Ignoring Sexual Assaults

DesMoinesRegister reported that Mitchell Worchester, the administrator of Tabor Manor Care Center in Fremont County, Iowa is facing sanctions against his licence after failure to correctly respond to and prevent several incidents of sexual assault within his nursing home.  Over the course of three years, a resident in his facility continued to sexually assault other residents.

In June of 2008, the resident touched the breasts and genitals of a female resident.  The incident was reported to the state, however, no further investigation was done.  Two more incidents of sexual assault by the resident occurred before the facility did anything to prevent the assaults.

Only after the resident was again caught inappropriately touching a female resident and then leaving another resident’s room in nothing but his underwear were measures taken to prevent the incidents.

The facility finally installed an alarm on the alleged assaulter’s door.  However just days after the alarm’s installation, a female resident complained that he touched her breast.  A month later a female resident was seen leaving his room with her pants down and a substance that appeared to be blood on her thigh.  Incredibly, no one in the nursing home thought it was significant enough to do a medical examination of the female resident.  Additionally, the facility failed to document many of the incidents of sexual assault or to report them to the state or the victim’s families.

Abuse Caught on Tape

An Oklahoma facility Quail Creek Nursing home claims to be just as outraged as the community concerning two of its employees being arrested for neglect and abuse in April of 2012. Two staff members of Quail Creek, Lucy Waithira Gakunga, 23, and Caroline Kaseke, 28, were caught on video abusing a 96-year old patient. Family members of the patient were concerned that someone was stealing from the patient so they placed a hidden camera in her room. Gakunga was seen slapping the patient with a glove and then forcing the glove into the patient’s mouth. All the while Kaseke stood by and watched. Both women were fired from Quail Creek.

 

Two articles on this can be found at NewsOK and News9.

I wish every family could place a hidden camera to protect their loved ones from assault and neglect.

Another Abuse Arrest

At 2:30am on April 13, 2012 at Ponce Care Center in St Augustine a care taker was witnessed holding a pillow over a resident’s face.  Martin Robinson Aniello was charged with elderly abuse of an 81 year old female nursing home patient with dementia when a supervisor called the St Johns County Sheriff’s office. Why wasn't he charged with attempted murder?

According to the facility’s statement he was fired immediately after his arrest.  It was reported that the Aniello said, “Don’t hit me; If you keep this up, I will take you to the shower room,” when he was spotted as he threw the pillow at the head board. The official report said that the patient had a history of screaming, “Stop, don’t do that,” (which is what attracted Aniello’s co-worker on Friday morning) and that these incidents had occurred while she was being showered or changed.

This is not the first time that a Ponce Care Center employee has been arrested. The first being Frances Melissa Neal, 25 charged with battery of a person 65 or older. Aniello was questioned when this incident occurred and stated that he had witnessed it but had heard the patient yell “ow”.

Articles on this can be found at The Florida Times-Union, St. Augustine, and Historic City News.

 

Videotaped Abuse

NineMSN fromLondon had an article and disturbing video showing an elderly resident being abused.   Jane Worroll installed a hidden camera after noticing suspicious bruises on her 82-year-old mother's arms. When she later reviewed the footage, she found it had captured a violent attack on her mother by 30-year-old carer Jonathan Aquino.  Ms Worrol wrote in the Daily Mail this week she was shocked to see Aquino shoving her mother and rolling her onto her side as she "cried out in humiliation and pain". "Then his arm swung back. I heard the crack of a slap against her thigh," Ms Worrol said. "Over the following minutes, I saw him slapping my mother around her thighs and her face — again and again and again."

Another four employees were filmed mistreating the elderly Ms Worrol.


 

Understaffing leads to Fine and Suspension

A $5,800 daily fine has been imposed against Bristol Nursing Home in Tennessee.  New admissions were suspended for a couple of days but for some reason was reinstated.  The state also imposed a one-time $3,000 fine.   The federal fine of $5,800 was to be imposed until violations discovered in March have been corrected.  The Tennessee Department of Health suspended admissions effective April 13 but it only lasted 4 days. 

A complaint investigation and annual survey conducted at the licensed 120-bed facility between March 26 and March 31 revealed serious  violations in the areas of, "administration, performance improvement, nursing services and resident rights."

At the center of the substantiated complaint is a mentally impaired and vulnerable male patient who fights with other men and has been accused of sexually assaulting female patients.  The staff complained that it was difficult to supervise him because of inadequate staffing.  He was admitted to the nursing home Aug. 9, 2011, and became violent and more focused on female patients after his ex-wife died sometime in November 2011. At times, he mistook several of the female patients as his ex-wife and complained that she was running around with some male patients.

The report cited:

Two violent men who have punched, pushed and kicked at patients;
Failure to draft a plan of intervention or increased supervision for the two violent patients;
A lack of incident reports, investigations or interventions related to incidents involving the most violent man;
Failure to notify a patient’s doctor of elevated blood sugar and need for psychiatric help
“The facility’s failure placed all the residents on the … unit in an environment which was detrimental to their health, safety, and welfare,” the report states.

 

Procedures to Prevent Pressure Ulcers

An article in the Wall Street Journal revealed effective methods to healing chronic wounds from pressure ulcers.  These wounds are commonly known as "bedsores", and result from pressure (being left in bed or chair all day).   These ulcers often begin as a small manageable problem.  however, if neglected or untreated, they can magnify into infectious wounds that are hazardous to the patient's life. Overtime wounds develop bone infections fatally poisoning the blood of the patient.  In addition to the threat chronic wounds pose to the patient's life, the pain and unsightliness of chronic wounds have lead to social isolation and even depression.

Numerous cases of pressure ulcers have ended in amputation or septic shock.  Lack of understanding and training concerning wound care are the primary causes of life-threatening wounds.  Wounds resulting from pressure ulcers pose a serious threat to immobilized patients, the elderly, and those suffering from obesity and diabetes.

John Hopkins School of Medicine found that over 6.5 million people are affected by chronic wounds.  The current issue of Skin and Wound Care recommends healthcare providers ought to follow such procedures as patient assessment, turning patients in bed frequently, and monitoring any at risk areas. These measures have been known for years to prevent the development of pressure ulcers.  The trouble occurs when an institution is unable or unwilling to follow these procedures. The failure to establish proper routines that protect patients from chronic wounds ultimately leads to an increase in severity and an escalation in costs.  $25 billion is spent annually to treat chronic wounds.

Care providers nationwide can gain valuable insight from the innovative wound care program developed at the Montefiore Medical Center in New York City.  Their methods include preventive screening, early detection and aggressive treatment, as well as outpatient visitation made by nurses and doctors. The key to their success is their philosophy of targeting a wound for treatment before its condition worsens.  Health care providers often find that many of the dangerous wounds they face may have been prevented through certain simple measures.  The Montefiore Medical Center of New York City avoids many of these costs through the collaboration of doctors, nurses and physicians assistants to identify pressure ulcers or diabetic foot ulcers before they become serious.  These methods and procedures form a holistic approach that eliminates many costly treatments.

 

Sexual Predator?

The Star-Tribune out of Minnesota reported the tragic rape and sexual assault of a female resident at Highland Chateau Care Center over a period of months by a staff member, according to a state investigative report. The abuse included forcing the woman to perform oral sex and fondling of her breasts.

According to the report, which did not reveal the identities of the staff member or the resident:
--The resident had limited mobility and needed help dressing, bathing and with her bathroom needs.
--When confronted by a state investigator, the staff member denied the allegations, saying the woman would at times not make sense and was under the impression he would marry her.  However, other staff members described the woman as "alert and oriented." One said the woman told her "she just wanted it over," the report said.
--When interviewed, the accused staffer also was confronted about allegations of neglect and physical abuse at other care facilities where he had worked.   In one previous case, the staffer failed to cooperate with an investigation of "sexually inappropriate" behavior.
--Despite the allegations of earlier misconduct, the Health Department initiated no other investigations against the caregiver.

Invasion of Privacy Conviction

Oregon's Gazette Times reported the conviction and sentencing of Nai Mai Chao, a nursing assistant at Regency Pacific Nursing and Rehab Center. She spent only eight days in jail after a jury found her guilty of taking disturbing photos of elderly or disabled patients and posting them to her Facebook wall. A jury convicted Nai Mai Chao of invasion of personal privacy.  She was accused of taking graphic photos of patients using bed pans and posting them on Facebook.  The pictures date to April 2011.  The charge of invasion of personal privacy is a misdemeanor.  She can return to working with elderly patients in two years.

 

Sexual Molestation Allegations

Providence's "Turn to 10" reported  another witness to horrific allegations of sexual abuse at the Hebert Nursing Home in Smithfield has come forward to the NBC 10 I-Team. Tanya Lessard, a former certified nurse's assistant at the facility, said she saw sexual molestation of a resident on numerous occasions. Lessard filed a witness statement with the Smithfield police last week.

The I-Team recently reported there were other witnesses to the alleged behavior. "There is a lack of evidence to prosecute at this time," the attorney general's office said.

 

Failure to Monitor Glucose Levels

The Downey Patriot reported the $80,000 fine against Downey Care Center for inadequate care that led to the death of a patient.  According to a report by the state Department of Public Health, a patient at Downey Care Center went into a diabetic coma after the facility failed to check the patient's glucose level, despite being aware of her history of diabetesAfter 29 days without blood glucose monitoring, her breathing became shallow and nurses could not obtain vital signs.

By then the damage was done.  The woman was "deeply comatose clinically consistent with brain death." Family members had to make the difficult decision to remove her breathing tube and she was pronounced dead. The cause of death was listed as septic shock, urosepsis, diabetic ketoacidocis and diabetes mellitus type II.

That is criminal neglect of a vulnerable adult.

Poliakoff & Associates, P.A., is one of South Carolina’s most respected and distinguished law firms. The Poliakoff firm began nearly 60 years ago by three attorney brothers: Matthew, J. Manning, and Bernard. With a history of believing the justice system...More...