Sunday, March 2, 2014
Saturday, February 15, 2014
It seems everyone's favorite flunky nurse is in trouble again. What does this make? Ah, that is right...2 written warnings in a period of 30 days for Ms. Lori Quinn aka Loriane Bristol Quinn aka staff trouble maker.
From what we are told, our resident trouble maker is at it again and being rude and unprofessional to resident's family members. This goes from listening to their conversations and invading their privacy, to taking photos on the floor of the California Armenian Home, text messaging her gang that will even listen to her crap. Or the worse being insubordinate to her superiors and co workers, making inappropriate remarks to family visitors to extreme bossy behavior and sense of self-righteousness. The only problem with this is, these are getting reported and the staff will no longer be dragged into Lori Quinn's issues. They may have had her back before but most grow tired of her game playing at work. Kissing Yuba's ass or making calls to her superior for her side of the story just isn't making it anymore. Lori grow up and just do your job and keep your ignorant mouth shut.
We need to correct Lori Quinn, she remarked to a family member that "the patients pay for use of a room and we cannot remove them or tell them they cannot use an area" Dear Ms. "Know it all" stupid ignorant Lori.
The residents are paying for general room, board and care, using certain rooms that are PRE APPROVED is beyond general room, board and care. Besides the majority do not pay a dam thing as they are on Medicaid, which is what the nursing home industry depends on to pay your measely salary. So it is the government that pays for most of the services there at the California Armenian Home. The Home Guild and Ani Guild are trying to raise funds for the remodeling to be completed, that is their business NOT YOURS.
So lets try to help out our resident trouble maker to understand what it means to be "written up" at work and just what is a written complaint. Is it serious? or will Lori be able to con her way out of trouble again with a simple warning? We will see but the pattern repeats itself with her, she seems to have a hard time with rules and regulations about privacy. Lori also doesn't respect authority and is a bad example to the other employees that see her get away with calling the police, causing trouble, using a camera to photo graph and video illegally inside the facilty to barging in the board room as if it is her own private area. The other employees are on to her trouble and are staying away, even though Lori gossips to them all about her issues with certain people some are now reporting her.
It's your call Lori, if you can turn it around stay. But knowing your reputation it's only bound to get worse.
Quality and patient safety are of the utmost importance to health care organizations. The standard of care a hospital, physicians' office, pharmacy or nursing home delivers is vital to a patient's well-being and recovery. The Joint Commission (TJC), formerly the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), establishes standards by which health care organizations are expected to perform. These standards are designed to ensure the health of the public
Read more: http://www.ehow.com/info_8295985_jcaho-standards.html#ixzz2tRjKA9Um
Our friends tell us that the TJC auditors paid a visit to the California Armenian Home last week. Despite all their flaws and shortcomings, more than likely they will receive their accreditation with some sort of small fine and improvement. Ah it's always about money. Carry on Yuba, don't worry no one else wants your job, no doubt your handful of ass kissers will make you look good.
Accreditation and Certification
- TJC accredits hospitals, critical access hospitals, long-term care facilities, ambulatory facilities, behavioral care facilities, home care organizations, office-based surgery providers and laboratories. To
earnaccreditation, these providers must show that they meet TJC's standards for their particular program. TJC certification is awarded to individual, disease-based programs and services. Certification can also be given to health care staffing services.
- TJC develops standards for each of the programs eligible for accreditation. For example, a hospital has a certain set of standards, while a laboratory has another set. However, all standards are focused on patient safety and quality. TJC uses the same broad categories to define its standards, although not all categories may be applicable to all programs. These categories include emergency management, environment of care, human resources,
infection controland prevention, information management, life safety, medication management, individual rights and responsibilities and transplant safety.
- During unannounced surveys, TJC staff will observe clinical and nonclinical staff. Staff will also randomly choose patient records, then trace that patient's experience from beginning to end to determine if standards are being met. TJC uses this information to grant or deny accreditation or certification.
Accreditedproviders must undergo surveys every three years, with the exception of laboratories, which undergo a survey every two years. Programs receiving certification are also re-evaluated every two years.
Read more: http://www.ehow.com/info_8295985_jcaho-standards.html#ixzz2tRm8hery
Wednesday, February 12, 2014
The laws in California are stiffening up to protect the most vulnerable of our society (our elderly) more funds will be appropriated for home health care in the privacy of a citizen's home instead at the hands of those that are incompetent.
NYS AG Announces Arrests Of Nursing Home Employees And Lawsuit Against The Home's Owners Alleging Pattern Of Neglect
A.G. Schneiderman Announces Arrests Of Suffolk County Nursing Home Employees And Lawsuit Against The Home's Owners Alleging Pattern Of Neglect
Employee Negligence Caused The Death Of A 72 Year-Old Female Resident And Severe Injuries To Another Resident; Administrator, And Other Employees Attempted Cover Up; While Home’s Owners Diverted $60M In Medicaid Funds To Line Their Pockets
Schneiderman: We Will Not Tolerate The Denial Of Life-Saving Treatment And Persistent Neglect Of Nursing Home Residents, Especially While The Owners Line Their Pockets With Millions Of Dollars Intended For Vital Resident Care
NEW YORK – Attorney General Eric T. Schneiderman today announced the arrests of nine employees of the Medford Multicare Center for Living, Inc. in Medford, New York. Seven of the arrests are in connection with the 2012 death of a 72-year-old resident who was at the facility for what was supposed to be temporary rehabilitation. The corporation operating the home and the facility’s top administrator were also charged with trying to cover up the circumstances surrounding the death. The Attorney General separately filed a civil lawsuit today charging the home’s owners with fraud, based on a long history of criminal conduct by employees of the home, and corporate looting.Schneiderman does not name the nursing home owners in his press release, but Newsday's story on the arrests and lawsuit does:
“Nursing home residents are among our state’s most vulnerable citizens,” said Attorney General Schneiderman. “Today’s arrests and lawsuit send a message that we will not tolerate anyone being neglected or denied life-saving medical treatment while individuals line their own pockets with tens of millions of dollars that Medicaid intended to provide resident care. We must and will do everything in our power to protect our vulnerable nursing home residents from being preyed upon by those who are entrusted with their care, yet fail to fulfill their duties to provide necessary care.”
The felony complaint charges Kethlie Joseph, 61, of Brentwood, with Criminally Negligent Homicide for the death of a 72-year-old resident who was residing at Medford Multicare Center. Joseph, a licensed professional trained in administering treatment to ventilator-dependent residents, admitted to never reading a doctor’s orders requiring the resident to be connected to a ventilator machine at night. As a result, the resident was not connected to the ventilator when she went to sleep, and she died that night. Joseph not only ignored alarms for more than two hours, but also ignored messages to her pager when the resident stopped breathing. Furthermore, video surveillance captured Joseph walking toward her office and not reappearing until hours later. Only after an unassigned nurse’s aide finally went to check on the resident did she receive medical attention, but by then, she had likely been dead for some time.
Four additional licensed employees of the nursing staff were also charged in connection with the resident’s death. They are:
Medford Multicare Center’s licensed administrator, David Fielding, 56, of West Lido Beach, and its director of respiratory therapy, Christine Boylan, 49, of Mastic, were also arrested and charged with concealing computer records documenting the alarms that signified the resident’s distress from the NYS Department of Health (DOH) during the course of its investigation, in an attempt to cover up the incident. An anonymous Medford whistleblower later informed authorities of the circumstances.
- Kimberly Lappe, 31, of Medford, a registered nurse who also failed to respond to the visual and audio alarms for almost two hours despite being inches away from the monitors. Despite video evidence to the contrary, Lappe also falsely claimed in notes written a day after the incident that nurses had responded to the alarms and that the resident was in stable condition.
- Victoria Caldwell, 50, of Medford, a licensed practical nurse who claimed to investigators that the resident was alive and “looked up at me” when in fact the resident had likely been dead for some time.
- Christina Corelli, 37, of East Patchogue, an aide who falsely claimed that the resident’s respiratory alarms were not beeping and that the resident was breathing normally when records show that the alarm system had been activated for the entire time Corelli was in the room with the resident.
- Patricia DiGiovanni, 62, of Port Jefferson, an aide who was assigned to sit at the resident’s bedside but did not respond to alarms ringing at the resident’s bedside.
In addition to these seven employees charged in connection with the death of the resident and the cover up of the circumstances surrounding it, other employees were arrested today for their roles in separate incidents. Yolanda Monsalvo, 47, of Nesconset and Catherine Reyes, 49, of Ridge, were both charged with Falsifying Business Records in the First Degree and Willful Violation of the Health Laws for neglecting other residents and providing false statements to conceal the neglect. A resident with dementia in Monsalvo’s care sustained a traumatic head injury and a broken arm when Monsalvo left the building instead of monitoring the resident; a resident assigned to Reyes’s care was utterly neglected by Reyes to the point that he was found in deplorable and dangerously unsanitary conditions.
All the criminal charges brought today are merely accusations, and defendants are presumed innocent until and unless proven guilty.
In a civil suit filed separately today against the owners of the Medford Multicare Center, Attorney General Schneiderman detailed an extensive pattern of resident neglect and systematic corporate looting. Since 2008, an additional 17 licensed and certified employees of the Medford facility have been convicted of neglect and the falsification of records in an attempt to cover up abuse and neglect. Six of the 17 convictions arose out of hidden camera investigations conducted by the Attorney General’s Medicaid Fraud Control Unit.
The civil complaint details how Medford’s owners lined their pockets with millions in Medicaid funds while turning a blind eye to suffering caused by the persistent neglect of the home’s residents by senior management and staff. Since opening Medford in 2003, the owners systemically looted the facility by paying themselves at least $60 million, representing 22% of the Medicaid funding they received in that time. In the same 10-year period:
The Attorney General’s civil suit also describes how, rather than investing in better staffing and improved supervision to remedy the longstanding history of neglect and dangerously inadequate care, the home’s owners slashed salaries and supplies. Meanwhile, they regularly paid themselves nearly as much in salary as they paid to all 400-plus employees combined. The complaint alleges that the owners failed in their obligations to ensure proper care for residents and siphoned millions of Medicaid dollars intended to provide necessary care and improve residents’ quality of life.
- 17 nurses and aides pled guilty to neglect and falsifying records;
- the New York State Department of Health cited the nursing home with 130 violations of state regulations designed to ensure adequate care to nursing home residents. In two of those instances, DOH found that the home placed its residents in “immediate jeopardy” of “serious injury, harm, impairment and death;” and
- 5,000 incidents and accidents occurred at the facility since 2008, averaging 20 per week; only 60 of the 5,000 were reported to the New York State Department of Health as required by law.
The Attorney General would like to thank the New York State Department of Health for referring these matters to the Office and for its assistance in conducting the investigations. The Attorney General would also like to thank the New York State Police for its assistance in processing the arrests of the defendants.
The cases were investigated by Senior Special Investigator Dawn Scandaliato, Senior Special Investigator Regina Hogan and Special Investigator Jessica Toritto, under the supervision of Supervising Special Investigator Greg Muroff and MFCU Deputy Chief Investigator Kenneth Morgan, and Karen Patterson, RN, Confidential Medical Analyst and Pedro Villegas, Confidential Systems Analyst. Forensic audit work was performed by Milan Shah, Associate Special Auditor, Joanna-Joy Volo, Associate Special Auditor Investigator, and Theresa White, Supervising Auditor, under the supervision of Michael LaCasse, Chief Auditor for Civil Enforcement.
The criminal and civil investigations were conducted by Special Assistant Attorneys General Veronica Bindrim-MacDevitt and Sally G. Blinken, under the supervision of Jane Zwirn-Turkin, Deputy Regional Director of the Hauppauge Regional Office, Thomas O’Hanlon, Chief of Criminal Investigations-Downstate, Assistant Deputy Attorney General Paul J. Mahoney, Acting Director Amy Held and Executive Deputy Attorney General for Criminal Justice Kelly Donovan.
…But the owners -- Mordechai Klein, Norman Rausman, Martin Rausman, Michael Rausman, Henry Rausman and Mendel Aschkenazi -- have withdrawn more than "$60 million in profit sharing, employee loans, unearned exorbitant salaries and purported charitable contributions to their own family-run private foundations," the suit said.
Sunday, January 19, 2014
50 Secrets a Nursing Home Won't Tell You
• How do you know it’s time to start looking at nursing homes for a loved one?"If you have concerns about safety, about his being able to keep track of his medications, about whether he’s eating enough and eating healthfully, he’s probably ready to go. It gets to a point where you have to say, ‘This can’t go on any longer.’ ”—Richard L. Peck, former editor of Long-Term Living magazine and author of The Big Surprise: Caring for Mom and Dad
• "The best time to visit a nursing home you’re considering is 6 p.m. on a Saturday. Dinner has been served, few if any managers will be in the facility, and it’s likely that no marketing people will be there. You’ll get a true picture. Talk to staff and family members of residents about what they like and don’t like.”—A California nursing home administrator
• “Consider the noise level. Most nursing homes have double rooms, with two patients, each with her own TV, often with dueling channels on, blaring. Sometimes you’ll hear odd cries and calls from residents. Older homes have overhead paging systems that everyone can hear; newer ones have wireless devices that are much less obtrusive. Take a moment on your tour to just listen.”—Richard L. Peck
• “What should you look for? I always say staffing, staffing, staffing. Our recommendation for a daytime staff-to-patient ratio is one to five. One should be a direct caregiver, like an aide. We recommend one to ten during the evening shift, and one to 15 overnight. If you have residents with dementia who need lots of monitoring, you need to staff up.”—Robyn Grant, director of public policy and advocacy at the National Consumer Voice for Quality Long-Term Care
• “If it smells like urine, that’s obviously a bad sign. But if all you smell is pine cleaner, I’d be a little suspicious about that, too, wondering what odors it’s covering. What you want the place to smell like is a clean home, with no strong scent that’s good or bad.”—Richard L. Peck
• Make sure you also visit during mealtime, since in some places it’s so busy that it’s common for residents to not get enough food or drink."Otherwise, it may take several weeks for you to figure that out, and your loved one may already have lost weight and be undernourished.”—Charlene Harrington, RN, PhD, professor emerita of sociology and nursing at the UCSF School of Nursing
• “Check out the activity calendar. It shouldn’t have only bingo and movies with popcorn. I personally love to see entertainers listed, especially comedians and musicians. And the musicians should sing more than ‘Row, Row, Row Your Boat’ and other children’s songs.”—Marc Halpert, vice president of business development at Extended Care Consulting in Evanston, Illinois, who works with 15 nursing homes
• “Hospital discharge planners will tell you you’ve got 24 to 48 hours to find a nursing home and get out. That’s not true; they need to give you time to make appropriate arrangements. They’re trying to get you out the door because the hospital is paid a flat fee, so if you stay five days instead of three, it’s going to cost the hospital more money. Take the extra time to find a place that offers high-quality care.”—Charlene Harrington
• “The marketing person or admissions director will probably give you the tour, but try to meet the director of nursing, the administrator, and the executive director too. Ask how long they’ve worked there. Ask how long their predecessors were there. If it’s less than six months, and you see a pattern, that should be a concern; high administrator turnover can be an indicator of a lower quality of care.”—Jody Gastfriend, Vice President of Senior Care Services at Care.com
• "Nonprofit nursing homes and government-owned facilities have better staffing, pay better wages, and offer better quality care than for-profit nursing homes. I analyzed all types of nursing homes across the country, and the large, for-profit chains had the worst staffing and were cited for the highest number of deficiencies and severe deficiencies.”— Charlene Harrington
• I’ve worked at for-profit and nonprofit nursing homes."If a resident of a for-profit facility says, ‘I’m a Medicaid recipient, and I need a new battery for my wheelchair,’ I have to go through an extensive process—and, in the end, Medicaid still might not cover it. At a nonprofit, I can just go buy it.”—Matthew Maupin, health facility administrator at Lutheran Life Villages in Fort Wayne, Indiana
• “They say you’re not supposed to become attached, but you can’t help it. You do. A lot of times, the CNAs [certified nursing assistants] are fighting for the resident’s rights. If a resident needs help walking, we’ll be the ones pushing for physical therapy.”—A CNA in Wisconsin
• “There was one lady who came from a very poor family. The only gift they’d been able to buy her growing up was rock candy. Because she remembered that so clearly, every time we would give her a sucker, she was absolutely delighted. So we got a giant bag of suckers and gave her one at least three times a day because we loved to see her eyes light up.”—A CNA in Wisconsin
• “I had a patient with ALS, or Lou Gehrig’s disease. She couldn’t talk, had difficulty swallowing, and was on a pureed diet. But she loved crab Rangoon, and we would order Chinese food. We weren’t supposed to give it to her, but she knew the risks and that’s what she wanted. She was always so thankful, and her family thanked me too. Sometimes, at the end, you have to go for quality of life, not quantity of life.”—Registered nurse who worked in a Massachusetts nursing home for two years
• “Right now, federal law requires 75 hours of initial training for a CNA, though some states require more. Dog groomers get more training; nail technicians get more training.”—Robyn Grant
• The staffing information collected by Medicare and included in the Nursing Home Compare database is self-reported and not audited."That’s like asking people to self-report their highway driving speeds.”—A California nursing home administrator
• “Many nursing home employees are so poor they receive Medicaid for their own health care. The low salary forces a lot of them to work two jobs, so they may finish the day shift at one nursing home and report to another facility to work the night shift.”—A California nursing home administrator
• “Find out if the nursing home uses agency nurses and how often. Nursing homes usually use them when they’re desperate for staffing. Sometimes, the nurses have never been oriented in that facility, and they come in and have to care for 30 or 40 residents they’ve never met before.”—Registered nurse who worked in a Massachusetts nursing home for two years
• “Some facilities have an unwritten rule that if a nurse or CNA calls in sick, that person is not replaced. That saves facilities money on their largest expense: staffing.”—A California nursing home administrator
• “We have to do something about wages. These are the people who are responsible for the lives of our parents and grandparents, and we’re paying them as little as $8.50 an hour.”—Martin Bayne, a longtime advocate for the aging who entered an assisted living facility at 53 after he was diagnosed with Parkinson’s disease
A nursing home should never tell you that you need to hire your own private aide."The home is required to provide all necessary care. If you need extra help, administrators are obligated to provide it.”—Eric Carlson, directing attorney with the National Senior Citizens Law Center
• “Nursing homes certified for Medicare and Medicaid are not supposed to discriminate based on ability to pay. But they’re allowed to take only people for whom they can provide adequate care. So if you say your mother can afford only one month of private pay, and someone else says he can do private pay for six months, who do you think they’re going to take?” —Pat McGinnis, executive director of California Advocates for Nursing Home Reform
• “People don’t realize that Medicare does not cover most nursing home stays, just acute-illness episodes [after hospitalization] up to 100 days. If your loved one needs anything more than that, she’s paying out of pocket, almost $90,000 a year—basically until she’s poor and qualifies for Medicaid.”—Richard L. Peck
• “Long-term-care insurance can make sense, but, unfortunately, it’s best to buy it in your 40s, when you have kids to support, college tuition to save for, and the inevitable home and car payments. By the time you really start thinking about it and you’re around 60, you’re talking about $3,000 a year in premiums or more. And then it really pays only $150 a day, which often is not adequate.”—Richard L. Peck
• “In some states, a nursing home can say, ‘We have 100 beds, and we want only 20 of them to be in the Medicaid program.’ So if you run out of money, and those 20 beds are full, you may have to leave, even though you’re in a Medicaid- certified facility. So as you get closer to the time when you need to apply for Medicaid, talk to staff about whether there will be a bed available.”—Robyn Grant
If your mom goes into a nursing home, it can’t require you to pay out of your pocket for her."Still, nursing homes will send relatives a bill and say, ‘You have to pay us,’ and families don’t know—so all too often, they pay.”—Robyn Grant
• “My No. 1 piece of advice? Visit often. Research shows that residents whose families are involved get better care.”—Jody Gastfriend
• “The nursing home has to develop a care plan for each resident. Ask the staff to hold care plan meetings, and make sure you participate. Have them put into the plan any promises they make, even simple things like giving your loved one a baked potato once a week.”—Brian Lee, executive director of Families for Better Care
• “Elect one family member to be the representative to the nursing home, even if that person doesn’t legally have power of attorney. Otherwise, we’re not sure whom to communicate with.”—Matthew Maupin
• “At some nursing homes, your loved one may see a different caregiver almost every day. What you want is the same caregivers assigned to your loved one on an ongoing basis. When that happens, the aides get to know the resident’s needs, and it translates into better care.”•Robyn Grant
Medication errors are a big issue."Residents who are mentally competent should ask before they ingest anything, ‘What is this? How much are you giving me?’ Know what your relative is taking, how often they’re supposed to get it, and who’s giving it to them.”—Pat McGinnis
• “Nursing home doctors can have hundreds of patients; they usually visit each nursing home once a month. So the nurses line up the charts, and the doctors sign a bunch of orders and make quick visits. Most of the medicine practiced in nursing homes is over the phone.”—A California nursing home administrator
• “Families and residents talk themselves out of complaining because they don’t want to create trouble. Remember, the nursing home is getting paid thousands of dollars a month by you or someone on your behalf. You shouldn’t apologize for wanting some attention and a high level of care.”—Eric Carlson
• “Once you go into a nursing home, you probably won’t be able to see your favorite doctor anymore. Usually, the physician assigned to the facility takes over. Ask how often the physician sees residents, what happens if there’s an emergency, and if the physician is easily available.”—Jody Gastfriend
• “Ask about the pain management policy. Some nursing homes are wary about giving strong medications for pain, and unnecessary pain is a common problem. You want to hear that they do take active steps to decrease pain and that they’re not afraid to use narcotic medications in cases of acute need.”—Richard L. Peck
When you’re moving in loved ones, make sure they bring their own pillows and their own bedding."I’ve even had families bring an entire bed or a much-loved recliner. Whatever they love most in their home, bring those things if you can.”—Marc Halpert
• “Try to display interesting items in the room to stimulate conversation. That way, when a staff member comes into the room, he’s not just talking about care and when the next shower will be. He can ask about your loved one’s military service or the dog she has a picture of.”—Matthew Maupin
• “It’s a good idea not to visit for the first two weeks, especially if your relative has dementia. Just call, or write a letter if you want to. That gives her time to build relationships with the staff and other residents and get used to the fact that this is her home. Otherwise, every time she sees you, she’ll think she’s going home, and when you leave, she’ll get really upset. It ends up taking longer for her to adjust.”—A CNA in Wisconsin
• “This is your loved one’s home. He should be able to get up and go to bed when he wants to, to eat dinner when he wants to. A big difference between a mediocre or bad nursing facility and a good one is the extent to which residents have their preferences accommodated.”—Eric Carlson
• “We can anticipate with reasonable certainty when we’re going to have our next annual inspection. So some facilities staff up and buff up—paint, wash the windows, get flowers—because they know they have company coming.”—A California nursing home administrator
That paperwork we do? It’s really useless."The way it’s supposed to work is that every time you do something, you check it off a list. But there’s no time for that. So you do your job all day long, and then, at the end of the day, you try to remember everything you did so you can go back and check each thing.”—A former CNA who worked in nursing homes in North Carolina and Massachusetts
• “Theft and loss are a big problem in nursing homes. Rings are taken off people’s fingers. Or you give your relative a new nightgown for Christmas, and then it’s gone. Make sure you put your loved one’s name on everything, and that everything is listed in inventory and in the records.”—Pat McGinnis
• “Here’s a big secret: Some nursing homes don’t tell families that having a hospice worker come in is an option because the reimbursement rate goes down if the home has to share the money with hospice.”—Diane Carbo, RN, a nurse in California who worked in nursing homes and assisted facilities for over 20 years
• “Some nursing homes don’t have liability insurance, so it’s difficult to make a recovery if your loved one is harmed or killed, even if you have a good case. Also, the way these facilities are set up makes it difficult to recover anything from the owner. Often, the guy who’s making millions from the facility is virtually untouchable.”—Jonathan Rosenfeld, a Chicago attorney who specializes in nursing home cases
• “When you receive your stack of admissions paperwork, you’ll find the nursing home has snuck in these things called binding arbitration agreements. Basically, the home asks you to sign away your constitutional right to due process, your right to sue if anything happens. So don’t sign it, or say you’ll sign it only after your attorney reviews it.”—Brian Lee
One of the best-kept secrets is the long-term-care ombudsman program."There’s one in every state, and the ombudsman is your personal advocate to help you in these situations and answer your questions. All the services are free.”—Brian Lee
• “The baby boomers as a growing aging population have very different expectations from the residents we were accustomed to taking care of. We’ve had to start serving stir-fry and taco salads in the dining room, and I have residents who come in with iPads and cell phones who listen to rock ’n’ roll and hip-hop music.”—Matthew Maupin
• “One of the big trends in nursing homes is changing the culture to get away from the institutional perception. We don’t use the word facility, we’re a community. We don’t have a dietary department, we have a dining services department. And instead of units, we have neighborhoods.”—Matthew Maupin
• “People have this image of the nursing home as cold and institutional, and they think, ‘I’m not going there.’ But some are excellent, and I’ve thought, ‘I could live here myself.’ There is warmth and support, company, decent food, and activity directors who keep people engaged and active.”—Richard L. Peck
• “The notion that you get to a certain age and lose your capacity couldn’t be further from the truth. All you have to do is sit down and talk to some of our residents, and you’ll be blown away by their knowledge. I played Scrabble against a 107-year-old resident last year. She was one of my most challenging opponents ever.”—Matthew Maupin
Wednesday, January 1, 2014
|Joyce Heap, lived in a home operated by Armenians in North Hollywood|
Not only was this poor woman overmedicated but they were charging her Medicare account with drugs
that were not even used by Mrs. Heap. This is a good reminder to read the statement of benefits from Medicare
you may think it doesn't matter, after all it is the government paying for it. But Medicare fraud harms everyone, in October 2010 the largest Russian and Armenian ring of Medicare fraud $60 million was gathered up by the FBI. There is such little oversight on the people in these homes that administer the drugs to the patient via unit dose dispenseries that are never on site. They usually deliver the drug and it's up to the honesty of the staff to see that the people actually get their proper medication. California Armenian Home has many people that are over medicated on anti-psychotic medication, their care in the skilled nursing section is not "skilled" but operated by too many low wage, low educated LVNs with barely 12 month certification licenses. They need to put cam recorders on them when they are dispensing the drugs. This poor woman.
At another time in her life, Denise Heap might have tossed aside the insurance forms listing the drugs prescribed to her mother.
The“explanation of benefits” forms came like clockwork and didn’t require any action on her part.
But Heap was worried about her mother, Joyce, who was in the end stages of Alzheimer’s disease. Her health had inexplicably declined in the Los Angeles-area nursing home where she’d been living. So in April, when a thick envelope arrived from her mother’s Medicare drug plan, Heap scrutinized it.
What she found was frightening: Her 77-year-old mother was receiving a raft of medications Heap had never seen before.
As Heap began Googling the drugs, she realized something was drastically wrong. Either her mother was being given expensive medications for conditions she didn't have — such as breast cancer, asthma, emphysema and high cholesterol — or something sinister was going on: Someone was using her mother to steal drugs.
“I flipped,” Heap said. Medicare's prescription program, known as Part D, paid for more than “$10,000 worth of meds” in just three months, she said.
She first called Medicare to report her suspicions, she said, then the insurance company that managed her mother’s Medicare drug plan. Neither, she said, seemed very concerned.
“I was like, ‘No. No. No. You have to understand. I am trying to help you guys,’”she said.
Soon, Heap became convinced someone had stolen her mother's identity while she was living at a nursing home run by an Armenian couple. The couple kept moving the location of the nursing home. And Heap believed they had been over-sedating her mother with high doses of antipsychotics, inappropriately treating her blood pressure and allowing bed bugs to feast on her.
“I knew something crooked was going on,” said Heap, 59, who, with her mother, had co-founded a Holocaust education nonprofit in the 1990s to document stories of German resistance to Hitler.
Frustrated, Heap called Los Angeles County sheriff's Sgt. Steve Opferman, head of a task force specializing in prescription drug fraud. As soon as Heap began describing what had happened, Opferman said he knew her mother had been caught up in a fraud scheme involving Armenian organized crime.
Opferman and other investigators say criminals wager that patients and their families will not be like Heap. They bank on the fact that their victims—Medicare beneficiaries — will be too old or too sick to review insurance forms summarizing the medications and services billed in their names. And they count on the tendency of busy family members to give such forms a cursory glance, if that.
“Suffice it to say most people don't pay attention, let alone know what they're looking at,” Opferman said.
But Heap's case, and others like it, shows the important role patients and their families can play in uncovering fraud within Part D. The program now covers 36 million seniors and disabled people and fills 1 in 4 prescriptions nationwide. Last year, it cost taxpayers $62 billion.
In an earlier report , ProPublica found that Medicare’s system for pursuing such fraud is so cumbersome and poorly run that schemes can quickly siphon away millions. Tips such as Heap's can come into private insurers, which run Part D for Medicare, to contractors hired by Medicare to spot fraud, or to the U.S. Department of Health Human Services inspector general, which investigates health care fraud. But only a small percentage of cases funneled through this chain are prosecuted.
Reporters, using Medicare’s own data, were able to identify scores of doctors whose prescribing within the program followed known patterns of fraud: the cost of doctors’prescribing jumped dramatically — in some cases by millions of dollars— from one year to the next and they chose brand-name drugs that scammers can easily resell.
Some doctors claimed that they — like some of the patients involved — were unwitting victims of identity theft. In other cases, federal investigators found, the doctors were paid for writing bogus or inappropriate prescriptions.
In a response to these findings, a Medicare official said more focus has been placed on fraud detection within Part D.
The drugs listed on Joyce Heap's explanation of benefits forms are those most-desired in such fraud schemes. They included the asthma drugs Spiriva and Advair Diskus, for which her insurance plan paid nearly $270 a month each, the cholesterol drug Crestor, which cost nearly $170, and the antipsychotic Abilify, for which the plan paid about $920 for a 30-day supply.
Opferman said Heap's call launched an investigation that uncovered a large Part D scheme allegedly connecting the owners of the nursing home to a North Hollywood pharmacy operation, including evidence that other residents' identities were used. A September search of the pharmacy where Heap's mother's prescriptions were filled found evidence that drugs were being relabeled or repackaged for resale, he said.
The doctor who prescribed the drugs has denied prescribing the vast majority of them, Opferman said. The case is now part of an ongoing investigation by California’s Department of Justice and his group, he said.
Opferman said investigators might never have known of the scheme without Heap's tip.
Joyce Heap didn't live long after her daughter unearthed the problems.
She improved briefly after moving to a new nursing home, where a doctor reduced her psychiatric medications, Denise Heap said. But she died of a heart attack on April 21.
In the months following her mother’s death, Heap said, she sent letters alerting Medicare and her mother's insurer to the possible fraud. In July she wrote,“Please note that 100% of the prescriptions charged in April 2013 … are FRAUDULENT.”
Heap said she is “outraged” Medicare didn't follow up and ask detailed questions about her allegations. In fact, it was either her insurer or Medicare— she can't recall which — that recommended she call the local sheriff if she was worried.
“I would have thought immediately they would have gotten on it,” she said.
But Heap said she is mostly tormented that she didn’t know such fraud schemes existed — and that elderly people like her mother could become prey.
“It’s a hard thing to live with,” she said, tearfully. “I feel like I failed.”
Yuba is due to renew her license this year, lets hope she moves on and takes her Croatian buddies at J and L Rehabiliation with her. Sooner or later they will have to sell the home or replace Yuba. Hopefully it's done at the same time as there is no interest level in the Armenian community in this shameful place. 1) Donations from Armenians have shrunk to nothing 2) There are 150 beds combined at this nursing home there are barely 14 Armenian residences in both sections 3) Most people are opting for home health care 4) Yuba has chased Armenians away, because either they don't accept their insurance or she has the bed reserved for a MediCal patient 5) Young Armenians are not interested in joining the Ani Guild or Home Guild because we all know the home is anti-Armenian 6) Yuba and Jan will not hire Armenians to work there, the only ones are new immigrants that are not a part of the main community and are desperate for work 7) Yuba is a liar and scapegoat for the do nothing board. 8) Yuba's reputation precedes her in our community, we all know about Yuba.
Friday, November 29, 2013
1 year ago this blog reported on 4 Physician web sites where Yuba Radojkovich (Fondly called Yuba RealDirtyBitch or "The Black Snake) had been posing as a medical doctor.
Several complaints were filed at the state licensure board with local physicians (that are licensed) signing this. It seems that Yuba covered her tracks and removed some of her FALSE claims, but one remains.
Yuba, we realize they cannot find anyone that wants the Adminstrator's position. However, you have chased away the Armenian community and there is no more support for this sham of a nursing home money pit.
You are unprofessional, and cannot keep anyone decent there. Take a look at most of the employees? They are desperate and mostly immigrants from India, Mexico, Russia, Philipines, etc .,
There are a handful that have been there 20 years and they are just coasting till retirement, great people.
Then there is the tattoo infested single mothers, that break every rule of HIPAA, taking photos, blurting out diagnosis, giving oranges to diabetic patients, creating gossip with the staff, Roaming freely away from her station, etc.,
Here is a warning for you Yuba, CEASE AND DESIST. Take this down now or you will have another audit shoved up your ass so fast. What is the fines up to this year? Over payments? Step down and let someone with an MBA in Health Care Administration take over before it's too late.
Take it down now, it is a LIE.
We are showing this to the hospitals in Fresno and NONE, WE REPEAT "NONE" are recommending hospital patients be admitted for rehab or anything else. We know all about the empty bed ratio and what percentage needs to be filled just to pay the bills. Expect more empty beds.
EMPLOYEES PAST AND PRESENT, PLEASE REPORT YUBA HERE: