Iowa

Medical Director Dr. Melissa Bruhl said she recommended the change to the home’s administrator Dan Steen because she was having a difficult time finding relief for the 24-hour coverage. As a result, the arrangement increased Bruhl’s salary from $244,000 per year to about $319,000.

The nursing home’s human resources director said the change didn’t save the facility money or have an affect on the quality of care provided to its 720 residents. But some are questioning how Bruhl was able to make a decision that benefited her to the tune of tens of thousands of dollars.

Bruhl says she is working with the human resources director to determine whether four staff medical doctors are needed on call, or if a better system would be that which is implemented by many nursing homes – to transport patients by ambulance to the hospital if medical care is required.

State lawmakers are questioning whether the governor’s office or the veterans commission played a role in the decision. Following a meeting with lawmakers, Bruhl said, “I guess I have to assume the decisions were made pretty much in-house.”

SOURCE: Nursing Home Abuse › Lawmakers question veterans home officials about schedules, salaries

The report was released last month and is based on the outcome of a February inspection and interviews at the nursing home. It alleges that the home had “inadequate nutritional and hydration services; improper and dangerous psychotropic medication practices; inadequate pressure-sore treatment and skin care; inadequate restorative care and specialized rehabilitation services; failure to protect residents from harm due to falls; failure to adequately investigate allegations of resident abuse; and the inappropriate use of restraints.”

Veterans Affairs Department spokesman Bob Horton says nursing home administrators and state officials were first made aware of the allegations when they received the report last month.

“If the citations in the report were so severe, you would think the department would have been notified sooner, if there was any potential of veterans being harmed or a risk of harm,” Horton told the Press Register reporter.

The Justice Department said the delay was typical and due to heavy paperwork following an onsite visit. The department has yet to issue penalties to the home based on the report, adding that it is likely a settlement will be reached between the Justice Department and the home, eliminating the need for a lawsuit.

SOURCE: Nursing Home Abuse › Veterans home cited for putting residents at risk of harm

Anthony Vincent Digiannurio was eventually taken to the Florida Hospital DeLand by ambulance, where he was initially admitted for respiratory problems. However, after examining him, hospital staff were shocked to find he had an infected breathing tube, a partially inserted catheter, bed sores, and maggots in one of his eyes.

His daughter, Laura, expressed distress and disgust at her father’s treatment, saying she had placed all her faith in the University Center West nursing facility to provide care and comfort for her dad. She planned to move him to a veteran’s nursing home upon his recovery.

Source: elder-abuse-cyberray.blogspot.com/2007/11/purple-heart-veteran-nursing-home-with.html

SOURCE: Nursing Home Abuse › decorated veteran abuse victim