Wednesday, September 9, 2020

Court records helped expose flaws in Florida’s guardianship system. Industry lawyers want to make them confidential

By Monivette Cordeiro

A committee of attorneys is pushing a rewrite of Florida law that would block public access to guardianship court records by making them confidential — a move critics say would create a lack of transparency that could foster exploitation.

The guardianship industry has been plagued by a statewide scandal since last year, when former Orlando guardian Rebecca Fierle was accused of abusing and neglecting an incapacitated client who died under her care.

The Orlando Sentinel and other news outlets used court records to expose widespread flaws in Florida’s guardianship system, prompting state lawmakers to pass reforms aimed at reducing conflicts of interest and creating additional oversight for the court-appointed decision-makers, who assume full control over the lives of their wards.

But David Brennan, an Orlando attorney who is part of the committee within the Real Property, Probate and Trust Law Section of the Florida Bar, said the group’s goal is to protect the basic privacy rights of incapacitated people. The proposal was adopted by the section at an Aug. 22 meeting but still has to get approval from the bar’s Board of Governors before they can lobby on behalf of the bill.

“[You] do not have to show your family, neighbors and the world at large your funeral plans, your assets, how your money is spent, what medications you buy, and a thousand other personal information items,” Brennan said in a statement. “Incapacitated people did nothing to sacrifice their privacy for the sake of the curious. They are not an entertainment. Giving open access to a person’s life is not only an indignity; it is potentially dangerous, financially and emotionally.”

Orange County Comptroller Phil Diamond, whose office audited Fierle’s guardianship cases, said the investigations may not have been as “thorough” if his employees did not have access to public court records. Making them confidential could “create an atmosphere of opportunity for fraud, waste or abuse to occur more easily,” he said.

Diamond’s audits found Fierle had billed the AdventHealth hospital system roughly $4 million to care for hundreds of incapacitated clients, an arrangement not allowed under Florida law without court approval.

“In the past, the media has shined a light on problems, and you would not have been able to do that without access to the records,” Diamond said. “The effect of the media or other independent sources doing that is greater protection for our most vulnerable citizens. I think it would be wrong to take away that protection.”

The committee’s effort to “modernize” Florida’s guardianship laws, which haven’t been fully revised since the ’90s, has been ongoing since 2012, according to the proposal’s authors.

Attorneys from the Real Property, Probate and Trust Law Section (sometimes referred to as “reptiles” because of their acronym, RPPTL) currently chair the committee, though other lawyers from the Elder Law sections have been involved in the rewrite.

The bill proposes to “increase the protections for incapacitated individuals in Florida” by making confidential all court records related to incapacity and guardianship. Under the current law, annual accountings, inventories and guardianship plans that contain personal medical and financial information are exempt from public disclosure.

But the public is allowed to see other documents in guardianship cases, including when guardians ask judges to sell their wards’ home, open a security deposit box or bill fees from wards’ estate for themselves and their attorneys.

Under the committee’s proposal, only eight kinds of people would have access to those documents, including the judge, clerk, guardian, guardian’s attorney, ward’s attorney, a guardian ad litem, adult wards with some capacity and the Office of Public and Professional Guardians, the state’s guardianship oversight agency.

The public, family members and wards who have been deemed totally incapacitated would need to show a judge “good cause” for why they should be allowed to see the court file.

“People who are incapacitated have hardship enough,” Brennan said. “They are not zoo attractions. They should not lose their equal protection rights to accommodate the curious.”

Palm Beach County Clerk and Comptroller Sharon Bock said the proposed changes would hinder transparency and could increase the costs of guardianship, because family and watchdog advocacy groups would likely need to hire an attorney to see records — a move that could be fought by guardians and their attorneys in court.

“The whole time, the person under guardianship finances and pays for all this,” she said.

Bock and Palmieri noted the proposed bill impacts the monitoring system that clerks have in place for guardianships in several ways, including by narrowing the definition of “audit.”

“Do you really want the auditees defining what the audit is?” Bock asked. “They’re redefining what it means to monitor and provide oversight of the attorneys and the guardian.”

Attorneys on the committee did not respond when asked why they had narrowed the definition of “audit.” But committee member Sancha Brennan Whynot said the change wouldn’t thwart accountability because all financial transactions of a guardian are reported to the court and subject to an audit by the clerk.

“Once audited, the court then has the authority to require additional reporting or disclosure by the guardian and can hold the guardian accountable in a multitude of ways,” she said.

Clay Calvert, director of the Marion B. Brechner First Amendment Project at the University of Florida, argued any legislation that has a confidentiality provision should at least allow an exception for cases in which the public interest requires disclosure.

For example, when the legislature made photos and videos of autopsies exempt Florida’s public records law — amid a controversy sparked by the Sentinel’s request for photos from the autopsy of legendary NASCAR driver Dale Earnhardt — it allowed for a judge to grant their disclosure on a case-by-case basis.

“The last thing that a problem-plagued system such as this needs is a confidentiality provision that thwarts transparency,” Calvert said. “Without transparency, there can’t be accountability for the guardian system. ... There is a public interest in ensuring the state is safeguarding and protecting the ward from abuse.”

Aside from the Sentinel, newspapers across Florida have used public court records to report on flaws and abuse in the guardianship system, including the Miami Herald, Sarasota Herald-Tribune, Palm Beach Post and the Miami New Times.

But Brennan insisted the claim that the confidentiality provision will make exploitation by guardians easier is “wrong.”

“It provides [more] protection by keeping an elderly ward’s (or a child’s) private life out of the reach of predators, gadflies or other self-servers,” he said. “I submit that family members, helpful neighbors and the world should [never] be able to snoop an elderly person’s documents without good cause.”

Sam Sugar, founder of the South Florida-based organization Americans Against Abusive Probate Guardianship, called the change a “brazen attempt” by attorneys to turn the guardianship law into “an even more underhanded and massively profitable business model.”

“Should [the bill] become law, no senior in Florida will be safe and no one in their right mind would move to Florida in retirement,” he said.

Full Article & Source:
Court records helped expose flaws in Florida’s guardianship system. Industry lawyers want to make them confidential

Fighting for a Loved One Suffering from Elder Abuse

By Jacob Maslow

About 1 in 60 seniors experienced some form of abuse in the last year, according to the World Health Organization. In the United States alone, more than 500,000 cases of elder abuse are reported each year. Rates of abuse are high in nursing home and long-term care facilities, but there are many cases that go unreported. Those that are reported may not be met with the justice they deserve.

How can family members fight for a loved one suffering from elder abuse?

Know the Signs and Types of Elder Abuse


Many seniors suffer psychological, physical, emotional, sexual and financial abuse or are neglect by those who are supposed to care for them. This may be nursing home staff, or a loved one trusted with the care of the senior.

Elderly adults who suffer mental impairment, physical disabilities and serious illnesses are often incapable of self-care and are more vulnerable to abuse and neglect.

Common warning signs of abuse and neglect include:
  • Malnourishment
  • Unkept appearance
  • Lack of personal hygiene
  • Depression
  • Unsanitary living conditions
  • Deteriorating health
In some cases of neglect, family members refuse to speak out because they are fearful or embarrassed.

Elder abuse can take on many forms, including:

Emotional Abuse


With emotional abuse, seniors endure psychological pain by humiliation, intimidation, yelling, ridicule and blaming on part of the caregiver. Abuse caregivers may also isolate the senior from social activities and friends.

Physical Abuse


Seniors are also vulnerable to physical abuse. Caregivers may slap, hit, push, pinch or use inappropriate restraints. Signs of physical abuse include unexplained injuries, bruises, welts, abrasions, fractures, broken bones and sprains.

Neglect


Neglect occurs when caregivers fail to respond to a senior’s needs. This may be intentional, or it may be simple carelessness.

Sexual Abuse


Seniors may also suffer sexual abuse, which can include forced physical contact or forced sexual acts, including sexual assault and rape.

Financial Abuse


Many seniors are financially exploited by caregivers. Financial exploitation includes the unauthorized use of money or property, such as forging checks, theft of money, and illegally changing the names on bank accounts, wills, property titles and insurance policies.

Getting Help for an Abused Loved One


If you suspect that your loved one is being abused or neglected, report it. Call 911 or the police if your loved one is in immediate danger.
  • Elder abuse and neglect can be reported to Adult Protective Services.
  • The Long-Term Care Ombudsman is a social services program that looks into reports of suspected abuse or neglect of someone living in a long-term care facility, such as a nursing home or assisted living facility.
When reporting cases of abuse, you may be asked to answer several questions, such as:
  • Have you witnessed or heard incidents of hitting, yelling or other abusive behavior?
  • Does the victim suffer from any known medical problems (e.g. memory loss or confusion)?
  • What kinds of social or family support does the victim have?
While you will be asked for your name, phone number and address, most states will take the report even if you insist on remaining anonymous. Keep in mind that the professionals taking your information are prohibited from releasing your information to the media or anyone else. They may not disclose your identity to the victim or the alleged abuser.

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Fighting for a Loved One Suffering from Elder Abuse

Tuesday, September 8, 2020

FBI raids Pennsylvania nursing home where hundreds caught coronavirus, dozens died

Federal and state investigators executed a search warrant at Brighton Rehabilitation and Wellness Center in the Pittsburgh area.

By Tim Stelloh

Federal and state investigators raided a Pennsylvania nursing home Thursday where hundreds of residents and staff members tested positive for coronavirus and dozens have died, authorities said.

Investigators from the Federal Bureau of Investigation, the state attorney general’s office and other agencies executed the search warrant at Brighton Rehabilitation and Wellness Center northeast of Pittsburgh, said Scott Brady, U.S. Attorney for Pennsylvania’s Western District.

The Mt. Lebanon Rehabilitation and Wellness Center, another nursing home in the Pittsburgh area operated by the same company that owns Brighton, was also searched by authorities on Thursday, NBC affiliate WPXI reported.

Brady did not offer details about the search warrant but he encouraged anyone with information about suspected fraud, abuse or victimization to contact a regional COVID-19 task force.

Last month, Pennsylvania Attorney General Josh Shapiro said that the facility was under investigation over reports of “deeply troubling” conditions and practices.

“I can confirm that Brighton is one of the subjects of our criminal investigations into neglect at nursing homes during the pandemic,” he tweeted.

State Department of Health data show that 447 residents and staff members tested positive for the disease, and 73 people died. In late July, the facility announced that it had no cases for the first time since March, according to WPXI, but its outbreak remains the worst in a Pennsylvania.

The facility did not immediately respond to a request for comment Thursday.

In a response to Shapiro’s announcement last month, Brighton said in a statement to the Pittsburgh Post-Gazette that it has “faith that federal, state and local governments, which dictate the required infectious disease control practices and policies, continue to grow in their understanding and ability to support, guide and direct those who are on the front lines of the COVID-19 pandemic.”

“We will leave the readers to determine why some politicians seek 'investigations' into people and facilities instead of looking at governmental response to better their directives,” the statement added.

Medicare records showed that state inspectors warned of lax sanitary conditions last year that could lead to the spread of infection and diseases. The Sept. 13, 2019 report found the facility didn’t have enough trained nurses and that some residents were living in filthy conditions.

Full Article & Source:
FBI raids Pennsylvania nursing home where hundreds caught coronavirus, dozens died

This Group Is Improving Life For Hospice Patients By Letting Them Keep Their Pets

Hospice offers a better quality of life for those who are nearing the end. Holding family dear is important to many in their twilight years, as is the companionship of pets, but leaving them behind as they enter a hospice facility can be heartbreaking.

The disruption can be just as traumatic for the human as it can for their animal companion.


Rather than force patients to worry about the future of their animals, one organization is allowing them to keep their pets nearby until the end, and finding them loving homes afterwards. Pet Peace of Mind works as “an extension of hospice’s overall mission to provide care and support for patients and their families during the end of life journey,” said president Dianne McGill. “Since many patients consider their pets essential family members, the program is there to acknowledge and validate this important element of the patient’s support network.”

Source: Pet Peace of Mind
The bonds humans form with their pets are very strong.
According to Healthy Food House, Pet Peace of Mind helps hospice facilities train volunteers to help their patients with pet care, provides initial funding for equipment and training, and offers guidance to each pet program that takes shape in its network.

Source: Pet Peace of Mind
Pet Peace of Mind keeps hospice patients together with their pets.
As a nonprofit, Pet Peace of Mind is funded through donations and staffed by volunteers who see to the every need of the animals while they are in their care. They are important animals, and in some cases the only friendship a hospice patient may have.

“For many terminally ill patients, pets provide a powerful antidote – sometimes the most powerful antidote – to isolation, loneliness, and depression,” McGill said. “I know of countless patients who have said that their pet is their lifeline. Pets are great medicine for coping with the anxiety the comes from dealing with a serious medical condition.

Source: Pet Peace of Mind
Pet Peace of Mind helps hospice facilities train volunteers who help patients care for their pets.
“For many patients, keeping their pets near them during the end of life journey and finding homes for their beloved pets after they pass is one of the most important pieces of unfinished business.”

Source: Pet Peace of Mind
Best friends can be kept together until the very end.
Given the amount of time we spend together, it’s clear that humans and their pets can form very strong bonds. We humans typically live much longer than cats or dogs, and may know more than a few throughout our lives, but that doesn’t make it easy when they near the end of theirs.

Or, as we near the end of ours.


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This Group Is Improving Life For Hospice Patients By Letting Them Keep Their Pets

Indiana nurse sentenced for stealing medicine from hospice patients

Jennifer L. Daniel, 40, admitted to taking medication from patients and forging prescriptions for hydrocodone.

Credit: Floyd County Jail
Jennifer Daniel
FLOYD COUNTY, Ind. — An Indiana hospice nurse will serve time for stealing medication from patients for her personal use.

Jennifer L. Daniel, 40, admitted to taking medication from patients and forging prescriptions for hydrocodone, according to the Office of the Attorney General's Medicaid Fraud Control Unit.

Daniel was convicted in Floyd County for interference of medical services. She was sentenced to six years in jail with three years suspended — although the jail time could be changed to home detention once she completes a substance-abuse treatment program.

In Clark County, Daniel was convicted on felony counts of interference with medical services and obtaining a controlled substance by fraud, deceit or subterfuge. As part of a plea agreement, a Scott County charge of interference with medical services was dismissed. As a result, she got three years of home detention after she's done serving her Floyd County sentence.

“It’s a very cruel and calloused act to deprive terminally ill patients of medications that help them cope with devastating diseases,” Attorney General Curtis Hill said. “Unfortunately, we see this wrongdoing committed all too often by individuals selfishly focused on feeding their own drug habits, and we must continue to hold lawbreakers accountable for their actions.”

Full Article & Source:
Indiana nurse sentenced for stealing medicine from hospice patients

Monday, September 7, 2020

Nursing Home Claims It’s Allowed to Have COVID Positive Employees Working Amid Staffing Shortage


by Johnny Lopez

An Illinois nursing home is being investigated following an outbreak in which more than 90 people became infected and 12 died.

In response to the spread of the virus, Stearns Nursing and Rehab in Madison County claims it can let employees who have COVID-19 continue to work on the premises, reported Fox 2.

A staff member at the nursing home told the news outlet that when she tested positive for the virus she was told she could continue working. While wanting to remain anonymous, the employee disclosed she did not return to work while infected.

When contacted by the TV station, a representative for Stearns Nursing pointed to the CDC’s guidelines entitled “Strategies to Mitigate Healthcare Personnel Staffing Shortages.”

Should a staffing crisis occur, the guidelines advise health care providers (HCP) with “suspected or confirmed COVID-19,” who are well enough to work, be kept apart from others.

If no other staff is available during the crisis, the guidelines allow for infected workers to care for “suspected or confirmed” infected patients.

“As a last resort, allow HCP with confirmed COVID-19 to provide direct care for patients without suspected or confirmed COVID-19,” the CDC guidelines said. In other words, it would allow  a healthcare worker with coronavirus to look after a COVID negative patient.

The Illinois Department of Health acknowledged the CDC’s guidelines, but maintains a more stringent policy.

“While the CDC allows a positive employee who is asymptomatic to continue working if there is a staffing shortage, IDPH discourages it,” the Department of Health told the outlet.

The IDPH would allow an asymptomatic COVID positive employee to work only if all other staffing options were exhausted. In addition, the infected employee would only be allowed to cohort with “COVID-19 recovered or positive residents, and recovered or other asymptomatic positive staff.”

Stearns Nursing and Rehab would not disclose how many of the more than 90 positive cases involved members of their staff.

Full Article & Source:
Nursing Home Claims It’s Allowed to Have COVID Positive Employees Working Amid Staffing Shortage

Unpaid Family Caregivers Have Heightened Thoughts of Suicide

New CDC report finds stress and isolation of coronavirus takes a toll on mental health


by Cheryl Platzman Weinstock

digitalskillet/Getty Images
En español | Four years ago, Sandra Gilmore, 66, moved back into her childhood home in Sewickley, Pennsylvania, to take care of her 90-year-old parents. Her mother has dementia, congestive heart failure and diabetes. Her father is hard of hearing.

Once she left them for a week with around-the-clock care to go to Disney World with her grandson and his parents. Other than that, Gilmore says she only leaves her parents to make short trips to the grocery store or to pick up takeout.

"There's definitely a little anxiety when I leave them,” she says. She also admits to getting frustrated at times, too. “When I find myself getting testy and losing my patience, I need to put myself in time-out for a while.”

Gilmore, a retired nurse, says, “You would think I would be totally prepared for this. No, not even close. Nothing prepares you for this. It's a whole different ballgame. It's like steadily going down a dead-end street.”

When the pandemic hit, Gilmore and many other unpaid family caregivers across the nation faced a daily struggle to preserve their mental health. Now the crisis is taking its toll on them.

A recent report based on a nationwide survey from the Centers for Disease Control and Prevention (CDC) about the types of mental health challenges people are facing during the pandemic found that nearly 31 percent of unpaid family caregivers, like Gilmore, reported seriously considering suicide in the preceding 30 days, compared with the 11 percent of the other adults taking the survey who were not caregivers.

Unpaid family caregivers also reported having more symptoms of depression and anxiety, and starting or increasing substance use to cope with the stress of COVID-19 on top of caring for their loved ones, compared to the other respondents. The survey was administered from June 24 to 30 and included almost 5,500 adults.

Only 4 percent of adults in 2018 had serious thoughts of suicide, according to a 2018 national survey on drug use and health by the Substance Abuse and Mental Health Services Administration (SAMHSA).

This new data has mental health experts concerned about its ripple effects.

"We don't really know how many people go from suicide ideation onto suicide,” says Rajeev Ramchand, senior consultant for epidemiology and suicide prevention at the National Institute of Mental Health.

However, “even thoughts about harming one's self suggest significant despair and distress. It's noteworthy and concerning, and we should pay attention to it because it could be indicative of future suicide,” says Ramchand.

However, he cautions that “what we don't know is if during normal times caregivers have higher suicidal thoughts."

Heidi Donovan, codirector of the National Rehabilitation Research and Training Center on Family Support at the University of Pittsburgh, says, “Caregiving is hard in the best of times. Everyone is aware of that. I think the compounding effect of the pandemic is making the job more physically, emotionally and financially difficult.”

A lot of the services available for caregivers, such as respite and home health care, have been affected by the pandemic. With only online social support available, experts worry that the isolation of caregivers can make the situation worse.

Gilmore says, “Now I have very little social life. I always enjoyed a monthly dinner break with friends, and now I don't have that small outlet."

The survey also indicates that unpaid caregivers are doing worse over time. Experts say this is worrisome.

"I think that we as a society and as individuals need to rally around those people we know that are family caregivers. They can't care for their loved ones if they're not first caring for themselves,” says Donovan.

Susan C. Reinhard, a nurse and senior vice president and director of the AARP Public Policy Institute, says feeling alone and having no choice in caregiving can be additional major stressors on unpaid family caregivers.

Most unpaid family caregivers say they don't have a choice, and half of them are very stressed, according to the report "Caregiving in the United States 2020” by the National Alliance for Caregiving and AARP.

Seventy-two percent of people who say they feel alone as an unpaid family caregiver say they have high emotional stress, according to the study.

"A lot is going to depend on how long someone is giving care, but when you feel you have no control in life, or when you feel stuck, that is a big ordeal,” says Reinhard.

"All of us need to think about family caregivers. You need to reach out to them. People experiencing caregiving have no emotional energy to call you,” she says.

Full Article & Source:
Unpaid Family Caregivers Have Heightened Thoughts of Suicide

Promoting Alzheimer’s Awareness to Prevent Elder Abuse Act should be passed into law

by BETTY KIRKINDOLL

Alzheimer’s and all dementia are often emotionally and financially devastating. As the number of people living with dementia rises, so too will their interactions with health care, social services and criminal justice services professionals. Unfortunately, those professionals currently receive little or no training in the unique needs of individuals living with dementia.

The Promoting Alzheimer’s Awareness to Prevent Elder Abuse Act would require the Department of Justice (HR 6813) to develop training materials to assist law enforcement officers, prosecutors, judges, medical personnel, victims services personnel, and others who encounter and support individuals living with Alzheimer’s and related dementias. Dementia-specific training materials for these professionals will improve the quality of their interactions with individuals living with Alzheimer’s and other dementias, and will also help protect them from elder abuse.

I have served the past year in the National Early Stage Advisory Group helping to advocate for those with Alzheimer’s.

It's imperative that legislation be passed to protect those living with this disease.

Please join me in asking Congressman Gohmert for him to cosponsor HR 6813 to help protect the more than 5 million American’s living with Alzheimer’s and other dementias by supporting this important bipartisan legislation.
 
Betty Kirkindoll
Longview

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Promoting Alzheimer’s Awareness to Prevent Elder Abuse Act should be passed into law

Sunday, September 6, 2020

Grandmother sat dead in car outside hospital for 3 days; family demands changes

by: Shaul Turner and Web Staff and Nexstar Media Wire

ENGLEWOOD, Colo. (KDVR) – A Denver woman’s body was discovered three days after she died in a vehicle in Swedish Medical Center’s parking lot.

Yvette Mooney, 50, was found on Sunday, Aug. 23. She died Thursday, Aug. 20. She had two children and several grandchildren.

“A hard worker all her life. She raised amazing children,” said Kandra Garcia, Mooney’s daughter-in-law.

Mooney didn’t answer calls the day she died. Her family thought she had gone to Swedish to visit a family friend.

But when they didn’t hear from her, they contacted police.

Englewood officers discovered Mooney’s body in her car in the emergency room parking lot.

“She couldn’t make it inside. She thought, ‘I’m in an ER parking lot. They will find me –somebody will come.’ Not three days later when she’s blistered and too decomposed for us to have a proper burial,” Garcia said.

The hospital sent the following statement to KDVR:
“We offer sincere condolences and deepest sympathy to the family and loved ones. Upon discovery of the event we immediately notified the Englewood Police Department and have worked closely with them throughout the ongoing investigation.”
“Somebody dropped the ball and I want answers,” Garcia said.

The family says they want changes in security policies so cars are checked more regularly.

The Englewood Police Department said the coroner’s office is still determining Mooney’s cause of death. Detectives are requesting surveillance video from the hospital, but say the car’s windows were tinted and it would be difficult to see inside the vehicle.

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Grandmother sat dead in car outside hospital for 3 days; family demands changes