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An elderly resident at a Florida nursing home received double his daily medication for a full year before anyone discovered the mistake. This error is egregious in itself, but the greater problem is it’s not an isolated incident throughout the state – and it puts vulnerable patients at grave risk of serious harm.

A recent report by the Daytona News-Journal indicated the same nursing home that wrongly doubled the patient’s prescription had been cited twice before for previous medication errors – including for a time accidentally switching two patient’s pills. In the last three years, the Centers for Medicaid and Medicare Services revealed nearly 45 percent of nursing homes in Florida have been cited for deficiencies that were either directly or indirectly related to medication mistakes.

Brian Lee, director of consumer watchdog group Families for Better Care, said the problem is far too common, and both patients and families have a right to accountability in these matters.

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Nursing homes across the country are watching closely the recent lawsuit filed by New Mexico Attorney General Gary King, who alleges inadequate staffing levels made it mathematically impossible to provide an appropriate level of care to elderly patients.

It’s an interesting strategy in that while there are some specific allegations of neglect, the primary source of contention is the failure to provide enough staff. The lawsuit is against for-profit nursing home chain Preferred Care Partners Management Group. The company is based in Texas, but operates dozens of nursing homes in in 10 states – including Florida. It is deemed the 10th-largest nursing home chain in the country. It has collected some $230 million from state and federal government coffers since 2008, and it houses roughly 1 million residents nationally.

Observers say if the New Mexico lawsuit is successful, other states may well follow suit. The lawsuit targets seven facilities operating within that state. The company runs the top four worst-performing nursing homes in that state, according to quality grading provided by the federal website Nursing Home Compare. Those facilities reported more than six times the average number of safety and health care violations as compared to other centers nationwide.

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Far too frequently, nursing home health care providers intentionally force elderly residents with dementia to consume hefty amounts of powerful antipsychotic drugs – most of which contain a black box warning indicating a heightened risk of infection and death.

According to a recent report by NPR, it’s estimated some 300,000 nursing home residents are currently receiving some level of antipsychotic medication, despite the fact these drugs are mainly used to treat serious mental illnesses, such as bipolar disorder and schizophrenia.

Health care providers in nursing home settings use the drugs to suppress anxiety or aggression in patients with dementia or Alzheimer’s disease – even knowing the grave risks associated with the drugs. It’s a form of chemical restraint, and it may be considered a form of negligence or even outright abuse in some cases.

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A number of publications – USA Today, the News-Leader in Virginia and others – have lately been giving great attention to a serious but often hidden problem in many health care settings: Drug addiction.

A USA Today review indicated on a national scale, more than 100,000 doctors, nurses, medical technicians and health care aides are abusing or are dependent on prescription drugs in any given year. Nursing home facilities are not immune to this crisis, and patient safety and well-being is placed at risk as a result.

In some cases, health care workers are stealing drugs. In other cases, their impairment leaves them unable to do the job properly. One nurse anesthetist who is now a recovering drug addict said she used drugs for years, often on-the-job and without detection by colleagues. She is not aware of any mistakes, but said, “I certainly would not say I was immune to that.”

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Abuse and neglect of elderly nursing home patients is always reprehensible.

But there is something even more gravely distressing about a victim who dedicated a good portion of her career to protecting seniors in nursing facilities. As a mother of six and the first administrator on the Area Agency on Aging in her Idaho community, the dignity and well-being of elderly patients was her top priority, according to her obituary.

And yet, according to a civil lawsuit filed by her son, those same basic rights were not afforded to her as she resided in a nursing home at the age of 88.

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Low-rated nursing homes are being rewarded with billions in federal funding to secure better interest rates on mortgages, despite having been cited for egregious instances of abuse and neglect of patients.

An investigation, launched by the Center for Public Integrity, indicated that since 2009, hundreds of nursing homes across the country raked in an estimated $2 billion in low-cost mortgages, guaranteed by the Department of Housing and Urban Development – even after being stamped with the lowest possible rating for quality of services.

In total, the center discovered some 240 nursing homes given just one star in the federal rating system received the loans backed by HUD. Some of these homes received chronically low ratings – in one case, for seven consecutive reporting cycles. In fact, not only did these centers receive HUD-backed mortgages and refinance offers, they also received federal guarantees for construction and improvement loans. From 2009 to 2012, the number of these “bad apples” getting the best interest rates on federally-backed loans increased year-over-year.

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There has been increased media coverage and attention given to the rise in nursing home abuse and neglect, and for good reason. According to a recent report, one in five nursing home patients suffers abuse by another resident. The study found that 19.8 percent of residents at 10 nursing home suffered some kind of abuse within the period of review. During the four-week period of investigation 16 percent of residents suffered from verbal abuse, while 5.7 suffered from a physical attack, such as hitting or kicking. The reports indicated that 1.3 suffered from sexual incidents and 10.5 percent suffered from invasive behavior.

These cases involved resident-on-resident mistreatment involve only a fraction of the abuse that may also occur involving nursing home aids or other employees. Commonly we hear of abuse committed by overworked health aids, but a new category of abuse is also putting residents at risk—resident-on-resident abuse and injury. These injuries are inflicted by a roommate or another resident in the nursing home. According to the research one in five residents were involved in such incidences within the four-week period.

The abuses can range from aggressive and abusive language to physical attacks. Not only are they invasive and disruptive for other residents, but resident-on-resident abuses can also cause serious physical harm. According to the report, the incidences are so common that many of the workers are unaware or do not choose to get involved. The results of this investigation were made public at the Gerontological Society of America, providing a harrowing account of life inside the facilities for the 1.4 million nursing home residents in the United States. Of the total number of nursing home residents in the country, more than 72,000 of them reside in the state of Florida.

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Making the decision to put your elderly loved one in 24-hour-care can be emotional and difficult. In Florida, families should be concerned with the quality of care being provided, as well as the potential for negligence and abuse. In a recent case, a nursing home resident who suffered from Alzheimer’s and dementia was abused by his caretakers. According to local reports, the nursing home aides were caught after the victim’s son installed hidden cameras in his room. He decided to install the cameras after he noticed unexplained bruising on his father.

The certified nursing assistants were 28 and 35-years-old, working at Palm Garden. Since the discovery of the abuse, the aids have been charged criminally, for the battery of a person over the age of 65. The two nursing assistants as well as several other staff members were suspended without pay, according to the chief operating officer of Palm Healthcare Management. Palm Healthcare Management is responsible for the hiring and oversight at the Winter Haven nursing home facility. The case is still under investigation and the aids as well as the nursing home management company could also face civil lawsuits.

According to reports, the 76-year-old nursing home patient was diagnosed with dementia and psychosis. His son installed hidden cameras in his room to help identify where the bruises were coming from. The video cameras captured the aids physically harassing the patient when they repositioned him in bed. More footage documented one of the defendants and a second employee trying to move the patient from his wheelchair to bed and the aids appeared to stomp on his feet or legs. On a separate occasion, other employees were changing the victims’ clothes when they grabbed his wrists and struggled. They pinned down the man’s legs, grabbed his wrists, and slapped him on the head. When he tried to sit up, the employees ran out of the room. Both defendants are being held without bond.

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Additional confirmed cases of Hepatitis C have been linked to a nursing home in North Dakota that is currently the subject of a federal lawsuit alleging negligent care that led to exposure.

The new cases bring the total associated with this single nursing home to 47. This means the possible list of plaintiffs on the pending litigation, filed last year, could grow. The lawsuit started with two residents who say they contracted the disease as a result of poor care from facility staffers.

Hepatitis C is a contagious disease of the liver. Severity can range from mild to life-threatening and can be either acute or chronic. It is primarily spread through blood contact, according to the Centers for Disease Control and Prevention. In nursing home settings, staffers who aren’t careful when placing IVs or sterilizing needles or other equipment could pass the disease from one patient to another.

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A recent article in The Wall Street Journal decried the increase of nursing home abuse lawsuits resulting in six-figure settlements or verdicts, prompting some in the industry to pack up and close shop.

The Journal is a decidedly pro-business publication, and took the tack that this series of events was a bad thing.

Despite the grim picture this and other media outlets paint, personal injury attorneys are not anti-business. Rather, we’re against bad businesses. When a for-profit nursing home promises top quality care to vulnerable, aging residents, it rakes in huge revenues – both from private pockets and the government. When it then fails to deliver on that care, resulting in serious harm or death, that company should probably no longer be in business. At the very least, there should be a sincere evaluation of the firm’s core values and direction.

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