Importance of Background Checks

The Jackson Sun News had an incredible story about a nursing home who hired a woman with a long history of fraud and forgery.  Sheila Watson was arrested and charged with one count of identity theft, four counts of criminal simulation, four counts of forgery, one count of criminal impersonation and one count of theft over $1,000.  Watson was the social services director at Bells Nursing Home.  Watson is also an ex-convict who has used at least half a dozen different names in a long history of state and federal fraud, forgery and theft convictions.

The investigation into Watson — who has worked at the nursing home since July — began when the nursing home received a call from a state agency.  The investigation is still ongoing but "They said she did a great job and was a good employee," Klyce said. "We've looked at her computer and couldn't find any evidence at this point."

 

When the Sheriff's Department began investigating, authorities soon discovered Watson's job application was only the tip of the iceberg, he said:

She had borrowed money from the Bank of Crockett County using false documents. She was wanted in Iowa on charges of theft over $10,000. She was on probation but was using a different name and job description to report to her probation officer.

Watson was arrested as Sheila F. Hayes in November 2002 on federal charges of forgery, theft of property and identity theft, according to The Jackson Sun's archives.

She was accused of stealing mail from 135 victims in West and Middle Tennessee for the purpose of stealing identities and embezzling money. She later pleaded guilty to one count of mail theft and was sentenced to five years in prison and three years' probation.

At the time, the judge said Hayes had the highest criminal history score of any woman he had seen in his 20 years as a judge. The bulk of her prior convictions were for theft and fraud, but she was also convicted of escape from a Metro Nashville jail. Watson had charges stretching back to 1989, most of them in Middle and West Tennessee. She reported to a probation officer in Jackson under the name Sheila Hayes and told them she worked for a construction company.

 

 

Employee pleads guilty to forgery

Duluth Tribune News had an article about another nursing home employee stealing from the resident sin her care.  Patti Marie Peterson pleaded guilty to check forgery, and admitted to stealing five blank checks from a nursing home resident and wrote them out to herself.  Peterson was convicted of transferring stolen property in 1996.   She was sentenced to only three years probation.

Peterson was employed at the Bayshore Health Center, an adult assisted living facility on Park Point. A 78-year-old man reported to another Bayshore employee in October that he was missing some checks. Peterson allegedly took a check from the man’s checkbook, wrote it out to herself in the amount of $700 and had the man sign it over as a loan to her. Peterson then wrote five more checks to herself totaling $3,050, forging the man’s signature.

As conditions of probation, Peterson must pay $3,750 in restitution to her victim, obtain a General Educational Development certificate, find employment or be enrolled in school and write an apology to her victim.

 


 

Negligent hiring leads to sexual assault

ABC11 had a story about a nursing home employee named Michael Brodie who is accused of sexually assaulting a female resident at the Wake Forest Adult Care Center.  Brodie is a 42 year old CNA. 

There are laws regulating who can and can't work at adult care facilities.  ABC11 Eyewitness News I-Team investigation found that this isn't Brodie's first brush with the law.  His rap sheet also includes misdemeanor simple assault and an assault with a deadly weapon charge.  Just the kind of person you want taking care of your loved one.

"It was very inappropriate that's all I can say about that," Wake Forest Care Center Director Terri Allen said. "I can't really tell you what happened."

 

 

 

 


 

Another Sexual Assault

The Boston Herald had another article about a sexual assault at a nursing home.  Are these nursing homes doing background checks or interviews? Where is the supervision?  Antonio Aburjaile has been charged with sexually assaulting two nursing home patients who were entrusted to his care.  He was indicted on three counts of indecent assault and battery on an elder and lewd and lascivious behavior.

A certified nursing assistant, Aburjaile worked at the Elizabeth Seton Residence, where he helped patients with range-of-motion exercises, fed them and made their beds.  His alleged victims include two women, ages 71 and 70.

Aburjaile was fired in March 2009 following a state Department of Public Health review of the complaints against him.  The nursing home tried to defend themselves by alleging that Aburjaile successfully underwent a background screening before he was hired.

Illinois Task Force Proposals

The Chicago Tribune had an article about the weak and disappointing proposals to improve safety and the quality of care in nursing homes.  A panel appointed by Gov. Pat Quinn proposed  an array of sweeping reforms designed to end the chronic violence and abuse that plague some nursing homes, while fostering better treatment for people with serious mental illness living in those facilities. The proposals range from tightened criminal background checks of new nursing home residents to stronger sanctions and enforcement of facilities with chronic safety breaches.

Quinn's Nursing Home Safety Task Force also recommended that state police begin searching nursing homes for residents with outstanding warrants, and urged the state to increase minimum staffing requirements of the facilities to bring them up to standards spelled out in federal government studies on nursing home care.  "Urge"?  Why don't they propose specific hours per patient day?

 

27 "preliminary recommendations" will be refined before a final report is delivered to the governor. Quinn's task force was formed in response to a series of Tribune reports on assaults, rapes and murders in the state's nursing homes. Illinois as most states, extensively mixes geriatric and mentally ill nursing home residents, and understaffed facilities have failed to treat and monitor their most violent patients, government records show.

Mark Heyrman, a University of Chicago Law School professor and chair of public policy for Mental Health America of Illinois, was more cautious, saying the recommendations "do not go far enough. ... We are concerned that, once the media attention dies down, the state will be under renewed pressure not to enforce either the old laws and rules or the new ones proposed by the task force."

The task force recommended that the state Department of Public Health hire additional nursing home inspectors and retrain its current inspectors to focus on safety and care issues involving the mentally ill. Although mentally ill people, if given proper treatment, are no more likely than others to be dangerous or to commit crimes, many facilities provided grossly substandard care, the Tribune found. Many of the psychiatric patients are clustered in a relatively small subset of nursing facilities whose impoverished residents have few other options, and the paper's analysis showed the homes with the most felons had the lowest nursing staff-to-patient ratios.

Among the reforms that might be put into place fairly rapidly are a tightening of criminal background checks and screenings of people entering nursing homes. The Tribune's review of confidential case files showed the state's criminal background checks on new residents were riddled with errors and omissions that grossly understated their criminal records and danger to others. Some of these poorly screened offenders went on to commit assaults and other serious crimes inside the homes where they lived.

The task force recommended more detailed assessments to gauge people's potential for engaging in violent behavior, and said the criminal checks should be started before people are admitted to facilities. Also, the task force urged the state to sanction homes that do not promptly complete the screening reports.

The Health Department should get greater authority to revoke the licenses of nursing homes that repeatedly violate state safety regulations, the task force said. And government agencies should mete out more severe sanctions on nursing home administrators and top employees who engage in misconduct.

The Tribune reported that frail and elderly residents often were pumped with powerful anti-psychotic drugs without their consent and without a proper diagnosis. One of the nation's most prolific prescribers of psychiatric drugs provided assembly-line care for thousands of mentally ill patients housed in Chicago-area nursing homes -- while a large pharmaceutical company paid him to promote the drugs despite doubts about his credibility.

 

Health Care Reform Bill includes new rules for nursing homes

NCCNHR (formerly the National Citizens' Coalition for Nursing Home Reform) is a 501(c)(3) nonprofit membership organization founded in 1975 by Elma L. Holder to protect the rights, safety and dignity of America's long-term care consumers.   NCCNHR issued the following Bulletin:

The health care reform bill passed by the House of Representativesbefore includes not only sweeping health insurance reforms but also nursing home transparency, criminal background checks on long-term care workers, and a voluntary payroll deduction system that would provide benefits for long-term care services. The bill, H.R. 3962, the Affordable Health Care for America Act, can be downloaded at http://thomas.loc.gov.

 

As expected, the bill includes-without amendment-nursing home transparency provisions requiring:

1)  Public disclosure of individuals and entities that own, govern, operate, finance, provide services to, and/or control the nation's nursing homes.

2)  Compliance and ethics programs and internal quality assurance programs in nursing homes, and pilot projects to test ways to improve oversight of chains.

3)  Collection and reporting of staffing information based on payroll data, including hours of care per resident day, turnover and retention rates, and facility expenditures for wages and benefits.

4)  A review of Nursing Home Compare and addition of information about sanctions against facilities and the number of adjudicated crimes occurring in them.

5)  A categorical breakdown of expenditures on cost reports to show how much facilities spend on direct care versus other expenses.

6)  An improved state complaint process to help protect complainants against retaliation.

7)  An increase in federal civil monetary penalties and a process to hold CMPs in escrow during appeals (although only after an independent informal dispute resolution process was completed).
8)  Adequate notification when facilities decided to close, including the option for the government to continue reimbursement until relocation was achieved.

9)  Training of nursing assistants in dementia care and abuse prevention.

10)  The bill would authorize a program of national criminal background checks on all long-term care workers who have access to residents or patients--from those who provide in-home long-term care services to nursing home employees.

H.R. 3962 also incorporates the Community Living Assistance Services and Supports (CLASS) Act to create a national voluntary social insurance system through which enrollees who became disabled (after paying into the system for at least five years) could purchase community-based long-term care, services or supports. Nursing home residents who were Medicaid beneficiaries could retain 5 percent of their benefit, in addition to their personal needs allowance, for their personal use while the remainder was applied to the cost of their care. (See page 1562 of the bill.)

 

Last-minute efforts to add the Elder Justice Act to H.R. 3962 were not successful. The EJA is in the health care reform bill passed by the Senate Finance Committee.

 

 

 

Penalties for hiring banned nurse

WCAX.com reported that two Burlington nursing homes were hit with big fines for having an unauthorized employee. Federal prosecutors say the Burlington Health and Rehab Center and the Starr Farm Nursing Home both hired a nurse who had been previously banned from working in facilities that receive federal health care funds, like Medicare. Such bans often result from fraud convictions, though prosecutors did not release specific details about the employee.

To settle the case with the government, Burlington Health and Rehab paid $175,000 in penalties. Starr Farm paid $40,000. 

How could this happen?  Didn't the nursing homes do the standard background check?  I wish they gave details of why the nurse was banned from working at a nursing home.

 

Nursing home employee steals from resident

WPTV.com had a story about another nursing home employee stealing from one of the residents under her care.  Natasha Petit-Homme has been arrested for stealing over $2,300 from an elderly victim under her care according to Florida Attorney General Bill McCollum. According to the attorney general the victim was an elderly resident of Woodlake Nursing and Rehabilitation Center, in West Palm Beach. Petit-Homme was employed as an admissions clerk.

The news release says while working at the facility, Petit-Homme gained access to the victim’s checkbook, wrote herself a check totaling $2,341, and deposited the funds into her personal checking account without permission.

Petit-Homme is charged with one count of exploitation of an elderly person, a third-degree felony. She faces up to five years in prison and a $5,000 fine if convicted.
 

Thefts and stolen identities seem to be increasing during the recession.  I hope residents' families keep track of checkbooks, and check credit reports of residents.

Nursing home employee steals resident's identity

WLKY.com had an article about the Louisville Metro Police's investigation of a nursing home employee who stole the identity of a patient, then turned around and took out nearly $100,000 in loans.  Danielle McClain faces at least a dozen counts of aggravated identity theft.  McClain was an occupational therapist at the Hurstbourne Care Center at Stony Brook.  She stole 85-year-old Jean Wright's personal information.  Wright spent six weeks at the facility after bypass surgery on her leg.

The investigation determined McClain had stolen Wright's information off her driver's license and from conversations the two had in the facility.  Records show McClain listed Wright as her grandmother on loan applications.  If convicted, McClain could face at least 20 years behind bars.

Records show McClain was convicted of forgery, theft, and criminal possession of a forged instrument in September 2000 and sentenced to 6 years in prison. Those records show she was released from prison in October 2007.  There is no explanation how she got hired at the nursing home.  It is doubtful the facility did any criminal background check.  If the facility had done an appropriate and required background check, this incident never would have happened.

Thief who stole from residents only gets 6 months

San Mateo County Times reported that a caregiver at a Menlo Park nursing home accused of stealing the checkbooks of two elderly residents in an embezzling scheme was sentenced in San Mateo County Superior Court to only six months in jail.

Ramil Panlaqui pleaded no contest to three felony counts of financial elder abuse in a deal with prosecutors that limited his punishment to two years in prison. He had been facing up to 10 years in prison on multiple felony counts, including residential burglary and elder abuse.

Panlaqui, who worked at Atherton Healthcare, stole the checkbooks of an 88-year-old resident and a 75-year-old resident and then wrote multiple checks from one victim's account to the other's before withdrawing the transferred money from the second account.  After Panlaqui's arrest, authorities found a completed check from a third victim, according to prosecutors.

In addition to his six-month prison sentence, Panlaqui was ordered by a Superior Court judge to serve three years' probation. He must also reimburse Wells Fargo and the Bank of America to replace the money stolen from the checking accounts.

 

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