California Nursing Homes Hit With Hefty Fines

California has one of the strictest and most severe policies when it comes to dispensing fines to nursing homes who provide poor or dangerous care.  Say what you like about regulation of nursing homes, the reality is that fines really do help improve care and living conditions for nursing home residents.

The state imposed substantial fines against two Orange County nursing homes for providing inadequate resident care.

$100,000 Fine

A $100,000 fine was handed to Alamitos West Health Care Center for allowing an 82-year-old resident to die from dehydration and acute kidney failure.  Less than a month after her admission to the facility, the unnamed woman was admitted to a local hospital and treated for a urinary tract infection, dehydration and an 'altered mental status'.  The woman died on Christmas day.

The California Department of Health investigation revealed that the facility ignored physician orders requiring the facility to monitor the woman's fluid intake and urine output every shift. 

$80,000 Fine

Huntington Valley Healthcare  Center was fined $80,000 for failing to call 911 when a resident was suffering from a heart attack because the facility mistakenly believed the man had do-not-resuscitate orders.  In reality, the resident's chart had an order completed by the resident stating, "I DO WANT CPR' in an emergency situation.  By the time paramedics arrived, the man was covered with a sheet with no evidence the staff had taken any steps to initiate CPR.

I guess the time will tell if their fines do anything to improve the care rendered at these facilities...

Read more about these fines imposed against California Nursing Homes here.

Nursing Homes Abuse Blog Entries Related To Fines

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Maximum Fine Levied Against Nursing Home For Failing To Supervise Resident While Smoking

Failure to Follow Orders Results In Death Of Patient & Hefty Fine

Medical Examiner Rules Tennessee Nursing Home Death A Homicide

Labels frequently get tossed around when describing nursing home lawsuits.  Admittedly, some of these descriptors such as 'abuse' or 'neglect' get overused by people who may have a 'vested interest' in the matter-- family members, friends and attorneys.  When an independent investigator applies 'neglect' to his findings, more people should take notice.

"Nursing home neglect" resulting in dehydration is what a Tennessee Medical Examiner ruled as the cause of death following the autopsy performed on 46-year-old Linda Carter.  Carter died on March 27th at the at the University of Tennessee Medical Center following a nine day admission to Hillcrest North Nursing Home.  Carter was admitted to Hillcrest for rehabilitation from injuries sustained in a car accident.

When Knox County Medical Examiner,  Darinka Mileusnic-Polchan, examined Carter's body he noted the following visible signs of dehydration:

  • Poor skin turgor
  • Sunken eyes
  • Concentrated urine
  • Empty stomach and proximal small intestine

These autopsy results will not doubt provide added ammunition to the wrongful death lawsuit filed by Carter's children.  The lawsuit against Hillcrest seeks $7 million in compensatory damages and $28 million in punitive damages.  

Currently, the Tennessee Bureau of Investigation (TBI) is conducting its own investigation into the death.  TBI spokeswoman, Kristin Helm indicated that criminal charges may be filed against Hillcrest as well.  "We are looking into it as a suspicious death," Helm said.  " We met with the (Attorney General) and he asked us to look into it more, to review it and come back and meet with him again."

Read more about the medical examiner's finding here.

View The Final Autopsy Report 

Related Nursing Homes Abuse Blog Posts

Damages

Appellate Court Orders Retrial In Nursing Home Negligence Case With $29.8M In Punitive Damages

Family Seeks Punitive Damages Against Nursing Home For Death Involving Malnourishment Of 84-Year-Old

Tennessee Legislature Attempts To Limit The Rights Of Injured Nursing Home Residents

Emergency Room Doctors Reporting Incidents Of Nursing Home Neglect

In Washington D.C. emergency room physicians are are reporting nursing home neglect to authorities in increasing numbers.   Nursing home residents are being presented to Washington D.C. emergency rooms with preventable medical conditions such as dehydration, malnutrition and unattended wound care.   Consequently, the physicians are taking on an additional role as nursing home ombudsmen as they report their finding to authorities.

Reporting incidents of nursing home abuse and neglect to authorities is probably not what most emergency room physicians intended their jobs to be like.  However, the reports from physicians to authorities is essential to the safety of the overall nursing home population.  Nonetheless, what makes this report so disappointing is the fact that these nursing home residents are receiving life-saving medical treatment for conditions that are preventable.  As with most nursing home care, attending to the basic life needs of nursing home residents frequently prevents many medical complications.  Read the full story about physicians reporting nursing home neglect here.

Meals: Nutrition vs. Neglect

Today my office was contacted a Chicago-area woman whose mother lost 30 pounds within three months of her admission to a nursing home.  She explained how her 87 year old mother suffered from dementia and needed assistance with most daily living activities including help with meals.  The woman went on to explain that the entire reason she brought her mother to the facility was because she was assured that the facility was capable of meeting her daily nutritional needs.

The case above illustrates a common problem at many nursing homes and long-term care facilities--the neglect of residents.  Neglect related to the nutritional needs of nursing home residents is perhaps one of the more dramatic areas of neglect.

A drastic weight loss or gain can be indicative of poor care.  This article from the FDA discuses the nutritional problems encountered by many elderly.  Paul Kerschner, vice president of the National Council on Aging discusses how "seniors tend to be at a disproportionate risk of poor nutrition that can adversely affect their health."  Kerschner estimates that 15 to 50% of the elderly population are affected by poor nutrition.

Poor nutrition typically plays a role in most injury related nursing home maladies such as: bedsores, falls, decline in cognitive function, and an overall decline in quality of life.