Resident beaten to death

The Chicago Sun times had a sad article about an elderly resident beaten to death at a nurisng home.  The nursing home hasn't explained how it happened or who assaulted the man.  Instead they are trying to blame the victim by stating he had "prior altercations" in an "other nursing home."  So?  What does that have to do with preventing him from getting assaulted at your nursing home?  The autopsy showed he was beaten to death and it was ruled a homicide.

The nursing home had a history of negligence and state-mandated fines .

The nursing home's attorney said: “He was only in [the Renaissance] facility for four or five days before he expired,” Meehan said. “He had an altercation of some kind at a previous nursing home.”

Expired?  He was beaten to death.  Why is the attorney making statement sinstead of the Administrator or Director of Nursing?

Meehan said she did not know who assaulted Jackson at the Giles Avenue nursing home.


Woman sues nursing home for getting her arrested after she complained

The DesMoines Register has an article about a woman who complained about the care her mother ws recieving at a nursing home being arrested after the nursing home stated that she was "abusing" her mother.  This lack of accountability by the nursing home is astounding.  Trying to quiet the family of a neglected resident who had every right to complain about the poor care given to her mother is ridiculous.  Obviously, the nursing home did not want the family to witness other acts of neglect and wanted to protect their mother.  Below are excerpts of the article.

A Cedar Falls woman who claims she was jailed in retaliation for complaints about her mother's care at a Waverly nursing home has sued the home and the city.   Maxine Veatch, 64, and her sister, Christine Price, 57, of Mason City sued Bartels Retirement Community, at whose nursing home their 94-year-old mother, Agnes Bell, has lived since 2004.

Co-defendants include the home's administrator, Debra Schroeder; its director of nursing, Brianna Brunner; and Police Sgt. Jason Leonard.  Veatch and Price allege false imprisonment, negligence, defamation and malicious prosecution. Police and nursing home officials could not be reached for comment. The sisters have asked for at least $75,000.

The federal lawsuit alleges the sisters noticed problems such as medication errors and a lack of cleanliness in 2006 when they visited their mother at Bartels' Woodland Terrace nursing home. When they raised their concerns with managers, administrators compiled "a book of false and/or misleading accusations" against the sisters, the lawsuit claims.

The state has cited the home for 11 violations since 2004. Last year, inspectors alleged a high rate of medicine errors and problems with nursing services.

Bell allegedly collapsed in Veatch's arms on Sept. 27, 2006, while she walked with her daughters to the home's dining room. Veatch swung her 145-pound mother into the nearest wheelchair, and Bell recovered within a few minutes, according to the lawsuit.  A worker at the home reportedly complained to her bosses that she saw Veatch shove her mother into the wheelchair. Veatch was summoned two days later to the police station, where Leonard allegedly issued her a citation for assault and put her in jail for 23 hours. Veatch was then barred from the nursing home for 13 months. Price was denied visits for eight months.

Veatch was acquitted of the criminal charge. After Iowa Department of Human Services officials classified her as an abuser, Veatch appealed the decision, and her mother testified on her behalf. Administrative Law Judge Mark Lambert overturned the department's finding and stated that Veatch had "prevented a potentially much more serious injury to her mother."

Response to call bells inadequate

The Salt Lake Tribune had an article about response times to call lights.  This is a major problem in many nursing homes leading to falls or loss of dignitiy.  Typically, a resident who needs assistance to go to the bathroom hits the call light.  No response.  The resident then has two choices: 1.  Attempt to get up without assistance and risk falling, or 2. Relieve themselves and sit in their own urine and feces.

Call lights are little red buttons next to every bed and bathroom in every nursing home. When pushed, an alarm should sound at the nurse's desk and a light flashes over the bedroom door.
These call lights are how the frail and elderly summon for urgent help. But all too often, caretakers are slow to respond, if they respond at all. This is a common complaint from most if not all of our clients.

A Salt Lake Tribune examination shows that state inspectors have cited nearly one-third of Utah's nursing homes for a call light violation in the past two years. 

At the Hurricane Rehabilitation Center, the call lights didn't work in 10 rooms.

At the Bear River Valley Care Center, a man confined to a wheelchair waited 25 minutes for help getting into bed. "Sometimes it takes half a day," he told regulators. 

At the Willow Wood Care Center, a woman pushed her call light to get pain medication. She received her pills three hours later.

A slow response to a call light not only can impact a person's medical care, but also steal their dignity. In a number of cases, people waited so long for help that they ended up soiling themselves.

Utah inspectors receive more complaints about call lights than anything else, said Greg Bateman, who heads the state certification team.  Often, call light problems are a symptom of inadequate staffing.

Because caretakers usually respond faster when they know inspectors are watching, Bateman said he often relies on resident complaints to identify a problem. There is no hard and fast guideline for responding to a call light, but state regulators want to see someone at least assess the person's needs within the first five minutes.

Advocates for the Disability Law Center keep track of this problem. 
Eileen Maloney, who is a member of the center's abuse and neglect team, said she visits some homes where call lights are constantly ringing and staff members ignore them.
The industry is teaming with state inspectors to create a new incentive program next year that will encourage nursing homes to replace their old call light system with the latest technology. 
The system would allow homes to document response times, providing proof that either resident complaints are valid or not.

Administrator defends actions that led to 27 residents dying in one year

The Birmingham Mail had an interesting article about a nursing home administrator defending the care provided to residents despite the fact that 27 of her resdients died in one year!  The former manager of a Birmingham nursing home has hit back at allegations she didn’t look after residents properly.

Kathleen Smith, who ran the Maypole Nursing Home, in Kings Heath, until it was shut down by inspectors told a Nursing and Midwifery Council hearing yesterday that she adequately managed residents’ incontinence.

Defending herself, Smith, described it as not "unusual" to see residents seated with incontinence pads showing above their trousers.  But, she said: "It’s different to say you’re leaving them walk around with a pad out – that’s undignified."

Smith also dismissed claims she allowed a resident with chest problems to be inappropriately restrained in a bucket chair.  "It’s rubbish," she said, "I totally, totally disagree with that. The chair didn’t tilt back, it was a semi-recumbent chair."

Smith also refuted accusations she had allowed a resident’s nails to grow curled and yellow. "It’s absolutely ludicrous," she added.

The misconduct probe into Smith, who said she currently worked as a community psychiatric nurse, is also looking into allegations against her former Maypole nurse colleagues Carol Estelle Bushell and Mary Kathleen Casey.

Bushell, 48, of West Heath, and Casey, 70, of Harborne, have already admitted allowing drugs to be given to the wrong patients.

Another sexual assault at a nursing home

CBS affiliate KDKA in Pittsburgh had an article about another sexual assault at a nursing home facility.  Do they even bother to do background checks or supervise their employees?

A nursing home employee is facing charges after he allegedly sexually assauted a patient who uses a motorized wheelchair.  Allegheny County Police have charged Marc Lane, 37, of Kittaning, with involuntary deviate sexual intercourse, two counts of indecent assault, indecent exposure and criminal attempt.

The 65-year-old male victim who suffers from Parkinsons Disease said in a police report that Lane came into his room at the Consulate Health Care facility on Saxonburg Boulevard in Indiana Township between April 11 and April 25 and drew the curtain for privacy.

Lane allegedly told the patient he would treat a skin condition, but that in fact led to a sex act. The victim is refered to as "John Doe" in the affidavit.

"Lane then asked Doe if he had ever been with a man," according to the affidavit. The resident told police he resisted the advances but that led to another sex act until a nurse walked into the room.

After a mini mental status exam, the victim scored 28 out of 30. Police determined the victim is of sound mind.

Staff caught stealing from residents

KPTV.com has a video and story showing a nursing home worker stealing from the residents.   A worker at an assisted living center was arrested and charged with theft after she was caught on camera stealing from patients, police said.

Deputies arrested the woman at the Regency Park Assisted Living Center.   The Washington County Sheriff's Office received multiple reports of thefts going on at the center, so they set up a hidden camera to try and catch the thief.  Police set up a hidden camera and plant a purse with money in it in order to catch the thief.   Three days after setting up the camera, Quanecka Thompson, 23, was caught on camera going through the purse, pulling out the wallet, taking money, putting it in her pocket and leaving the room, police said.

Detectives said they set up the purse a second time, and again, Thompson was witnessed stealing money from it.   Deputies arrested Thompson last week.

I wonder if they did a background check on this nurse?

Settlement for resident who suffered 3rd degree burns

San Mateo Daily Journal had an article about a settlement three years after a mentally disabled woman was scalded nearly to death in a Redwood City nursing home.  The resolution came May 13, one day after the county was set to square off in court with Res-Care and employees, including Oretha Ocansey who was criminally convicted for her role in the severe burning of Theresa Rodriguez in May 2004.

The county, which is Rodriguez’s legal guardian, sought both punitive and actual damages for Rodriguez who was left so badly injured her hospital care costs $3,000 a day.  The lawsuit was filed after Ocansey was sentenced for placing the woman in the boiling hot stream of water but the defendants argued the entire company was not responsible for the actions of the single employee.

On May 4, 2004, Rodriguez was seated in the shower at Res-Care, located on McGarvey Avenue, when 145-degree water poured onto her lap. Rodriguez, who is unable to speak or walk, suffered third-degree burns over 60 percent of her body. Nurse’s aide Oretha Ocansey placed a diaper on Rodriguez and did not alert a supervisor for two hours. An hour after the supervisor learned of the situation, Rodriguez was airlifted to a Santa Clara County hospital and spent more than two hours on life support.

During the investigation in Ocansey’s role, prosecutors learned that Res-Care forbid workers from calling 911 until they first contacted a supervisor. Prosecutors still considered Ocansey culpable, however, for waiting two hours before even contacting her boss.  In August 2004, Ocansey pleaded no contest to felony elder abuse in return for an immediate sentence of the 34 days she had already served plus probation and a ban from working at health-care facilities. The plea bargain spared her trial and up to four years in prison if convicted by a jury.

The county went after the nursing home and its corporate owners the following January, claiming the facility knew of the water temperature problem for six days before Ocansey placed her in the shower.


Neglect led to resident's amputation

Knoxville News had an article about a nursing home resident who lost a leg due to the nursing home's neglect.    Neglect of a resident at Hillcrest-West nursing home led to the amputation of her leg last month, according to state reports quoting a doctor who consulted on the case.

The state has censured Hillcrest nursing homes for providing substandard care three times in the past two years.   Obviously the corporate managers ignored the problems and did nothing to correct them.

Now, as in the past, Hillcrest is in danger of losing federal funding if problems aren't corrected. Hillcrest-West has until May 25 to submit a detailed plan of correction, said Lee Millman, a spokeswoman for the Centers for Medicare and Medicaid Services.   During a survey conducted April 28 through May 2, the state found violations of "resident protection, administration, records and reporting, and nursing services standards."

Details in the recent state report on Hillcrest-West state that the amputee's pressure wound was at the most severe level when first noted by staff Feb. 7. The leg was amputated above the knee April 22. Doctors said the bone likely was infected and the wound was "exquisitely (intensely) painful" when manipulated.

A podiatrist said the pressure wound was the "result of neglect ... the worst wound I have seen in 12 years," and the surgeon who removed the leg concurred, the report states.   The same patient didn't get the amount of tube-fed nutrition and saline ordered by her doctor, with feedings skipped repeatedly, the report notes. Also, the family was not informed of the pressure wound and was shocked when they learned of the pending amputation, the state report said.

State inspections from 2006 and 2007 report Hillcrest-West patients found on the floor after apparently falling from beds or wheelchairs, failure to properly use restraints or alarms, patients who were unclean, and inadequate staffing.


Mystery surrounds death of resident found in utility closet

Rome News Tribune has a story about a male resident found dead in the nursing home's utility closet.  Typically, these closets are locked and only certain staff members have access.  No one knows how the resident got into the closet or how he died.  

The man had been missing from a Georgia nursing home for two weeks but was found dead Wednesday in a utility closet at the facility.  The body of Walter T. Heath was found in a closet near the dining area of the Tara at Thunderbolt Nursing and Rehabilitation Center.

Heath had been missing since 5 p.m. April 16. He admitted himself into the Thunderbolt facility in February.  After he disappeared, the facility's staff and Heath's family members grew concerned about him.   Heath's wheechair was left near the dining area the day he disappeared, not far from the utility closet where his body was found Wednesday morning.

Hopefully, the autopsy and investigation will reveal what truly happened.

Young residents' screams for help go unanswered resulting in her death

Alabama NewsChannell 19 had a horrendous story of neglect on their website.  NewsChannel 19's Carson Clark reported that a Marshall County Nursing Home is in trouble with state and federal officials after a patient died there. A doctor says the Golden Living Center in Boaz allowed a young woman to scream for help for more than six hours, before finding her dead.

The patient, 20-year-old Felicia Ann Engle of Boaz, suffered from kidney disease. She had to be placed in Golden Living because her father was no longer capable of taking care of her needs.

According to state records obtained by NewsChannel 19, Engle began to yell for help around 3:00 p.m. on April 3, 2008. The records quote nurses at the facility, with one saying Felicia was, "...begging us to call her doctor that something was really wrong this time. She was hurting so bad it was unbearable."

The nurse tells investigators she went to another nurse to tell her of Engle's request. The nurse reportedly replied, "Yes, we know, we've heard all about it four times at least."

NewsChannel 19 contacted Dr. Tom Geary with the Alabama Department of Public Health in Montgomery. He says the way in which Engle was treated violates the law.

"If the patient requests to go to the hospital, [if] they say something is wrong, I need to go to the emergency room, they are supposed to take them to the emergency room. They are not supposed to make a judgment that the person is just trying to disrupt the normal services in the facility, close the door and leave them alone," he says.

The director of Golden Living, Kevin Cogan, refused an on-camera interview and asked NewsChannel 19 to leave the property when they visited.

SC Administrator arrested for neglecting a vulnerable adult

WIStv.com had a story by Jack Kuenzie about a resident being neglected in a Prosperity, S.C. nursing home.  The owner of the Southside Residential Care Facility, Roy Lee Bowers, 64, has been arrested and charged with felony neglect of a vulnerable adult, resulting in the death of a patient.   His health care administration license was also suspended Friday by the state.

Investigators started looking into the facility when they found 59-year-old William Sealy malnourished and only weighing 94 pounds.  Sealy had injuries to his legs, bed bugs, a toenail rotted off and a toe beginning to rot off, and his socks had been left on for so long that his skin was pulled off when his sock was removed. They said he also had a scalp disease, appeared as if he hadn't been bathed in over a week, and was severely malnourished. He weighed 94 pounds and officials said he should have weighed at least 160 pounds.

Sealy died on Saturday, April 12th. Autopsy results show he died of pneumonia and severe infection.   Until he died, Sealy's family had no idea he was even there. A spokeswoman says the family had been told by his guardian to avoid contact with Sealy for fear of damaging his fragile mental condition.

To those who monitor the state's system for protecting sealy and others like him, it's another indication of just how weak that system can be.

"Mercy" killings or just murder?

Today we have a guest writer, Heather Johnson. who is a regular contributor to RNCentral.com, a great site for nurses and others interested in the nursing field.  We thank Heather for help insightful contribution.  Below is her entry.

Nursing Home Workers Face Neglect, Fraud Charges

Chicago Sun-Times reports that Nurse Marty Himebaugh and nursing director Penny Whitlock of a Woodstock, Illinois nursing home have been charged with criminal neglect of their patients and fraud. Police are currently investigating the deaths of six patients, which may be related to Himebaugh's reputation for playing "Angel of Death" to her patients. Allegedly, she gave patients overdoses of morphine when she worked at the nursing home and Whitlock failed to reprimand her.

Complaints had been filed against Himebaugh many times before she was eventually put on leave from her job in 2006. Some allege that Whitlock not only failed to discipline Himebaugh in a timely manner, she could have been encouraging the illegal actions. Authorities exhumed the bodies of three patients to determine if they had died as a result of an overdose, though results have not been made public.

In addition to criminal neglect, Whitlock has been charged with obstruction of justice after she allegedly ordered the destruction of drugs in the nursing home. Himebaugh also faces additional charges for fraudulently obtaining and illegally dispensing morphine. Police are not expected to file any more criminal charges against current or former employees of the nursing home.

According to attorney Steven Levin, who was hired by the family of an alleged victim, "It was flat out an attempt to kill people. I mean we don't kill old people in nursing homes in this country."

By-line:

Heather Johnson is a freelance writer as well as a regular contributor for RNCentral.com, a site which covers all things related to RN. Heather welcomes your comments and emails related to job inquiries at her email address, heatherjohnson2323@gmail.com.

Neglect leads to amputation of leg.

WBLT in Jackson, Ms. has an article about a resident who was so neglected in her diabetic monitoring that she will now lose her leg.  Below are excerpts from the article.

A nursing home's responsibility is to care for those in need.  On Friday, March 28, Willie Mae Coleman was admitted to University Medical Center in Jackson for gangrene. Her left leg will be amputated.   The family blames the Pine Crest Guest Home for neglecting to give her mother the care she needed.

"It could have been avoided if her leg had been properly elevated and proper procedure would have been done," she says. "It wouldn't have come to her having surgery."

"I think vascular disease is always preventative on several levels," said Coleman's doctor, Huey McDaniels.

Sandra says although her mother was admitted to UMC on Friday, nobody from the nursing home that brought her here notified them. In fact, her family didn't know she was there until Sunday. Sandra says her siblings went to visit Coleman at Pine Crest Guest Home on Sunday, but Coleman wasn't there. That's how they found out she was in the hospital. 

Sandra Coleman says there's no excuse for allowing her mother to get to a point where amputation is the only option.

"If it's happening to us, it could be happening to others there, too," said Sandra.

Another story of neglect

WFTV in Florida had an article about a nursing home allowing one of their residents to fall NINE times from a her wheelchair.  This is neglect.  Why didn't they try a safety device like a tray or belt?  I wonder if they were given her the right amount of medication or if they were using the medications as a chemical restraint?   Hopefully the family will get some answers during the lawsuit. 

The falls caused Ruth Boelke to prematurely die. The nursing staff failed to follow the doctor's orders and best safety practices by failing to use a safety device to prevent Ruth from falling out of  her wheelchair.   The home's director said it did call her doctor a few days before she died and sent her to the hospital. The family claims the nursing home should have called for help sooner.

DNR does not mean do not treat!

Santa Cruz Sentinel has an article about the tragedy that is all too common for many nursing home residents.  Nursing homes fail to train on what DNR status means, and far too often simple care is not provided that would save a resident's life.  Below are excerpts from the article.

The Tragedy: On Sept. 11, 2007, a 71-year-old woman with cancer was transferred to Pacific Care Manor, a nursing home in Capitola. Just prior to her admission, the woman's doctor noted that her patient was lucid and responsive and "could have years to live." Most importantly, the patient had also expressed a desire to live.

Shortly after her admission, the woman began refusing food, water and any treatment. Within two days, she was screaming and combative. On day three, the nursing staff suggested that lab work be ordered to determine the cause of the resident's distress. The facility's director of nursing overruled the suggestion because "once we know what is going on then we will have to treat her." Instead, the nursing director asked the facility doctor to prescribe pain medication and a "do not resuscitate" order. The doctor complied and, despite the woman's documented opiate intolerance, he prescribed a Fentanyl patch, Haldol, morphine. He also wrote an order for "no CPR, no hospitalization." His patient cried out "you are all going to kill me" after the forcible administration of the prescribed medications. On Sept. 16, just five days after her admission, the resident died. 

All residents of nursing homes have the right to grant or withhold consent to any proposed treatment.  Residents have the right to refuse or consent to treatment and to receive all information relevant to making their treatment decisions. Providing such information is part of any responsible nursing home's assessment and care planning process. Federal regulations also reaffirm residents' rights to informed consent and to refuse treatment.

Regardless of a resident's mental capacity, no facility may administer treatment unless the resident has agreed or has been specifically adjudicated incompetent by a state court judge. Even after a court has determined that a resident is incompetent, it must make additional findings before terminating a resident's right to refuse treatment. Without a court order, the provision of any treatment over a resident's express refusal is a violation of several residents rights and is criminal battery.

Similarly, doctors cannot order "Do Not Resuscitate" orders without the written authorization of their patients. For DNR orders, designated health care agents may sign for the patient. However, doctors may not unilaterally impose DNR orders without a resident or resident representative signature.

Nursing homes throughout California are accustomed to interposing their notions of a resident's best interests over the expressed wishes of their residents. The Department of Public Health and resident advocates have been generally weak in preventing this illegal conduct. Hopefully, the tragedy in Capitola will serve as a warning to both facilities and advocates about the deadly consequences of disregarding residents' critical rights to direct their own treatment.

Anthony Chicotel is an attorney for the California Advocates for Nursing Home Reform in San Francisco.

DNR does not mean do not treat!

Santa Cruz Sentinel has an article about the tragedy that is all too common for many nursing home residents.  Nursing homes fail to train on what DNR status means, and far too often simple care is not provided that would save a resident's life.  Below are excerpts from the article.

The Tragedy: On Sept. 11, 2007, a 71-year-old woman with cancer was transferred to Pacific Care Manor, a nursing home in Capitola. Just prior to her admission, the woman's doctor noted that her patient was lucid and responsive and "could have years to live." Most importantly, the patient had also expressed a desire to live.

Shortly after her admission, the woman began refusing food, water and any treatment. Within two days, she was screaming and combative. On day three, the nursing staff suggested that lab work be ordered to determine the cause of the resident's distress. The facility's director of nursing overruled the suggestion because "once we know what is going on then we will have to treat her." Instead, the nursing director asked the facility doctor to prescribe pain medication and a "do not resuscitate" order. The doctor complied and, despite the woman's documented opiate intolerance, he prescribed a Fentanyl patch, Haldol, morphine. He also wrote an order for "no CPR, no hospitalization." His patient cried out "you are all going to kill me" after the forcible administration of the prescribed medications. On Sept. 16, just five days after her admission, the resident died. 

All residents of nursing homes have the right to grant or withhold consent to any proposed treatment.  Residents have the right to refuse or consent to treatment and to receive all information relevant to making their treatment decisions. Providing such information is part of any responsible nursing home's assessment and care planning process. Federal regulations also reaffirm residents' rights to informed consent and to refuse treatment.

Regardless of a resident's mental capacity, no facility may administer treatment unless the resident has agreed or has been specifically adjudicated incompetent by a state court judge. Even after a court has determined that a resident is incompetent, it must make additional findings before terminating a resident's right to refuse treatment. Without a court order, the provision of any treatment over a resident's express refusal is a violation of several residents rights and is criminal battery.

Similarly, doctors cannot order "Do Not Resuscitate" orders without the written authorization of their patients. For DNR orders, designated health care agents may sign for the patient. However, doctors may not unilaterally impose DNR orders without a resident or resident representative signature.

Nursing homes throughout California are accustomed to interposing their notions of a resident's best interests over the expressed wishes of their residents. The Department of Public Health and resident advocates have been generally weak in preventing this illegal conduct. Hopefully, the tragedy in Capitola will serve as a warning to both facilities and advocates about the deadly consequences of disregarding residents' critical rights to direct their own treatment.

Anthony Chicotel is an attorney for the California Advocates for Nursing Home Reform in San Francisco.

DNR does not mean do not treat!

Santa Cruz Sentinel has an article about the tragedy that is all too common for many nursing home residents.  Nursing homes fail to train on what DNR status means, and far too often simple care is not provided that would save a resident's life.  Below are excerpts from the article.

The Tragedy: On Sept. 11, 2007, a 71-year-old woman with cancer was transferred to Pacific Care Manor, a nursing home in Capitola. Just prior to her admission, the woman's doctor noted that her patient was lucid and responsive and "could have years to live." Most importantly, the patient had also expressed a desire to live.

Shortly after her admission, the woman began refusing food, water and any treatment. Within two days, she was screaming and combative. On day three, the nursing staff suggested that lab work be ordered to determine the cause of the resident's distress. The facility's director of nursing overruled the suggestion because "once we know what is going on then we will have to treat her." Instead, the nursing director asked the facility doctor to prescribe pain medication and a "do not resuscitate" order. The doctor complied and, despite the woman's documented opiate intolerance, he prescribed a Fentanyl patch, Haldol, morphine. He also wrote an order for "no CPR, no hospitalization." His patient cried out "you are all going to kill me" after the forcible administration of the prescribed medications. On Sept. 16, just five days after her admission, the resident died. 

All residents of nursing homes have the right to grant or withhold consent to any proposed treatment.  Residents have the right to refuse or consent to treatment and to receive all information relevant to making their treatment decisions. Providing such information is part of any responsible nursing home's assessment and care planning process. Federal regulations also reaffirm residents' rights to informed consent and to refuse treatment.

Regardless of a resident's mental capacity, no facility may administer treatment unless the resident has agreed or has been specifically adjudicated incompetent by a state court judge. Even after a court has determined that a resident is incompetent, it must make additional findings before terminating a resident's right to refuse treatment. Without a court order, the provision of any treatment over a resident's express refusal is a violation of several residents rights and is criminal battery.

Similarly, doctors cannot order "Do Not Resuscitate" orders without the written authorization of their patients. For DNR orders, designated health care agents may sign for the patient. However, doctors may not unilaterally impose DNR orders without a resident or resident representative signature.

Nursing homes throughout California are accustomed to interposing their notions of a resident's best interests over the expressed wishes of their residents. The Department of Public Health and resident advocates have been generally weak in preventing this illegal conduct. Hopefully, the tragedy in Capitola will serve as a warning to both facilities and advocates about the deadly consequences of disregarding residents' critical rights to direct their own treatment.

Anthony Chicotel is an attorney for the California Advocates for Nursing Home Reform in San Francisco.

Use of chemical restraints in nursing homes

 Warren Wolfe of the Star Tribune in St. Paul, Mn. wrote a great article on the overuse of medications in the nursing home population.

Thousands of nursing homes nationwide are using powerful antipsychotic drugs to quiet disruptive people with mild dementia -- at times a step that's easier and cheaper than training staff to fix the problem.   The practice is alarming Medicaid officials so they ordered state nursing home inspectors to crack down on it. 

The Food and Drug Administration requires some to carry a "black box warning" that they heighten risk of death for older patients, a warning that it might extend to all antipsychotic drugs. They also increase the risk of confusion and falling.   The drugs often are prescribed whether the resident is psychotic or not.

Antipsychotic drugs have become the No. 1 drug paid for by Medicaid, which regulates and pays for nursing home care.  It's easy to understand why an overworked and burnt out nurse might want a resident drugged as a chemical restraint.  However, unless the resident is combative because of a mental illness such as paranoia, there's always a better way to control disruptive behavior in someone with dementia than with drugs, said John Brose, a Minneapolis psychologist who consults at more than 100 nursing homes, including Hopkins.

"Usually, that person is trying to communicate something -- I'm too cold, too hot, constipated, frightened, tired, thirsty," he said. "Figure that out, then deal with the real problem."


Neglected resident files suit

WHEC-TV ran a story about a neglected resident who sued a nursing home for pressure ulcers, bedsores, and gangrene at Blossom South Nursing and Rehabilitation Center.  The nursing home is already facing nearly $150,000 in fines from the state for other deficiencies.

Resident Ruby Myers' right leg was amputated after gangrene had set in.  Myers broke her leg last September. Doctors put her leg into a brace that apparently caused severe pressure ulcers and open sores. The circulation in the leg was stopped.  The woman also suffered from bedsores.

D.A. Mike Green has decided to defer to the state health department for possible action but no penalty has been decided yet.   Over the last three years, Blossom South had 70 standard health deficiencies, while the statewide average was 16. And deficiencies related to "actual harm" or "immediate jeopardy" were 10 for Blossom South, compared to just one for the state average for a nursing home.


Threat of eviction silences complaints.

South Florida Sun-Sentinel.com has an article from Violette King, president of Nursing Home Monitors, a non-profit, all-volunteer advocacy group for nursing home safety about improper discharges and evictions of residents from nursing homes.  She encourages the media to put a spotllight on the injustices that occur daily in nursing homes throughout the country because the exposure will hurt the profits and therefore will deter bad behavior.

Long-term care facilities spend a lot of money to make sure that their beds are full. They know very well that bad publicity translates into the anathema of empty beds. Legislation to require facilities to give a reason for discharge should be spurred on by the media to add more protective measures. Legislators are under immense pressure from the many long-term care lobbyists who swarm their offices.

Involuntarily discharging a resident can lead to serious setbacks and even death from what is known as "transfer trauma." There are only three acceptable reasons for evicting a resident: The facility can no longer meet the resident's needs, the resident or Medicaid has failed to pay the bill, or the resident is a danger to him/herself or to others. The burden of proof should always be on the facility to prove its case, which should be done at a proper hearing where legal assistance is provided for residents who cannot afford an attorney.

Good profits and lack of oversight lead to far too many unscrupulous characters going into the nursing home industry. When a resident or the family complain about needs that are not met as agreed, the facility all too often asks them to leave.  Threat of eviction has a chilling, silencing effect on families who usually have no other choice for placement.

Giving voice to the neglected voiceless

In many of our neglect and abuse cases, the victim is unable to testify regarding the bad care because of dementia or death.  I read an article today about a man who is competent and speaking up for his rights and the rights of others at the facility where he lives.  Mr. Crawley is a competent 48 year old man who resides at Sunrise Rehabilitation & Care in Marion, N.C.   "I am not being treated like, I feel, as a human being," said Crawley. 

Crawley became a paraplegic as a result of a car wreck in 1982. His 81-year-old father, Joe Crawley Sr., can no longer take care of him and he started living at Sunrise Rehab on Oct. 15. For the first two weeks there, the staff didn't give him a bath or shower.  "I don't know what is going on here," he said. "It seems like they make a lot of errors in simple things."

Crawley said his elderly roommate will talk incoherently and constantly yell about having to urinate, and, rather than listening to him, the staff will shut the door. With the heater running, that makes the room get hot for both Crawley and his roommate. He said he has called the nurse's station to have the door opened but is ignored.

His sister said the staff once left a feces-soiled blue pad on his wheelchair for more than two hours. His father, who visits him twice a week, found it and thought his son had had an accident. He bagged up the soiled pad and took it to the nurse's desk.  "That's an unsanitary condition and that's neglect," said Pilgrim.

Crawley said he's confined in his bed 21 hours a day.   This will increase the likelihood of developing pressure ulcers. 

Crawley added he's paying $879 a month to stay at Sunrise Rehab, which leaves him with just $30 out of his monthly disability check. He wishes he could go someplace else.

"I don't know if they think I am incoherent or lost my faculties or don't know what is going on," he said. "But I do know what is going on. I need more than anything to be transferred to a place that deals with wound care."

"They are neglecting the people," said Buckner. "That is why there is a waiting list at Autumn Care."

The official Web site for Medicare contains information about nursing homes across the nation. The site states that Sunrise Rehab had 11 health deficiencies, which are above the state and national averages. One of the deficiencies included failure to "write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property."  Another deficiency found on May 10 by inspectors was failure to "give professional services that meet a professional standard of quality."

In addition, inspectors found on Aug. 30 that Sunrise Rehab failed to "make sure that residents are safe from serious medication errors" and it also failed to "make sure that the nursing home area is free of dangers that cause accidents."

See full article here.

2 residents killed after wandering away from facility

Here is an article about a tragic case where a nursing home failed to supervise residents who ended up walking away from the facility and was killed in a car accident.  For the second time in six weeks, a resident of the Dover Woods health care facility has been struck and killed by a car. 

Township officials expressed frustration at their inability to come to an agreement over safety measures for the facility's residents with its owners, the Erez Health Care Realty Company LLC of Lakewood.

A meeting had been scheduled for mid-January, but it was canceled it because the company wanted its corporate defense lawyer to appear. No new date has been scheduled.   The facility doers not seem concerned that two of their residents have died as a result of their failure to properly supervise their residents as they are required and paid to do.

In December, police were called to Dover Woods for more than 37 incidents ranging from residents wandering along the highways picking up cigarette butts to the harassment of customers at a nearby shopping center.   The Police Department has responded to the facility 27 times this year.

Texas manager threatened resident with a hammer

Texas Attorney General Greg Abbott has filed a lawsuit against a Fort Worth assisted living center, claiming its manager threatened residents with a hammer, withheld food and locked some of them out of the building at night.  See full article here.

Abbott says the alleged abuse took place at the Oasis Village assisted living facility, located in Fort Worth's Polytechnic neighborhood. A district judge issued a temporary injunction against the owner of the facility, God's Intercessory Prayer Warriors Ministries, Inc., and its manager, Bertha McCoy.

According to state inspectors from the Department of Aging and Disability Services, at least five residents at the facility have complained that McCoy abused them. Some residents said she took the mattresses from their beds and forced them to sleep on metal bed frames, as punishment for soiling their sheets. They also said she locked them out of the building overnight. State inspectors also found evidence that McCoy hit several residents and threatened some with a hammer.

Inspectors reportedly found a hammer in McCoy's office during a recent visit.

The state has filed suit against Oasis Village with the facility facing a punishment of up to $10,000 per penalty.   All of the residents at the facility have been relocated.

Neglect alleged in Florida nursing home

The Naplenews had a frightening article about a recent lawsuit that chronicles severe neglect of a resident. 
Sophie Arvigo moved into Lakeside Pavilion Nursing Home in Naples.  After several years there, her care and treatment took a dramatic turn for the worse.

There was neglect that led to painful and humiliating medical problems, and traumatic injuries that resulted from physical mishandling by staff.   The family contends nursing home staff dropped Arvigo from a Hoyer lift, a sling-like device to move immobile individuals, and wasn’t taken for X-rays until two days later despite outcries of pain.  She suffered an impacted hip fracture that was not recognized by the staff despite numerous signs and symptoms of a broken bone.

She was injured a second time while being wheeled in her wheelchair and a third time while being moved again in a Hoyer lift.   The complaint said the nursing home staff and administrators were negligent by failing to protect Arvigo against injuries and for failure to properly hire, retain and supervise nurses who were qualified and capable of treating her as expected in the nursing profession.

The nursing staff failed to address Arvigo’s numerous bouts of dehydration and severe weight loss, numerous urinary tract infections, respiratory infections, bed sores and odorous drainage from her left ear, among other medical conditions.

The complaint also says the nursing home failed to notify a doctor about the significant changes in Arvigo’s condition and failed to follow doctor’s orders for her treatment, including monitoring her changes.

Investigation into suspicious nursing home deaths

The Chicago Tribune has a story about the suspicious deaths possibly caused by morphine overdose at a nursing home.  McHenry County prosecutors acknowledge the suspicious deaths at the Woodstock Residence nursing home in Woodstock have been difficult to pursue.  Three bodies were exhumed last year, and tissue samples were sent to a Pennsylvania lab for analysis.

The bodies of three others whose deaths investigators consider suspicious could not be examined because they were cremated.  Alissa Nataupsky, administrator of the Woodstock Residence, has denied any wrongdoing at the home and has said the investigation was triggered by a former employee.

When Cole, 78, died in September 2006, the cause of death was listed as pneumonia. Cole had been living at the Woodstock Residence for two months.

If lab results do not conclusively show that morphine overdoses caused the deaths of the three former residents whose bodies were exhumed, a grand jury might be used to further investigate the case, a law enforcement source said. 


Anonymous phone call may lead to shocking truth of abuse

The L.A. Times has an incredible story that is far too common in today's nursing home industry.  

 Rita Kittower buried her husband last month.  She had bade a tearful goodbye to her mate of 49 years, who had passed away in an exclusive assisted living facility in Calabasas. "He just stopped breathing," Kittower said she was told by a staff member.

Then came the anonymous phone call the day after the funeral. A female employee of the nursing home told Rita that her 80-year-old husband's death had been anything but peaceful. She said Elmore Kittower had been beaten to death by someone on the staff. 

Detectives from the Los Angeles County Sheriff's Department asked if they could exhume her husband's body to determine what actually happened.

Mr. Kittower had a stroke which necessitated a stay at a nursing home for rehabilitation. Through a recommendation, Mrs. kittower found a place called Silverado Senior Living in Calabasas. The place specialized in taking care of residents like Mr. Kittower.  The price for such service wasn't cheap. Rita said she paid nearly $75,000 a year for her husband to share a room with another patient.

On Sunday, Oct. 28, the Kittower family gathered at Silverado to celebrate Elmore's 80th birthday. The following Sunday, Rita and Elise came back for another visit.  It was the last time they would see Elmore alive.

Two days later, a sheriff's deputy told her that her husband had died at 8:30 that morning. When Rita called the nursing home she was told that Elmore had "just stopped breathing."

On Nov. 10, the day after her husband was buried, Rita received the mysterious call from a woman who identified herself only as Maria. The woman said she hadn't slept in three days.

The woman said a staff member had punched Elmore in the eye and wrapped a towel around his head in an apparent attempt to suffocate him.

She hung up the phone, but not before getting the woman's number. Rita asked her son to call the woman back. He elicited more details from the caller. When Rita asked about it, he said, "You don't want to know."

Rita asked her nephew, Paul Zwerdling, to call the Sheriff's Department.   As it turned out, sheriff's officials already had their suspicions about Elmore Kittower's death. The woman who called Rita Kittower also made an anonymous call to the Lost Hills sheriff's station and mailed an anonymous letter to a nearby fire station.

Lt. Al Grotefend said detectives gathered sufficient evidence to warrant an exhumation.  After consulting with family members, she agreed to the exhumation in order to "find out the truth" and protect any other potential victims. 

Sources confirm some trauma to Kittower's remains that was consistent with an assault.

Grotefend said detectives developed a prime suspect in the case -- a caregiver who no longer works at the facility.  The suspect was arrested shortly after Kittower's death on suspicion of elder abuse, but the case was rejected by the district attorney's office.

Grotefend said that the arrest was made before the exhumation and that detectives have since gathered additional information and plan to resubmit the case to prosecutors.

Not surprisingly, Mark Mostow, a paid spokesman for Silverado Senior Living, said the company had completed its own "investigation" and "found nothing to substantiate any wrongdoing."   However,  Mostow admitted that the employee accused of assaulting Kittower had been terminated for violating an undisclosed policy.


Allegations of neglect including no hot water

Residents at a nursing home in Idaho are alleging the facility is neglecting its residents and has failed to provide hot water for nine days.

A new water pump was ordered Thursday when hot water went out at the home.  Hot water was  available in the home's kitchen and laundry room. The hot water was temporarily restored Thursday, failed again Friday and was not repaired until Sunday because the replacement pump was damaged in transit.  Relatives of some patients deny hot water was available.

"My mom hasn't had a bath since she's been here," said Butch Malone, whose mother arrived at the care center Dec. 10.

The families also say the center's staff is unresponsive when patients call for help. For example, Randy Speaks' 40-year-old daughter said it has taken staff as long as an hour to respond when his daughter is in need.

During the facility's last inspection in September, state inspectors said the home was deficient in failing to properly treat or prevent bed sores, according to reports posted on the national Medicare Web site.

The inspection also found the home "failed to prepare food that is nutritional, appetizing, tasty, attractive, well-cooked and at the right temperature."

See full article here.

First hand account of being a resident

Here is an article about a self described "nursing home survivor" who relays his experience in a nursing home.  Below are excerpts of his article.

I was an industrial electrician by trade, trained to evaluate current flows and make connections between positives and negatives. Get shocked once and you'll never grab a live wire again. I'm also a Tennessee nursing home survivor, and the same goes for the 5½ years I spent living in a "home." The experience was beyond shocking. I will never repeat it.

Jan. 15, 1984, was the day of the accident that changed my life forever, leaving me with quadriplegia. I began a journey no one would want to take — but many probably will. I was 35, young enough to at least put up the kind of fight that many nursing home residents are too elderly or sick to wage. I survived several life-threatening mistakes by poorly trained staff, years of conflict with unequipped and unsympathetic "caregivers" and countless unanswered calls for help.

I made it my mission to get out of that home, and now work to help others do the same. I wish I could say that conditions have greatly improved since 1984. But 20 nursing homes across the state have had their admissions suspended this year, a 100 percent increase from 2006; and 91 percent of the state's homes had complaints filed against them in 2006.

Yes, nursing homes are inspected every year by the state. But what inspectors never see are the nurses and administrators scrambling after getting notice of an upcoming visit. During one of these frenzies, I told a friend, "Better watch out, you might get run over by somebody doing something they haven't done all year!"

Before these inspections, staff members are like juveniles trying to clean up after a party before their parents get home. Bedsores are dressed, soiled linens are washed, meds are — quite generously — given, the stale scent of sickness is replaced with that of disinfectant.

Lobby keeps funds flowing

Despite their miserable track records, nursing homes receive 99 percent of the $1 billion in tax dollars that Tennessee dedicates to long-term care. Eighty percent of these homes are private, for-profit entities. It's no wonder the nursing home lobby gives hundreds of thousands in campaign contributions each year to our state legislators; they're trying to protect what they claim is "their" money.

Only 1 percent of tax dollars goes to home- and community-based care, even though this type of care is usually far better. This completely lopsided allocation of tax dollars makes Tennessee 50th in the U.S. — dead last — in funding for long-term, home-based and community care.

We can change this. Most of us will ultimately need to arrange long-term care for a loved one or will need it ourselves. We must demand legislators redistribute our tax dollars in favor of significantly more funding for home- and community-based care.

We must also demand that, as long as the current system is in place, the state increase the number and quality of nursing home inspections.

And finally, we must bring to a grinding halt the practice of notifying homes of upcoming inspections. The state represents the citizens who have to live in these places. On their behalf, its inspectors should be welcomed at any time.

Neglected resident's family wants answers

A family whose mother passed away two years ago after spending just a month in a nursing home says her death should not have happened then and now they're asking for help. "She walked, talked, could eat on her own," said Arnold Trevino, remembering his mother before she checked in," he said, "when she left out of there, she left out of there an invalid, she couldn't talk," he explained. Full article here.

He says after his mother stayed at the Valley Grande Manor for just 30 days, the damage was done.   Trevino said his problems with Valley Grande Manor began when his sister, a registered nurse, told the staff her mother was suffering a heart attack. He claims the staff refused to take her to the hospital, so he called the state to get her out. "When she was taken to the hospital, doctors told us she had not been fed, given any water and that she had abusive bruising that they don't know how she relieved," said Trevino.

That's when he took pictures he says are even more proof. Natalia Trevino died just weeks later, her death certificate names malnutrition as a contributing factor.

Trevino says he's frustrated, because even though this report shows several violations including LVN staff without a valid license, and others with convictions working there, he can't get anyone to take action.

But Trevino wants someone to take action against the staff that treated his mother. "I want for them to face the same consequences that I would have faced if I would have taken my mother to the hospital in that condition," Trevino said.

Maggots found in resident's eye

This story really upset me.  I can't imagine the excuses the nursing home will use to explain this neglect away.  Florida police began investigating why an 82-year-old man from the University Center West nursing home was so severely neglected, he ended up in the hospital.

The man was taken to the hospital suffering chest pains and difficulty breathing.  What doctors found was so alarming, they had to call DeLand police.

Doctors told police the hospice patient had bed sores, his breathing tube was infected, and they found maggots in his left eye.

JoAnn Grasso, the administrator of the nursing home, declined to comment specifically on the case.

Former University Center West employee Monique Miller said she was not surprised.

"I haven't seen maggots — but bed sores, yes," Miller said. "That doesn't surprise me at University Center West. No, it does not, because I've seen it several times."

Miller said supervisors at the home are lax and allow unhealthy conditions to continue until its too late.

"You have to be half dead for them to send you out to the hospital, because they're afraid to lose money, or their beds will be empty," Miller said. "That's scary. It's very scary. You have to watch it. You have to be very careful when you put a family member in a nursing home — all nursing homes."

Allegations of rape in Kansas nursing home

Kansas City, Missouri Police are investigating the alleged rape of an 80-year-old woman at a Northland nursing home.   While management vehemently denies anything happened, a medical examination shows otherwise. 

The 80-year-old woman was found naked from the waist down Wednesday afternoon.

According to the police report, the victim's daughter noticed bruising in her private area and asked if anyone touched her there. The victim replied, "Yes, it was hell."

Police said they have not had a chance to talk to the victim because the nursing home has given her sedatives.  They hope to speak with her soon.


Nursing home failed to notify family of death of mother

Huberto Garmon says when his mother died on July 15th no one from the Resort Nursing Home where she was staying contacted him to let him know.   “Not only did I find out that she passed away, but she passed two and a half months ago,” said Garmon.

In fact, Garmon claims staffers told him on several occasions that his 86-year-old mother, who was suffering from kidney failure, was either getting treatment at the nursing home or at Peninsula Hospital. He says he found out only this week that she had died.

“I'm thinking that she's at the nursing home,” he said. “I know they're going to call me, because if they contacted me for an authorization for an operation, they'll contact me if it happens, so we didn't know nothing until I called to say I wanted to go and visit her.”

Garmon says when he tried to get to the bottom of what happened, both the hospital and the nursing home began pointing fingers at each other.

“After experiencing what he did, my client wants to make sure no one else will experience what he did and very often that cannot be accomplished unless some appropriate action, some formal action is taken,” said his attorney Everett Hopkins.

Garmon says he also wants to retrieve his mother's body from a cemetery for unclaimed remains, and give her a proper goodbye.

Wall Street And Nursing Homes?

I came across an article discussing the trend of Wall Street investment groups buying nursing homes and the effect it is having on residents and litigation.  Check out my summary: 

In recent years the Long Term Care industry has seen thousands of nursing homes across the nation taken over by Wall Street investment groups and unfortunately, this change has not been to the advantage of the residents.  Many of the nursing homes purchased were struggling financially before ownership changed hands and are now returning millions in profits at the expense of the residents who rely on these facilities for their daily needs. 

Take for example Habana Health Care Center in Tampa, Florida.  It was purchased along with 48 other nursing homes in 2002 by Wall Street Investors including Warburg Pincus and The Carlyle Group.  The Carlyle Group bought out Dunkin' Donuts.  (I'm sure that makes them good health care providers.)  Since these groups have taken over, costs have been cut to pull Habana out of its struggling financial situation.  The Centers for Medicare and Medicaid Services indicate that the number of Registered Nurses employed at the facility has been cut in half.  Florida's Agency for Health Care Administration reports that budgets for nursing supplies, resident activities and other services have also been cut.  The nursing home was repeatedly  warned by regulators that staffing was below the required levels and inspections revealed several violations.

In just three years 15 Habana residents died resulting in lawsuits claiming neglect.  Vivian Hewitt is one of the family members who filed a lawsuit against Habana when her mother passed away.  Mrs. Hewitt's mother had a bedsore that became infected with feces.

Data collected by the Centers for Medicare and Medicaid Services indicate that residents at facilities owned by large private investment firms generally do not do as well as  residents in publicly owned facilities.  

There is another problem created when a nursing home is owned by private investment firms.  Typically these companies make litigation difficult for plaintiffs by spreading ownership across many firms, including management, real estate, holding companies, etc.  Some companies are created just to hire staff or purchase equipment.  Many companies have no actual office or staff.  This allows corporations to protect themselves from litigation as well as increase their profits by renting the nursing home from themselves, buying equipment from themselves, and so forth.  Many plaintiffs don't know who to sue or end up having to name 10 or 15 defendants to cover all companies involved with the facility.

When Mrs. Hewitt filed suit against Habana over her mother's death, her attorney began investigating the corporate side of the facility.  Three years and $30,000 later and they haven't made much progress.

Nathan P. Carter, a plaintiffs' attorney in Florida said he once had to sue 22 companies in a nursing home case.  He also said he believes that about 70 percent of plaintiffs' attorneys who used to sue nursing homes no longer do because the complicated corporate structures make it so difficult.

There are currently groups who are lobbying to make the corporate structure at nursing homes simpler and smaller in hopes that resident care will get better and litigation will get easier.  One such group is the National Citizens’ Coalition for Nursing Home Reform. 

Check out the full story at :  http://freeinternetpress.com/story.php?sid=13671#more

Nursing Home Profits

This weekend, the New York Times published an article about the profitability of nursing homes.  The article points out that while profits are rising, quality of care is falling.  This may come as a surprise to the nursing home industry who, as a general rule, seems to constantly repeat their litany about how they aren't making any money.  I couldn't be happier to see the New York Times say the same thing that we already know . . . someone's making money in the nursing home business.  So this is not new news to me.  And I'm sure its not new news to many lawyers across the country.   However, it is good news to see the press pick up on this and put it front page on Sunday morning.

And, once again, the industry focuses not on the care they provide but the trouble they have with lawsuits . . . and their response is  "we made the companies smaller and poorer, and the lawsuits have diminished."  The industry takes no responsibility for lack of quality care that results from making the companies smaller and poorer.  To be fair, the previous quote was taken from an executive with a company called Formation properties - a company who owns the Habana Health Care nursing home which the article focuses on.  However, I'm comfortable that the nursing home industry as a whole would stand behind this quote.  There are no comments in the article defending the qualtiy of care that residents receive.

One day, we may all be facing the decision of whether or not to put a loved one in a nursing home, if we haven't already.  And one day, we may all be facing the decision of whether or not we will need nursing home care ourselves.  I can only hope that some of the executives that have put this grand money making scheme into practice will have to look into the face of their family members or into their own mirrors and decide if that nursing home, the one they have swept money away from, is somewhere they would feel comfortable placing their mothers, fathers, wives, or husbands in.  Or even better yet, is that nursing home a place they would want to live out their final days . . . Ultimately, justice can come in many forms.

To read the entire article, click here.

Another sexual assault at a nursing home

In Moundsville, W.V.a.,  Police said a mentally handicapped woman was sexually assaulted inside a Moundsville nursing home. The suspect is Roy Reed Sheldon, 22, who was placed into a cruiser and headed to jail after his arraignment Wednesday afternoon. 

He sexually assaulted a 57-year-old mentally handicapped woman who was a resident of Dora Allietta Memorial Home on Eighth Street.   Police got a call over the weekend from an employee after the victim said Sheldon raped her.

A blanket covers the sign at the nursing home -- and it turns out Sheldon is no stranger to the place. Police said he lives on the top floor and his wife manages the home. Sheldon's wife no longer works there.

Sheldon is facing sexual assault, sexual abuse, and indecent exposure charges. Police said he gave a confession, but denies having intercourse with the woman.