attorney. “Before an incapacitated person can be assigned a guardian, there must be a court hearing and medical evidence of incapacity. The person is served papers and is entitled to legal representation.” That process usually takes four to six months.

Guardians today

About 50,000 to 60,000 Texans, with estimated assets of $5 billion to $6 billion, are under guardianship in Texas.

Hammond estimates that 75% of those serving as guardians in Texas are family members. The other 25% are professional guardians, most of whom work for nonprofits.

The Senior Source, a nonprofit serving seniors in Dallas County, offers a guardianship program that assists people 50 and older who don’t have family to serve as a guardian or in cases when the court determines that a third party should be the guardian.

“Our program has five certified guardians who step in on behalf of the elderly person to make medical decisions and to apply for benefits [such as Medicaid, Medicare or veterans benefits] to cover the cost of long-term care at a nursing home or rehab facility,” says Meghan Hutchinson, director of the guardianship program at the Senior Source and president of the Texas Guardianship Association.

Short of incarceration or a mental health commitment, guardianship is the most restrictive legal status that can be imposed on a person. Usually it’s invoked to protect vulnerable elders and only as a last resort. For example, if a neighbor is stealing the Social Security checks of an elderly person with dementia or a family member is draining an incapacitated person’s bank accounts, the courts can appoint a guardian to intervene for someone who can’t advocate for himself.

To help prevent abuse and exploitation, the Texas Legislature enacted law in 2004 to license and train professionals who serve as guardians. But given the billions of dollars under the supervision of guardians, Hammond says, there should be more oversight.

Texans will find fairly good oversight in cities like Dallas and El Paso. But in rural counties, where the county judge may be part time and has no legal training, the resources for careful adjudication and oversight are often limited. The Texas Guardianship Association is advocating for the creation of specialized regional courts that are better equipped to adjudicate guardianship cases and oversee them. (At publication time, the Legislature was considering several possible measures, but nothing had been signed into law.)

Protecting yourself

Your best protection against potential abuse or exploitation is planning ahead. Consider how you’d like your affairs to be managed if you can’t do it yourself.

“When people come in for estate planning, the possibility of becoming incapacitated is usually not on their radar,” says Ellen Daniel Williamson, an attorney with Ellen Williamson Law in Dallas. “But it can happen overnight to anyone at any age — a stroke, a car accident, a traumatic brain injury.”

Keep in mind that even if you become incapacitated, guardianship isn’t necessarily invoked unless there are no other alternatives. If a family member with power of attorney is handling the senior’s affairs appropriately, guardianship likely won’t be necessary.

Hutchinson of the Senior Source adds that probate courts investigate the need for guardianship and, if it’s necessary, a judge will decide who will serve as guardian. Courts generally prefer to appoint family members, but if relatives are not willing or able to serve, the courts turn to guardianship programs, such as the Senior Source’s, and private professionals to fill the need. Currently, there are not enough guardians to meet all the guardianship needs.

For that reason, less restrictive alternatives to guardianship should be considered for older adults who need assistance in some areas but are generally functioning independently, she says.

For example, if an elderly man with dementia is forgetting to pay his utility bills, a family member with power of attorney can assist; guardianship isn’t necessary. Similarly, the Senior Source’s Elder Financial Safety Center offers a money management program that helps seniors with that.

“Guardianship is really a last resort option, and it’s not a quick fix,” Hutchinson says.

Thinking ahead

The possibility that you could become incapacitated, temporarily or permanently, is important to consider as part of estate planning. Discuss these documents with your attorney.

A will, a living will and a durable power of attorney: Talk with your attorney and trusted family members about how you’d like your personal and financial affairs managed in the event you’re incapacitated. Remember that it can happen quickly and unexpectedly, due to a stroke or a car accident, for example.

Power of attorney: Remember that you can name different people to handle medical and financial decisions. When granting power of attorney, think carefully. Sadly, many cases of financial exploitation of elderly people are perpetrated by family members.

Declaration of guardian: This is a simple document that contains your wishes as to who you’d like to serve as your guardian should the need arise. You can also disqualify anyone whom you don’t want to be your guardian. You don’t need to share this information, just keep it on file with your will.

Finally, understand that legal guardianship is usually a last resort. If you grant power of attorney to trusted, competent family members, it’s generally not necessary. The exception arises when there are conflicts among family members or a family member acts inappropriately.

Resources

The Senior Source Guardianship Program employs a staff of five certified guardians who serve as legal guardians of people 50 and up at the appointment of the Dallas County courts. The program is funded through contracts with Dallas County and the Texas Health and Human Services Commission and guardianship fees (through Medicaid or court-ordered private pay fees) plus grants and donations. Visit TheSeniorSource.org or call 214-525-6161.

The Texas Guardianship Association is the professional organization dedicated to educating professional family and volunteer guardians in the basics and practices of guardianship. Visit texasguardianship.org.

Attorney Ellen Williamson blogs on topics related to guardianship and estate planning. Visit ellenwilliamsonlaw.com.

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