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.

 

 

 

Do nursing homes ignore abuse?

Michael Owens of the Bristol Herald Courier wrote an article about National HealthCare-Bristol ignoring the obvious warning signs of abuse including those acts done by James Wright who was recently convicted of sexual assaults.

The article talks about one resident who rolls into a fetal position and reaches with both hands between her legs and around her back and shifting hands from side to side along her inner thighs have left her flesh tissue thin, red and raw as if to block sexual advances. The actions are the psychological remnants of a sexual assault by former employee and convicted serial molester James Wright.

The traumatized woman is among the dozen patients that state detectives say were sexually assaulted at NHC between February 2000 and August 2007.  State detectives have linked him to seven attacks. State medical licensing documents also tie Wright to a later rape at another assisted-living facility, where he took a job immediately after leaving NHC.

Somehow, the abuse continued for seven years even though there were red flags.

The first showed up in February 2000. A resident accused Wright of touching her inappropriately, and then warned him to stay out of her room.  In the following years, accusations by three other patients sent officers from multiple law enforcement agencies looking for an unknown assailant.

NHC contends the attacks could have been stopped had only the abuse been reported up the chain of command to the home administrator.  Employee records and witness accounts suggest that NHC-Bristol management also might have harbored concerns about Wright.   Five female patients complained of being attacked in the months leading up to Wright’s departure. Three times, co-workers blamed Wright almost immediately.

However, instead of firing him or reporting him to the authorities, NHC allowed him to resign with favorable recommendations amid a crescendo of sexual assault complaints. Wright jumped to a similar job at nearby Grand Court Assisted Living immediately leaving NHC.  A solid recommendation by then-NHC Director of Nursing Elizabeth Anne Franklin helped him land the job, internal Grand Court documents show. The reference-check report, penned by Grand Court recruiter Sue Huff, does not mention any warning that Wright had been the prime suspect in a sexual assault case just days before he applied for the job.

These assaults, and the manner in which the complaints were handled, illustrates the skepticism that surrounded abuse claims, and the problem of nursing homes failing to investigate or worse, covering the abuse up.

 

Cover up of sexual abuse

WQAD had a story about the cover up of sexual abuse at Windmill Manor nursing home. State and federal authorities have levied more than $92,000 in fines where staff are accused of covering up the sexual abuse of an elderly resident.  State records say a male resident of Windmill Manor was found in bed with a female resident in November, and both were undressed. And then, on Christmas Day, staff saw the two having sex. Staff did nothing to prevent the two from engaging in sexual activity.

In addition to the fines against Windmill Manor nursing home, criminal charges were filed recently against its former director of nursing, Karen Etter.  Regulators also allege that Etter warned staff members not to tell anyone of the incident if they wanted to keep their jobs. Regulators say the woman, who has Alzheimer's disease, could not have given informed consent to sex.


 

Failure to Report Sexual Abuse

WKYC.com had an article on the lack of investigation into sexual assaults in Ohio nursing homes.  The Ohio Attorney General's Office received 158 complaints of sexual violence against elderly and disabled residents of long-term care facilities in Northeast Ohio since January 2006, but only two of those cases ended with a conviction, a Channel 3 News investigation found.

Most of the complaints were forwarded by the Ohio Department of Health, which received 324 complaints statewide, alleging rape and other sexual abuse of residents in nursing homes, residential care facilities and assisted living facilities.

The article discusses several cases and convictions but prosecutors blame the unreliability of the victim's testimony due to their age and dementia.

By law, nursing homes are required to report sexual abuse of residents to the state health department. The health department tries to find cases that aren't reported by examining patient files during annual inspections of long-term care facilities.

But as The Investigator Tom Meyer found, sex abuse cases can still slip through the cracks because long-term care facilities don't always document abuse.

"We see a concerted effort to under-report, to not document things that are significant," said David Krause, an attorney who has sued several facilities for sex abuse that was never reported. "They don't want people to know that it happened at their facility."

Alison Renko, a forensic nurse who treats sexual abuse victims, said family members and caregivers can uncover sexual abuse of elderly and disabled patients by looking for behavioral changes if an employee or another resident comes into the room during a visit.

 

 

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."

 

 

 

 


 

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.

 

Why can't nursing homes prevent sexual assaults!?!

The Norfolk Crime Examiner had an article about a resident who was allegedly sexually assaulted.  Police have arrested George Roosevelt Butts Sr., for the sexual assault of a 79-year-old woman. According to police, an eyewitness reported Butts fondling the woman.

The alleged attack occurred last week at a nursing home in Hampton.

 

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.

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