Tuesday, March 1, 2016

Pivotal Nursing Home Suit Raises a Simple Question: Who Signed the Contract?


Scott Barrow’s reflection in a portrait of his mother, Elizabeth Barrow, who was killed at a nursing home in 2009
Elizabeth Barrow celebrated her 100th birthday at a backyard gathering with her son and three grandchildren in the coastal Massachusetts town where she raised her family and cooked lunches in a school cafeteria.

A month later, in September 2009, Mrs. Barrow was found dead at a local nursing home, strangled and suffocated, with a plastic shopping bag over her head. The killer, the police said, was her 97-year-old roommate.

Workers at the nursing home, Brandon Woods in South Dartmouth, Mass., had months earlier described the roommate in patient files as being “at risk to harm herself or others.”

After a police inquiry, the roommate — despite her age and dementia — was charged with murder.

The authorities did not focus on the nursing home, though. Brandon Woods claims that, except for some minor arguments, the two women got along nicely. When the roommate was deemed unfit to stand trial and committed to a state hospital, the sensational case that shocked this corner of New England essentially disappeared.

More than six years after the killing, Mrs. Barrow’s only son, Scott, is still trying to hold the nursing home accountable. “The woman had a history of problems,” Mr. Barrow said of the roommate in an interview this month. “She should not have been living in that room with my mother.”

Mr. Barrow was barred from taking Brandon Woods to court in 2010 because his mother’s contract with the nursing home contained a clause that forced any dispute, even one over wrongful death, into private arbitration.

He has been trying ever since to get back to court, and next month he will finally get that chance. A Massachusetts state court is scheduled to hear Mr. Barrow’s case against the home, which has evolved into much more than a lawsuit about one woman’s death. It has become a crucial test of a legal strategy to prevent nursing homes across the country from requiring their residents to go to arbitration, where there is no judge or jury and the proceedings are hidden from public scrutiny.

Arbitration clauses have proliferated over the last 10 years as companies have added them to tens of millions of contracts for things as diverse as cellphone service, credit cards and student loans.
Nursing homes in particular have embraced the clauses, which are often buried in complex contracts that are difficult to navigate, especially for elderly people with dwindling mental acuity or their relatives, who can be emotionally vulnerable when admitting a parent to a home.

State regulators are concerned because the secretive nature of arbitration can obscure patterns of wrongdoing from prospective residents and their families. Recently, officials in 16 states and the District of Columbia urged the federal government to deny Medicaid and Medicare money to nursing homes that use the clauses. Between 2010 and 2014, hundreds of cases of elder abuse, neglect and wrongful death ended up in arbitration, according to an examination by The New York Times of 25,000 arbitration records and interviews with arbitrators, judges and plaintiffs.

Judges have consistently upheld the clauses, The Times found, regardless of whether the people signing them understood what they were forfeiting. It is the most basic principle of contract law: Once a contract is signed, judges have ruled, it is legally binding.

Mr. Barrow’s case is pivotal because, with the help of his lawyers, he has overcome an arbitration clause by using the fundamentals of contract law to fight back.

As is often the case when elderly people are admitted to nursing homes, Mr. Barrow signed the admissions paperwork containing the arbitration clause on his mother’s behalf.

Although his mother had designated Mr. Barrow as her health care proxy — someone who was authorized to make decisions about her medical treatment — his lawyers argued that he did not have the authority to bind his mother to arbitration. In 2014, a judge ruled in his favor. (Continue)

Full Article & Source:
Pivotal Nursing Home Suit Raises a Simple Question: Who Signed the Contract?

The Agonizing Limbo Of Abandoned Nursing Home Residents


Bruce Anderson about a year before his accident.
A bad bout of pneumonia sent Bruce Anderson to Sutter Medical Center in Sacramento last May. As soon as he recovered, hospital staff tried to return him to the nursing home where he had been living for four years.

But the home refused to readmit him, even after being ordered to do so by the state. Nearly nine months later, Anderson, 66, is still in the hospital.

“I’m frustrated,” said his daughter, Sara Anderson. “You cannot just dump someone in the hospital.”

Anderson said her father, who has a brain injury that causes dementia-like symptoms, is confined to the hospital bed and frequently given anti-psychotic medications. She believes the nursing home, Norwood Pines Alzheimer’s Care Center, refused to readmit him because it wanted to make room for more lucrative and less burdensome residents.

“I didn’t have any question this was about money,” she said.

Bruce Anderson is the victim of a flawed readmission system for patients who want to return to their nursing homes after spending time in the hospital.

Nursing home residents are entitled to hearings under federal law to determine whether they should be readmitted after hospitalization. The state Department of Health Care Services holds the administrative hearings, but has said it is not responsible for enforcing the rulings.

But the state Department of Public Health, which oversees nursing homes, neglects to enforce the rulings and sometimes disagrees with them, according to advocates and court documents.

That leaves residents like Anderson, who won his hearing in July, with little recourse — and not many places to go. And since many nursing home residents have publicly-funded insurance, it means taxpayers are on the hook for hospital stays long after the patients are ready for discharge.

“Federal and state law have created a complicated and expensive process to ensure residents are not abandoned by their nursing homes,” said Tony Chicotel, a staff attorney at the nonprofit California Advocates for Nursing Home Reform. “It fundamentally doesn’t work.”  (Continue)

Full Article & Source:
The Agonizing Limbo Of Abandoned Nursing Home Residents

Monday, February 29, 2016

AG official wants more resources to battle guardianship abuse crisis in Nevada


The Nevada attorney general's chief of investigations told a Supreme Court panel Friday that he is becoming "increasingly aware" of the impact guardianship abuse is having on the state.

And it's something he hopes his office can fix.

"The guardianship and elder abuse problems in our state are not going to go away," Roland Swanson said. "Our elder population continues to grow. Our elderly citizens continue to be victimized across the state."

Over 4,000 people in Clark County have been deemed a ward, or someone incapable of handling their own money or affairs, and been placed under a court-approved guardianship. Those guardians are given control of the wards' lives, including the house, car and even life-savings.

The panel was formed after a series of stories in the Review-Journal published in April exposed longstanding problems in the system that left elderly and infirm adults open to losing hundreds of thousands of dollars to fees, mismanagement and even outright theft.

Swanson, who was appointed by Attorney General Adam Laxalt in August 2015 after working for the FBI for over 20 years, said he doesn't think local law enforcement agencies have the resources or training to thoroughly investigate criminal exploitation by guardians, especially in the state's rural areas.

Swanson said his office is looking for additional resources so it can better investigate abuses and mentioned the possibility of forming a "broader, statewide task force."

His comments about forming a statewide body to handle guardianships would seem to line up with the previously stated goals of the Supreme Court panel of getting law enforcement more involved when criminal actions are suspected in guardianships.

But for the 26-member panel, the rest of the goals seem to be moving along much slower than expected, even after getting a six-month extension.

Justice James Hardesty, who chairs the panel, said the group will have to buckle down if it wants to have a concrete list of recommendations by its final meeting in May. He said that going forward they will likely heavily restrict the public comment period, which often takes up over one-third of the alotted meeting time.

The final three meetings are scheduled for April 1, April 22 and May 20. They from 1 to 4:30 p.m. on the 17th floor of the Regional Justice Center, 200 Lewis Ave

Full Article & Source:
AG official wants more resources to battle guardianship abuse crisis in Nevada

The Probate Court's Dirty Secret That's Robbing the Elderly in Retirement


Kathleen Dunn’s mother Jacqueline Scott was placed under the care of a professional fiduciary in Florida after a sibling filed in probate court to be her guardian. When a Pinellas County Judge began to restrict visitation with her then 82-year-old mother, Dunn filed a complaint.

"I was under the impression that we lived in America and this is the land of the free but I had no idea that people were being legally kidnapped to be robbed of all their assets and Constitutional rights,” Dunn said.

Dunn is among a rising number of baby boomers and Gen Xers involved in expensive custody battles concerning their World War II generation family members who are expected to collectively pass along $41 trillion in inheritance money. However, family disputes and professional guardians sanctioned by courts nationwide stand to intercept this transference of wealth.

“Probate judges are increasingly handing over an innocent elderly person's health, wealth and life to a total stranger whose only focus is often just to take and make as much money from the family as possible,” says Dr. Sam Sugar, founder Americans Against Abusive Probate Guardianship, an advocacy group.

In most cases, courts appoint family members as guardian but they are increasingly turning to an emerging cottage industry of professional guardians who are not related to their wards and usually work in for-profit firms and whose fees are paid from the assets of the person they’re taking care of. But several reports note a rising number of allegations of financial exploitation.

The courts of 65 percent of state judges and court staff have taken action against at least one guardian for “misconduct, malfeasance, or serious failure to fulfill their obligations” in the previous three years, according to a 2014 survey by the Administrative Conference of the United States. Some 60 percent of court personnel did not review credit or financial reports on prospective guardians.

“The best way to prevent a guardianship is to have the family of the incapacitated person enter into some sort of agreement as to how things will be handled from that point forward,” said Don Ford, an attorney in Houston whose legal strategy liberated 97-year-old Ann Walton James, whom Titus County Judge Brian Lee placed under professional guardianship.

Spelling out wishes in a trust, power of attorney or will can avoid disputes in some cases but even this foresight is not fool proof.

“Estate planning can be very useful in preventing or delaying guardianships, however, this will not work if the person or family member you have designated to serve as power of attorney or trustee end up abusing their authority,” Ford said.

It’s often rivalry among family members that creates chaos in the lives of the elderly who may be losing their memory or experiencing the symptoms of early onset of dementia.

Mary Rose, 43, has been required to pay $50 an hour to a monitor to supervise weekly 2-hour visits with her 83-year-old mother Evelyn Ann Nabity due to a court order signed by Nebraska Judge Darryl R. Lowe. That’s because Rose says Robert Nabity, a sibling, applied to be guardian in probate court and won.

“Our mother had given me medical power of attorney in 1998 and now I have limited access to see her and no authority to make medical decisions for her,” said Rose, an R.N. who lives in Grand Island, Nebraska.

The elderly Ms. Nabity remains locked up in an Alzheimer's facility in Omaha.

“The biggest source of abuse comes from someone who ends up taking their parents’ or spouse’s money for their own personal use instead of using it solely for the benefit of the incapacitated parent or partner,” said Ford.

Full Article & Source:
The Probate Court's Dirty Secret That's Robbing the Elderly in Retirement

See Also:
NASGA profile:  Jacqueline Scott, Florida

NASGA profile:  Evelyn Nabity, Nebraska

Elder guardianship aims to bilk more than help


I wrote about the plight of 94-year-old Betty Winstanley, who resides at the Masonic Village retirement home in Elizabethtown, Pa. She doesn’t want to live there anymore. Now that her husband of 72 years is gone, she longs to move to a care home closer to her two children in Maryland. The state of Pennsylvania won’t let her leave.

To the state, Betty is case #1201 of 2014, just another old person the court has declared, “totally incapacitated.” Once someone is so labeled, they get a court-appointed guardian who, literally, takes over their life.

Guardians decide all the ward’s finances, who can visit and for how long, when or if they can leave the home – everything.

This is widow Winstanley’s lot in life now. Yet when you talk to Betty, she is charming, articulate, highly intelligent and simply looking for a less lonely life during her last years.

I had no idea the enormity of the nation’s elder guardianship problem or how many individuals and organizations are fighting to change the now bastardized set of laws that can turn an elder’s life into a nightmare.

If the aging Baby Boomer generation hasn’t already experienced the problem with their own parents – steel yourselves – you could be the next one to get caught up in this awful system.

Reader Marcia Southwick wrote to tell me about Boomers Against Elder Abuse, a New Mexico organization fighting against abusive court-ordered guardianships.

“There is plenty of it going on in New Mexico but records are sealed here, and families gag ordered and made to sign no-sue agreements once the guardianship/conservatorship is over,” she wrote. Her group’s Facebook page lists nearly 350 elder guardianship horror stories from just about every state in the union.

From Austin, Kelley Smoot Garrett also wrote about New Mexico’s system and the arrogance displayed by the court.

“In NM’s 2nd Judicial District Court,” she said, “The judges … ALWAYS favor their court-appointees and never listen to the families or the elderly because they are too busy allowing the ‘incapacitated’ person’s property to be sold off – frequently without the appropriate court-order in place – for pennies on the dollar.”

There is no way for me to confirm judicial misconduct in sealed cases, but the sheer volume of complaints is staggering. They highlight citizen’s attitudes about the way the legal system has taken laws designed to help the elderly and twisted them to insure continued employment for judges, lawyers, court-appointed guardians, social workers and those who own or staff elder care homes.
And it is, conveniently, paid for out of the estates of the elderly.

“My mother has been shanghaied into a nursing home, drugged, assets disbursed,” a woman named Frania wrote from Baltimore, Md. “The guardian of (Mom’s) property is like God. And the judge is cocky, completely confident, arrogant (and) does exactly what she wants knowing nothing will happen to her.”

It doesn’t matter if the elderly person has a will or living trust; it can be automatically overridden by the state. Once someone approaches the court for assistance with an elderly person – say, a warring sibling or nosy neighbor – they are in the clutches of this dysfunctional system.

Andy Skupaka wrote to say he has experienced it.

“For profit guardian/ conservatorship is now a big business with massive power. The elderly are being denied their civil rights and due process,” he said.

“Their estates and legacies are being looted. … Family members are slandered, libeled, vilified and driven into bankruptcy while trying to save their loved ones from this exploitation.”

Some report that they were tricked by unscrupulous lawyers.

Darryl Steiner, a decorated and now retired Army major wrote from Clearwater, Fla. He said he went to his lawyer for financial advice and suddenly found himself in what’s called a “plenary guardianship.” Now he has no control over his money for his son’s education.

“I do have a good monthly retirement income that disappears as soon as it comes in,” he said. “I am desperately seeking help.”

Several groups, nationwide, are working to change this awful system.

Among them, the National Association to Stop Guardian Abuse, and the Catherine Falk Organization.

Catherine, daughter of the late actor, Peter Falk, of “Columbo” fame was denied visitation by her stepmother during her father’s last days. Now her group lobbies for a passage of a bill to remove barriers to family participation, while still providing ample protection for those in true need.

Catherine Falk says lawmakers in nearly two dozen states have responded positively to the need to change the status quo.

Change couldn’t come fast enough for Betty Winstanley.

Ever since her eldest son, Richard, took a family squabble to court in July 2014, she has had to live where her husband died – and without the family she so desperately craves.

Her estate was worth $1.9 million before her guardianship began in July 2014. Wonder what it’s down to now?

Full Article & Source:
Elder guardianship aims to bilk more than help

Sunday, February 28, 2016

Tonight on T.S. Radio: FACEUS.org returns

Embezzlement Unethical Standards (F.A.C.E.U.S.). F.A.C.E.U.S. began when we found ourselves in Probate Court. Many labor under the illusion courts promote justice.

The reality is, as the law is practiced today the word justice is little more than than a mask behind which court authorized embezzlement takes place. Many individuals and families find themselves in court entanglements only to discover too late not only is there no justice in sight, but the Court system itself works more like a criminal extortion racket than in the service of Justice.

 Our frieneds at F.A.C.E.U.S..org, Luanne and Robin return to update listeners on what is happening in Colorado.

 Bills are showing up at an amazing speed! Gosh! Even the BAR Association is writing one or two! If that didn't make your hair stand on end, not much will!

 Luanne and Robin will also talk about what they have accomplished so far and what it took to get it done. It would appear the legislature in Colorado has gotten the message!~ This system of judicial abuse and tyranny has got to change!

Please call in during the last hour with your questions or comments. We want to hear what you think!!

LISTEN TO THE SHOW LIVE or listen to the archive later

Mary's Conservatorship Story

A loyal granddaughter gives an account of what it was like when her grandmother went under court-appointed guardianship as she approached her 100th birthday. She tells the chilling tale of how the conservator's true nature was quickly revealed once he had seized control of her grandma's life and the steps she took to try to change the tide and protect her precious "Grammy."


Source:
Mary's Conservatorship Story

Keokuk woman arrested on elderly exploitation charge


KEOKUK, Iowa -- An Iowa woman was arrested Friday and charged with financial exploitation of the elderly after an investigation by Quincy police.

According to a Quincy Police Department news release, Laura Hawkins, 55, of Keokuk, was arrested in Keokuk. Police said they were notified by Sycamore Healthcare of a 77-year-old resident who was possibly being financially exploited by a family member who was acting as a power of attorney for the person. An investigation found that several thousand dollars allegedly had been misused.

Hawkins was released on a notice to appear. Her first appearance in Adams County Circuit Court has not been scheduled.

The Keokuk Police Department assisted with the investigation.

Full Article & Source:
Keokuk woman arrested on elderly exploitation charge 

4 Ways to Protect Your Aging Parents From Financial Abuse

Seniors lose billions a year because of the problem -- and it's only getting worse.
Financial abuse against elderly victims is nothing new, but with an aging population and more access to personal information online, it’s a crime that’s reaching epidemic proportions. Seniors in the U.S. lose about $36.5 billion per year to various types of financial abuse. Too often, scam artists, financial advisers, caregivers and even relatives take advantage of elderly victims’ cognitive decline or memory loss to exploit them financially.

Luckily, many of these cases can be prevented with smart steps on the part of both seniors and their loved ones. While talking money with your aging parents isn’t easy, your vigilance can help protect them from falling victim to this increasingly common crime.

Be Present
Simply being a regular presence in your parents’ lives can go a long way toward safeguarding them from financial exploitation. It’s far easier to detect signs of financial abuse firsthand. So if you live close enough, visit often – it’ll give you a chance to gauge how they’re doing physically, emotionally and financially. Unpaid bills, excessive spending, or other changes in behavior can all be red flags.

A sad truth is that financial abuse often goes hand-in-hand with physical or emotional abuse.

“It’s really rare that all that’s happening is financial abuse,” said Elizabeth Loewy, former chief of the Elder Abuse Unit in the Manhattan District Attorney’s Office, who oversaw thousands of elder abuse cases there.

Pay attention to any physical or behavioral changes your parents exhibit. Weight loss, weight gain, sudden anger, a withdrawn demeanor or secrecy about finances can all be signs that abuse is occurring, said Crista Chelemedos, Executive Director of Senior Advocacy Services, a San Francisco Bay Area nonprofit that supports seniors’ rights and access to health care and other services.

If you live too far away for frequent in-person visits, make time for regular phone or video calls.

Even better – have a trusted person who lives near your parents check on them and report back to you.

Have difficult conversations
Ensuring that your parents’ financial wishes are documented before dementia or other cognitive issues arise is perhaps the most crucial step toward preventing financial abuse.

That means having tough conversations early and often. Research from Allianz Life reveals that seniors who talk about their finances with a relative, friend or trusted professional are far likelier to take measures to protect themselves from financial abuse.

“The challenge is that as your parents begin to age, you don’t just get to roll in and say, ‘you’re not handling your money anymore,’” Chelemedos said.

“This is an ongoing conversation you need to have,” she said.

Many adult children worry about infantilizing their parents or appearing too intrusive by discussing their finances – but they shouldn’t, Loewy said. She recalled numerous elder abuse cases that could have been averted if the victim’s children had discussed their parent’s future wishes and helped them get their documents in order.

Ask who your parents’ current doctors and lawyers are, whether they have a power of attorney, an estate plan and other financial documents, Loewy advised.

Carefully Vet Professional Caregivers
While the rate of elder financial abuse by caregivers is a relatively small piece of the overall pie, these professionals are in a unique position to perpetrate the crime. Loewy noted that there are “bad apples everywhere,” and there’s no guarantee that the person hired to care for your parent will be one of the good ones.

Still, there are a number of things you can do to help prevent abuse by hired caregivers. For in-home caregivers, it’s generally best to go through a licensed agency that conducts criminal background checks. Ask them about the screening process they use.

Services like Caring.com or Medicare’s Home Health Compare tool allow you to browse consumer reviews of different home health agencies. Referrals from people you know and trust are also highly valuable.

Checking in with your parent after they’ve hired an in-home caregiver is key to preventing any exploitation by this individual. That means “physically being around or having a loved one who can check in without letting the caregiver know you’re checking in,” Loewy said.

Equally crucial is ensuring your parent isn’t sharing financial information with their caregiver.

Checks, debit and credit cards and any documents with personal information shouldn’t be easily accessible. While it may be convenient for a senior to hand a caregiver a debit card for groceries or other errands, this is where financial abuse by hired caregivers often starts.

Turn to technology
While the Internet can be a channel to perpetrate scams (from phishing scams to emails from alleged foreign princes) it also offers tools to help guard against financial abuse.

“Technology is absolutely the key for monitoring what’s going on, especially from far away,” said Loewy, who now serves as general counsel and senior vice president for industry relations at EverSafe, a financial monitoring service designed for older adults.

For a monthly fee, EverSafe scans all of a user’s financial accounts daily for suspicious activity based on the account history. (Unlike with most banks, “suspicious activity” in this case could be something as seemingly minor as ordering a new debit card).

Other online tools designed to help users keep track of their money, credit and identity include apps such as BillGuard, which links monitors credit and debit card accounts for any strange activity.

Full Article & Source:
4 Ways to Protect Your Aging Parents From Financial Abuse