Articles Posted in Uncategorized

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With the Me Too movement in full swing, more and more victims of sexual abuse are finding their voices and gaining the courage to speak out against assailants. The group that is perhaps the least empowered by the new campaign is the elderly. While sexual assault runs rampant throughout nursing homes and long-term care facilities, many times, the abuse goes unreported.

Sexual Abuse: A Frequent Evil in Nursing Homes

A February 2017 CNN report detailed just how serious the problem is. Since 2000, over 16,000 complaints of sexual abuse in nursing homes and assisted living facilities have been reported. While that number appears high, officials warn that the true figure of actual assaults is likely much higher. The reported 16,000 only accounts for cases that have been looked into and resolved by state long-term care ombudsmen; it does not account for other allegations.

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Over the years, Jehl Law Group has become familiar with Poplar Oaks Rehabilitation and Healthcare Center by pursuing cases against the facility for claims of abuse and neglect. Unfortunately, the problems are far from isolated and undoubtedly numerous.

In 2017 alone, the nursing home, which has a one-star rating and is ranked “Much Below Average” on Nursing Home Compare, was cited 17 times by health inspectors, which is nearly three times the state average of five complaints per year.

Moreover, the home was forced to pay a fine of $11,000 in 2017 after regulators deemed the home did not correctly handle abuse allegations relating to a resident’s fractured ankle.

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A recent audit conducted by the Tennessee Comptroller rated three of four state-run veterans’ homes below average in quality of resident care. In addition to poor scores, the study also cited the homes for not reporting veteran deaths accurately or timely and not running comprehensive background checks on employees.

Unlike the two VA nursing homes in Murfreesboro and Mountain Home run by the Department of Veterans Affairs, which were under a separate, national review in June after news sites uncovered hidden VA statistics, the care facilities reviewed in this audit are run by the state of Tennessee and are located in Clarksville, Humboldt, Knoxville and Murfreesboro.

Throughout the duration of the study, which lasted from Jan. 1, 2015 to June 30, 2018, Clarksville, which opened in January 2016, scored higher overall than Humboldt, Knoxville and Murfreesboro.

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According to the U.S. Centers for Disease Control, the 2017-2018 flu season was the deadliest in America since 1976. Roughly 80,000 people died from the flu last year, and an estimated 900,000 were hospitalized. Of those, 90 percent of all flu-related deaths were people 65 years and older.

The Flu Can Cause Additional Complications for the Elderly

Due to generally weaker immune systems and other pre-existing chronic health conditions, senior citizens are more likely to suffer additional health complications, including death, as a result of the flu. The influenza virus, which attacks respiratory function, can frequently lead to three further health issues.

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Hospice care in the U.S. has steadily grown over the past 12 years. This end of life care, in which beneficiaries opt out of curative treatment to instead receive palliative care in the final stages of a terminal illness, costs Medicare billions. In fact, Medicare spending went up from $9.2 billion in 2006 to $16.7 billion in 2016 to accommodate the 1.4 million beneficiaries that hospice care serves.

Despite the increased spending to aid terminally ill patients, a report conducted by the Office of Inspector General (OIG) found that oftentimes, a poor level of care is provided, and necessary services are neglected. Additionally, the OIG uncovered fraudulent charges, including instances where hospices charged Medicare for services they never actually provided.

In particular, the report cited poor quality care, lack of information to beneficiaries and their families, inappropriate billing and insufficient services as four main areas in which hospices can improve.

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Pressure sores, also referred to as bedsores, pressure ulcers or decubitus ulcers, are perhaps one of the most common evidences we see of nursing home abuse and neglect. Unfortunately, most elderly people are already predisposed to pressure sores due to lack of mobility and thin, fine skin.

When placed in a short-staffed long-term care facility that doesn’t have the proper resources to reposition an individual at least every two hours, bedsores are bound to develop. In fact, pressure sores can begin to form after a mere few hours of non-movement. In certain cases, if the wounds are left untreated, they may be lethal.

Bedsores most often develop in areas where the skin faces continuous pressure from being in contact with a bed or wheelchair. When an area on someone’s body is pressed against a bed without movement for an extended period of time, oxygen and blood flow to that part of the body are reduced. As cells lose oxygen, they begin to die, and as a result, the surrounding skin begins to die as well.

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Nursing home evictions are all too common, and oftentimes, they have traumatic effects on residents and their family members. According to the Department of Health and Human Services, in 2015 alone, 9,192 complaints out of 140,145 total complaints were regarding discharges and evictions.

Some believe the problem is much larger than what the 9,192 complaints suggest, as many residents face eviction or early discharge without putting up a fight. Ombudsman agencies told The New York Times that out of everything, eviction-related complaints are the most voluminous category of criticisms received by state long-term care ombudsman programs.

If evictions tend to potentially magnify health problems a resident is already facing by creating additional stress and trauma, why such a high rate of discharge?

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A new study in the Journal of the American Medical Directors Association, and later reported by the New York Times, indicates that some nursing homes may have found a lucrative new way to make money, through collecting extra funds from Medicare by providing excessive rehabilitation services to patients in their final weeks and days of life.

If this is the case, at least two major concerns are raised: Patients who need hospice and palliative care in their final days are not receiving it, but are rather receiving physical, occupational or speech therapy, and patients in need of rehabilitation services are potentially not receiving the appropriate level of care either, as the influx of rehabilitation patients crowds out therapists’ availability to help those in true need of their services.

The study, which was led by several professors at the University of Rochester Medical Center, found the trend to be more widespread in for-profit, rather than nonprofit, nursing homes.

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If you or someone you know is faced with the challenging task of finding a long-term care facility for a loved one, at times it can be difficult to know where to begin. Several websites have been designed so consumers can assess how individual facilities stack up.

Nursing Home Compare

Nursing Home Compare, run by the Centers for Medicare & Medicaid Services, is perhaps one of the most well-known resources that rates care facilities by providing a star-ranking system. Through the website, up to three nursing homes can be compared side-by-side regarding overall rating, general information, health inspections, fire safety inspections, staffing, quality of resident care and penalties.

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Under the Affordable Care Act of 2010, over 14,000 nursing homes were recently required to start providing payroll records to the government, which serve as indicators of staffing levels. Kaiser Health News analyzed the records and found that most nursing homes are operating at consistently understaffed levels, and some facilities even falsely reported having more staff on hand than they actually did.

Apart from across the board understaffing, the study discovered that on weekends, nursing homes see an even larger deficit in adequate staffing than during the week. At worst, a nurse or aide may be required to care for twice as many patients as he or she would on a day with more personnel.

Throughout the week, when staffing levels are typically at their highest, most aides were found to be responsible for anywhere from nine to 14 residents. On the weekend, that number goes up, as nursing staff drops roughly 11 percent on average, and aide staff drops roughly 8 percent.