Sunday, February 19, 2023

People Do NOT Want To Live In Group Homes

by Eric Goll

You might agree with me, or you might disagree with me.

BUT, you must consider the truth of the living environment and experience of the person when we group people with disabilities and force them to live together.

It’s also helpful to hear straight from someone with lived experience, so here’s what a person shared with me about their experience living in a group home:

“I have a developmental disability and have lived in an extremely toxic group home. People who are placed in group homes don’t have the right to pick and choose whom they get to live with, which can create hostility.

I have been yelled at by both staff and roommates, as well as assaulted by roommates. After leaving that group home, I chose to find my place to live with minimal support.

To this day, I have never looked back. I have the freedom to do what I want and eat what and when I want, and if I ever decide I want a roommate I will have the freedom to choose whom I want to live with me.”

Click the video below to learn why group homes create a poor living environment, and how you can create a better living environment and home for your loved one.

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People Do NOT Want To Live In Group Homes

Teen helps save elderly man and his dog after car falls through icy lake | New York Post

A high school student and several strangers jumped into action to save an elderly man and his dog after his car fell through an ice-covered lake in Iowa, dramatic drone footage of the rescue shows. 

Thomas Lee, 83, and his 6-year-old pup Cooper were heading to his son-in-law’s fishing shack when his Jeep plunged through the ice into the frigid waters of East Okoboji Lake in Dickinson County around 3 p.m. on Saturday, The Des Moines Register reported. 

Joe Salmon, 17, who was ice-fishing with his mother and watching snowmobile races nearby, called 911 and jumped into the water without hesitation to help as the vehicle began sinking. 

Corey McConnell, 30; Kody Harrelson, 26; Cody Chester, 27; and Chris Parks, 27; also helped pull the man and dog to safety, according to the Dickinson County Sheriff’s Office.

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Teen helps save elderly man and his dog after car falls through icy lake | New York Post

Iowa teen rescues elderly man and dog from icy lake

Joseph Salmon, 17, shares how he rescued an elderly man and his dog after they fell through a layer of ice on East Okoboji Lake on 'Tucker Carlson Tonight.' 

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Iowa teen rescues elderly man and dog from icy lake

Saturday, February 18, 2023

They lost everything. New measure would prohibit nursing homes from preying on residents.

Peter Bonanno (l.) and Suzanne Araneo, who both signed a durable power of attorney that handed full control of their savings, money and assets to a man they never met.Photo of Bonanno courtesy of Lauren Irwin-Szostak/Araneo photo by Patti Sapone | NJ. Advance Media for NJ.com

By Ted Sherman

What happened to them was “just awful,” said state Sen. Joseph Vitale.

One woman said she returned to her home in Keyport from what she expected would be a brief period of rehabilitation in a Hazlet nursing home, only to find it emptied of everything. Her bank accounts had been cleaned out. Her car was gone. What had not been sold off had been tossed in a dumpster.

She had not been burglarized. It was all taken away by someone working on behalf of the long-term care facility that had been caring for her, after she was encouraged to sign a power of attorney giving him full authority over her assets and finances.

The same fiscal agent moved tens of thousands of dollars out of the joint savings held by another nursing home resident with his sister, causing her to default on the property taxes for the small house they once shared, according to documents sent to prosecutors who have yet to take any action. That resident had also signed away control of whatever he had, including his pension, through a power of attorney.

On Monday in the wake of those stories brought to light by NJ Advance Media, Vitale — who serves as chairman of the Senate Health, Human Services and Senior Citizens Committee — introduced legislation in Trenton that would set restrictions on the ability of nursing homes to manage the financial affairs of their residents.

“There has to be some sort of mechanism so that when somebody needs help, we’re not going to drain their bank accounts,” said Vitale, the Middlesex Democrat who has long pushed for reforms to protect residents in the state’s nursing homes.

Under the legislation, co-sponsored by Sen. Robert Singer, R-Ocean, no owner, administrator, officer or employee of a nursing home — or any entity affiliated with a long-term care facility — would be permitted to manage the affairs of a nursing home resident absent a court order appointing that individual as a guardian. A companion measure was introduced in the lower house by Assemblyman Herb Conaway Jr., D-Burlington.

Specifically, the bill, S-3606 in the Senate and A-5194 in the Assembly, would prohibit anyone associated with a nursing home from managing the affairs of a resident “except pursuant to an order of the Superior Court appointing that person as guardian.”

At the same time, the legislation would prohibit nursing home owners or their employees, from acting under a power of attorney on behalf of a resident, as was alleged in the cases that were the focus of the NJ Advance Media investigation into Future Care Consultants, a Brooklyn-based company that provides financial services to the long-term care industry, and its CEO, Shmuel “Sam” Stern.

“There’s clearly a policy that enables this kind of behavior,” said Vitale. “We’re going to fix that.”

State Sen. Joseph Vitale, D-Middlesex, who introduced legislation on Monday that would set restrictions on the ability of nursing homes to manage the financial affairs of their residents.Michael Mancuso | NJ Advance Med

The accounts of those alleged abuses included the nightmare that Suzanne Araneo recounted after signing a power of attorney while under heavy medication. The document gave Stern — who has ties to a number of New Jersey nursing homes, federal records show — the authority to sell, transfer or dispose of her assets, according to a lawsuit still being litigated.

Araneo later returned home to find her home completely emptied of all its possessions, including her family photo albums, her televisions, her furniture and all her clothing. All of it was either sold off or thrown in a dumpster while preparations were made to sell her house, she said. Even her car was taken away.

Two days after her story appeared on NJ.com in August, inspectors from the New Jersey Department of Health went to the nursing home where she had been living to inquire into the matter, according to documents filed by the agency. It cited the facility for alleged deficiencies in connection with the incident.

In a similar episode, authorities were alerted to the tug-of-war over Peter Bonanno’s assets after he was admitted to a Passaic County nursing home in early 2019. Not long after arriving there, legal documents show that with his sister already holding control over his assets, Bonanno signed a new power of attorney handing that control over to Stern.

Attorney David Fassett of Arseneault & Fassett in Chatham, who was working on behalf of a close friend of Bonanno, alerted the Passaic County Prosecutor’s office that Stern allegedly soon liquidated four bank accounts that the then-67-year-old man held jointly with his sister, moving their money into the nursing home’s accounts. The facility then billed him at a higher private pay rate rather than the less-profitable Medicaid rate as a result of the joint funds to which it had no claim, the attorney noted to prosecutors

Bonanno’s sister would not learn their savings was gone until bouncing numerous checks and defaulting on their health insurance premiums and property taxes, the attorney told prosecutors, who did not respond to requests for comment.

Stern has not responded to requests for comment, although his lawyer said of Araneo’s case that “there’s a lot of stuff out there that really does not fit the facts as she alleges them at this time.” He characterized the complaint regarding Bonanno and Future Care as an issue that had been “part of a collection process.”

Nursing home administrators in both matters have not returned calls or emails seeking comment.

Vitale’s bill would invalidate any power of attorney executed by a nursing home resident naming an owner, administrator, officer, or employee of that facility — as well as any entity affiliated with the nursing home that stood to benefit financially from that relationship.

The legislation would require the appointment of a guardian in consultation with the state’s Office of the Public Guardian for Elderly Adults, meanwhile, setting new protections in place.

Guardianships, which require a court’s review and approval, typically are invoked to protect those incapable or incompetent to handle their affairs. A judge must make the call whether it is in the best interest of an individual.

In the cases of Bonanno and Araneo, however, there was no such determination. Instead, they allegedly signed away their rights to Stern under a power of attorney, with no one to question whether someone else should be handling their affairs. Legal experts say the assumption is that anyone signing a power of attorney is competent to make that decision.

The two each put signatures on legal agreements that were simply witnessed by members of the nursing home staff, giving Stern complete control over the disposition of their assets, their lawyers said. They added that neither ever met Stern.

State inspectors, meanwhile, found that Araneo’s signature on the power of attorney documents was notarized by someone who was not in the room when she signed it, nursing home administrators told them, according to a health department report.

“This legislation is designed to protect the assets and well being of unsuspecting residents from unscrupulous or criminal activity,” said Vitale.

Araneo’s attorney, Deborah Gough of Hackensack, applauded Vitale’s proposed legislation.

“Every day, nursing home residents who are incapable of caring for themselves are being financially victimized by predatory nursing homes and the companies with whom they associate. These practices will not stop without oversight from the justice system,” she said. “The laws proposed, if enacted, are our best hope to safeguard our most vulnerable citizens and punish bad acting nursing homes when they break the law with abusive conduct.”

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They lost everything. New measure would prohibit nursing homes from preying on residents.

CMS Proposes Rule Requiring More Nursing Home Ownership Transparency, Including REIT and Private Equity Disclosures

By Zahida Siddiqi

The Centers for Medicare & Medicaid Services (CMS) announced Monday a proposed rule to require nursing homes to disclose more information regarding their ownership and management, including information related to assets held by real estate investment trusts (REITs) and private equity firms.

Nursing homes will be expected to disclose this information as part of the Medicare and Medicaid enrollment process,enabling government agencies and the public to more easily determine whether nursing home owners are private equity investors or real estate investment trusts.

In addition to these disclosures, CMS shared that the proposed rule would provide definitions of “private equity company” and “real estate investment trust” to assist nursing homes when reporting this data. 

The move garnered mixed reactions from industry professionals. They generally applauded the effort to increase transparency, but some also expressed concerns about the approach being taken. American Health Care Association/National Center for Assisted Living (AHCA/NCAL) CEO Mark Parkinson said that the focus on REIT and private equity ownership is a “red herring.”

This proposed rule is just the latest step that CMS has taken to increase transparency of nursing home ownership, which was identified as a key priority of the comprehensive slate of reforms floated about one year ago by the Biden Administration.

In the wake of the Biden proposals last year, nursing home industry leaders pushed back against the way various types of ownership groups were being described and classified. 

For example, private equity firms, private capital firms and REITs were being referred to all but interchangeably, even though they are distinct types of companies with very different structures and ability to influence operations, Rick Matros, CEO of Sabra Health Care REIT (Nasdaq: SBRA), said at the SNN RETHINK conference last year.

Defining REITs, private equity

However, Matros is in support of greater ownership transparency and is glad to see that CMS intends to define private equity and REITs as part of this latest move.

“It’s about accuracy,” he told SNN in an email. “Hopefully their work will lead them to distinguishing between private equity and private capital.”

The definitions of private equity and REITs contained in the proposed rule are broad. For instance, this is the language regarding private equity:

“A private equity company would be defined as a publicly traded or non-publicly traded company that collects capital investments from individuals or entities (that is, investors) and purchases an ownership share of a provider (for example, SNF, home health agency, etc.).”

CMS is soliciting feedback on these definitions and in particular requested input on whether publicly-traded private equity companies should be included in the definition.

“These key definitions will lead to the disclosure of whether direct and indirect nursing home owners are private equity companies or real estate investment trusts via an updated nursing home enrollment application expected to be ready for public use in the summer of 2023,” CMS said in a press release, citing research that private equity investment has been associated with decline in quality of care as well as an increase in Medicare costs.

“By making facility ownership and oversight more transparent, nursing home residents and their families will be more empowered to make informed decisions about care,” CMS said of the new proposal.

The proposed rule would require nursing homes enrolled in Medicare or Medicaid to disclose additional information regarding owners, operators, and management. This could help shed light on how “related parties” benefit from shared ownership interests in a nursing home or chain of nursing homes.

If the proposal is cleared, nursing homes would be required to share information such as that on providers of administrative services or clinical consulting services to their nursing homes in addition to names of lessors, who may be working under a different corporate name, CMS noted.

‘Distraction from the real issues’

Mark Parkinson, President and CEO of The American Health Care Association and National Center for Assisted (AHCA/NCAL) also applauded the move for transparency but targeting ownership and private equity is misleading, he said in an emailed statement to SNN.

“We support transparency and appreciate the Administration’s efforts to assist families in making more informed decisions. However, focusing on ownership and private equity is a red herring. Less than 5% of nursing homes are owned by private equity firms and roughly 12% are owned by a REIT, an entity that typically has no influence on daily operations,” Parksinson said. “This has become a distraction from the real issues that impact the majority of providers, like Medicaid underfunding and workforce shortages. If we truly want to improve America’s nursing homes, we need policymakers to prioritize investing in our caregivers and this chronically underfunded health care sector. Together, we should focus on meaningful solutions that can strengthen delivering the quality of care and services that our nation’s seniors deserve.”

The exact percentage of nursing homes owned by private equity firms is a subject of debate. The CMS proposed rule issued Monday stated that about 70% of nursing homes were for-profit facilities with about 11% owned by private equity in 2021, although the agency noted that “estimates vary.”

LeadingAge, which represents 5,000 nonprofit aging services providers, cheered on the proposal, with CEO and President Katie Smith Sloan calling it a step toward ensuring that “owners or associated businesses” do not put profits over care quality.

She also emphasized the rules and frameworks that nonprofit organizations in the sector already must adhere to.

“Nonprofit providers have always disclosed ownership information as required by federal tax law on Form 990s that are open to public inspection,” Smith Sloan said. “The corporate structures of LeadingAge members promote longevity of ownership through governance by community boards of directors, and are financially sustained through public bond offerings and donations from philanthropists and foundations—though government support is often needed to cover the rising costs of caring for older adults.”

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CMS Proposes Rule Requiring More Nursing Home Ownership Transparency, Including REIT and Private Equity Disclosures

Atria Assisted Living Worker Accused in Resident's Death Appears in Court

An employee for a Walnut Creek assisted living center appeared in a Contra Costa County courtroom Monday to face charges of felony elder abuse resulting in the death of her 94-year-old patient. Jodi Hernandez reports.

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Atria Assisted Living Worker Accused in Resident's Death Appears in Court

Friday, February 17, 2023

Former nursing home owner charged in $6 million employment tax scheme

by Kimberly Marselas

ronstik / Getty Images

A former nursing home owner has been indicted on charges that he willfully failed to pay more than $6 million in taxes that were withheld from employees’ paychecks.

The Department of Justice on Tuesday said Paul Walczak of Palm Beach Gardens, FL, owned multiple healthcare companies between 2009 and 2019, including NuVista, a three-site nursing home company with a checkered past. He also owned Palm Health Partners and PHP Employment Services, a healthcare employment company he founded in 2010.

As the owner of the employment firm, Walczak allegedly exercised control over the businesses’ finances and was responsible for paying over to the IRS employment taxes, including federal income, Social Security and Medicare taxes, a press release noted.

A federal grand jury accused Walczak of not paying to the IRS more than $6 million in withholdings he had collected between 2016 and 2019. During most of that time, Walczak was being paid a combined annual salary of $360,000 by the healthcare companies, authorities said.

In addition, he allegedly received significant wire transfers from those companies. Instead of using them to pay employees’ tax obligations as was intended, he used the funds to invest in his businesses, purchase a yacht, lease luxury vehicles and charter private international flights, the Department of Justice said.

Tax issues at NuVista’s skilled nursing facilities had been widely known since at least 2018, when a Palm Beach Post investigation found that a payroll company owned by Walczak and his mother owed $8.3 million to the IRS for back payroll taxes. That figure had grown to more than $10 million by 2019, but the paper reported then that Walczak “mostly blamed changes in Medicare reimbursements for their money problems.”

In that same article, a company that took over at least one of NuVista’s buildings said it spent months trying to win back contracts with hospitals and other medical providers that refer patients to NuVista, as well as vendors that had been paid late while Walczak was in charge.

The Post said Walczak operated NuVista Living in Wellington with his mother, Elizabeth Fago, before the pair were replaced after the property owner went to court to evict them. The mother-son duo also had previously owned a larger Florida nursing home chain, which they sold in 2007.

Fago is a well-known political donor, described recently by the New York Post as having “made a fortune in the nursing home business.” Last year, she sold her Jupiter, FL, mansion for $12.5 million.

Fago was not named in this week’s indictment.

Walczak, however, also was charged with not filing personal income tax returns for 2018, 2019 and 2020.

If convicted, he faces up to five years in prison for each employment tax count and one year for each failure to file a tax return count. He also faces a period of supervised release, restitution and monetary penalties.

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Former nursing home owner charged in $6 million employment tax scheme

Disbarred Ellsworth lawyer indicted on felony theft charge

by Bill Trotter

A sign stands in front of Chris Whalley's former office on Pine Street in Ellsworth in this file February 2022 photo. Credit: Bill Trotter / BDN

A former Ellsworth lawyer who was disbarred in December for allegedly embezzling nearly $190,000 from a client’s estate has been indicted in Hancock County.

Christopher J. Whalley was indicted Friday on a Class B charge of theft. If convicted on the felony charge, he faces up to 10 years in prison and up to a $10,000 fine.

Whalley, 63, had his license to practice law in Maine revoked two months ago after acknowledging misconduct in how he managed the estate of Wilbur Knudsen, a Milbridge man who died in October 2018. His license was suspended a year ago when a Superior Court justice determined that there could be “imminent injury to his clients, the public and the administration of justice” if he continued to practice law.

He was reported in 2019 to the Maine Overseers of the Bar, who oversees the conduct of licensed lawyers in the state. He transferred $189,375 — more than half of the Knudsen estate’s cash assets of $378,336  — to his business bank accounts, according to documents filed with the oversight panel.

“In these actions, Whalley committed a criminal or unlawful act that reflects adversely on his honesty, trustworthiness or fitness as a lawyer,” Justice Ann Murray wrote in December in Whalley’s disbarment order.

Whalley’s defense attorney, Walter McKee of Augusta, said Tuesday that Whalley repaid all the mishandled money back to Knudsen’s estate last year, plus interest. He declined further comment about the indictment.

Whalley previously was suspended by the overseers in 2003, again in 2007 and a third time in 2021 for unrelated violations of bar rules.

In 2014, he was charged with assault for allegedly punching a client’s boyfriend, but that charge later was dropped by then-District Attorney Matthew Foster, according to the Ellsworth American.

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Disbarred Ellsworth lawyer indicted on felony theft charge

Elder abuse lawsuit against Chesapeake councilmember heads to trial

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Elder abuse lawsuit against Chesapeake councilmember heads to trial