The meeting was his second since early last month, when he held a town hall meeting with an audience of more than 200 focusing on recent allegations of sexual abuse of residents at Castle Manor by a nursing home aide at the home. According to family members, it took days for the nursing home to file the sexual abuse claims with the Department of Health, and the accused abuser continued to work at the home for weeks after the initial complaint was made.

Concerned family members of one of the victims contacted Bledsoe, founder of the victims watchdog group A Perfect Cause, who has received much publicity for his efforts to fight elder care in nursing homes. He traveled to Hot Springs to conduct a town hall meeting last month and returned last week after receiving dozens of calls from family members of victims wanting advice on how to best seek justice.

One audience member last week asked Bledsoe if he planned to contact Castle Manor administration, which Bledsoe was quoted in the Rapid City Journal as replying, “I don’t make a practice to meet with administrators. By the time I am called, the time for talking is past, and it is time to take action.”

Bledsoe said he had talked with the Fall River County State’s Attorney about the case, but did not disclose the details of that conversation. But he urged those in the audience to join his fight. “Call your state and national representatives and senators,” Bledsoe was quoted in the newspaper. “We can address many things through advocacy, but I need more help.”

SOURCE: Nursing Home Abuse › Eldercare advocate rallies family members to fight for better care

State Sen. Dan Kotowski

Sen. Kotowski says the basis of the bill is to ensure that problems at nursing homes get fixed. The Illinois Department of Public Health would be charged with overseeing the system and deciding if homes were using the refunded fines to remedy problems. If passed, Illinois would become the only state to refund nursing home fines.

“We really want to use the enforcement system to fix the problem,” said Terry Sullivan, a representative with the nursing home advocacy group Health Care Council of Illinois. “Why take funding away from the facility just when they need it?”

Wendy Meltzer, director of the Illinois Citizens for Better Care said the idea of refunding moneys paid by nursing homes that have been cited for abuse or neglect in “the rape or death of a resident is ‘morally repugnant,’” according to the news report.

The bill will also siphon funds from a special state fund that currently pays for Public Health employees to monitor troubled nursing homes and who take temporary control over troubled facilities.

Facing mounting opposition, Sen. Kotowski says he is willing to modify the legislation to please both sides for the greater good of those living in nursing homes.

SOURCE: Nursing Home Abuse › Illinois nursing home advocates fight proposed bill to refund fines

The three staff members in charge of the 39-bed home that night had been enjoying a 7- to 15-minute smoke break when they entered the facility and heard the bell. They went to the men’s room and found the one man on the floor of the bathroom. The workers notified the Health Department. The man who fell died three days later at a hospital, though the incident report says “there is no evidence to conclude that the resident’s death was, or was not, related to the allegations of neglect,” according to The Canadian Press.

It remains in question when the man fell – whether it was before the workers went outside or while they were outside. It is also unclear whether the bell was rung while the staff was on smoke break, or if the call came only after they re-entered the building. The workers claim they were just outside the building in the courtyard and that they would have heard the bell from a nearby open window.

The Health Department report claims the bell could not be heard outdoors. The nursing home responded by issuing a memo to staff about not leaving residents unattended. The home also took disciplinary action against the employees, firing one for his role in the incident. The College of Registered Nurses held a professional misconduct investigation and issued a formal reprimand to a nurse in the unit.

A spokesman with the Advocacy Centre for the Elderly in Toronto said leaving residents unattended is very serious. “Even a 10-minute period can result in someone’s death if you have a serious situation.”

SOURCE: Nursing Home Abuse › Staffers leave nursing home residents unattended

Pressure sores, also known as bedsores or pressure ulcers, are areas of damaged skin and tissue that develop when sustained pressure – usually from a bed or wheelchair – cuts off circulation to parts of the body. The sores are most often found on the skin on the buttocks, hips and heels. Lack of adequate blood flow can cause tissue in the area to die. If left untreated, pressure sores can lead to serious or life threatening infections of the skin, muscle or bone.

Bledsoe urged a group of concerned citizens at a town hall meeting last week that vigilance and frequent visits can help prevent neglect.

Bledsoe’s advocacy group has continued to look out for the rights of nursing home residents. The group has lobbied for a stand-alone, long-term care facility in Oklahoma for sex offenders so they would not have to be admitted into other facilities. The group also has fought to have all allegations of abuse be reported to police for investigation, rather than just to state agencies that don’t always follow through with a formal investigation. The group also has helped garner attention for cases of abuse and neglect in nursing homes, most recently the “abuse-for-thrills” case at Good Samaritan Society nursing home in Albert Lea, Minnesota.

SOURCE: Nursing Home Abuse › Nursing home advocate says to heed warning signs of neglect, abuse

Three deaths that occurred in three weeks on the same floor of the 240-bed home for the developmentally disabled have raised the suspicions of Nebraska Advocacy Group. “This demands an immediate response, not a promise to do something in the future. They’ve had a history of un-kept promises,” Nebraska Advocacy Group litigation director Bruce Mason told the newspaper.

The group sent a letter last week to state leaders including Gov. Dave Heineman. They have yet to get an answer. In the letter, the group recommended that the state make arrangements to have residents treated at Omaha hospitals or by medical professionals.

The Gage County Attorney’s office is investigating the three deaths for any criminal wrongdoing. But the advocacy group wants the investigation to go further. The group wants to know a cause of death and establish liability in hopes of preventing more deaths in the future.

A U.S. Justice Department investigation revealed that about 200 cases of abuse and neglect have been reported at the Beatrice home since 2006. It concluded that the center had a “cultural undercurrent that betrays human decency at the most fundamental levels.”

The problems at the state-run home now put Nebraska in jeopardy of losing its certification and thus $29 million in federal funding. To keep the federal government from pulling the certification, the state appealed the feds decision. A ruling is expected this summer. Meantime, Gov. Heineman is proposing spending $17 million to improve problems areas at the center and get it back up to par so that keep the federal funds.

If the home loses its funding, state officials may role to shut the center down all together.

SOURCE: Nursing Home Abuse › Advocacy group demands answers from state

The town of Albert Lea was rocked last year when an investigation revealed that six nursing home aides at Good Samaritan Society were charged in connection to disturbing cases of abuse on patients who suffered from diseases that affect memory and cognition. A coworker told authorities that she had seen the aides holding down residents, putting their fingers in residents’ mouths and noses to quiet their cries and screams for help, hitting and rubbing their breasts and genitals, and sexually “humping” some residents. The coworker said the aides called the abuse “work fun or to get a good laugh.”

Two of the aides – 19-year-old Brianna Broitzman and 18-year-old Ashton Larson – were charged as adults and face various charges including assault, abuse of a vulnerable adult by a caregiver, and abuse of a vulnerable adult with sexual contact.

Bledsoe held a press conference and town hall meeting last month in Albert Lea. He says his return visit this week is in response to several family members of victims who have contacting him asking for guidance.

A Perfect Cause is a victim’s advocacy organization that fights “to end needless suffering and preventable deaths while protecting the rights of citizens from corporate greed and negligence.”

SOURCE: Nursing Home Abuse › Watchdog group founder plans second visit to Albert Lea

Bixby police arrested Marshall and charged him with making a lewd proposal and sexual battery. He was transported to Tulsa jail where he was held on $27,000 bond. He was released Saturday.

“There might be nothing to this, but we felt the authorities must make that call,” said Scott Pilgrim, the nursing home owner. “Because our resident safety and well being is what we stand for, we took this action.”

Cases of nursing home abuse and neglect are not uncommon. In Oklahoma alone, for the fiscal year ending June 30, 2008, the Oklahoma Department of Human Services recorded 160 referrals of abuse, neglect or exploitation. Forty-four – or 70 cases – were verified by caseworkers, according to a related story on Tulsa television station Fox23.

Wes Bledsoe with the advocacy group A Perfect Cause who spoke with a reporter about the case says that the nurse who walked in on Marshall did the right thing, adding that all cases of suspected of abuse or neglect of nursing home patients should be immediately reported to law enforcement and the state Department of Health.

SOURCE: Nursing Home Abuse › Oklahoma man accused of sexually abusing nursing home patient

Chmura had scooped the ice from the ice bin at By the Lake senior assisted living facility she owns in Hayden, Idaho. She immediately had a suspect in mind – a disgruntled employee who had just joined two other employees in a walkout to protest of a firing of two employees three days prior, according to The Seattle Times.

“I won’t put up with this crap,” Chmura told the newspaper. Chmura opened the facility two years ago.

Chmura contacted Kootenai County officials and informed them of the urine-in-the-bin incident as well as suspected theft and fraud by the former employees. The facility owner accused the former employees of stealing money and prescription drugs from the assisted living center, including OxyContin and hydrocodone. She claims the three made more than $10,000 in credit card purchases for personal items such as groceries and gift cards, restaurant dinners and theater tickets.

She told police that before the walkout, the employees woke up residents and told them the assisted living center was closing and that all employees had been fired.

Chmura is part of an advocacy group that fights for stronger laws against those who abuse and neglect vulnerable adults. The group is credited with triggering the 2005 state legislation that made abusing the elderly a felony instead of a misdemeanor.

SOURCE: Nursing Home Abuse › Disgruntled employee accused of putting urine in ice bin

Wes Bledsoe, president and founder of A Perfect Cause, arrives Thursday and will host a town hall meeting addressing the abuse at Good Samaritan Society. A Perfect Cause is a victim’s advocacy organization that fights “to end needless suffering and preventable deaths while protecting the rights of citizens from corporate greed and negligence.”

According to prosecutors, the nursing aides held down residents, put their fingers in residents’ mouths and noses to quiet their cries and screams, hit and rubbed their breasts and genitals, and sexually “humped” some residents. The aides allegedly called the abuse “work fun or to get a good laugh.”

But it was no laughing matter. The adults in the case, 19-year-old Brianna Broitzman and 18-year-old Ashton Larson, are charged with assault, abuse of a vulnerable adult by a caregiver, abuse of a vulnerable adult with sexual contact, disorderly conduct and failure to report suspected maltreatment. All are gross misdemeanors. The Freeborn County Attorney says they will likely face suspended jail sentences and probation.

The abuse reportedly began early this year and lasted for several months. Three of the 15 residents have died and the others cannot be interviewed by investigators because they suffer from diseases that affect memory and cognition.

Bledsoe said the reports of recreational abuse at the nursing home disturbed him, but did not surprise him. “Where is the moral compass of these employees?” He posed in the newspaper story.

SOURCE: Nursing Home Abuse › Watchdog group holds town hall meetings in Albert Lea

I-1029 requires all new caregivers beginning in 2010 to be certified by the state, undergo an FBI background check and get at least 75 hours of training. The initiative is sponsored by the Service Employees International Union (SEIU).

PAS-Port for Change, an eight-member statewide steering committee, argues that the initiative fails to address the core issues of abuse and neglect against the elderly and disabled. While it supports the training of caregivers, the organization believes the type of training and the method of delivering that training should be in the hands of the clients.

Debb Snyder, a member of the PAS-Port for Change steering committee who also is disabled, has tried but failed to get SEIU to circulate a questionnaire to those who use caregivers on the quality of care they receive. The questionnaire asks whether the recipient has been verbally or physically abused by a caregiver, whether a caregiver has failed to show up for work or arrived under the influence of drugs or alcohol, whether a caregiver has asked them for food or money or threatened them with abandonment, according to the story.

Snyder says she would like to use those questionnaires during interviews with the accused caregivers as a means of training.

The Washington Attorney General’s office forwards complaints of abuse and neglect to Adult Protective Services, which in turn investigates each case to determine if criminal charges are warranted. The state receives about 13,000 complaints of abuse and neglect each year from adults living in their own homes.

“We’re not against the workers,” Snyder says, “but they need to be trained by us.”

SOURCE: Nursing Home Abuse › Advocacy group wants more control over caregiver training

Jack Crow believes the first call should be to the police.

Crow believes his wife was abused in an Oklahoma nursing home; an investigation determined that her injuries were due to a fall. Regardless, Crow is joining forces with the nonprofit organization A Perfect Cause to make crimes against nursing home patients immediately reportable to police, according to Oklahoma City’s KOCO 5.

A Perfect Cause is a victim’s advocacy organization fighting “to end needless suffering and preventable deaths while protecting the rights of citizens from corporate greed and negligence.”

Crow argues that standards for crimes against nursing home patients shouldn’t be different from the rest of the public. “If she (Crow’s wife) had been assaulted at a KMart, we wouldn’t talk about the proper response. We would have called the police,” he told KOCO 5.

The state’s district attorney and attorney general’s office agree. “When you have a crime scene, there is evidence,” said Scott Rowland, of the Oklahoma County district attorney’s office. “There is witness testimony in these crime scenes.”

A committee was formed to look into the proposal.

SOURCE: Nursing Home Abuse › Nursing home advocates fight to change crime-reporting statutes

But John fought back. He saw a poster in his California nursing home about the Ombudsman program, and he made a call. Ombudsmanship Program Director Kathi Toepel paid John a personal visit and, after insisting they talk privately in his room, he asked her to save his toes.

“I’m 92 years old and want to leave this world with the 10 toes the good Lord gave me,” he said.

Toepel discussed John’s case with his doctor and expressed that John was, in fact, able to make his own healthcare decisions. He wanted to save his toes, and Toepel made sure that his will was done.

John lived another 14 months, but he died the way he wanted, with his body intact. “While I understand these are very difficult decisions for family, friends and caretakers to accept, I know that John died with the dignity and respect he deserved,” Toepel said.

Ombudsmen provide a valuable service to the elderly. Not only do they serve as advocates to nursing home residents, they also investigate and resolve complaints and make unannounced visits to nursing homes to ensure residents’ needs are being met. But this valuable program is in jeopardy in California.

According to the Union Democrat, California Gov. Arnold Schwarzenegger used a line item veto to cut the Long Term Care Ombudsman Program out of the budget. The program receives about half its budget from the state. The rest is made up through federal funds and other sources.

While program officials hope the missing state funds will be raised by the community, they are meeting to find ways to through the situation.

This is a tragedy for all nursing home residents, especially the estimated 40 percent who have no family or friends to visit or advocate for them.

SOURCE: Nursing Home Abuse › California budget cuts jeopardize nursing home resident advocates

Medicaid, which is the state-federal body that provides health coverage and nursing home care to the poor, pays nursing homes millions each year for treating patients who qualify for Medicaid. Advocates for the elderly contend that nursing homes have successfully lobbied politicians to make qualifying for community care more difficult, thus forcing these older or disabled individuals to move into nursing homes when they are independent enough to live at home, with relatives or in assisted living.

Individuals who qualify for Medicare and who become sick or disabled have no trouble qualifying for nursing homes, but are finding it far more difficult to receive Medicaid-supported services, the report states.

Advocates cite a 1999 U.S. Supreme Court case known as the Olmstead decision, in which the court ruled that the unjustified placement of individuals in institutions such as nursing homes amounted to discrimination under the Americans with Disabilities Act. The decision stated that states must provide community care if it can be accommodated and would be appropriate.

“There’s a lot of concern that the nursing home industry is very powerful in many states and has made sure that a lot of Medicaid dollars go to institutional care as opposed to home and community-based care,” says an attorney at the Center for Medicare Advocacy.

SOURCE: Nursing Home Abuse › Florida Medicaid recipients want to choose where to live