Category Archives: Nursing.Homes

County board to get first look at proposal for sale of nursing home

Source: Tom Kacich, News-Gazette, October 10, 2017
 
Champaign County Board members will get their first review tonight of the proposal for the sale of the county-owned nursing home.  The agenda for the board’s committee-of-the-whole meeting includes an item calling for the release of a request for proposals for a privately owned firm to buy the 12-year-old facility in east Urbana. If the board approves the RFP this month, the sale of the home could be completed this winter. … The proposed request for proposals for the sale of the facility carries a number of stipulations: … That the purchaser assume the existing collective bargaining agreements at the home with the AFSCME employee union. …

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Patient advocates back county ownership of nursing home
Source: Debra Pressey, The News-Gazette, March 29, 2017

Selling the Champaign County Nursing Home could lead to staff reductions, poorer care and service cuts, a group of advocates for medical patients and retirees contended. Gathering less than a week before voters will be asked to weigh in on two public policy questions — whether they support selling or disposing of the financially ailing nursing home or a tax increase to help keep it going — the Illinois Alliance for Retired Americans, Champaign County CARE, Champaign County Health Care Consumers and others Wednesday urged voters to get behind the option that will keep the nursing home in the county’s hands. Research from Center for Medicare Advocacy, Kaiser Family Foundation and others have demonstrated that nursing home ownership matters when it comes to patient care and staffing levels, said Champaign County Health Care Consumers executive director Claudia Lennhoff. … “For-profit facilities, particularly those owned by multistate chains, are more likely to reduce spending on care for residents and to divert spending to profits and corporate overhead,” the Medicare center said in a report. … A 2011 analysis of the 10 largest for-profit nursing home chains found they had the lowest staffing levels and highest levels of deficiencies between 2003 and 2008, Lennhoff said. She also said a new owner — especially a larger and/or for-profit one — who would fill more beds at the nursing home, even increasing the Medicaid census in the process, could be a “recipe for disaster.”

… Lennhoff said Champaign County doesn’t have to look any farther than neighboring Vermilion County to see what can happen when a county disposes of its nursing home. After the county sold its Vermilion Manor Nursing Home to FNR Healthcare Group in 2013, the county was caught by surprise when 39 employees were cut by the new owner, she said. Now called Gardenview Manor, the Danville nursing home was hit by the Illinois Department of Public Health in January for two “type A” violations, which mean “a substantial probability that death or serious mental or physical harm will result or has resulted” in the past three months.

Possible sale of Berks County’s nursing home raises questions of quality

Source: Nicole C. Brambila and Karen Shuey, Reading Eagle, September 24, 2017
 
While the financial future of county-owned nursing homes might be uncertain, decades of research is fairly clear: a public sale likely means the number of health violations will go up as the quality of resident care goes down. Observed by researchers for roughly two decades, the phenomenon is often the result of the new for-profit owners cutting costs by reducing staff and slashing employee benefits. … These questions loom large as Berks County commissioners are mulling over whether to sell Berks Heim Nursing and Rehabilitation in Bern Township. No decision has been made but the county-owned nursing home faces a projected $3 million deficit. Citing questions of quality and safety, Berks Heim staff and some residents are speaking out against a sale.

… Berks County’s commissioners considered selling Berks Heim two decades ago but opted against it. But then, a public sale in the late 1990s would have been a first in the region. … research also shows that a sale becomes more likely when surrounding counties have divested. Among Berks County’s six contiguous counties, four counties – Lancaster, Lebanon, Montgomery and Schuylkill – have all sold county-owned nursing homes since 2005. Only officials in two – Chester and Lehigh counties – have held onto their county-owned facilities. … Talk of a potential sale has been met with sharp opposition from residents and staff. … Divesting a county-owned home then will likely disproportionately impact the poor. … And Harrington, a nationally respected expert on nursing home care, has repeatedly found that for-profit facilities receive more deficiencies than nonprofit or government-owned nursing homes. Comparing the 10 largest chains in the U.S. to government-owned facilities, Harrington found in a 2012 study that serious deficiencies in chains were 41 percent higher. A significant reason for the care discrepancy is staffing levels, typically reduced under new ownership to control costs. …

Daily understaffing persists at Grand Rapids Home for Veterans

Source: Amy Biolchini, MLive, August 10, 2017

Understaffing at the Grand Rapids Home for Veterans continues to be a problem, according to an follow-up audit released by the state. That’s after the home entered into a new staffing contract in fall 2016. … However, most other major problems at the Grand Rapids Home for Veterans identified in a blistering state audit in February 2016 have largely been resolved, the report found. …

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Blame for poor care at Grand Rapids veterans home sits at the top, Dems say
Source: Amy Biolchini, MLive, July 27, 2017
 
Democratic State Representatives Winnie Brinks and Tim Greimel say Republican Attorney General Bill Schuette hasn’t gone far enough to hold officials with the Grand Rapids Home for Veterans and the state accountable for the poor conditions at the facility.  “Why did it take so long to get some action? For years, our veterans were literally calling for help, pressing the help button beside their bed, and hearing silence,” Brinks, D-Grand Rapids, said at a Thursday, July 27, press conference in front of the home.  This week Schuette announced felony charges for falsifying medical records against 11 former nursing assistants who worked for the former contractor, J2S Group Healthforce. His investigation found there wasn’t enough evidence to bring criminal charges over the five worst complaints about member treatment, in some of which veterans died. …

Did a 2011 lawsuit against Grand Rapids Home for Veterans predict the future?
Source: David Bailey, WZZM, July 25, 2017
 
The lawsuit was filed by veteran Anthony Spallone intending to stop the on-going privatization at the time.  Gov. Rick Snyder recommended taking state-employed care aides out the home and replace them with nurse aides hired by local contractor J2s.  It was a contentious environment at the time as state aides lost their jobs and were replaced by people they considered to be less-skilled, less-experienced and cheaper.  Union leaders did everything they could to stop the job losses including filing Spallone’s lawsuit.  It alleged the privatization would lead to substandard care and contended J2S had a quote “dangerous track record of care”.   Spallone’s attorney at the time was adamant veterans could be put in terrible situations with the privatization. …

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Atlantic County considers privatizing assets to mitigate PILOT costs

Source: John DeRosier, Press of Atlantic City, April 27, 2017

Atlantic County is considering privatizing some of its assets to mitigate the costs associated with casino tax refunds and because it’s not getting a 13.5 percent share of the PILOT money. Such moves could save taxpayers money but cost some county employees their jobs. The county has been responsible for refunding more than $65 million to Atlantic City since 2010 because of costly tax appeals by the casinos. … On Tuesday, however, Freeholder Chairman Frank Formica said the county is considering privatizing assets that don’t make money, such as Meadowview Nursing & Rehabilitation Center in Northfield, in an effort to spare residents from large tax increases and keep social services, such as Meals on Wheels, intact. …

Pinecrest staffers face almost daily patient assaults in wake of cutbacks, officials say

Source: Mark Ballard, The Advocate, March 25, 2017
 
The state’s efforts to privatize and economize health care at the state’s remaining facility for the intellectually impaired have resulted in regular assaults on staff by patients, state officials have discovered.  Almost every day, sometimes several times a day, a mentally impaired resident at Pinecrest punches, bites or otherwise violently lashes out at the mostly middle-aged women who help the individuals dress, eat and function in the world. The sudden and dramatic increase in violent attacks is an unintended consequence of “real quick privatization,” says Louisiana Department of Health Deputy Secretary Michelle Alletto, whose responsibilities include the 95-year-old facility near Pineville. Looking to save money, the state slashed budgets, laid off personnel and in 2013 closed other public facilities, intending to send the bulk of the patients to small, privately-owned group homes in communities around the state where their needs could be addressed on a more individualized basis. Pinecrest Supports and Services Center got the rest. … Budget cuts in other state agencies limited programs that treated these individuals in the past.

… For the 12 months prior to Feb. 28, the staff filed 524 reports, required by workers compensation regulations, for incidents at the facility where three years ago virtually no violence took place. … Perry, an officer in the employees union, says worker’s comp forms are only the tip of the violence iceberg because no publicly available forms are filled out unless the “slap leaves a mark.”  Local 712 of the American Federation of State, County and Municipal Employees began collecting statements from its members that provide a little more detail. … Many of the statements collected by the union complained about how they are unprotected by police and, often, are removed from direct patient care. … But the staff has lost its patience, says James Ray, AFSCME field representative and a Methodist minister. “They always say be patient, it’s going to get better. But the state, as an employer, has a legal obligation to provide a safe workplace, which they are not doing,” he said.

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Health firms make privatization pitches
Source: Michelle Millhollon, Advocate, February 14, 2014

In an overheated Holiday Inn banquet room Thursday morning, business leaders made pitches for privatizing a $2 billion slice of the state’s health care business. United Healthcare, Amerigroup Louisiana, Louisiana Healthcare Connections and LifeShare Management Group are interested in managing the long-term care needs of 73,000 Medicaid-eligible people. The companies want to oversee the personal care, doctor’s visits, transportation, hospitalizations and other daily needs of people with disabilities, as well as those with age-related or adult-onset challenges.

DHH Wants More Medicaid Privatization, Stakeholders Hesitant
Source: Ashley Westerman, WRKF, November 5, 2013

The state Department of Health and Hospitals is taking preliminary steps to further privatize Medicaid in Louisiana. In August, DHH released a concept paper about reforms to long-term care for the developmentally disabled and low-income elderly.

In a nutshell, the department wants to bring in a private managed care organization – or MCO – to create a network of healthcare providers to serve those populations. Proponents of private MCOs claim they save money, cut down on fraud and improve the quality of care. The state Dept. of Health and Hospitals is looking to privatize the managed care for Medicaid patients with developmental disabilities and low-income elderly. Other stakeholders and advocates for the disabled and elderly throughout the state, for the most part, welcome reform but skepticism remains….

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Hospice owner sentenced to 6 years in $20 million SNF kickback scheme

Source: Emily Mongan, McKnight’s, March 9, 2017

The owner of an Illinois hospice company was sentenced to six and a half years in federal prison on Tuesday for his role in a Medicare fraud scheme that paid kickbacks to nursing homes. Seth Gillman owned Passages Hospice LLC, which grew to be the largest hospice provider in the state before Gillman was charged in 2014 with inappropriately designating nursing home residents as hospice patients and overbilling for hospice services. Gillman also was accused of paying kickbacks to nursing homes that participated in the scheme, as well as providing residents of his family’s nursing home chain, Asta Healthcare, with fraudulent hospice services through Passages. Those residents often received services for years, far beyond the six-month cap in place for federal funding for hospice services, authorities said. The family of some former Passages patients told the Chicago Tribune that employees told them their loved ones were terminally ill, when they actually weren’t, in order to move them to hospice care or the more lucrative general inpatient care, or GIP. …

New York’s largest for-profit SNF operator kept nurses in ‘indentured servitude,’ lawsuit claims

Source: Emily Mongan, McKnight’s March 14, 2017

New York’s largest for-profit nursing home group allegedly kept more than 350 Filipino nurses in “indentured servitude” and sued those who tried to quit, according to a class action complaint filed last week. The complaint was filed against SentosaCare by former employee and registered nurse Rose Ann Paguirigan. She said she was recruited from the Philippines to work for SentosaCare and eventually signed a contract to work for a Staten Island facility operated by the provider. The contract stated that Paguirigan would be employed full time as a registered nurse and paid a base salary; instead, she was employed as an RN manager, given 35 hours of work each week and paid less than the wage stated in the contract. Similar contracts were signed by hundreds of other foreign nurses recruited by the company, although SentosaCare and its recruiter, Prompt Nursing Recruitment Agency, have “policies and practices” to not give foreign nurses full time work or pay them the prevailing wage, Paguirigan’s complaint states. The filing also claims that the provider maintains a “deliberate scheme, pattern and plan” meant to convince foreign nurses that they would “suffer serious harm” if they quit the company or tried to find work elsewhere. This scheme included a reported $25,000 penalty placed in the nurses’ contracts that they must pay if they left SentosaCare before the end of their contract term. …

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How N.Y.’s Biggest For-Profit Nursing Home Group Flourishes Despite a Record of Patient Harm
Source: Allegra Abramo and Jennifer Lehman, ProPublica, October 27, 2015

Charlie Stewart was looking forward to getting out of the nursing home in time for his 60th birthday. On his planned release day, in late 2012, the Long Island facility instead called Stewart’s wife to say he was being sent to the hospital with a fever. When his wife, Jeanne, met him there, the stench of rotting flesh made it difficult to sit near her husband. The small wounds on his right foot that had been healing when Stewart entered the nursing home now blackened his entire shin. … Doctors told Stewart the infection in his leg was poisoning his body. To save his life, they would have to amputate above the knee. Stewart had spent about six weeks recovering from a diabetic emergency at Avalon Gardens Rehabilitation & Health Care Center on Long Island. The nursing home is one of several in a group of for-profit homes affiliated with SentosaCare, LLC, that have a record of repeat fines, violations and complaints for deficient care in recent years.

Despite that record, SentosaCare founder Benjamin Landa, partner Bent Philipson and family members have been able to expand their nursing home ownerships in New York, easily clearing regulatory reviews meant to be a check on repeat offenders. SentosaCare is now the state’s largest nursing home network, with at least 25 facilities and nearly 5,400 beds. …

The decision maker in these deals is the state’s Public Health and Health Planning Council, a body of appointed officials, many from inside the health care industry. The council has substantial leverage to press nursing home applicants to improve quality, but an examination of dozens of transactions in recent years show that power is seldom used. Moreover, records show that the council hasn’t always had complete information about all the violations and fines at nursing homes owned by or affiliated with applicants it reviewed. That’s because the Department of Health, which prepares character-and-competence recommendations for the council, doesn’t report them all. … Thirteen of SentosaCare’s homes (though not Avalon Gardens) have Medicare’s bottom score for nurse staffing. Inspection reports also show that at least seven residents have wandered away from the SentosaCare affiliated facilities in recent years — including one who froze to death in 2011. Inspectors and prosecutors have found that staff falsified records in some cases. Dozens of patients at SentosaCare homes have experienced long delays before receiving necessary care; some ended up in hospitals.

Magnolia Health Corporation to Pay $325,000 To Settle EEOC Class Disability Discrimination Case

Source: Press Release, U.S. Equal Employment Opportunity Commission, March 8, 2017

Magnolia Health Corporation, a Visalia, Calif.-based company that operates health care and assisted living facilities throughout California’s Central Valley, will pay $325,000 and furnish other relief to settle a disability discrimination lawsuit filed by the U.S. Equal Employment Opportunity Commission (EEOC), the federal agency announced today. EEOC filed suit against the company in September 2015, charging that since 2012, Magnolia had discriminated against a class of applicants and employees on the basis of their disability, having a record of a disability, or being perceived as having one. EEOC said that Magnolia denied employees accommodations for their disabilities, and refused to hire, or fired, applicants and employees who had disabilities or were regarded as such. EEOC also said that Magnolia rescinded employment offers when applicants’ post-offer medical examinations indicated that they had a record of a disability or had current medical restrictions. EEOC further charged that Magnolia required employees be completely free of medical restrictions to work. Such alleged conduct violates the Americans with Disabilities Act (ADA). …

Lawmakers Hear Testimony Concerning Privatizing DDS Care

Source: Todd Piro, NBC Connecticut, March 8, 2017

Beverly Laporte of East Hartford worries about what will happen to her son Robbie if he is moved from his group home in South Windsor to private care. Laporte joined others at the Legislative Office Building in Hartford on Tuesday, testifying in front of the Public Health Committee against privatizing Department of Developmental Services care for their relatives. … At issue, of course, is money. Non-profit providers, through The Alliance, which provides a voice for community non-profits, say they can provide the highest quality of care at a fraction of the cost, saving the cash-strapped state $150 million dollars per year in residential care alone. … Some like Laporte are not convinced, arguing that because many private employees in the caregiving field are paid less than their public counterparts, there is a high turnover rate that hurts continuity of care. … Wednesday’s testimony was just one part of the larger battle that will be going on throughout the session.

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Connecticut unions say state needs to negotiate privatization
Source: Christine Stuart, New Haven Register, October 13, 2016

Two state unions representing workers at the Department of Developmental Services filed a lawsuit Thursday alleging the state can’t move forward with privatizing group homes without negotiating first with the unions. The Connecticut State Employees Association, SEIU Local 2011 and New England Health Care Employees Union District 1199 sought an injunction in Hartford Superior Court to stop the privatization from moving forward until negotiations are completed. Department of Development Services Commission Morna Murray announced in August that the state was moving forward with a plan to convert 30 group homes to private operation by Jan. 1, 2017. The agency also closed two regional centers in Meriden and Stratford. The plan is expected to save the agency $42 million in 2017 and $70 million in 2018. …

State employee unions suing to block group home privatization
Source: Arielle Levin Becker and Keith Phaneuf, CT Mirror, October 13, 2016

State employee unions plan to ask a judge to block the privatization of group homes for people with intellectual or developmental disabilities, saying the layoffs caused by those changes violate Connecticut law and will eventually be blocked by the state labor board. If that happens, the unions say in their request for an injunction, clients would have their lives upended twice – first by having to go through a change in staff in state-run group homes where they have developed relationships with caregivers, and then again if the labor board orders the laid-off state employees to be reinstated. … The unions, CSEA-SEIU Local 2001 and SEIU 1199, New England, represent nearly 500 workers who are expected to be laid off because of the Department of Developmental Services’ plans to privatize the services they provide. The workers include staff at state-run group homes and institutions, and those who provide job support, education, physical and speech therapy, health care and other services to people with intellectual or developmental disabilities. Both unions filed a complaint with the state Board of Labor Relations earlier this week, alleging that DDS broke the law by failing to bargain with them over the decision to outsource the work. … The Malloy administration plans to privatize 40 group homes, as well as services for people with intellectual or developmental disabilities – moves aimed at saving the state nearly $70 million per year by next fiscal year. Overall, the plan is expected to eliminate 605 state jobs. In an August memo detailing the plans, budget director Benjamin Barnes wrote that the state was requesting that the private providers give hiring preferences, when possible, to state employees who lose their jobs because of the changes. …

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National study finds “red flag” concerns at Kansas nursing homes

Source: Tim Carpenter, The Topeka Capital-Journal, March 5, 2017

A 91-year-old Alzheimer’s patient at Good Samaritan Society nursing home made clear he didn’t want to go to a doctor appointment. … Video documenting the encounter showed an officer shoot the man in the back with a stun gun. … Published reports said the man’s wrist was broken while being taken into protective custody. He died two months later. Kansas Advocates for Better Care, a nonprofit organization based in Lawrence, listed Good Samaritan Society as the state’s No. 1 health and safety risk with 46 infractions documented by the Kansas Department for Aging and Disability Services in the latest inspection cycle. None of other 67 nursing facilities in Kansas with at least 10 violations in the most recent round of comprehensive inspections had more than 32 infractions. Six of the state’s “red-flag” nursing homes, or homes that have been cited with at least 10 infractions for three consecutive inspections, are in Topeka. Three-fourths of the long-term care facilities under scrutiny by KABC are owned by for-profit corporations, including 10 of the 13 with at least 21 infractions. …