Failure to Protect from Sexual Assaults

Lexington Herald-Leader have been writing some great articles on different problems going on in Kentucky's nursing homes.  This article discusses the failure to protect residents from sexual assaults such as Mae Campbell who was sexually abused twice as a resident of Hazard Nursing Home, according to the sworn testimony of two former nursing home employees.

Campbell, who has Alzheimer's, was sitting in the hallway of the home last year when, within sight of a nursing supervisor and other staff members, a male resident walked up and ejaculated on her face, according to a former nurse's aide.  When former Hazard nurse's aide Debbie Salley was deposed in the wrongful death case, she said that she had quit working at the nursing home in 2009 after witnessing the episode in the hallway. Salley said she thought the nursing home should have better protected Campbell.

Three months later she was sexually abused by another male resident who performed a similar sexual act, according to the deposition of a former nurse.  Sandy Noble, a former nurse who also was deposed in the wrongful death lawsuit, said she found a second male resident with Campbell in a room where he had blocked the door. He was nude from the waist down and Campbell had semen on her. The nurse said a supervisor told her not to tell anyone and that no harm had been done to Campbell.   According to the deposition, the nursing supervisor told Noble "to go on and keep working and ... not to be discussing it with anyone," and that "there was no actual harm done to the patient."

Under state law, nursing home officials and staff members are required to report incidents of abuse, neglect and exploitation to the cabinet. Hazard Nursing Home did not. "The facility failed to protect residents from unwanted sexual contact, failed to report the allegations to appropriate state agencies and failed to thoroughly investigate the allegations of sexual abuse," said the state's citation in the Campbell case.

In May, Campbell's sons sued the nursing home, saying that neither they nor authorities were contacted about the sexual abuse.  "Someone at the nursing home should have told us what was going on," said John C. Campbell Jr., a son. "If they had, we could have protected Mom. ... We could have gotten her out of there."

A Herald-Leader investigation found that since 2007, nine Kentucky nursing homes received Type A citations for cases involving sexual abuse and assault. At least two other cases of sex abuse have been documented that did not receive Type A citations. The abuse was committed by staff members, residents and visitors. In one case, a registered sex offender abused a woman when he visited a nursing home.

There were cases in which, despite warnings to nursing home officials by staff or family members, residents' sexual abuse of fellow patients went unchecked by nursing home officials.

Pamela Teaster, a University of Kentucky professor who is doing national research on sex abuse in nursing homes, said she suspects that such abuse is under-reported and "woefully" under-prosecuted.   Teaster and her fellow researchers have reported that some nursing home staff confuse assault with consenting activity among residents or assume that there is no harm to residents with cognitive problems.

Other sexual abuse cases cited by the cabinet since 2007 include one in which the facility failed to protect an 89-year-old woman from sexual abuse from a 44-year-old resident and a facility that failed to protect a resident from sexual abuse by a visitor.

In several cases, nursing home officials failed to monitor residents who had aggressive sexual behavior. In one, a male resident targeted nine female patients, in another case, 14 patients.

A male nurses' aide in a Western Kentucky nursing home sexually abused two female residents. In two cases, nurse's aides used cell phones to distribute nude or inappropriate photos and recordings of residents.

 

 

 

LPN pleads guilty to endangerment

The Democrat and Chronicle had an article about the licensed practical nurse admitted that he had sexual contact with a mentally incapacitated patient at a Rochester nursing home. Kipper Allen Stevens pleaded guilty to a misdemeanor of endangering the welfare of an incompetent or physically disabled person for assaulting the patient on Dec. 21, 2008, at Shore Winds nursing home.  Stevens admitted to a police investigator that he had sex with the woman. 

A co-worker witnessed sexual contact between Stevens and the woman and notified the nursing home's management a week later. During the investigation, Stevens told an investigator that he and the woman "were two consenting adults having a relationship" and denied having forcible sex with the woman. But he acknowledged it was improper for a caregiver to have a relationship with a patient.

Stevens also had been charged with second-degree rape, a felony which could have sent him to prison for up to seven years. Stevens only faced a maximum penalty of one year in jail for the misdemeanor but will receive nine months in jail with one-third off the sentence for good behavior, he'll be free in six months.

 

 

 

Another CNA guilty of rape

The Berkshire Eagle reported in an article that another nursing home employee was guilty of raping a resident.  Sean P. Murphy pleaded guilty in Berkshire Superior Court to raping a 74-year-old woman at a local nursing and rehabilitation center.  The Boston Herald had details regarding the sentencing here.

Murphy was arrested on July 4, 2008, following an investigation while he was employed at Hillcrest Commons where the incident took place.  The victim told law enforcement officers that Murphy had sexually assaulted her when he came in her room at night to examine her. Nurses discovered a used condom in the victim's room.

He originally refused the officers' request to provide a DNA sample. But after he was arrested, Murphy consented to giving a DNA sample after the officers said they could obtain a court order for one.   Murphy was sentenced to 7 to 10 years by a judge who said he considered the punishment too lenient.

 

NHC's CNA sentenced to 60 years

The Bristol Herald Courier had an article on James Wright, the NHC CNA who raped multiple residents.  Wright blamed his four victims for the sexual assaults they suffered according to a psychological evaluation. The evaluation was court-ordered to determine Wright’s eligibility for a sexual offender treatment program. The test has roughly 1,200 questions that focus on sexual desires and past relationships.

The evaluation describes the man who once fed, bathed and clothed National HealthCare’s elderly residents as a manipulative hedonist with tendencies of voyeurism and exhibitionism. It also ranks his personality in line with the average rapist and molester.

“He holds the victims responsible ... because the accuser wanted and liked the sex play that happened,” the evaluation states.

“This is no doubt an indescribably despicable criminal act,” Judge Kirksey said before issuing the 60 year sentence. “Certainly, as a certified nursing aide, you understand the position of trust ... you were placed in by these women and by [their] families.”

During the evaluation in March, Wright alluded to the technical significance of his plea.

“I was charged with four counts of groping,” he told the test administrator. “I did not hurt anybody. They were the mental patients. I made an Alford plea on the advice of my counsel. I did not plead guilty.”

“His ... evaluation shows that he preys on people who are helpless,” Wolfe said, noting that each victim had been diagnosed with dementia or Alzheimer’s. “He picked out victims that he didn’t think would be able to tell on him.”

Since Wright’s arrest last year, NHC-Bristol supervisors have been accused of both ignoring and failing to report suspected patient abuse. A state licensing board has fined and reprimanded former Director of Nursing Elizabeth Anne Franklin. Current home Administrator Charlotte Wilson and Nursing Supervisor Helen Roberts face possible sanctions against their licenses.

 

 

South Carolina should follow Illinois' lead

There were several articles the past couple of weeks regarding Illinois' new  law improving the safety and staffing in nursing homes. Lawmakers unanimously approved legislation that would raise the standards of care and safety in Illinois' troubled nursing homes. See articles from the Chicago Tribune here and here.  The law reflects the 38 recommendations of Quinn's Nursing Home Safety Task Force, which was formed last fall in response to a Tribune investigation into attacks, rapes and murders in the subset of facilities that mix aggressive and vulnerable residents.

The law would require nursing homes to increase staffing levels, meet higher standards before admitting patients with serious mental illness, tighten existing criminal background checks, psychological screenings of incoming nursing home residents, and segregate the most dangerous residents in secure units where they should receive more monitoring and treatment. 

Among the bill's other key provisions is a mandate that nursing homes admitting people with serious mental illness obtain a new certification demonstrating that they can and will effectively monitor and treat those residents. The new standards for those homes would require the homes to have sufficient staff, including psychiatric professionals, on a 24-hour basis; training of staff on "managing aggression and crisis prevention"; and substance abuse programs.

The bill also would establish a database that would track violent incidents inside the homes. It would add safeguards to ensure the informed consent of residents administered psychotropic drugs. And it would expand the state's ability to deny operators permits to open new homes if they run facilities that have repeatedly violated safety standards.

Lobbyists for the nursing home industry agreed to increase nursing staff levels in the next four years to 3.8 hours of daily nursing care for each resident who needs skilled care, up from the current minimum of 2.5 hours. Quinn's task force had recommended 4.1 hours.

It took tense negotiations and an eleventh-hour deal to strike a historic bill that aims to undo a half-century of failed policies and end a legacy of violence in which nursing home residents were raped, assaulted and murdered.

 

I wish South Carolina lawmakers were open to the idea of protecting residents and reforming nursing home care.

 

CNA accused of raping resident

Hilda Almonor, who works at a nursing home, faces charges she raped a patient.  Almonor is an aide at the nursing home.  She was arrested and charged with two counts of rape and a single count of indecent assault and battery. The alleged victim, a 68-year woman, told police that the assaults had been going on for several months.

See articles here and here.

 

Another Rape Arrest

NewsWest9 had an article about the arrest of 47 year old nursing home employee Richard Sanchez.  He works at the Clarendon Community Care Center, where the alleged crime happened. The Donley County sheriff says he does not want to release the age of the reported victim because the case is still under investigation. He expects more charges for Sanchez next week. Sanchez is in the Donley County jail on a $20,000 bond.

 

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.

Rapist blames 88 yr old victim

Lake County News had an article about the sentencing of a man who raped a nursing home resident.  Humberto Carrizales Rodriguez was sentenced to six years in prison for the rape of an elderly woman in a nursing facility.  Rodriguez also was convicted of elder abuse of an individual under his care.   Rodriguez was a caretaker at the Wild Rose Living Facility and the victim, Jane Doe, was an 88-year-old resident living at the facility. 

On August 7, 2009, after the victim had gone to bed, the defendant forcefully had sexual intercourse with her while she repeatedly told him to stop.  Partida also noted that at no time during the defendant’s interview with the probation department, or his letter to the court, did he express any remorse for his actions. Instead he blamed the victim, in essence stating that she enticed him into bed.  What a psychopath.

 

The victim’s children spoke about how their mother’s condition has worsened, mentally and physically, since the night of the assault. They find her crying for no reason at all and stated that, since the attack, she is now frightened of other males who work and live at her facility.

 

 

“The forced rape of a woman is always a heinous, callous and cruel crime,” Passalacqua said. “The fact that this was also committed against an elderly woman living at a residential care facility makes it even more atrocious. We will continue to aggressively prosecute those who abuse seniors.”

 


 

 

 

 


 

Sexual Predators living and working in nursing homes

The Boston Channel had an article about the epidemic of sexual predators living and working in nursing homes.  Team 5 Investigates discovered level 3 sex offenders – the ones deemed by the state to be the most dangerous and likely to reoffend – living and working inside Massachusetts nursing homes.

“They're all living under the same roof,” said Wes Bledsoe, president and co-founder of A Perfect Cause, a national organization dedicated to protecting nursing home patients. “Typically there’s not enough staff or security to protect those residents.”  “When you put predators in with the prey, someone is going to get bit,” said Bledsoe. “We have documented over 60 cases where child molesters have, in fact, sexually, physically assaulted, even raped other long-term care residents,” said Bledsoe.

The article gives many examples of sexual predators but experts point to a particularly vicious 2005 case in Norwood, Mass. John Enos, 69, a level 3 sex offender confined to a wheelchair allegedly raped his 90-year-old nursing home roommate. Enos had previously served 15 years in prison for sexually assaulting his own 9-year-old daughter.

That case helped prompt a change in Massachusetts law. With few exceptions, it is now illegal for level 3 sex offenders to live in nursing homes. But in what some call a loophole, the statute says level 3 offenders cannot live in nursing homes “knowingly or willingly.”

“It's outrageous that there should be any loophole in any law that allows sex offenders anywhere near nursing homes,” said attorney Wendy Murphy.

There is also no law on the books requiring that nursing homes notify anyone – not residents, staff or visitors -- when level 3 sex offenders are living and working in their facilities.

 

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...