June 17, 2009

Nursing Home Suicides

The Irish Times reports on a study from the National Suicide Research Foundation that found that the experience of being abused in an institution had led to huge anxiety among survivors regarding the possibility of receiving nursing home care in later life.

There is no real legal/nursing home abuse angle to this story. It does underscore, however, how fragile some patients are both physically and mentally went they enter a nursing home which highlights the obligation of nursing homes to provide not only proper but loving care to nursing home patients.

May 13, 2009

Chicago Nursing Home Lawsuit

A Chicago nursing home tried to cover up the sexual assault of a 69-year-old resident by another mentally ill resident, a lawsuit filed by family members claims. According to the lawsuit, the Elgin, Illinois nursing home failed to properly monitor young and potentially dangerous residents and tried to pass off the alleged assault as consensual sex. A nursing home lawyer for the family called the incident the most egregious case of nursing home negligence he had seen.

March 20, 2009

$11 Million Nursing Home Verdict in Phoenix

A nursing home lawsuit in Phoenix on behalf of a the family of a man who died in a Phoenix assisted living facility was awareded $11 million in damages. According to the nursing home lawsuit, Liberty Manor Residency failed to properly monitor the man and falsified medical records which, not surprisingly, inflamed the jury.

You can find a story on the case here.

February 23, 2009

Nursing Home Lawsuit for Resident That Froze to Death

Nursing Home Negligent in Death, Lawsuit Claims

The Chicago Tribune has a story of a lawsuit involving the death of an 89-year-old nursing home resident. In the nursing home neglect lawsuit, the family of woman alleges that staff members at the Arbor of Itasca nursing home failed to investigate when the patient triggered an alarm as she apparently wandered into a courtyard during freezing weather. Suffered from Alzheimer’s disease, she was later found frozen to death.

Nursing home lawyers tend to shy away from cases where the patient is almost 90 years-old. But this case has jury appeal because the facts are so extreme.

February 20, 2009

Abuse Off the Radar of Nursing Home Lawyers

Nursing home lawyers focus on the abuse and neglect that patients receive in nursing homes. The social good that derivies from this is that nursing homes have to be mindful that abusing patients comes with a cost.

The New York Times has an article off the radar screen of nursing home lawyers that can be just as awful for nursing home patients: abuse and neglect by family members.

December 19, 2008

Quarter of Nursing Homes Are Dismal

This is hardly "knock me over with a feather" news for nursing home lawyers. Centers for Medicare and Medicaid Services - a federal agency - gave slmost a quarter of our nursing homes the lowest possible rating, under a new ranking system released yesterday. The new five-star system is determined by factors such as staffing and the results of state inspections. The purpose is to simplify for consumers the arduous process of choosing an appropriate nursing homes.

The study also tries to rank nursing homes by state: States with the highest percentage of nursing homes with a one-star ranking were: Louisiana, Georgia, Virginia, and Tennessee. States with the highest percentage of homes with five stars were: Delaware, Alaska, New Hampshire, and Hawaii.

The Medicare website has a pretty neat way of evaluating the different nursing homes. Click here to see how you or your loved one's nursing home fares.

December 4, 2008

Los Angeles County Medical Malpractice/Medical Neglect Case

The Los Angeles Times writes this morning about a tragic case in Los Angeles at Martin Luther King Jr.-Harbor Medical Center where an official Los Angeles County assessment has acknowledged for the first time that a woman who died shortly after writhing in pain for nearly an hour on the hospital's waiting room floor would not have died if she had received proper medical care.

The vast majority of medical malpractice cases in Los Angeles occur when doctors who are largely good doctors and good people had good intentions but medical mistakes were made. This is something very different. The only reason this woman's family has a potential wrongful death medical malpractice case is that a security camera videotaped a janitor mopped around the victim while a triage nurse dismissed her complaints.

Sad but true: video cameras and phones are helping make more and more medical malpractice and nursing home claims.

October 3, 2008

Nursing Home Lawsuit Makes New Allegations

Extendicare, a group of Washington nursing homes, is the defendant in a nursing home lawsuit alleging it took on way too many patients to provide adaquate care. Paintiffs' nursing home also say that Extendicare violated a Washington law that bars nursing homes from making its clients sign a form waiving liability for Extendicare's negligence.

Plaintiffs in this nursing home case a man whose daughter died at Aldercrest Health & Rehabilitation Center in Edmonds and two other residents.

You can find the article here.

September 15, 2008

Mississippi Nursing Home Nursing Home Escapes Liability on Technicality

The Fifth Circuit U.S. Court of Appeals affirmed the dismissal of nursing home abuse neglect claim because the plaintiff failed to provide 60 days' notice of the intention to file a medical malpractice action against a health care provider as required under Mississippi Code Section 15-1-36(15). This statute requires Mississippi nursing home and medical malpractice plaintiffs to health care provider's sixty (60) days' prior written notice notifying the defendant of the legal basis of the claim and the type of loss sustained, including with specificity the nature of the injuries suffered.

This statute comes from Mississippi’s disastrous tort reform act passed in 2002 that, among other things, establishes a cap on noneconomic damages of $ 500,000 for lawsuits filed before July 1, 2011, $ 750,000 for those filed after July 1, 2011 but before July 1, 2017, and $ 1,000,000 for those filed thereafter.

I do not have a problem with the ruling because it is a correct interpretation of the Mississippi law. But the law accomplishes nothing in this case but to deny a Plaintiff the right to justice.

September 10, 2008

Nursing Home Abuse at Delaware Run Facility

The family of 75-year-old Wilmington native has alleged evidence of abuse and neglect at a state-run facility. What is interesting about his case is that the nursing home resident's family cared enough to get evidence by way of a "nanny cam." Earlier this summer, the nieces of this woman who is suffering from dementia, diabetes and a bad back, delivered a DVD of several incidents to the Delaware's Division of Long Term Care Residents Protection -- the agency that monitors the welfare of nursing-home residents and investigates allegations of patient abuse.

Unfortunately, not every has a caring family with the time and resources to set up a nanny cam when a nursing home is abusing or neglecting a patient. But maybe we have stumbled onto something here. Would nanny cams set up appropriately by the state help reduce nursing home neglect and abuse?

August 27, 2008

James Publishing: Insurance Settlements

My two volume treatise Insurance Settlements is now available from James Publishing. The book discusses how to position a lawyer's car accident, truck accident, medical malpractice or product liability case to the best possible settlement at every step along the way (until the state's high court affirms the judgment).

Click on the James Publishing link. If you have any comments on the book, please email me at ronmiller@millerandzois.com under the subject "Insurance Settlements Comments."

August 13, 2008

Texas Attorney General Files Nursing Home Lawsuit

A nursing home in Carrollton has been sued for failing to maintain the health and safety standards required by Texas law, according to a lawsuit filed by the Texas Attorney General.

Specifically, the Texas Attorney General's complaint alleges that Brookhaven Nursing Center's failure to have backup safety measures and emergency response protocols was a contributing cause to the death of a patient who died of oxygen deprivation because the patient's oxygen system shut down during a power outage.

It is a sad commentary that Texas now has to rely on the state to bring about justice because there are so few nursing home lawyers left in Texas.

August 11, 2008

Nursing Home Arbitration in Virginia

In the past, Virginia nursing home lawyers have been able to convince Virginia circuit judges to reject the efforts of allegedly negligent nursing homes to force Virginia nursing home claims into binding arbitration. Must more nursing homes are making patients sign these agreements not to arbitrate, according to Virginia Lawyers Weekly. The paper quoted Lauren Ellerman who handles nursing home cases in Roanoke to say that she believes that "at least 75 percent of Virginia nursing home contracts have arbitration agreements in them today.”

Unless Congress grabs this issue from the states we can expect this issue to rise in Virginia nursing home cases in the future.

June 23, 2008

Nursing Home Mandatory Arbitration Clauses

The Legal Medicine Blog (Dan Frith and Lauren Ellerman of the Frith Law Firm in Roanoke, VA) have a good blog post today on a pressing issue for nursing home lawyers and their clients: whether mandatory arbitration clauses should be enforced in nursing home cases.

In recent years, nursing homes not only in Maryland and Virginia but around the country have been requiring patients to sign mandatory arbitration clauses before admitting patients. Of course, this stacks the deck against the patient because, among other reasons, it limits discovery into just how awful the nursing home is to its patients generally and the plaintiff in particular.

Many people never see this clause because they rarely read the small print. If they do, think think of the Hobson's choice given to these patients and their families. They can either hope for the best (don’t we always do that walking through the door?) and just waive the right to receive a fair shot at receiving compensation for the negligence of the nursing home or they can go look for a nursing home that does not have an arbitration clause. But, realistically, the decision to choose the nursing home is already made before they get to the arbitration clause.

Hopefully, help is on the way. Congress is looking at this issue. Rep. Linda Sánchez from California has offered a bill that would void any mandatory arbitration agreement executed by a nursing home resident. Not so coincidentally, Rep. Sánchez father recently went to a nursing home.

May 21, 2008

Nursing Home Fire Lawsuit in Illinois

Chicago lawyer Louis Cairo has filed a wrongful death lawsuit against a Cook County nursing home, alleging that the nursing home employees were woefully ill-equipped, causing the death of a 67 year-old man. The lawsuit alleges that staff members at Hampton Plaza Health Care Centre on 9777 Greenwood Avenue did not have the necessary training or equipment to adequately respond to a fire. The Plaintiff’s nursing home lawyer said that residents were awakened not by smoke alarms, but by people banging on doors to alert others of the fire. This is not exactly a sign of effective smoke detectors.

If you substitute the word “nursing home” for “restaurant” in this story, it would make me skeptical as to whether the restaurant was negligent, as opposed to a plaintiffs’ lawyer trying to manufacture a case because he has a death case (probably a high profile death case, as many fire deaths can be). Because it is a nursing home, I find myself nodding along, “Yes, they didn’t have fire detectors. That sounds about right.” I don’t think I’m alone. That is a sad commentary on nursing home care in this country.

May 12, 2008

Missouri Nursing Home Verdict

Missouri Lawyers’ Weekly reports on a nursing home case involving a respiratory therapist who allegedly caused the death of a 79 year-old resident at Scenic View Nursing in Herculeaneum, Missouri. The respiratory therapist had a suspended license and was charged with second degree involuntary manslaughter in connection to the patient’s death. He entered an Alford plea and was sentenced to four years in jail.

Additionally, the therapist had been previously reprimanded four times for removing residents from oxygen without an order. His last reprimand was six months before the patient’s death. His supervisor said he was a danger to residents and was terminated. It gets better. He also pled guilty to the unlawful sale of Oxycontin to an undercover officer. It gets even better. He told the police officer who arrested him, "I know what this is about. It's about that old lady. I guess she thought she would live forever." This came out in the nursing home negligence trial.

If you are a nursing home lawyer, you are thinking one thing: I can’t lose this case. Obviously, I don’t have all of the facts. But apparently, in spite of all of this, the jury did not believe the doctor who said that he did not order the ventilator turned off, even though an eye witness recalls the order. One more dose of incredible: the doctor was the owner of the nursing home. But for whatever reason, perhaps tactical reasons that one cannot gather from a media report of the story, the plaintiff’s nursing home lawyer did not bring a malpractice action against the doctor.

The nursing home’s lawyer, Stephen M. Strum with Sandberg, Phoenix & von Gontard, P.C., in St. Louis, who tried the case with Veronica Armouti, seemed stunned by the outcome. The article said that Strum was surprised that he was able to overcome all of these issues. How often do you hear that? (If I were the Plaintiff’s nursing home lawyer, I would include the article in my motion for new trial, which is exactly the article indicated Leonard Cervantes, the Plaintiff’s lawyer, will seek.)

After the case, the lawyers could not even agree on the last pretrial offer and demand. Mr. Cervantes, the Plaintiff’s lawyer, said his demand was $300,000 and the last offer was $10,000. The defendant’s lawyer claimed the last demand was $1.5 million and the last offer was $30,000.

Although Missouri Lawyers’ Weekly called it a “defense verdict” it appears the jury actually rendered a 12-0 verdict in favor of the plaintiff for $26,401, the amount of the medical expenses in the case.

Obviously, you can never tell just how difficult a case was by reading an article about the trial after it happened. I’ve read article about my trials that did not resemble the trial at all. But you can bet that a lot of nursing home insurance companies are going to be dialing Steve Strum’s number in the years to come.

May 12, 2008

Admissions Suspended at Three Tennesse Nursing Homes

ABC24 in Memphis, Tennessee reports that three nursing homes in Tennessee have been fined and suspended from accepting further admissions.

Tennessee Department of Heath officials have fined and suspended admissions of residents to Dove Health & Rehabilitation in Collierville, Claiborne County Nursing Home in Taxwell, and Hillcrest-West Nursing Home in Knoxville for a variety of infractions.

May 2, 2008

California Nursing Home Profits Going Up, Nursing Home Care Going Down

The University of California San Francisco reported that two years after California the state passed legislation increasing reimbursements from Medi-Cal, average nursing home income from the state's healthcare program went up to $152 from $124 daily. But average spending on direct patient care went down by 3.6 percent and, not surprisingly, complaints of patient mistreatment proven went up by 36 percent. The study discovered 16 percent of nursing homes in the state failed to measure up to California's minimum staffing benchmarks.

The average nursing home netted $248,047 in 2006, a 233% increase from 2004. Charlene Harrington, the California studies lead author, told the Los Angeles Times, "They got so much money, they should have been able to do something."

You would think.

April 17, 2008

Westside Health Care: Can It Get Any Worse?

We wrote last month about conditions at an Ohio nursing home named Westside Health Care. It was one of the worst cases of inadequate care our nursing home lawyers have ever heard. After a police inspection/raid, one police officer called the conditions at this Ohio nursing home as "worse than any crack house that they'd ever seen." That paints a pretty clear picture I think.

Typically, the silver lining in this kind of cloud is that is people shape up and get their act together. That has to be the way it works. Right? Well, police this week raided this Ohio nursing home for the second time in just over a month.

At some point, the state of Ohio has to take over this nursing home until these patients can be transferred elsewhere. There is just no other choice.

March 18, 2008

Are West Virginia Tort and Injury Lawyers the Problem?

The West Virginia Record has an editorial about how the three of the top verdicts in the country came from West Virginia and derided plaintiffs’ lawyers as “tort barons” destroying industry in West Virginia and through the country.

Okay, the problem is West Virginia personal injury lawyers (tort lawyers). Just for fun, let’s look at the fact and see about all of these tort claims. The big verdict was a $404 million award in Roane County v. Columbia Natural Resources. In that case, 10,000 other royalty owners who questioned the price they were being paid for natural gas produced from their property. This is not a tort claim. This is a company stealing from people. Exactly how should such a claim be handled? Should the plaintiffs have allowed this to go on without question for the “good of industry?” How many folks on the Editorial Board of the West Virginia Record would have refused payment if they were in the class? It is just plain silly.

The second case cited, a $251 million verdict against Du Pont in Clarksburg was not a personal injury case but a lawsuit over Du Pont’s handling of the environmental cleanup created by a West Virginia zinc-smelting facility. This is was not a single insured person. This was a lot of people who had been hurt by a very large company in a case where the jury found they did not give due consideration to the environment or the surrounding property owners. Approximately 7000 people suffered harm to their property and we subjected to significant health risks. What would the Editorial Board of the West Virginia Record do if they sat on the jury in this case?
The final verdict in the top 10 was a $219 million verdict against Massey Energy. The Plaintiff was another big company who was suing for breach of contract. Perhaps if one big company breaches a contract against another big company, they should not be able to sue for breach of contract. Wonderful logic.

This West Virginia Record’s editorial is pathetic. I could argue their position better than they did. There is an intellectual argument that can be made calling some aspect of our tort system in question. I don’t agree this argument – I think it is dead wrong - but it can be made based on facts and it held by reasonable people. This argument is just plain silly and is an embarrassment to the West Virginia Record and the people it has misled.

March 18, 2008

Nursing Home Insurance in Oklahoma

Oklahoma does not require nursing homes licensed in Oklahoma to carry insurance. Oklahoma State Senator Richard Lerblance submitted this session a bill requiring nursing homes to carry liability insurance. The Journal Record (OK) quotes an opponent as saying, “Would you rather take care of the patient or pay liability insurance? With low reimbursement rates, it’s almost impossible to do both.”

What a false choice. If you cannot make a profit and still pay for insurance, you should get out of the business because you are not running a profitable company.

How can it possibly make sense that auto insurance is mandatory but medical malpractice insurance and nursing home insurance is not mandatory?

March 18, 2008

Nursing Home Abuse in Ohio

People who live or have loved ones who live at Westside Health Care and Nursing Home, a long term care nursing home that recently received a surprise inspection, will have to wait a little longer before receiving the Cincinnati City Council’s health committee has been canceled report on how Westside Health Care and Nursing Home is caring for its patients. A report had been expected today, according to the Cincinnati Enquirer.

Cincinnati police described conditions at the Westside as “deplorable,” and reports showed residents living with fleas, flies and filth. Residents told police that laundry had not been done in three months. In the affidavit filed to secure the search warrant, Cinncinnati Police Office Aaron Layton said wrote that the conditions presented "a safety, health and fire hazard to the occupants of the premises and surrounding properties." Upon inspection, according to the Cinncinnati Enquirer, a fire door tied shut, accumulation of vomit was in an entryway, smoking was permitted near oxygen tanks, the sprinkler system did not work, and there were loads of structural defects.

When I was a kid, I was bouncing around in the back of my parents car without a car seat in sight. Today, that is child abuse but it was normal back then. If you are wondering what was seem awful 10 years from now, I think it will be the way we treat our elderly. I don't think the Westside Health Care and Nursing Homes of the world will exist in 10 years.

March 18, 2008

Nursing Homes: Anti-Psychotic Drugs Nursing Homes

According to the Centers for Medicare and Medicaid Services, anti-psychotic drugs were prescribed to 26% of nursing home residents without a diagnosed psychotic or related condition, in other words, off label prescriptions to sedate patients that may or may not need it. Connecticut was second only to Louisiana in dispensing such medications.

Nursing homes in Connecticut and elsewhere are prohibited by federal law from dispensing medications for the purposes of discipline or convenience of the nursing home. (I don't know about you but it depresses me that anyone would think to give an anti-psychotic drug as as discipline.) This has not stopped a lot of nursing homes from dispensing these drugs for reasons that having nothing to do with the patient's best interests.

In Connecticut, I would keep a close eye on Chelsea Place Care Center in Hartford and Wethersfield Health Care Center in Wethersfield two facilities that have had problems but are beginning to improve, according to the federal government.

A recently released federal report shows that



February 29, 2008

Oregon and Colorado Consider Raising Caps of Damages in Personal Injury Cases

The TortsProf Blog reports that state legislatures in Colorado and Oregon are considering increases to their caps on noneconomic damages. Colorado is currently debating a bill that would raise the cap on noneconomic damages in medical malpractice cases from a measly $300,000 to a less measly, but still ridiculously low, $450,000. The bill was voted out of committee on Monday and will now be sent to the Senate floor for debate. The details are here.

Oregon is wrestling with a last year’s Oregon Supreme Court ruling that caps on damages payable by the state was unconstitutional as applied. The task force has been set up in Oregon to study the issue of raising the cap on noneconomic damages.

In the history of caps on noneconomic damages, the door has swung only one way - toward adding caps or decreasing the amount of the cap. Hopefully, this news for the clients of personal injury lawyers, that the door will begin to swing in the other direction.

December 27, 2007

Ohio Supreme Court

The Ohio Supreme Court has concluded that Ohio’s statutory caps on damage awards in personal-injury lawsuits are constitutional in a 5-2 decision today.

Like most states with caps, the cap applies to pain and suffering damages and other intangible injuries. The Ohio cap is particularly restrictive: $350,000 unless the injured person lost a limb or bodily organ. Ohio also has a punitive damages rule that restricts punitive damages to twice the amount of damages awarded as the judge or jury awards in compensation for the plaintiff’s injuries, minus any reductions as a result of the cap on pain and suffering damage. (Actually, the formula is a little more complicated than that but this is the gist of it.)

In this case, the plaintiff filed a product liability case against Johnson & Johnson claiming she suffered blood clots as a result of having used the Ortho Evra Birth Control Patch, a hormonal birth-control patch.

Two justices dissented. Justices Paul E. Pfeifer wrote that, "Today is a day of fulfilled expectations for insurance companies and manufacturers of defective, dangerous or toxic products that cause injury to someone in Ohio… But this is a sad day for our Constitution and this court. And this is a tragic day for Ohioans, who no longer have any assurance that their Constitution protects the rights they cherish."

Interesting, Justice Pfeifer also noted that in deciding to cap damages, the Ohio legislature relied on studies which were not "peer-reviewed" or "published in a scholarly journal." While this might not be a reason to ignore the legislative intent, because presumably the legislature can decide what they decide for any reason they want, it does underscore the faulty data that insurance companies and big business uses to rig or construe the data in such a way to create a crisis when one does not exist. For a great example of this from medical malpractice insurers, click here.