Nursing Homes – Hell on Earth for the Elderly… and in New York – it’s Cuomo’s Special Brand of Hell

The number of nursing home residents who died in the pandemic has been a particularly sensitive question for the Cuomo administration.
The number of nursing home residents who died in the pandemic has been a particularly sensitive question for the Cuomo administration. Credit…Pool photo by Shannon Stapleton

Published 5.4.21 9:28am

Dear Reader:

Perhaps the punishment for cruelty to the elderly in nursing care should be lying in the same nursing home bed forced to wallow in excrement and urine. Were we to be a legislators, this would be the top of our bucket list. Alas, should the punishment not fit the crime? And yet, those with the courage to speak out are inevitably doomed.

Most of New York’s nursing homes or those owned throughout the United States by New York nursing home conglomerates, are a special brand of hell to the elderly living in them; and their owners and managers deserve accountability. Many are understaffed or staffed by undertrained employees. In most care is substandard, if there is care at all. In many the food is unpalatable or barely edible, but it is inexpensive. In all but a select few, elderly patients can spend hours sitting in their own excrement, thirsty for a drink, exposed to Covid-19 and other pathogens. There is no accountability. Where laws exist there is no oversight. It is a vicious cycle.

In some, the owners use the open spaces for parties and celebrations – a show of wealth and so-called hospitality. After all, a nursing home is a hospitality business. Even during Covid-19, at the worst of the outbreaks, we received reports of massive gatherings in the halls of some of these homes, catered by top kosher caterers, but not open to the patients and their families.

In all but a select few, money flows like water; and the only beneficiaries are the owners and operators, their investors and the politicians who benefit from political contributions. Name the horror and you will likely find it in New York’s nursing homes. Sadly, so many of the nursing homes are owned by different combinations of the same uber-wealthy individuals who have already sold their souls for money. Their attorneys shut their eyes, look the other way. It is really not an attorney’s job to judge. And the billing is glorious to those attorneys for whom these are their top clients. If one is without a conscience, a sense of morality, and is already adept at skirting laws, falsifying records and documents, paying off or discrediting those who get in their way – will new laws do anything but pay lipservice?

Factor in the guardians, many of whom are complete savages, and we have a lethal mix. Many of the patients are sent to nursing home hell by self-serving guardians who likely get hefty kickbacks – a “quid pro quo” of sorts. Most of New York’s nursing homes are for profit. Their ownership structure can be a moving target, crafted to avoid accountability. Many are financed by hedge funds, hedge fund owners and investment managers; or are publicly traded in various portfolios in the stock exchanges of the United States, Israel, the Canadian Stock Exchange and so many others. It is business, after all. Are we talking about human life? Irrelevant really. We are talking about money.

Guardianship is an extraordinary racket, a well-oiled machine which includes (but is not limited to) social workers, judges, politicians, guardians, medical staff, nursing staff, attorneys, the judiciary and the list goes on and on and on. It is a vicious cycle with little hope of breaking. We have been told it is an “open secret” in government and those who attack the system inevitably doom themselves to a loss of livelihood, reputation, financial well-being and even family safety. The people involved in this racket are like a close-knit family “the Gansa Mishpucha” for whom money leads, whatever conscious there is or may have been was set aside long ago.

The multitude of people involved are not morally bankrupt, as that implies there was something there to bankrupt in the first instance. That is a stretch. The elderly in many of the nations nursing homes are nothing more than financially lucrative chattel; lives of meaningless vulnerable people whose daily existence generates cash. It is a godless business.

New York’s nursing homes and their owners are some of the worst. And then there’s the governor, Andrew Cuomo and his aides who were complicit in setting in motion further devastation as Covid-19 ravaged the elderly. So what did they do? They created immunity – and another loophole to escape accountability. We have coined that immunity the “Granny Killer Immunity Provisions”. Cuomo’s political existence has depended, in large part, upon a significant donor pool that exists within the nursing home industry. He is the quintessential beneficiary of political largesse.

Creating laws that would protect our morally challenged nursing home owners was all part of the movement of money. Until Covid-19 put the brakes on that, at least temporarily it just kept going. The Granny Killer Immunity Provisions immunized nursing home owners, operators and managers and hospitals. Those provisions have been overturned but their creation should be a warning to anyone in this fight. If the power of the nursing home industry can have sway over Governor Cuomo, it will happen again.

There is an effort (see below) to place restrictions on nursing homes. We again pose this: restrictions mean nothing if there is no one there to enforce. Our government is a part of the problem. Enforcement will not happen and the crimes against humanity – our elderly and most vulnerable – will continue. Do we not owe them more lest we all be savages?

Read on….

New report details even bigger lies by Cuomo to cover up nursing home scandal

While Gov. Andrew Cuomo was securing a reported $4 million deal to write a book on his pandemic “leadership,” he and his staff were busy suppressing the truth about New York’s nursing-home deaths in the wake of the March 25 order that forced homes to admit COVID-contagious patients. And it now turns out the coverup was even worse than we’d thought.

On top of blocking health officials from telling the truth, senior staffers also quashed a scientific paper that reported the true fatality total, The New York Times reported.

A June 18 e-mail from top aide Melissa DeRosa to health officials shows Team Cuomo was “anxious” about a pending Department of Health report on nursing-home coronavirus fatalities and out to downplay the idea that the March 25 mandate had proved deadly.

The Cuomoites were publicly citing a nursing-home death toll of about 6,000 by ignoring home residents who’d died while hospitalized. The draft report shared the full count of over 9,700, noting that the homes accounted for “approximately 35 percent” of all NY coronavirus deaths. But DeRosa — who at the same time was intimately involved in the gov’s book-deal negotiations — and other staff got all that edited out. The final report said the homes only yielded 21 percent of the state’s virus death total, making it seem below, rather than above, the US average.

The New York Post continue reading here.
A photo of a lost loved one shadowed by Cuomo. Photo by Dean Moses

Assemblyman Ron Kim urges Attorney General to investigate Cuomo nursing home scandal

By Dean Moses

The feud between Ron Kim and Andrew Cuomo is not over yet.

Assemblyman Ron Kim and Governor Andrew Cuomo had a very raw, very public falling out this past February that essentially catapulted the nursing home scandal—in which Cuomo is accused of hiding the number of fatalities from COVID-19 within New York State nursing homes—into the media spotlight. Kim became a household name overnight after the local politician alleged Cuomo threatened to ruin his career. Now, Kim is calling upon the Attorney General to join the fight.

Kim gathered with Voices for Seniors members in Foley Square on Monday afternoon. In the shadow of the Thurgood Marshall United States Courthouse, the assemblyman stood ahead of those who had lost elderly loved ones to the deadly virus calling out the Governor for what he says are “Some of the worst and deadly policies that this country has ever witnessed.”

“For ten months Andrew Cuomo only listened to the worst operators, the lobbyists, to put forward policies that were not only deadly but were irresponsible and criminal. So, we are here once again calling for full accountability for Andrew Cuomo’s unilateral decision-making around nursing homes, in particular, we are asking for the Attorney General and every other investigator who has now opened up investigations into Andrew Cuomo to look into him and his allies, and his administration committing fraud,” Kim said.

While Attorney General Letitia James is reportedly already conducting an investigation into the slew of sexual misconduct allegations levied at the head of state, this demand for action asks James to look into a cover-up of deaths within nursing homes. Kim also cited the importance of this proposed investigation to the families of the deceased who formed Voices for Seniors, a group that looks to improve the lives of the elderly through advocacy. Members of the organization clutched photographs of perished family members and signs dubbing the Governor a “super spreader,” blaming Cuomo for the deaths of their loved ones.

amNY, to continue reading click here.

Healthcare Lender Alert: New Law Impacts New York State Nursing Homes

As part of its recent budget, New York State has enacted a new law that significantly impacts nursing home operators in New York. Effective January 1, 2022, the new Section 2828 of the Public Health Law requires, among other things, that:

Not less than 70% of nursing home revenues shall be spent on direct resident care costs;

40% of the nursing home revenues must be spent on staff who work directly with patients (so-called resident-facing staff, as that term is defined in Section 2828), which is included in amounts spent on direct resident care costs; and

Nursing home profits are limited to not more than 5%, and profits in excess of this threshold shall be turned over to the [sic]

Pursuant to the legislation, the Department of Health shall promulgate regulations in accordance with the new [sic]

Direct resident care is defined to include non-revenue support services (e.g., maintenance and patient food service), ancillary services (e.g., laboratory and pharmacy services), and program services directly serving patients. 

Direct resident care is defined to include non-revenue support services (e.g., maintenance and patient food service), ancillary services (e.g., laboratory and pharmacy services), and program services directly serving patients. Expenses that are specifically excluded as not related to patient care include, without limitation, administrative costs (other than nurse administration), capital costs, debt service, taxes (other than sales taxes or payroll taxes), capital depreciation, rent and leases, and fiscal services. Specifically excepted from the new law are nursing homes that provide certain specialized services, including, for example, behavioral intervention and neurodegenerative services.

JDSupra, continue reading, here.

Cuomo Aides Spent Months Hiding Nursing Home Death Toll

Aides to the New York governor, Andrew M. Cuomo, repeatedly prevented state health officials from releasing the number of nursing home deaths in the pandemic.

The effort by Gov. Andrew M. Cuomo’s office to obscure the pandemic death toll in New York nursing homes was far greater than previously known, with aides repeatedly overruling state health officials over a span of at least five months, according to interviews and newly unearthed documents.

Mr. Cuomo’s most senior aides engaged in a sustained effort to prevent the state’s own health officials, including the commissioner, Howard Zucker, from releasing the true death toll to the public or sharing it with state lawmakers, these interviews and documents showed.

A scientific paper, which incorporated the data, was never published. An audit of the numbers by a top Cuomo aide was finished months before it became publicly known. Two letters, drafted by the Health Department and meant for state legislators, were never sent.

The actions coincided with the period in which Mr. Cuomo was pitching and then writing a book on the pandemic, with the assistance of his top aide, Melissa DeRosa, and others.

And they came as the governor’s approach to nursing homes was receiving intensifying scrutiny from critics and Republicans, including former President Donald J. Trump, whose administration made a public show of requesting nursing home death data from four states with Democratic governors, including New York.

The number of nursing home residents who died in the pandemic has been a particularly sensitive question for the Cuomo administration.

The number of nursing home residents who died in the pandemic has been a particularly sensitive question for the Cuomo administration.

The New York Times, continue reading here.


Continue reading

New Nursing Home Rating System – Avoid the 1 and 2 Star Ratings, More than that, the Ratings Are Only Guidance

Under new Fed rating system, 8 nursing homes in Allegheny County lauded, 3 in worst category

The federal government has updated its website used to rate nursing homes with new methodology that it says will better serve consumers, more accurately accounting for the facilities’ inspections, staffing and other measures.

While tinkering with the formula for its Nursing Home Compare website, the Centers for Medicare & Medicaid Services still uses a scale from one to five stars to rate more than 15,000 facilities. Nursing homes receive both an overall star rating and sub-ratings for how they stack up on their staffing levels; their performance on state health inspections; and a combined group of quality measures accounting for care issues such as the percentage of patients with pain, sores, incontinence and hospitalizations.

The new ratings posted Wednesday for 61 nursing homes in Allegheny County show eight facilities with five-star ratings, 21 receiving four stars, 20 with three stars, nine given two stars, and three with one star. Beyond the star system, a range of detailed information about different aspects of care — plus state inspection histories — is available by entering a facility’s name in the website’s search field.

The local five-star homes are Harmony Physical Rehabilitation in Monroeville, Little Sisters of the Poor in Brighton Heights, North Hills Health and Rehabilitation Center in Pine, Providence Point Healthcare Residence in Scott, UPMC Magee-Womens Hospital Transitional Unit, UPMC McKeesport Long Term Care Facility, Vincentian de Marillac in Stanton Heights, and West Hills Health and Rehabilitation Center in Moon.

The one-star facilities are Baldwin Health Center, Cheswick Rehabilitation and Wellness Center and the Corner View Nursing and Rehabilitation Center (formerly Forbes Center for Rehabilitation and Healthcare) in Larimer.

In many cases, the local nursing homes receiving the highest rating are smaller, nonprofit homes — with fewer than 75 beds — while the three one-star homes are all for-profit operations with at least 121 beds.

Allegheny County owns and operates four nursing homes in its Kane system. Its Glen Hazel and Scott facilities received three stars while the McKeesport and Ross operations have two stars.

The federal government created Nursing Home Compare in 2008 as a way to assist consumers in what can be a difficult decision-making process. Individuals and families often have little time to evaluate whatever facilities may be located near them or which may be suggested by a hospital social worker or other health care professional. 

Industry officials raised concerns last week that the update to Nursing Home Compare could be confusing, as new methodology may have caused some facilities’ ratings to drop even though their levels of care and staffing may be same as before the update. The Pennsylvania Health Care Association, which represents many for-profit homes, reported that more than 30 percent of nursing homes in the state suddenly lost one or more stars.

“While the five-star system can be a helpful tool, families should not rely on it exclusively when choosing a nursing home for a loved one,” association president Zach Shamberg said.

Richard Mollot, executive director of the Long Term Care Community Coalition, a national consumer advocacy group, agreed that Nursing Home Compare should not be the only decision-making guide, because people would benefit from visiting homes for firsthand assessments of resident engagement, interactions with staff, dining, odors and other aspects.

But for objective data, Mr. Mollot said, Nursing Home Compare is better than any other source, and that the federal government has worked to fine-tune and improve the information over the years. Among recent changes, he said, are more reliable information about staffing levels and an inspection process that calls for surveyors to interact more with residents and observe operations rather than relying too much on paperwork and interviews with administrators.

To continue reading click here.

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

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

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

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

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

Top 10 Dick Moves of 2018 – One of Ours Made the List… The #1 Spot… and a Philanthropist, No Less

Top 10 Dick Moves of 2018 

Listen, it has been a year. You’d think the dick moves on the national stage would overshadow us but not so. Looking back on 2018, we saw a bevy of folks making classic dick moves — selfishly and flagrantly doing wrong because, well, they could — running the gamut from racism to bad manners with a strong showing in screwing over Humboldt’s flora and fauna. Peruse this year’s cavalcade of bullshit and let us know if we’ve missed somebody.


click to enlargeShlomo Rechnitz. - HOLLY HARVEY

HOLLY HARVEYm Shlomo Rechnitz.

1. Just when you thought he’d slunk off our list, Shlomo Rechnitz, the billionaire owner of Brius Healthcare and the four Humboldt skilled nursing facilities that have been chronically understaffed and cited for violations over the years, is back. This time his facilities, which have settled a pair of wrongful death lawsuits out of court, are asking to be exempted from a new state requirement that they provide a minimum of 3.5 hours per day of caregiver staffing for each patient in their care. But hey, it’s just the health and safety of our elders at stake, so why pony up for the absolute legal minimum? Congratulations on this year’s champion dick move, Shlomo.

Jennifer Fumiko Cahill is the arts and features editor at the Journal. Reach her at 442-1400, extension 320, or Follow her on Twitter @JFumikoCahill.

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


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.

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: 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.  



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


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.’