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.

ADDITIONAL READING:

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NJ Advances Package to Combat Elder Abuse and it is all Fluff and Nonsense!

Dear Reader:

We have contended from the outset that the oversight agencies are ineffective, corrupt, complicit in or facilitators of abuse, neglect and exploitation. Full Stop. We have contended that many of the players within the elder-care guardianship and nursing home context are inextricably intertwined in wrongdoing, most with incestuous relationships with the oversight agencies. We have posited that there is no such thing as reporting if it is left to the good will of those entrusted with the care of the elderly. We maintain that too many people are making too much money for the nonsense legislation to have any substance.

Oversight agencies must be held accountable for their failures. Elder abuse MUST be accompanied by criminal penalties, whether to the guardians, the owners and operators, the magnates, the investors, the employees or the judges and politicians that allow the abuse to continue unchecked. Elder abuse MUST be deemed unacceptable. Full stop. Elders MUST have the power to decide their own destinies. Elders MUST be believed until their statements are proven unbelievable, if that is possible. An Elder’s human dignity MUST be respected before all else and not entrusted in the care of those who lack humanity and conscience.

New Jersey’s four-part legislation pays lipservice to intent but does none of that. It assumes unicorns and rainbows with respect to an industry which is no different that legalized human trafficking. When you build a beautiful house on a flawed foundation the house is doomed. So too is the fluff and nonsense legislation in New Jersey.

Assembly Panel Advances Murphy & Vainieri Huttle Bill Package to Combat Abuse, Neglect & Exploitation of Seniors and Vulnerable Adults

Assembly Panel Advances Murphy & Vainieri Huttle Bill Package to Combat Abuse, Neglect & Exploitation of Seniors and Vulnerable Adults

Measures to Modernize Conservatorships & Guardianships; Address Financial Abuse; and Strengthen Protections for Vulnerable Adults

(TRENTON) – The Assembly Aging and Senior Services Committee on Monday approved a package of four bills sponsored by Assembly Democrats Carol Murphy and Valerie Vainieri Huttle to protect elderly or vulnerable adults from facing abuse, neglect or exploitation.

About one in ten Americans over age 60 have experienced some form of elder abuse, including physical or emotional abuse or financial exploitation. Mental or physical impairments may make them more vulnerable to abuse, and many cases go unreported.

People with disabilities are also at a higher risk of abuse, neglect or exploitation. About 30 percent of individuals with disabilities who need assistance with daily care, maintaining their health and safety, and accessing their communities have experienced some form of mistreatment.

“As we age, many of us will need a support system to help manage our health, finances, transportation and other aspects of life. This is especially true for seniors with dementia or other cognitive impairments” said Murphy (D-Burlington). “Sadly, too often the person trusted with an elderly person’s care ends up taking advantage of them. We must ensure the people caring for our most vulnerable have their best interests at heart, and everyone knows how recognize and report elder abuse.”

“Every person deserves to age with dignity,” said Vainieri Huttle (D-Bergen). “We may face illness, disability or physical decline, but we should never face abuse. By strengthening protections for older adults and our most vulnerable, we are helping to keep our elderly loved ones safe and safeguard our own futures.”

Two bills in the package would modernize existing laws regarding conservatorship and guardianship in New Jersey. The first measure (A-4615) would require proposed conservatees or someone already under conservatorship to have counsel throughout the course of all court proceedings. The court would be required to appoint a counsel if they were ever unrepresented. The counsel would personally interview the conservatee or proposed conservatee within 72 hours before each scheduled hearing focused on conservatorship.

Counsel must also be provided to individuals under guardianships, or wards, as part of the second bill (A-4618).

Insider NJ

Abuse of the Elderly – Mama B and Guardianship – a Case in Alabama

“Mama B” Bashinsky Guardianship Abuse Case Goes Back To Alabama Supreme Court

BIRMINGHAM, Ala., March 10, 2021 /PRNewswire/ — Today, legal counsel for the estate of the late Joann “Mama B” Bashinsky, the beloved Alabama philanthropist, announced several developments in the case of the permanent guardianship petition that haunted her for the last 18 months of her life before she passed away on January 3, 2021.

On Friday, Bashinsky’s counsel filed an appeal with the Alabama Supreme Court on one motion challenging an order issued by Judge A. Lee Tucker to pay a guardian ad litem fees for his own attorney on a prior matter. Following their appeal, Judge Tucker hastily ruled on numerous motions that have been delayed for weeks. Most notably, Tucker made a highly unusual ruling to deny the motion to dismiss the case in light of Mrs. Bashinsky’s death, further highlighting the numerous conflicts of interest among those involved in the case, including the judges and petitioners. The family is now forced to have to go to the Alabama Supreme Court once again because Judge Tucker won’t let the case die.

“These new decisions by Judge A. Lee Tucker are extremely disheartening, and confirm the corruption within the Jefferson County guardianship system at the hands of temporary conservator Greg Hawley and  guardian ad litem Ken Guin, as directed first by Judge Alan King and now by Judge Tucker,” said attorney Susan Walker. “In my opinion, his latest rulings show that this court is failing to provide justice and fairness, as the Judge continues a case that has tormented the friends and family of Mama B, who suffered great distress for the last months of her life because of the permanent petition for guardianship and for conservatorship that threatened her finances and independence.”

The case has taken many unseemly twists and turns from the first day Mrs. Bashinsky’s fomer employees, John McKleroy and Patty Townsend, filed a petition to place her under a guardianship the very day she appropriately terminated them. On July 2, 2020, the Alabama Supreme Court issued an opinion declaring the emergency petition failed to establish an emergency and holding Mrs. Bashinsky was denied her constitutional due process rights. Since her death, the burden of exorbitant and unnecessary expenses on her family has endured as they navigate a case that would have typically died with the subject.

“Since the Alabama Supreme Court last saw this case, in my opinion it’s clear that petitioners McKleroy and Townsend along with former temporary conservator Hawley and guardian ad litem Guin are not acting in the best interests of Mrs. Bashinksy, but in their own financial interests, especially considering that they continue to pursue the assets of an elderly widow no longer alive to defend herself,” said attorney Walker. “There is no plausible explanation in my opinion as to why Judge Tucker would drag out the case of a deceased woman other than that it’s in the best interests of his friends in a system ripe with corruption and financial exploitation.”

PRNewswire

Guardianship – Just Another Means of Taking Hostages – and Nursing Homes

Nursing Homes Rob The Elderly Of Their Rights With The Use Of Guardianships

Published: 01 Feb

By: Jack Halpern

Guardianship is supposed to be a legal tool, but many nursing homes are abusing it. My Elder can help your family avoid this tragedy!

Nursing homes in New York State have been accused of using ‘guardianship petitions’ as a means to coerce elderly residents into paying outstanding fees.

A startling expose in the New York Times this week discusses a number of instances where nursing homes have requested courts to transfer guardianship away from the family. Ostensibly these requests are prompted by family feuds, suspected embezzlement or just the absence of relatives to help secure Medicaid coverage.

However, judges, legal experts, and others well versed in the guardianship process claim that often the petitions are used as a means of duress.

In a guardianship case last year involving a 94-year-old resident in a Jewish aged care facility, New York Supreme Court judge Alexander John Hunter issued a scathing 11-page critique of the motivations behind the petition made by the nursing home’s management.

In a more recent case, this time involving a family who refused to pay exorbitant rates to a Catholic nursing home, a court evaluator threw out the guardianship petition and questioned the motivations of the facility. The family spent US$10,000 in legal fees fighting the case.

Some nursing homes argue that guardianship petitions are the best way to resolve disputes about payment for care. The alternative is to sue an incapacitated resident who cannot respond.

“When you have families that do not cooperate and an incapacitated person, guardianship is a legitimate means to get the nursing home paid”, said Brett D. Nussbaum, a lawyer for the Catholic nursing home Mary Manning Walsh.

Article published without the permission of the Author. To continue reading on My Elder, click here.

Granny Killer Immunity and Federal Funds Pt. II, When the Owners and Providers are Actually Hostage Keepers [Opinion]

The Broken New York Guardianship System and the Deplorable Condition of Many US Nursing Homes, Covid-19 – a Ticking Time Bomb 

DISCLOSURE STATEMENT – The below is an opinion of the author based upon an analysis of New York’s system of nursing and rehabilitative care and its guardianship system. To be sure, there are good nursing and rehabilitation centers in New York. They are hard to find.

The below Opinion piece is a warning to those looking for care for your family members to do your research. Do not rely on the words of social workers and those within the system currently in place.

Read reviews. Don’t trust any review that starts with one or two stars.

Check the finances and the ownership structure. Please contact the website for a copy of NYS’s ownership structure. Check the financial contributions paid by the owners and to whom they were paid. Don’t entrust your family member in the hands of someone about whom you are not sure. Don’t get trapped into going against your gut instinct.

Be mindful and be fearful of guardianship and trust no one with a financial stake in the system.

The untold story of  horrors within many of the nursing and rehabilitation care centers in the United States, New York in particular, is that of New York’s guardianship system. Under New York’s guardianship laws, specifically Mental Hygiene Law Section 81, a guardian can be appointed for nearly anyone, regardless of mental state (though jurists will tell you otherwise). The laws are drafted with loopholes and there is little if any legal oversight. While the intent of New York’s guardianship laws may have rested with trying to provide assistance to those who are mentally unable to care for themselves, as currently administered, they exemplify the robbery of basic human freedoms.

Coupled with New York’s civil procedure law section CPLR 406, the process of obtaining guardianship can be rushed, thereby sidestepping any family members who might act as guardian on the off chance that one is necessary. And many times, a guardian is not necessary. More often then not, the person being whisked off to nursing and rehabilitative care under the guardianship system is of right mind and does not need a guardian. Nor does that person want one. 

Section 81, most notably allows nursing and rehabilitation facilities to obtain guardianship appointments over their patients. This guardianship encompasses legal, medical and financial guardianship. On the most basic level, this  includes Social Security and disability payments, medical care decisions, healthcare proxy and living will arrangements and even post-death decisions. All of a persons assets get turned over to the guardian as does the control of those assets.  

In the nursing and rehabilitation guardianship context, consider how very dangerous this is. As an example, a diabetic woman has kidney malfunction which can easily be remedied with insulin treatments at the appropriate levels. But this treatment does not afford a significant reimbursement for the facility, particularly if the facility in question is a dialysis provider. So, rather than afford this woman medical care as needed in the least restrictive means, the facility waits until the woman’s kidneys fail. Instead of insulin, she now requires dialysis, for which the facility is paid by Medicare/Medicaid subsidies 10 or 20 times what the facility would get paid for appropriately monitored insulin treatments. Meanwhile, the woman requests the insulin treatment in accordance with her pre-hostage care regimen and it is denied. 

So, she proceeds to complain to the Medicare/Medicaid complaint board. But, the same people sitting on the oversight boards of Medicare and Medicaid and their contracted review-board providers are the owners of the facilities or the lawyers representing them. And what of the woman’s complaint if the same people overseeing her guardians are either her guardians or their agents.

She is, indeed, a cash cow. 

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