Nursing Home Oversight Failures – Part (how many?) Long Beach, CA Among the Poorest

The patient from Long Beach Healthcare Center was rushed to a hospital in August 2018 with an abdomen so distended from constipation that it looked as if she had “three soccer balls inside of her stomach,” according to state records.

She died 12 days later due to respiratory failure and severe sepsis from a urinary tract infection and pneumonia. A state investigation later found that the staff at Long Beach Healthcare Center made several critical errors, including not properly monitoring the woman’s deteriorating condition and failing to report that she had not had bowel movement for seven days.

The Wrigley-area facility in February was issued a rare “AA” citation—the state’s most serious violation when it’s determined that a nursing home directly caused a resident’s death.

Long Beach Healthcare Center is one of two Long Beach facilities that are named on a federal list of nearly 400 nursing homes across the country with serious ongoing health, safety or sanitary problems.

The list, released this month by U.S. senators, notes facilities with a “persistent record of poor care” that haven’t previously been released to the public, according to a Senate report.

The fact that the list has not been released to the public in previous years undermines the federal commitment to ensure transparency for families struggling to find nursing homes for loved ones and raises questions about why the names of some homes are not disclosed while others are publicly identified, according to two senators who released the report.

“We’ve got to make sure any family member or any potential resident of a nursing home can get this information, not only ahead of time but on an ongoing basis,” said Sen. Bob Casey, D-Pa., who along with Sen. Pat Toomey, R-Pa., issued the report.

About 1.3 million Americans live in nursing homes; they are cared for in more than 15,700 facilities. The senators’ report noted that problem nursing homes on both lists account for about 3 percent of the total.

In California, which has the country’s largest concentration of nursing homes, 34 facilities were on the list. Overall, California’s nursing homes average about 12.5 health citations, compared to 7.9 nationwide.

Records show that Long Beach Healthcare Center and the other facility on the federal list—Windsor Gardens Convalescent Center of Long Beach—have a history of health citations, according to the Nursing Home Compare website, which is run by the Centers for Medicare and Medicaid Services.

Long Beach Healthcare Center has 39 citations—more than three times the state average. Windsor Gardens has 22 citations, including one from July when a resident was found restrained in bed and soiled with feces and urine.

Both facilities are rated one of out five stars on the federal website, indicating they are “much below average.”

Jon Peralez, an administrator for Windsor Gardens, in a statement said the facility acknowledges that is it on the list and will “continue to make improvements that maintain and improve the quality of care.” A representative of Long Beach Healthcare Center could not be reached for comment.

Michael Connors, a spokesman for California Advocates for Nursing Home Reform, said the federal ratings provide only a snapshot of problem facilities because they include only federal sanctions, not state violations recorded by state inspectors.

The problem in California, he said, is much worse.

“There are hundreds of poor-quality nursing homes here in California,” he said. “This list only identifies a handful of them.”

Connors said the problem is due to understaffing, poor oversight and a complicated web of “unscrupulous” companies that are allowed to own chains of nursing homes. Connors said for-profit entities have been able to acquire nursing homes even without state approval.

Records show that Windsor Gardens in Long Beach is owned by Blythe/Windsor Country Park Healthcare Center LLC, while Long Beach Healthcare Center’s owner is listed as Long Beach Healthcare Center LLC.

Problem facilities that have faced multiple sanctions are rarely closed, Connors said.

“The state almost never closes them, in fact not only does it not close them, it allows the operators who are responsible for this poor care to continue to operate and acquire more nursing homes,” he said. “It’s really a troubling system.”

To continue reading click here.

The Depraved Indifference in Nursing Care – The Ashmedai – The Owners Who Choose Profit Over Care – Part I

The word “Ashmedai” it is said is used to refer to the King of the demons – all that is evil. “The author of the Ra’aya Meheimna in the Zohar (3:253a) distinguishes between three types of demons: (1) those similar to angels; (2) those resembling humans and called shedim Yehuda’im (“Jewish devils”) who submit to the Torah; (3) those who have no fear of God and are like animals.” [https://www.jewishvirtuallibrary.org/demons-and-demonology]

nursing fraud

[EDITORIAL – IN HONOR OF SHAVUOT AND THE ELDERLY AROUND THE COUNTRY WHO NEED OUR HELP] (updated 6.10.19) (updated 6.11.19)

Nursing Home Scandals in the US – A Special Duty Should be Required in Nursing Care and a Special Class of Punishments Established for Those Who Abuse

Nursing home care is a profitable business. There are “nursing home” moguls chomping at the bit to get hold of another for his or her portfolio. There are those owners/managers with their names on dozens of homes. There are straw-men who act as placeholders so the majority owners don’t need to report. It is a racket.

While the US government is supposed to restrict owners with repeated complaints from acquiring additional homes, those who are serially neglectful of rules and care, it doesn’t. Websites are not up-to-date. Nursing facility conglomerates just change ownership stakes, re-brand their product and start again with a new name and no oversight. Or, they put a straw-man in place, someone who is seemingly the owner, but in reality, is not.  The entire system is a breeding ground for greed, indifference, dereliction of duty, fraud and neglect. When it comes to the care of the elderly and patients requiring rehabilitation, the families don’t complain because they are vulnerable, they need help and most don’t know to whom to turn. The result is a pattern of victimization, victimizing patients, families and even healthcare providers.

And, Medicaid and Medicare do nothing to stop the fraud that drains their coffers. And the industry itself couldn’t give a tinker’s damn about the injury that patients sustain as a result of profit over care.

Fraud, abuse and neglect is rampant. Look no further than recent news article, some of which we have listed below. Bad actors would rather file suit for defamation than deal with the problems. Denial works wonders, particularly if it is played out in court by those with deep pockets against those with fewer financial resources. 

As an example and one that we were alerted to a few months back, a patient in a nursing facility is charged for services he or she did not receive and should have. The first crime is charging for those services not provided.  It is a fraud perpetrated on the patient and upon the healthcare system as a whole. We all suffer for it. The second crime is not providing the services at all. That second crime is worse than the first, insofar as it reflects an indifference to the health and well being of the person entitled to that service. The third crime is that of those who are supposed to be overseeing the system. No one bothers to contact patients to ask if they are receiving care. All are guilty, no one is accountable and everyone suffers.

Another scenario so common it borders on unfathomable, a specialized nursing facility is habitually short-staffed and lacks sufficient specialized skilled nursing to recognize if a patient has a bladder infection, for example. The patient sits in pain, urinates uncontrollably and is often forced to sit for hours in his or her own urine. The lack of skilled nursing is a dereliction of the requirements of a skilled nursing facility. It is also a form of neglect and if the nursing facility is billing on those services, it is also a fraud. The pain faced by the patient is a form of abuse and sitting in one’s own urine is inhumane, at best, and utterly criminal at worst – cruel and unusual punishment.

These types of nursing facilities are rated under a system proposed by the government, one that is supposed to provide guidance to families. And yet it is an abject failure. There is no oversight. The money is lost from the system and basically handed to the nursing facilities to help owners and managers line their pockets, and line them they do. 

Another example, closer to home, an incapacitated stroke patient lies on his or her back for 10-12 hours at a time unless periodically moved, which requires assistance. Alternatively, the patient will and does develop bedsores. The nursing facility is short staffed and does not have the manpower required to watch over patients requiring this level of care. If that patient’s position is not changed regularly those bedsores can ulcerate, can get infected, can cause sepsis. They are painful, excruciating and thousands of patients in beds in nursing and rehabilitation facilities throughout the United States suffer because the personnel required to make sure these virtually immobile patients are getting their care costs money and requires compassion. The nursing and rehabilitation facilities do not want to hire additional nursing or support staff. It costs money taken from their exquisitely padded pockets. And compassion is sorely lacking, non-existent and when the scales are weighted between money and compassion, compassion is not a tipping point.

What is not emphasized in an overall analysis of our healthcare system is that hiring someone to constantly change a patient’s position is less expensive to the entire system then the cost of paying for sepsis. But in the ultimately financial analysis, the nursing and rehabilitation facilities do not get rewarded when they help patients to leave. They get rewarded when beds are filled, even if they are filed with patients who might be healthy enough to go home. In fact, the application for new homes requires that potential owners have a plan for keeping their nursing facility full. The system is utterly broken. Nursing home owners profit from money that comes from lengthened and prolonged stays within their facility. There is absolutely no motivation to help people. There IS MOTIVATION TO KEEP THEM SUFFERING.

Looking to the codes used for billing, sepsis can be charged to by a hospital or facility for treatment purposes. In other words, it is a “billable event.” Moving a patient to help prevent bedsores cannot be billed. The former is profitable and the latter is not. Owners of these nursing homes are not incentivized to keep patients comfortable and healthy, improve their quality of life. That requires “compassionate care” and few nursing homes have the moral and ethical wherewithal to even make that a consideration in their ownership and management of their facilities.  Simply put, they do not want to spend the money, they want the profit and the system feeds into fraud and abuse.

The Jewish community can claim ownership of a significant percentage of beds in the greater US nursing home arena [www.briuswatch.org] . This is a fact. Most large nursing and rehabilitation groups are Jewish run and Jewish owned [https://data.medicare.gov/widgets/y2hd-n93e]. How are we not shaming our own into treating the elderly with respect, dignity and a quality of care that reflects a level of humanity, compassionate and empathy commensurate with a decent Jewish soul? A level of care that reflects and overall basis in human dignity? How are we allowing our fellow Jews to utterly demoralize the elderly for personal gain?

The ultra-Orthodox, fighting for better conditions in jails were able to raise millions in a 72 hour period.  However, they look the other way when their friends and neighbors, their fellow synagogue members, wealthy nursing home owners defraud the system and abuse patients. Why is fighting for better healthcare oversight not as important, if not more so, then prison reform? The criminal element gets more attention than the elderly, those who spent years looking after us and are then neglected.

In reality, in most cases the inmates in US prisons are treated better than the elderly in US nursing and rehabilitation facilities. Perhaps when people get old and start to get sick, they should commit crimes. The reality in the US is that they would receive better care growing old, spending their golden years behind bars then they do subjected to nursing home treatment.

There are some crimes that many of us, those with a heart, compassion, empathy and a modicum of humanity find to be absolutely unthinkable. Among them is the rape of a child, the slaughter of people as they daven in synagogue or pray in other houses of worship and the blowing up of buildings by suicide as prime examples. There are so many others. Sources tell us that sexual predators and rapists have the worst reputations going into jails and prisons and are treated accordingly. Why are those who abuse the elderly not equally as worthy of our collective revulsion?

When we hear about crimes committed in Nursing/Physical Rehabilitation homes, why are we not equally as transfixed by the sheer weight of the depravity of the crime? How is the population not so moved as to lose sleep over what is happening to our elderly in nursing care? How can substandard care in nursing facilities be ignored? Have we as a society just accepted, with some form of cognitive dissonance, that this is simply the state of affairs? And don’t the members of the Jewish community who trade regularly in the nursing home business owe their patient class some level of humanity?

Federal and state websites, which are supposed to update the quality of nursing and rehabilitation facilities are not updated regularly, though they profess to be.[https://nursinghomereport.org/ownername-joseph-schwartz/ ] There is often little follow-up on complaints of neglect, abuse and fraud. The “grading system” is inconsistent throughout the different US states and is subjective. And, it is not uncommon to find repeat offenders given license to continue to purchase additional homes to add to their portfolio of nursing homes. It is both pathetic and almost laughable.

[https://data.medicare.gov/widgets/y2hd-n93e]

How can we as a civilized society accept this outcome? How can we be looking the other way? How can social workers in hospitals around the country be sending patients from their hospitals to substandard conditions in nursing and rehabilitation facilities? What is the duty of care of these social workers? And what obligation does the US healthcare, Medicare and Medicaid systems have to protect those within our society who are being harmed by nothing more than depraved indifference.

 

ADDITIONAL READING:

Whether Worth Less or Worthless, Quality of Care Issues Under the FCA are Worth Noting

WHERE IS THE OVERSIGHT?

SICK, DYING AND RAPED IN AMERICA’S NURSING HOMES

How N.Y.’s Biggest For-Profit Nursing Home Group Flourishes Despite a Record of Patient Harm

Nursing home care: A growing crisis for an aging America

Questions Remain About Pennsylvania’s Vetting of Skyline Healthcare

Elder Abuse in Residential Long-Term Care Settings: What Is Known and What Information Is Needed?

Esformes will appeal convictions on 20 charges in $1.3 billion healthcare fraud case

Nursing Homes Held by Skyline Owner Face Crisis, Bouncing Paychecks in Mass.

Ex-independent living home employee found guilty of elder abuse

It’s a scheme’: Nursing homes owe thousands to Fall River pharmacy

Federal Way woman must repay state in workers’ comp scam

Nursing Home Abuse Statistics

The statistics reflecting incidents of abuse involving elderly residents in nursing homes and care facilities are both staggering and disheartening. At the broadest level, more than two (2) million cases of elder abuse are reported every year, and almost one (1) out of every ten (10) elderly individuals will experience some form of elder abuse. Moreover, virtually all parties working closely with the elderly on topics such as nursing home abuse have noted that the overwhelming majority of abuse incidents remain unreported. Sadly, while those figures reflect a national epidemic of violating the vulnerable, but also, most likely grossly understate the problem of elder abuse in the United States.

 

 

 

Caring for the Elderly in the US, the Potential For Fraud, Understaffing, Maltreatment, etc. Request for Information – The Grand of Great Neck

In Loving Memory of Someone Who Spent Years in and Out of Nursing and Rehab Facilities –

Your Experiences are the Greatest Impetus

 

Dear LostMessiah Readers:

Today is April 8, 2019 – (so there be no mistake on publication dates). [updated 2:25pm 4.8.19]

We have received repeated emails and telephone calls about the Grand Nursing and Rehabilitation Center of Great Neck, formerly known as Grace Plaza Nursing and Rehabilitation. 

We have been provided with documents and information indicating that patients’ insurance including Medicare and Medicaid are charged for rehabilitation programs they are not receiving. We have been advised that Medicare and Medicaid are paying out invoices for services, medications and medical visits never provided.

At least one person has reported this issue directly to the state, initially receiving responses and after some time, to no avail.  

We have been told in no uncertain terms that nearby hospitals may be getting special kickbacks, of sorts, to make certain that patients are sent to The Grand, provided however, that the Grand needs to fill beds. There is apparently a push to keep beds full and if that information is correct, a deal between hospitals and nursing facilities to make sure that happens is not altogether inconceivable. 

We have at least one first hand account of someone who could not get a family member discharged despite multiple requests and that once discharged, Adult Family Services was called to intervene with claims that the family member is abusing his or her relative and is at fault for the inadequate care. This is a travesty. 

We have patient accounts of reductions in the quantity and quality of food provided to patients which went from bad under Grace Plaza management to worse under the management of The Grand. We have been told that the Great Neck location is understaffed. Those among the staff who work hard are overworked and the others just remain as bodies to prove patient to caregiver ratios. The staff has also made an effort to provide us with information, emphasizing their fear of reprisals, which we have been advised are harsh.

The litany of potential problems as reported to us by multiple parties is long and vast. And those who are hurt are the most vulnerable within our society, the elderly and the sick. We owe them a better future, a better quality of life and we intend to help them achieve that.

We have been given full accounts of people who are are both former or present residents and/or their family members and it is our intention to handle these first-hand accounts with some level of objectivity, care, and take each and every complaint seriously.

We know that each of these complaints could have a reasonable and logical explanation; so we are not going to be quick to come to any conclusions or lay fault squarely on the facility.

We are asking instead that people get in touch with us. Tell us your story. We are comprising a report which will either yield results that explain the situation or alternatively a condemnation that we intend to send it to the state. We will provide whatever results we have compiled.

We are not suggesting that, absent your own independent research, you avoid any facility. We are advising as a blog and not from any legal authority that you advocate for your own care and the care of your loved ones. Hold people accountable. Make demands. Ask questions. Check your statements. Demand to be discharged if you are not getting adequate care. Report improprieties to the State. Do not get bullied, anywhere.

Our gmail is findinglostmessiah@gmail.com. Please send along all information available. Should the information we are provided warrant action, we will file complaints with every available state agency as necessary. Any results will be published as they become available. 

Please feel free also to contact us if you are looking for an attorney to handle any lawsuit you think might be available.  We may have connections in that department and are in the process of compiling a list. If you are an attorney and would like to be included on a list of elder-care attorneys who advocate for the elderly and their families, please feel free to contact us. If you have advocated for any facility as against a complaint, we will not entertain you as an appropriate advocate for patients. If you are an attorney that has advocated to silence scrutiny against elder-care facilities we also will not include you on our list as an appropriate advocate for the rights of patients and their families.

To those of you requiring nursing and long-term care, we would like to see you treated with respect, dignity, kindness and humanity. We do not believe that your lives should be valued by the dollar you earn the owners of these facilities, but by the Hippocratic Oath that should be held unerringly by  those entrusted with your care.

To those of you who are caregivers, we have walked in your shoes and are clear on the difficulties. This post and everything we hold dear should reflect that. This post is being written in loving memory of someone who spent the last 9 years of her life unable to advocate on her own behalf, aphasic and with caregivers who stood steadfast to providing her care. Even with their temerity and tenacity, success was fleeting.

As for your own choice of legal representation, we DO NOT RECOMMEND that you hire any law firm on your own that is associated with or has ownership stakes in any of these homes. The community of owners, at least in New York, is a small one and the owners look out for one another. The owners also trade these homes amongst themselves to allow the homes to clear their historical records, wiping the slate clean, so-to-speak. If you choose a law firm on your own, find one that has no principals with any financial interest in any nursing or long term care facility. We also highly recommend that you do not engage in firms that have represented nursing care Plaintiffs trying to silence the issues related to the safety of residents in Nursing and Rehabilitation Care Facilities. If you are trying to protect your loved ones, look for law firms that have that as their sole interest. It’s really common sense; but there are some big name firms which might want you to believe otherwise.

 

ADDITIONAL INFORMATION:

The Grand Rehabilitation and Nursing at Great Neck

 The Grand Rehabilitation and Nursing at Great Neck

Overall Rating  

 Preventive Care  

 Quality of Care  

 Quality of Life  

 Resident Safety  

Compare Nursing Homes in New York – the Unrated and the 1 – Star Rated – DO NOT IGNORE THIS!

Compare Nursing Homes in New York

Research and compare ratings for nursing homes in the state of New York. There are 622 nursing homes listed. There are 161 nursing homes with a 5 star rating, 122 nursing homes with a 4 star rating, and 92 homes with only a 1 star rating.

Name Rating Address

Bronx Gardens Rehabilitation & Nursing Center

No Rating Available

2175 Quarry Rd Bronx 10457

Carthage Area Hospital S N F

No Rating Available

1001 West Street Road Carthage 13619

Concord Nursing Home Inc

No Rating Available

300 Madison Street Brooklyn 11216

E C M C Transitional Care Unit

No Rating Available

462 Grider Street Buffalo 14215

Lawrence Nursing Care Center

No Rating Available

350 Beach 54th Street Arverne 11692

New Roc Nursing and Rehabilitation Center

No Rating Available

1335 Portland Ave Rochester 14621

Palisade Nursing Home Company

No Rating Available

5901 Palisade Avenue Bronx 10471

Pelham Parkway Nursing Center and Rehab Facility

No Rating Available

2401 Laconia Ave Bronx 10469

Schaffer Extended Care Center, Inc

No Rating Available

16 Guion Place New Rochelle 10802

The Steven and Alexandra Cohen Ped L T C Pavilion

No Rating Available

95 Bradhurst Ave Valhalla 10595

Wells Nursing Home Inc

No Rating Available

201 W Madison Avenue Johnstown 12095

Absolut Center for Nursing & Rehab Allegany L L C

 1 / 5

2178 North Fifth Street Allegany 14706

Absolut Center for Nursing & Rehab Aurora Park L L C

 1 / 5

292 Main Street East Aurora 14052

Absolut Center for Nursing & Rehab Dunkirk L L C

 1 / 5

447 449 Lake Shore Drive West Dunkirk 14048

Absolut Center for Nursing & Rehab Endicott L L C

 1 / 5

301 Nantucket Drive Endicott 13760

Absolut Center for Nursing & Rehab Houghton L L C

 1 / 5

9876 Luckey Drive Houghton 14744

Absolut Center for Nursing & Rehab Orchard Park L L C

 1 / 5

6060 Armor Road Orchard Park 14127

Absolut Center for Nursing & Rehab Three Rivers L L C

 1 / 5

101 Creekside Drive Painted Post 14870

Absolut Center for Nursing & Rehab Westfield L L C

 1 / 5

26 Cass Street Westfield 14787

Albany County Nursing Home

 1 / 5

780 Albany Shaker Road Albany 12211

Aurelia Osborn Fox Memorial Ho

 1 / 5

One Norton Avenue Oneonta 13820

Barnwell Nursing and Rehabilitation Center

 1 / 5

3230 Church Street Valatie 12184

Beechtree Center for Rehabilitation and Nursing

 1 / 5

318 South Albany Street Ithaca 14850

Bethany Gardens Skilled Living Center

 1 / 5

800 West Chestnut Street Rome 13440

Bethlehem Commons Care Center

 1 / 5

125 Rockefeller Road Delmar 12054

Betsy Ross Rehabilitation Center

 1 / 5

1 Elsie Street Rome 13440

Bridge View Nursing Home Inc

 1 / 5

143 10 20th Ave Whitestone 11357

Bridgewater Center for Rehab & Nursing L L C

 1 / 5

159 163 Front Street – Box 765 Binghamton 13902

Brighton Manor

 1 / 5

989 Blossom Road Rochester 14610

Capstone Center for Rehabilitation and Nursing

 1 / 5

302 Swart Hill Road Amsterdam 12010

Cayuga Ridge Extended Care

 1 / 5

1229 Trumansburg Road Ithaca 14850

Chautauqua County Home

 1 / 5

10836 Temple Road Dunkirk 14048

Comprehensive Rehab & Nursing Center at Williamsville

 1 / 5

147 Reist Street Williamsville 14221

Corning Center for Rehabilitation and Healthcare

 1 / 5

205 East First Street Corning 14830

Creekview Nursing and Rehab Center

 1 / 5

525 Beahan Road Rochester 14624

Crown Park Rehabilitation and Nursing Center

 1 / 5

28 Kellogg Road Cortland 13045

Emerald North Nursing and Rehabilitation Center

 1 / 5

1205 Delaware Avenue Buffalo 14209

Essex Center for Rehabilitation and Healthcare

 1 / 5

Po Box 127 Elizabethtown 12932

Evergreen Commons Rehab & Nursing Center

 1 / 5

1070 Luther Road East Greenbush 12061

Far Rockaway Center for Rehabilitation and Nursing

 1 / 5

13 11 Virgina St Far Rockaway 11691

Fiddlers Green Manor Rehabilitation & Nursing Center

 1 / 5

168 West Main Street Springville 14141

Focus Rehabilitation and Nursing Center at Otsego 

 1 / 5

128 Phoenix Mills Cross Road Cooperstown 13326

Focus Rehabilitation and Nursing Center at Utica

 1 / 5

1445 Kemble Street Utica 13501

Gowanda Rehabilitation and Nursing Center

 1 / 5

100 Miller Street Gowanda 14070

Grace Plaza Nursing and Rehabilitation Center

 1 / 5

15 St Pauls Place Great Neck 11021

Hempstead Park Nursing Home

 1 / 5

800 Front Street Hempstead 11550

Heritage Health Care Center

 1 / 5

1657 Sunset Ave Utica 13502

Hilaire Rehab & Nursing

 1 / 5

9 Hilaire Drive Huntington 11743

Humboldt House Rehabilitation and Nursing Center

 1 / 5

64 Hager Street Buffalo 14208

Indian River Rehab and Nursing Center

 1 / 5

17 Madison Street Granville 12832

James Square Nursing and Rehab Centre

 1 / 5

918 James Street Syracuse 13203

Jennie B Richmond Chaffee Nursing Home Co., Inc.

 1 / 5

222 East Main Street Springville 14141

Jewish Home of Central New York

 1 / 5

4101 E Genesee St Syracuse 13214

Katherine Luther Residential Hlth Care & Rehab

 1 / 5

110 Utica Road Clinton 13323

King David Center for Nursing and Rehabilitation

 1 / 5

2266 Cropsey Avenue Brooklyn 11214

Livingston Hills Nursing & Rehabilitation Center

 1 / 5

2781 Route 9 , P O Box 95 Livingston 12541

Meadow Park Rehab Health Center LLC

 1 / 5

78-10 164th Street Flushing 11366

Medford Multicare Center for Living 

 1 / 5

3115 Horseblock Road Medford 11763

Midway Nursing Home Inc

 1 / 5

69 95 Queens Midtown Expressway Maspeth 11378

Nesconset Center for Nursing and Rehabilitation

 1 / 5

100 Southern Boulevard Nesconset 11767

Newfane Rehab and Health Care Center

 1 / 5

2709 Transit Rd Newfane 14108

Niagara Rehabilitation and Nursing Center

 1 / 5

822 Cedar Avenue Niagara Falls 14301

Ontario Center for Rehabilitation and Healthcare

 1 / 5

3062 County Complex Drive Canandaigua 14424

Orchard Manor Rehabilitation and Nursing Center

 1 / 5

600 Bates Road Medina 14103

Palatine Nursing Home

 1 / 5

154 Lafayette Street Palatine Bridge 13428

Peninsula Nursing and Rehabilitation Center

 1 / 5

50 15 Beach Channel Drive Far Rockaway 11691

Pontiac Nursing Home

 1 / 5

303 East River Road Oswego 13126

River Ledge Health Care and Rehabilitation Center

 1 / 5

8101 State Highway 68 Ogdensburg 13669

Riverside Center for Rehabilitation and Nursing

 1 / 5

90 No Main Street Castleton on Hudson 12033

Riverview Manor Health Care Center

 1 / 5

510 Fifth Avenue Owego 13827

Rosewood Rehabilitation & Nursing Center

 1 / 5

284 Troy Road Rensselaer 12144

Safire Rehabilitation of Northtowns, L L C

 1 / 5

2799 Sheridan Drive Tonawanda 14150

Safire Rehabilitation of Southtown, L L C

 1 / 5

300 Dorrance Avenue Buffalo 14220

Samaritan Keep Nursing Home Inc

 1 / 5

133 Pratt St Watertown 13601

Samaritan Senior Village, Inc

 1 / 5

22691 Campus Drive Watertown 13601

Saratoga Center for Rehab & Skilled Nursing Care

 1 / 5

149 Ballston Avenue Ballston Spa 12020

Sodus Rehabilitation & Nursing Center

 1 / 5

6884 Maple Ave Sodus 14551

St Johnsville Rehab & Nursing

 1 / 5

7 Timmerman Avenue Saint Johnsville 13452

St Luke Health Services

 1 / 5

299 East River Road Oswego 13126

Suffolk Center for Rehabilitation and Nrsg

 1 / 5

25 Schoenfeld Blvd Patchogue 11772

Sunnyside Care Center

 1 / 5

7000 Collamer Rd East Syracuse 13057

Teresian House Nursing Home Co

 1 / 5

200 Washington Ave Ext Albany 12203

The Citadel Rehab & Nursing Center at Kingsbridge

 1 / 5

3400 -26 Cannon Place Bronx 10463

The Commons on St Anthony Street, a Loretto S N F

 1 / 5

3 St Anthony Street Auburn 13021

The Grand Rehabilitation & Nursing at Guilderland

 1 / 5

428 State Route 146 Altamont 12009

The Hurlbut

 1 / 5

1177 East Henrietta Rd Rochester 14623

The Orchard Nursing and Rehabilitation Centre

 1 / 5

10421 State Route 40 Granville 12832

The Pines at Glens Falls Center for Nrsg & Rehab

 1 / 5

170 Warren Street Glens Falls 12801

The Pines Healthcare & Rehabilitation Center Olean

 1 / 5

2245 West State Street Olean 14760

The Shore Winds

 1 / 5

425 Beach Avenue Rochester 14612

The Stanton Nursing and Rehab Centre

 1 / 5

152 Sherman Avenue Glens Falls 12801

The Villages of Orleans Health and Rehab Center

 1 / 5

14012 Route 31 Albion 14411

Townhouse Center for Rehabilitation & Nrsg

 1 / 5

755 Hempstead Turnpike Uniondale 11553

Unity Living Center

 1 / 5

89 Genesee Street Rochester 14611

Utica Rehabilitation & Nursing Center

 1 / 5

2535 Genesee Street Utica 13501

Valley Health Services Inc

 1 / 5

690 West German Street Herkimer 13350

Van Duyn Center for Rehabilitation and Nursing

 1 / 5

5075 West Seneca Turnpike Syracuse 13215

Vestal Park Rehabilitation and Nursing Center

 1 / 5

1501 Route 26 South, Vestal 13850

Washington Center for Rehabilitation & Healthcare

 1 / 5

Route 40 Argyle 12809

Wesley Gardens Corporation

 1 / 5

3 Upton Park Rochester 14607

Wesley Health Care Center

 1 / 5

131 Lawrence Street Saratoga Springs 12866

Williamsville Suburban L L C

 1 / 5

163 South Union Road Williamsville 14221

Willow Point Rehabilitation and Nursing Center

 1 / 5

3700 Old Vestal Road Vestal 13850

Nursing Home Report, Non-NY Highest Fined, Widespread Neglect – Is this Really Where you Want to Send your Most Vulnerable for Care?

To our Readers:

This is part of our ongoing effort to spark government reform on behalf of our elderly and most vulnerable. Many of our elderly are living in deplorable conditions, understaffed, under cared for and largely ignored.

Fines (as listed below) are paid because it is far cheaper than fixing the problems. Owners see dollars over care, as evidenced by the reports listed below; and patients are getting, at best, substandard care. If you open the link, there is information about each and every home on the list, many of which have widespread problems listed.

The ONLY way that these places will be held accountable to their patients is if people, the public at large, refuse to send their elderly to stay at any of these homes. If they do not have the beds filled, they will either be forced to improve or to close. You, our dear readers, do have a choice. You do have a say. Please pay attention.

And, if you have a loved one staying at one of these places, if you see something, report it. Report to Medicaid and Medicare if there is fraudulent behavior going on. If your loved one is not getting the care you want, be loud. Be angry. Be an advocate. Don’t sit by and expect to get the right answers.

Nursing and rehabilitation care is ultimately a business. There are few, if any, acts of altruism. If the person who owns the home sees only dollar signs, your loved one is nothing more than a cash cow.  Our elderly deserve better.

See below. 

Highest Fines for Nursing Homes

Top 100 Fine Dollar Amounts

No. Name (State) Fine Date Fine Amount
1 Golden Living Center – Morgantown (WV) October 17, 2016 $1,508,727
2 Salem Transitional Care (OR) December 30, 2015 $1,219,608
3 Wellspring Health & Rehabilitation of Cascadia (ID) July 19, 2016 $1,127,000
4

Owned by Robert Robbie Hartman of Chicago and Isaac Neuberger of Baltimore

Brinton Woods Health & Rehab Center of Pikesville (MD) September 13, 2016 $788,696
5 Creekside Health and Rehabilitation Center (TN) June 16, 2016 $766,774
6 Consulate Health Care of Melbourne (FL) January 28, 2017 $724,707
7 Life Care Center of Lawrenceville (GA) November 4, 2016 $704,352
8 Nhc Place at Cool Springs (TN) August 14, 2015 $663,500
9 Cordele Health and Rehabilitation (GA) August 4, 2016 $650,000
10 Orchard View Rehabilitation & Skilled Nursing Center (GA) January 8, 2016 $637,455
11 Ballenger Creek Center (MD) August 2, 2016 $624,658
12

Owned by Ira Smedra from Los Angeles

Danville Centre for Health and Rehabilitation (KY) February 27, 2017 $616,110
13 Medical Management Health and Rehab Center (GA) January 29, 2016 $608,531
14 Montvue Nursing Home (VA) August 14, 2015 $603,027
15 Northeast Atlanta Health and Rehabilitation Center (GA) November 9, 2016 $594,680
16 Hurstbourne Care Centre at Stony Brook (KY) May 22, 2015 $579,458
17 Pruitthealth-high Point (NC) December 30, 2014 $566,280
18 Community Care of Rutherford (TN) July 29, 2015 $548,500
19 Golden Living Center – Riverside (WV) December 18, 2015 $541,385
20 Avante at Orlando Inc (FL) January 5, 2017 $538,715
21 Signature Healthcare at St Peter Villa (TN) August 28, 2015 $526,435
22 Excel Care Center (FL) May 1, 2015 $524,909
23 Signature Healthcare at North Hardin Rehab & Welln (KY) February 25, 2016 $523,868
24

Owned by Eli Gunzburg of Cleveland

Westport Care Center (KY) June 3, 2015 $508,495
25 Clairemont Healthcare & Wellness Centre, LLC (CA) August 11, 2014 $490,130
26 Brinton Woods Health & Rehab Center of Pikesville (MD) December 3, 2015 $476,808
27 Madison Pointe Care Center (FL) May 21, 2015 $472,805
28 Blount Memorial Trans Care Center (TN) October 2, 2014 $465,465
29 Signature Healthcare at St Peter Villa (TN) August 27, 2014 $449,248
30 Manorcare Health Services – Adelphi (MD) May 19, 2016 $435,500
31 Fox Chase Rehab & Nursing Center (MD) August 3, 2016 $429,590
32 Glenwood Healthcare (GA) November 18, 2016 $428,837
33 Diversicare of Nicholasville (KY) February 6, 2015 $425,000
34 Windermere Health and Rehabilitation Center (GA) August 5, 2016 $418,893
35 Wilora Lake Healthcare Center (NC) July 17, 2015 $415,679
36 Manorcare Health Services – Wilmington (DE) June 9, 2016 $414,854
37 Community Place (MS) October 19, 2014 $411,483
38 South Haven Health and Rehabilitation Center (AL) November 3, 2016 $402,540
39 Bernard Care Center (MO) February 19, 2015 $399,800
40 Prestonsburg Health Care Center (KY) July 30, 2015 $393,250
41 Princeton Health & Rehab Center, Inc (KY) September 12, 2014 $386,750
42 Manorcare Health Services – Woodbridge Valley (MD) September 10, 2015 $381,000
43 Stanton Nursing and Rehabilitation Center (KY) August 6, 2015 $377,738
44 University Center East (FL) May 8, 2015 $372,980
45 Mt Pleasant Healthcare and Rehabilitation (TN) November 3, 2016 $370,728
46 Fairview at Redstone Village (AL) January 31, 2015 $364,130
47 Forest Ridge Health & Rehab (WA) December 12, 2016 $363,272
48 Mountain View Nursing and Rehabilitation Center (KY) November 23, 2015 $357,338
49 Millennium Nursing & Rehab Center, Inc (AL) September 24, 2015 $354,380
50 Palm Garden of Clearwater (FL) April 13, 2017 $350,628
51

Owned by Ronald Wilhelm and his father-in-law from Cleveland, Ohio

Clinton Healthcare Center (MD) February 22, 2016 $350,500
52 Phoenixville Care and Rehabilitation Center (PA) August 12, 2016 $346,958
53 Anderson Mill Health and Rehabilitation Center (GA) January 20, 2016 $339,886
54 Deer Lodge (MT) February 2, 2017 $339,586
55 Haines City Health Care (FL) August 26, 2016 $339,385
56 Autumn Care of Drexel (NC) January 30, 2015 $337,968
57 Smith Medical Nursing Care Center (GA) December 15, 2016 $329,324
58 Woodley Manor Health & Rehabilitation (AL) May 7, 2016 $329,030
59 Pruitthealth – Shepherd Hills (GA) March 21, 2016 $325,098
60 Honorage Nursing Center (SC) January 13, 2017 $319,133
61 Twin Rivers Nursing and Rehab Center (KY) May 20, 2016 $314,990
62 Jefferson Nursing and Rehabilitation Center (TX) November 29, 2016 $313,400
63 Valley Nursing Center (NC) July 24, 2015 $311,625
64 Rainier Rehabilitation (WA) April 19, 2016 $311,253
65 Paul E Patton Eastern Ky Veterans Center (KY) January 15, 2015 $306,833
66 Iredell Memorial Hospital Inc (NC) April 20, 2016 $303,100
67 Signature Healthcare of Hart County Rehab & Wellne (KY) December 30, 2015 $301,600
68 Savoy Nursing & Rehab Center (MA) December 5, 2016 $298,766
69 Blue Point Healthcare Center (MD) January 15, 2015 $296,024
70 Mount Vista Rehabilitation and Health Center (AR) October 23, 2015 $292,200
71 Glenbridge Health and Rehabiltation Center (NC) February 27, 2015 $290,197
72 Good Samaritan Society – Silver Wood Village (ID) June 24, 2016 $289,597
73 Paramount Rehabilitation and Nursing (WA) June 24, 2016 $287,430
74 Brookdale Atrium Way 2 (FL) February 25, 2015 $286,130
75 Riverview Health Care Center (KY) January 25, 2017 $282,638
76 Lake Park Nursing and Rehabilitation Center (NC) November 2, 2016 $277,052
77 Lewis Memorial Christian Vlg (IL) February 6, 2015 $275,960
78 Edmonson Center (KY) December 19, 2014 $273,910
79 Rehabilitation and Health Center of Gahanna The (OH) February 15, 2017 $273,833
80 Riverside Health and Rehab (SC) March 3, 2015 $271,408
81 Magnolia Manor – Greenville (SC) December 14, 2016 $271,263
82 Woodlands Nursing & Rehabilitation Center (NC) January 20, 2017 $270,073
83 Orangeburg Rehabilitation and Healthcare Center (SC) September 15, 2015 $265,790
84 Pacific Specialty & Rehab Care (WA) October 25, 2016 $265,785
85 Prairie View Cr Center-lewistown (IL) August 27, 2014 $265,000
86 Consulate Health Care of Melbourne (FL) June 10, 2015 $258,635
87 Largo Health and Rehabilitation Center (FL) July 25, 2016 $255,041
88 Pineville Rehabilitation and Living Center (NC) March 1, 2017 $252,915
89 Compass Post Acute Rehabilitation (SC) April 21, 2016 $249,422
90 Windsor Healthcare Center of Oakland (CA) May 26, 2015 $246,750
91 Longleaf Neuro-medical Treatment Center (NC) August 20, 2016 $243,407
92 Eamc Lanier Nursing Home (AL) June 24, 2016 $243,003
93 Bermuda Commons Nursing and Rehabilitation Center (NC) August 27, 2014 $241,670
94 Blue Ridge in the Fields, LLC (SC) August 3, 2015 $240,386
95 Manorcare Health Services – Rossville (MD) June 30, 2015 $240,305
96 Cherrydale Health and Rehabilitation Center (VA) June 30, 2016 $239,850
97 Brookhollow Heights Transitional Care Center (TX) January 16, 2015 $239,655
98 Venetian Care & Rehabilitation Center (NJ) May 17, 2016 $239,547
99 Ridgeview Healthcare and Rehabilitation Center (PA) November 14, 2016 $239,379
100 Westminster Village Health (DE) August 26, 2016 $239,168

Protecting our Elderly and Vulnerable, New York, California and Beyond – Time to Start Making Informed Choices in Nursing Care PART I

PROTECTING THE ELDERLY AND MOST VULNERABLE FROM PROFIT OVER CARE

To our Readers:

To this point, we have covered the issues related to Nursing Care in the United States, only to the extent of general coverage, without much editorial opining. ProPublica’s journalists in the following article: How N.Y.’s Biggest For-Profit Nursing Home Group Flourishes Despite a Record of Patient Harm did an exceptional job in their 2015 expose and were, like LostMessiah, sued for their efforts.

A review of Sentosa’s case against the freelance journalists and the current suit against LostMessiah’s founder reveals striking similarities. 

Over the next several months we will be posting information which is currently available on the  US Government website for Nursing Home facilities. https://data.medicare.gov/Nursing-Home-Compare/Ownership/y2hd-n93e/data

We will be posting lists of the nursing homes, their owners and if their owners are LLC’s, we will be posting details of LLC Holdings and we will be cross-referencing those names with reports, like the ProPublica report listed above.

Unless proven otherwise, we believe that if you cannot trace ownership, avoid the nursing home for your parent, loved one or yourself. Absent reason to believe that the listed LLC’s have interests in homes that are known to offer superior care and staff to patient ratios, kindness, decency and compassion, we believe they should be avoided. In the case of elder care and nursing and rehabilitation, there should be accountability. If New York is going to fail in that regard, it is about time that you have a path to help protect yourself and those you love.

We note that if there is a pattern and practice of behavior and treatment within a subset of commonly owned facilities, and that behavior is contrary to good patient care,  than all of the facilities within that ownership structure should be avoided, unless there is reason to believe otherwise.    

We will accept questions at our website gmail account: findinglostmessiah@gmail.com and we ask you to kindly provide any tips you may have or want exposed.

For people who have already gotten in touch with us on this subject, we are pursuing your concerns accordingly.  

FOR FURTHER READING: https://www.carepathways.com/articles/signs-of-elderly-neglect-or-abuse-in-nursing-home.cfm

 

Nursing Homes – the Victimization of the Elderly, Balking at Stricter Staffing California – Profit Over Treatment

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More Than Half Of California Nursing Homes Balk At Stricter Staffing Rules

More than half of California’s nursing homes are asking to be exempted from new state regulations that would require them to spend more time directly caring for their patients.
The state’s new staffing requirements for nursing homes, quietly passed in last year’s budget bill, seem universally unpopular. Patient advocates say the new regulations don’t go far enough and that residents remain at risk in poorly staffed homes. Nursing home operators say they can’t hire enough staff to comply.

Under the new rules, which took effect in July but haven’t yet been enforced, skilled nursing facilities must provide at least 3.5 hours of direct care per resident per day, up from 3.2 hours of care previously. That care can range from inserting a feeding tube to changing an adult diaper or helping residents with eating and bathing.
The California Department of Public Health, which oversees nursing homes, is expected to announce in late January which — if any — facilities it will exempt from the new regulations. But some patient advocates don’t like the nursing homes’ balking.
We’re appalled by the waiver system. It’s sending the worst possible message to California nursing homes that it’s OK to staff at levels that endanger residents,’ said Mike Connors of California Advocates for Nursing Home Reform, a consumer advocacy group.

Researchers have strongly linked more nursing staff with better care, with some experts recommending from 3.8 to 4.1 hours of care per patient per day as a bare minimum for quality nursing home care. Having enough staff helps prevent falls, pressure sores and other problems that can land fragile seniors in the hospital.
A recent Kaiser Health News investigation
found that for years nursing homes nationwide overstated staffing to the federal government. Now, nursing homes are required to report actual payroll records to remain eligible for Medicare and Medicaid payments.
During the first three months of 2018, 58 percent of California’s skilled nursing facilities averaged at least 3.5 hours of patient care a day, according to a Kaiser Health News analysis of payroll records submitted to the federal government. That rose to 76 percent when including nursing homes where administrators also were counted.
California is one of only a few states that set their own minimum requirements for nursing home staffing. Most states abide by federal government standards requiring skilled nursing facilities that receive money from Medicare or Medicaid to have enough staff to meet residents’ needs, said Robyn Grant, director of public policy and advocacy for National Consumer Voice for Quality Long-Term Care, an advocacy group.
Illinois requires nursing homes to provide a minimum of 3.8 hours of care per patient a day and the District of Columbia requires 4.1 hours, Grant said. Maine and Oklahoma take a different approach, establishing staff-to-patient ratios, rather than hours of care, for nursing homes.
Nursing home officials and their lobbyists say it’s tough to find qualified nurses and assistants in California’s robust economy, and they bemoan what they describe as inadequate reimbursement from Medicare and Medicaid. They also have criticized a provision of the new requirements that 2.4 of the 3.5 hours of patient care must be provided by a certified nursing assistant, rather than another nursing professional.
Nursing homes need flexibility because ‘not every patient is the same, not every diagnosis is the same,’ said Matt Robinson, legislative affairs director for the California Association of Health Facilities, an industry group. ‘We’re not opposed to more staff. But we want quality staff. We want to make sure there’s a sustainable workforce to meet that mandate, otherwise it’s just an empty mandate.’
Robinson said facilities are applying for waivers on a ‘good-faith basis.’ If waiver requests aren’t granted, he said, nursing homes may reduce their beds or even shut down.
In Los Angeles, the 300-bed Kei-Ai Los Angeles Healthcare Center has applied for an exemption citing a ‘workforce shortage.’ But Cynthia Sakaki Sirlin, whose 86-year-old father, a veteran of the Korean War, lives there says, ‘I think it’s wrong.’
‘I don’t know why they’re doing this. They need more nursing staff to improve patient care, not less, the research shows that. So why are they asking for a waiver? Why is the state allowing them? That just rewards owners who are not willing to staff the homes,’ Sakaki Sirlin said.
Sakaki Sirlin, a nurse practitioner and a representative of Kei-Ai’s family council, said that since the formerly nonprofit nursing home was purchased by a real estate developer in 2016, she has noticed more staff turnover. She worries that her father, a wheelchair user who can’t feed himself, won’t get the care he needs. Representatives from Kei-Ai did not respond to a request for comment.
There are nearly 100,000 certified nursing assistants in California, according to federal labor data. Patient advocates say many CNAs choose not to work for nursing homes because of the comparatively low pay and tough workload.
‘If they paid them better, they’d have plenty of staff,’ even in remote parts of California, said Suzi Fregeau, long-term care program manager in Humboldt and Del Norte counties. The mean hourly wage for certified nursing assistants in California was $16.13 in 2017, according to federal labor data
.
Some of the California homes seeking exemptions have been repeatedly cited by the state’s Department of Public Health for inadequate staffing that led to patient harm. Among them are homes owned by Shlomo Rechnitz, who reportedly controls 1 in 14 nursing home beds in California. He has faced numerous federal and state probes of understaffing and quality problems at his homes.
The CEO of one of Rechnitz’s nursing home management companies said in a written statement that several homes submitted “patient needs” waiver requests on their own with data provided by the company. “All of these facilities prioritize the needs of their patients above all else and these facilities have a stellar history of complying with applicable staffing requirements,” said David Silver, CEO of Rockport Administrative Services LLC.
What we’re seeing is that the facilities that already are understaffed — the facilities for which we do get complaints — are the ones asking for waivers,’ said Joe Rodrigues, the state’s long-term care ombudsman. ‘We’re not supportive of those requests.’