I Said... 'huh?' - page 9

Imagine that you're the NightShift Supervisor and have been for quite awhile with all linens, medical supplies, residents rooms, exit doors,and entry door keys for access, locking or security when... Read More

  1. by   betts
    Mr.Craig informs me I've NO idea or suggestion for improving a situation I/we feel needs to be addressed. 'HUH?' Say What?

    I would think that it's "A GIVEN"; "Apparent", "Evident", "Obvious", and clearly "Visible". In my "flair for writing", 'money' wasn't the issue.

    What I want for Caregivers is simple;

    Description of my ideal company:
    Whether public, privately owned and operated:
    a.) Recognized for its Center(s) of Excellence in Healthcare and/or
    b.) Respects the dignity of each client/patient/resident, physician,
    volunteer, visitor and employee.
    c. )Given the recognition and support from upper management to do the job.
    Last edit by betts on May 21, '02
  2. by   CseMgr1
    My God, what a travesty....I worked at a LTC facility as an ADON for only three weeks, then got the hell out. My conscience would not allow me to be a part of an institution which provided substandard care. Only last night on the evening news, it was reported that another resident had died as a result of substandard care at another LTC facility in the area......
  3. by   kaycee
    Maybe this should be happening more often to administrators of substandard nursing homes. A resident had to die a horrible death for anything to be done.

    Charges urged in Robinson nursing
    home death

    Friday, May 17, 2002

    By Cindi Lash and Gary Rotstein, Post-Gazette Staff

    The Allegheny County coroner has recommended that
    the operator of a Robinson nursing home be prosecuted
    in the death of an elderly resident who was locked
    outside the home on a cold night.

    Dr. Cyril H. Wecht
    yesterday called on District
    Attorney Stephen A.
    Zappala Jr. to prosecute
    Atrium I Nursing and
    Rehabilitation Center
    administrator Martha F.
    Bell for "gross, reckless
    and negligent misconduct"
    leading to the death of
    resident Mabel Taylor on
    Oct. 26.

    Wecht, who believes the
    misconduct sufficient for a
    charge of involuntary
    manslaughter, said
    Zappala would make the
    final determination.

    Calling their conduct "truly reprehensible," Wecht also
    recommended that Bell and other Atrium employees be
    prosecuted for criminal neglect of Taylor as well as
    "most of the other" residents of the 170-bed facility on
    Campbells Run Road. Under Pennsylvania law, that
    offense can range from a misdemeanor to first-degree
    felony, depending on the degree of injury.

    Wecht also said he believed that Bell, registered nurse
    Kathryn Galati and possibly other employees committed
    perjury and conspired to obstruct justice during the
    investigation and inquest into Taylor's death. Bell and
    Atrium attorney Lawrence Zurawsky declined comment
    yesterday; Galati could not be reached.

    Wecht said he would forward his findings to Zappala,
    Attorney General Mike Fisher and state and federal
    agencies that regulate and allocate funding to Atrium.
    Assistant District Attorney Thomas Merrick said Zappala
    would review Wecht's recommendations before deciding
    whether charges would be filed.

    "What ensued [at Atrium] is intolerable," said Wecht.
    "I'm not out to hang anyone here. [Bell and other
    employees'] actions and testimony under oath will
    speak for itself."

    Taylor, 88, who had Alzheimer's disease, died of heart
    disease aggravated by cold after she was locked
    outdoors in a fenced courtyard on a 40-degree night.
    Her daughter, Jane Baczewski of Hopewell, said Galati
    later telephoned and told her that Taylor had died
    "peacefully in bed."

    But Baczewksi learned from employee Rose Beasley
    that Taylor died outdoors and that employees carried
    her cold body back to bed, redressed her and turned up
    the heat to make it appear as though she'd died in her
    sleep. Police and the coroner were called and an inquest
    was convened.

    The inquest later expanded to include testimony from
    current and former employees of Atrium and relatives of
    residents who were critical of the facility's care,
    cleanliness and staffing.

    A Pittsburgh Post-Gazette review of Atrium in February
    also detailed criticisms by family members and
    ex-employees as well as penalties imposed by state
    and federal regulators.

    Baczewski said she was "thrilled" with Wecht's
    recommendations and believed they would spur changes
    at Atrium.

    "The first step to change is seeing how bad the picture
    is," she said. "Nobody had believed it up to that point,
    but now they do. It has all come out -- how they denied
    my mother and other people even the most basic care --
    and that is what needed to happen to make things

    Wecht's recommendations mirror those of attorney
    Robert L. Garber, who presided over the four-day
    inquest, then compiled a scathing report criticizing
    Atrium's management. In his report to Wecht, Garber
    referred to Atrium as an "operational nightmare" and
    warned that its continued operation "poses serious risks
    of bodily harm or injury and death to its residents."

    "One of the seven wonders of the world, if not the
    eighth, is why this place is able to be in existence,"
    Garber said yesterday. If Atrium is permitted to
    continue operating, he said, its management and
    operations "should be cleaned up."

    Wecht stopped short of calling for the state Health
    Department to revoke Atrium's license. But he, too, said
    its managers must be forced to "shape up" by adhering
    to state and federal standards and by providing proper
    care to residents.

    The Health Department has imposed numerous
    penalties upon Atrium since its 1995 opening, but
    stopped short of its most extreme steps, which are
    closing a facility or forcing it to accept a temporary
    manager to correct problems.

    The state has not shut down a nursing home since
    1998. For problem homes, the Health Department
    instead uses provisional licenses, fines and temporary
    bans on admission to encourage compliance.

    "This is where people live, and the Health Department
    is not in business to put homes out of business," said
    Susan Getgen, director of the department's division of
    nursing-care facilities.

    The latest Health Department inspection of Atrium on
    March 28 found widespread problems, resulting in 22
    citations for deficiencies and a fine of about $18,750.
    Among the problems cited were failure to assess and
    care for residents properly, inadequate quality
    assurance and staff supervision by managers,
    unsanitary food and kitchen conditions, and failure of
    staff to pay attention to door alarms.

    Atrium was also assessed its second consecutive
    provisional license, a status that is supposed to bring
    increased scrutiny by inspectors. The facility was on a
    previous provisional license and was fined $5,550 for
    the circumstances surrounding Taylor's death.

    Atrium is in the process of changing its name to the
    Ronald Reagan Atrium I Nursing, Research and
    Rehabilitation Center through a link with the Ronald
    Reagan Legacy Project. A spokesman for the
    Washington, D.C.-based Legacy Project, which seeks to
    memorialize the former president, said the name
    change was to be final next week.
  4. by   betts
    Conscience and Courage
    A message to employees of nursing home and assisted living facilities:

    If you are an employee of conscience, and, as a service to the community, you wish to inform the public of practices or policies in any nursing home or assisted living facility which you believe are harmful or inhumane to residents, please call or email us to contribute this information.

    If you feel that the public could better protect themselves if they knew what you know, then please, as a public service, donate that information to the Citizens' Committee.

    Your information, combined with information from other people with similar experiences, will become a resource which will allow the public to make better and safer choices.

    If you are a person of conscience and courage, please contact:

    Judith Allison (Email) judith@citizenscommittee.org

    Board President
    Citizens' Committee to Protect the Elderly
    Absolute confidentiality is assured.
  5. by   CseMgr1
    Here is a news article involving the death of that resident:

    METRO SATURDAY * May 18, 2002 (Atlanta Journal-Constitution):

    In 2 years, complaints about home came to 27
    Death led to probe of Riverdale facility
    Peter Scott - Staff
    Saturday, May 18, 2002

    Over the past two years, more than two dozen complaints have been filed against SunBridge Care & Rehabilitation for Riverdale, now under state investigation.

    The death of Georgia Gilbreath and complaints from her family of abuse and neglect apparently have sparked a probe by the state Health Care Fraud Control task force of the Clayton County facility, which provides long-term care for the elderly.

    Gilbreath, 88, died April 25 at a hospice facility following a stay at Southern Regional Medical Center. The cause of death has not been released, but doctors at SRMC said she was severely malnourished when she was brought to the hospital, according to the police.

    This week, members of the task force, which includes the Georgia Bureau of Investigation, executed a search warrant and seized files at SunBridge.

    "There have been complaints filed about the SunBridge facility in Riverdale and at other SunBridge locations throughout the state," said David Dunbar, director of the Long Term Care section of the Georgia Department of Human Resources. He said the Riverdale facility also has been fined for noncompliance in some cases.

    Since January 2000, 27 complaints about the facility have been filed, according to documents at the Long Term Care section. The complaints ranged from cold food and ant-infested rooms to bedsores and falls leading to injuries, according to state reports.

    "Our agency has been involved in the investigation of the [current] complaint and we have worked cooperatively with other agencies involved. While law enforcement agencies will look at possible criminal actions, our focus is looking at whether [SunBridge] is in compliance in providing quality care," Dunbar said.

    The state has 370 nursing homes, occupied by some 40,000 patients, Dunbar said, and his office averages about four complaints per home each year.

    SunBridge representatives could not be reached for comment Friday but have said previously they are cooperating with investigators.

    Dunbar said his office maintains a survey of nursing homes in the state that is available to the public. To report complaints to the state, call 404-657-5726 or 404-657-5728.

    A federal Web site listing all nursing homes in the country, www.medicare.gov/nhcompare/home.asp, includes the number of beds at nursing homes, staff size and the most recent government survey of the home. It also includes a guide to choosing a nursing home that lists the characteristics of the residents in the home and staffing, Dunbar said.

    Staff writer Lateef Mungin contributed to this article.
  6. by   zumalong
    Dear Ms. Long:
    Thank you very much for sharing the information regarding the obstacles your friend and fellow-professional encountered in trying to responsibly deliver care to her patients. I had just moments before an e-mail from a nurse who described what appeared to be the same disturbing scenario. I have responded to her e-mail and suggested that, if she is willing, she contact us, and, as she is able, share some additional specifics so that our program can try to address the concerns, or at least get them to the agency best positioned to address them. I would certainly invite you to do the same.

    The management responses that have been described certainly do not seem to represent policies that serve the best interests of residents, to say the very least. With some additional detail (such as the name/location of the facility in question), it may be possible for the local ombudsman to effectively intervene to resolve some of the problems.

    We appreciate the fact that people like you and your colleague are willing to speak out when you see residents placed at risk by facility practices or policies. Thank you for contacting the Ombudsman Program, and please feel free to contact me directly at (804) 644-2923 to discuss the concerns or to share additional information that may aid investigation.

    Joani Latimer
    Office of the State Long-Term Care Ombudsman
    530 E. Main Street, Suite 800
    Richmond, VA 23219
    (804) 644-2923
    -----Original Message-----
    From: zuma long [mailto:clong001@rochester.rr.com]
    Sent: Saturday, May 18, 2002 4:21 PM
    To: elderights@aol.com
    Subject: abuse of the system that can kill

    Dear Sir/Madam:

    Suppose your mother is in a nursing home. It's late at night. Suddenly, she can't breathe; she's fighting for air. Look at your watch now and time your response because your mother literally has less than 10 minutes to live.

    There's a nurse on duty who knows how to help Mother breathe, BUT the supplies are LOCKED in a room where the nurse cannot get them.

    The nurse needs to act FAST. What should she do?

    She calls the Keeper of the Keys at home. No answer.
    Call 9-1-1? Response time: 10-15 minutes. Mother won't last.
    Break open the door to the supplies? Response Time: 3 minutes.

    Which would you choose? Which gets the faster, more reliable result? How would YOU have saved Mother's life?

    OK. Time's up.

    In this case, Mother wins because the nurse broke open the supply room door and got the supplies that kept Mother alive.

    OK, next question:

    What should the headline to this story read?




    (B) That's right, B is correct.

    Yes, you read it right: The nursing home that locked the supply room refused to give the keys to the nurse who could use them to save lives, then fired the caregiver who actually did save someone's life.

    Why was the nurse fired?
    Ans: She was "not a team player." Because she made the nursing home "look bad" with her complaint to the State.

    Why wasn't the nursing home fined by the State?
    Ans: Because all the witnesses were so horrified that they quit and were never questioned by the State investigators. Because the nursing home covered up. A lot.

    Why wasn't the patient's family notified of this event?
    Ans: Silly, it's unethical to tell the family; all nurses know that. It's part of having a nursing license.

    OK. Last question, then you can all go home and get a good night's rest:

    When's the last time you visited your loved one in that nursing home? In the middle of the night?


    This incident actually happened to a friend of mine. I have been in nursing for over 15 years and I wish I could say I am speechless, but I can't. I have seen so many practices that should not have been--they are not by NURSES who care about their patients--they are by CORPORATE America who cares nothing for you or your loved ones health or safety.

    Please look into this incident in Virginia.

    Sincerely Cheryl Long BS RN

    Betts just received this--have you written this Joani Latimer?? She sounds like she will at least investigate your situation. I do not know the name of facility--but I posted this in case you want to try her.
  7. by   betts
    The link below is the new one for Nursing Home Comparisons in the Country.

  8. by   betts
    They haven't posted as yet for the State Investigation conducted from May6th-9th.............
  9. by   CseMgr1
    I thought that the role of government agencies was to protect its citizens from unscrupulous providers. Well, that is a pathetic joke! Even an official of my state government admitted that "more should have been done", to have prevented the death of that LTC resident here in Atlanta, who perished as a result of malnutrition. Well, as they say: "Talk is Cheap", and it is TOO late for that woman and her family...who I personally knew as her Case Manager, before she was transferred to this facility...which turned out to be a death sentence.....
  10. by   betts
    I've faxed 18pages to the following Government Department: Health,Education,Labor Committee&Subcommittee in DC...................awaiting their reply and will post same,whether negative or positive.
    Fax# (202)224-5128
  11. by   betts
    My personal fax # (540)972-6104
  12. by   betts
    Sent email to MS Latimer; will post her response ASAP when I receive same; and Thank You Cheryl!!!
  13. by   betts
    Email notice:

    Subj: Re: REPLIES?
    Date: 5/25/2002 7:29:43 PM Eastern Daylight Time
    From: jennifercampbell2@hotmail.com
    To: Betts8753@aol.com
    Sent from the Internet (Details)

    Dear Betty,

    This is Jennifer from the Citizens' Committee to Protect the Elderly.

    You sent several emails for Judith on May 22...she has not received them
    yet, as our email system has been having some difficulties. We are hoping
    that the system will be resolved ASAP this coming week.
    I wanted to let you know your emails have been received!! AND will be given
    to Judith on TUESDAY...

    I apologize for the delays.

    We are working as quickly as possible to correct the problem in the
    communication system! If Judith had received your emails, she would have
    responded immediately--as is usual fashion.

    Thank you very much for sending the information that you have sent.
    It is appreciated, and unfortunately, familiar.