Seattle Police Say Elder Abuse a Serious Issue in WA State

In a news story broken by King5 earlier this week, another story of elder abuse reminds us that this problem is not going away anytime soon.

Cotie Pifher, 25 years old, and Melissa Flores, 26 years old, lived together and treated Flores' 63 year old aunt with cruelty and callousness befitting a war criminal. The story includes an account of Pifher beating Flores' aunt with a wooden spoon, throwing her in a scalding shower, and pushing her outdoors with no clothes. Apparently, they had left her at a hospital with bruises and broken bones. Hospital staff and a relative requested a welfare check.

Seattle Police detective, has seen numerous cases of elder abuse in Western Washington. Adult Protective Services's most recent statistics indicate that there were at least 14,577 reported cases of abuse. These cases include physical, emotional, and financial abuse in Washington State (based on info compiled in 2009). Sadly, the perpetrators are most tpyically family members.

Presently, King and Pierce Counties have a billboard campaign to raise awareness about elder abuse. If you suspect elder abuse, please call 1 (800) 222-TIPS. Also, check out the below websites that offer information:

http://www.kingcounty.gov/Prosecutor/elderabuse.aspx

http://www.piercecountycrime.com/elder-abuse.php

http://www.co.pierce.wa.us/pc/abtus/ourorg/humsvcs/ADRC.htm

http://www.tpcrimestoppers.com/

Settlement Finally Reached for Estate of Prominent Elder, Brooke Astor

The story of Brooke Astor is perhaps one of the more amazing stories of financial elder abuse. Brooke Astor.jpgMs. Astor, a prominent figures in the New York social scene, was known for her wealth, style and philanthropy. Initially revealed in 2006, Brooke Astor's only child, Anthony ("Tony") Marshall was indicted on criminal charges that included grand larceny, possession of stolen property, forgery and conspiracy.

Convicted in 2009 on charges such as grand larceny and falsifying business reports, Marshall had abused his power of attorney to his mother's estate by selling it and forging her signature in the third codicil of his will with Astor's former lawyer, Francis X. Morrissey. Their amendment would have left the entire estate to Marshall. This directly contradicted Ms. Astor's previously articulated intent and desire to give a large portion of her estate to charity.

Last Wednesday, a settlement was finally reached that would cut Tony Marshall's share to $14.5 million. $12.3 million will be paid out of the estate to the Manhattan D.A.'s office for the prosecution of Mr. Marshall.

Of the proceeds, some $20 million will go to the Metropoliation Museum of Art. $15 million will go to the New York Public Library. A $30 million fund will also be established to improve education in New York.

World Famous Billionaire Victim of Identity Theft

Paul Allen.jpgIf even a key figure in the development of electronic security can fall prey to identity theft, you know that virtually no one is immune to this type of fraud. Paul Allen, 59 year old co-founder of Microsoft and billionaire was an identity theft victim to an AWOL soldier who stole his debit card.

Indeed, Mr. Allen is not quite a senior citizen in Washington State (to qualify as a senior citizen in WA, one must be either 65 or older or 60-64 years old and work less than 20 hours/wk). However, one could easily imagine that he has an entire team of staff who manage and guard his finances. Regardless, a 28 year old AWOL soldier, Brandon Lee Price, gained access to Mr. Allen's debit card, asking the bank to send it to his address in Pittsburgh.

Allen's spokesman pointed out, "Clearly, it's a reminder that anyone can be a victim of [id theft]... It certainly is a surprise and a reason for everyone to make sure that all that stuff is properly cared for and monitored."

Over 50% of Elder Financial Abuse Cases Involve Own Family Member

In today's MarketWatch Reality Q&A, the sad but true fact is underscored: Over half of thisElder Financial Abuse.jpg country's elder abuse cases involve a family member, not shady "mortgage professionals." The column indicates that sons are most likely to scam their parents or grandparents, more so than a fraudulent contractor/handyman or paramour.

This doesn't mean that senior citizens should trust all lenders suddenly. Make sure that the senior that you're concerned about understands the terms of the loan and the pros/cons of going through with the loan before s/he signs on the dotted line. Reverse mortgages rank as the 8th most prevalent scam targeting the elderly.


Fresno Woman Investigated for Ripping Off Senior Citizens

A woman in Fresno, CA, Sharon Harrelson, 55, is being investigated by local police for elder financial abuse. Elderly people, such as Michael Wyrick, trusted Ms. Harrelson and thought she was a friend, when depositing money directly into her account. She convinced these senrios that she could help them with their long term care by hiding their assets.

To qualify for Medi-Cal, these vulnerable adults entrusted her with tens of thousands of dollars. Police began investigating her in 2009, and alerted her employer about her possible criminal activities.

An investigator reported that Harrelson actually admitted to her employer that she had embezzled some money when they did an audit. She was fired soon thereafter.

Sadly, this type of situation is multiplying across the country, including in the Pacific Northwest. Contact Stritmatter Kessler Seattle nursing home/elder abuse injury attorneys, if you believe someone you love is getting fleeced.

Oregon Senate Approves Bill To Curb Elder Abuse

Yesterday, the Oregon Senate approved House Bill 4084, which supporters sayOR Detective.jpg will beef up the ability of law enforcement to protect vulnerable seniors from financial and physical abuse.  

The bill is modeled on legislation protecting children from abuse. It's much harder under current law to step in with seniors and seek their financial and medical records that could provide evidence of potential abuse.  

As The Oregonian’s Rebecca Woolington wrote last month, the proposal allows law enforcement to gain access "to records that belong to elderly victims without them — or a caregiver  — signing a waiver, if investigators believe abuse is occurring." That way, authorities can access records in a much speedier 

Bring the "Silent Epidemic" to an End

Earlier this month, a group of Senators renewed their efforts to protect seniors from elder abuse iwth the Elder Protection and Abuse Prevention Act. Democratic Senators, Richard Blumenthal, Al Franken, Sheldon Whitehouse, and Robert Casey introduced this bill, to craft a range of comprehensive elder abuse prevention 

The bill prods more third parties to stop elder abuse when they can do so. Federal definitions of elder abuse, neglect, and exploitation would be toughened. The definitions would be better aligned with the two prior bills that adressed this issue: the Elder Justice Act and the Older American Act. Those bills never defined elder financial abuse, which is a problem of epidemic proportions among seniors in our country,

Additionally, the bill requires better coordination of elder abuse justice programs nationwide and expands the National Adult Protective Services Resource Center to provide additional services and guidance to states. The measure would also require the development of best practices for elder abuse screening and increase support for state prevention, assessment, and response services.

Each of the senators who introduced the bill touched on the fact that the exploitation has gone on for decades will little notice from those in a position to stop it. Senator Casey noted that, “we must bring this largely silent epidemic of elder abuse to an end.

Population of 90+ Year Old Tripled Within 3 Decades, Will Quadruple by 2050.

The Census Bureau reports some sobering statistics: The segment of our population that is 9!Cedar Village.jpg0 years old or older has tripled in the past three decades to 2 million. The number is projected to quadruple by 2050.

As the economy continues to limp along and the aging population jumps, an increasing number of elderly people are forced to turn to their younger relatives. Unfortunately, these family members don't always have their vulnerable elders' best interest in mind. This is one of the key reasons why elder financial abuse is growing at epidemic proportions.

A recent USA Today article addresses this troubling problem, reporting the opening of the first elder abuse shelter in Ohio. Despite the statistics that point to widespread abuse, the total number of elder abuse shelters in this country are in the single digits, Non profit groups fund all of them.

Word still needs to get out that our the elder abuse problem is cutting across socio-economic lines.  

Don't Ignore the Elderly

As we dive into 2012, politics and policy are at the top of many Americans minds. Indeed,!Rooney.jpg Republicans and Democrats alike are seeking votes from senior citizens. Seniors are more consistent and reliable as voters, and their population is surging. Compared to 2008, they now make up at least 23% of the voting population as of 2010--a 16% increase.

The older voters look at past actions rather than words, and are understandably concerned about Medicare and Social Security policies changes. As elder abuse grows, this aging population want the federal government to take action. More than 1 in 10 seniors will suffer as a victim of elder abuse, which will amount to almost $3 billion in one year.

Before their holiday break, Congress passed a huge spending bill for the rest of the fiscal year. But for a second year, Congress neglected funding the only comprehensive federal abuse prevention law, the Elder Justice Act. I'm not sure whether this was out of sheer stupidity or forgetfulness. Under two years ago, Congress enacted the Elder Justice Act, which indicated some recognition of the alarming proliferation of elder abuse in this country. While the law authorized the funds, a second bill needs to be passed to put the law into action. President Obama requested Congress to provide $21.5 million in startup funds for the Elder Justice Act in his 2012 budget. Yet, Congress ignored Obama's request.

A celebrity victim, Mickey Rooney, testified before Congress about his personal experiences with elder abuse. While his testimony attracted the media, his story seemed to fall on deaf ears of Congress to provide the needed funding.

A bipartisan, 3000 member Elder Justice Coalition plans to make funding for elder abuse prevention a political imperative to Congress and Presidential candidates. Funding for the Elder Justice Act is critical to promote jobs and protect senior citizens, while preventing wasteful spending by Medicaid and Medicare. Roughly $200 million is needed to fund elder justice, which is about 5% of what was recovered in 2010 by federal government in Medicare/Medicaid fraud and waste. 

Please do your part and let your Congressperson know that this is an important issue. It's about the welfare of your parents and parents' parents.

Son Faces Elder Abuse & Drug Charges

According to an AP report, Alfonso Patrick Moya, Jr. faces abuse and drug charges related to the death of his 72-year old father. Apparently, Mr. Moya was selling his father's pain medication. Mr. Moya was his father, Alfonso Patricio Moya Sr.'s primary caregiver. MedsElderAbuse.jpg

The day after being admitted to a Veterans Administration hospital, Moya Sr., died from dehydration, malnutrition, and bedsores that resulted from neglect. Police claim that Moya Jr. had been filling his father's monthly Lortab prescriptions and sold them.

According to hospital officials' reports to the Salt Lake Tribune, the eldery Moya's bed sores were so severe that one bed sore was the size of a fist. That sore would have required surgery as well as an open sore on one of his feet. His feet and ankles were swollen to twice their normal size. As recently as December 2010, doctors claimed that Moya Sr. was able to walk and speak.

When police entered Moya Jr's house, they said that they were overwhelmed with a "very strong odor" of bleach, feces, and decomposing tisue. Despite the fact that the bedding had been disposed of or in the laundry, the mattress where Moya Sr had been lying was "saturated with urine and feces"

Moya Jr. admitted that his father hadn't been bathed for at least two weeks, but blamed his estranged wife for not cleaning off the fecal matter before calling 911.

2011 MacArthur Fellow Says Elder Abuse is a Growing Epidemic

Marie-Therese Connolly, 54 years old, was recently named a 2011 MacArthur Fellow. A director of Life Long Justice, a nonprofit group in Washington, D.C. is focused on protecting the elderly. She received a $500,000 award from the MacArthur Foundation, which will allow her to write a book on the subject and travel the country to educate others and push for change at programs that focus on caring for the aging community. MT Connolly.jpg

She explained, "Advancing forensic knowledge is important so social and protective services workers, physicians, emergency room personnel and prosecutors know what to look for and what kinds of questions to ask about injuries." One of her main missions is to raise awareness and teach people how to look for signs of elder abuse, "If we can help people understand how to tell the difference between an accidental bruise and an inflicted bruise, that's a beginning,

Elder abuse has reached epidemic proportions in this country. Connolly says that people can easily ignore elder abuse because it's harder to detect. While we may question bruises and fractures on young children, we assume that an older person can speak out for themselves. However, victims of elder abuse are often afraid to speak out for fear of getting transferred to a nursing home.

"We are all looking down the barrel of aging,'' Connolly says. "But our culture is not enthusiastic about embracing it. We need to focus, not just on the clubs and cruises aspect of aging, but also the frailty and incapacity pieces of it, and have the conversations to prepare ourselves, both in our personal lives and as a nation." 

Kudos to Ms. Connolly. Can't wait to read her book.

Elder Abuse Results in $2.9 Billion Loss Per 2011 Report

A June 2011 by the MetLife Mature Market Institute (MMMI) reports that older Americans lost $2.9 billion as the result of elder abuse. This is a whopping 12% increase from the previous year. Financial Elder Abuse.jpg

A common practice among banks is to allow older customers to use signature stamps (especially for those clients who find it more difficult to sign their names on forms, etc.)

The MMMI report is a sobering reminder that elder abuse comes in many forms--not only physical and emotional, but also financial. However, if a signature stamp fall in the wrong hands, it can do much more than wreak more than a little havoc to one's finances. Case in point: Ms. Isenberg.

Ms. Isenberg's daughter, Liz Sanders, hired a caregiver for her bedridden mother. This caregiver, Ms. Wofford, slowly drained over 3/4 of $1 million from Ms. Isenberg's accounts. Wofford wrote herself checks and withdrew from Wofford's life insurance. In addition to racking up tens of thousands of dollars in debt at various department stores, Ms. Wofford treated herself to a Mercedes courtesy of Ms. Isenberg--unbeknownst to Ms. Isenberg and her daughter.

When Liz Sanders found out about how Wofford had victimized Ms. Isenberg, she also learned that restitution was not a reality. However, she was determined to make it less easy for such financial abuse to occur to other elderly Californians. She went to her state senator, Fran Pavley (D-Agoura Hills), and put together California Senate Bill 586, which would have doubled the penalties for elder and dependent adult abuse in California. It added new provisions for the issuing of signature stamps by state-organized banks and credit unions.

The legislation passed easily, backed by the AARP along with other advocates for seniors and the CA Senior Legislature. Yet, Gov. Jerry Brown vetoed the bill last week. His message with the veto was that he did not believe that the bill would prevent fraudulent use of stamps. Brown pointed to another bill that increases penalties for elder abuse embezzlement, forgery, and identity theft as sufficient.

Liz Sanders says she pursued the legislation to find justice for her mother, and also to protect other seniors who might be at risk. The process helped spread the word about this problem throughout California and the United States.

Please heed Sanders' plight and stay mindful of common signs of financial elder abuse: 

  • Unusual financial activity, abnormal purchases, unpaid bills
  • An individual seems neglected physically or his/her home seems neglected
  • An elderly person asks to add a new name to bank accounts or seeks other co-signing arrangements
  • An individaul is granted power of attorney, although the senior may not have known that person for a long period of time
  • Increasing isolation of a senior along with decreasing contact with family members/friends
  • The emergence of a sudden "new best friend," especially of someone who is much younger than the senior.

Better to err on the side of caution and report any suspicions to local authorities, which often have a division that focuses on assisting seniors.

Obama Tries to Improve Quality of Nursing Home Care

Today, Medicare pays the costs for hospital admission regardless of the reason. But Obama's recent proposal includes a provision that addresses this issue as it relates to the quality of nursing home care.Nursing Home Patient.jpg 

If you ever wonder why emergency rooms are often filled with elderly patients on Fridays, it is because a number of nursing homes homes send their sickest residents to the hospital as their facilities don't have sufficient weekend staff. Obama's deficit reduction plan targets those nursing home facilities.

Some of the new rules in his proposal penalizes nursing facilities by reducing up to 3% of their Medicare payment. For some operations running on thin margins, this could make or break their business. 

These new rules apply only to patients receiving rehabilitation or recovering from a hospital stay-- not those longer term residents receiving Medicare.

If Congress approves this plan, elder care facilities will have to retool their practices and do better at lowering hospital readmission rates for their residents.

"Caregiver" Bilks Elderly Seattle Couple

In today's Seattle P-I, there's a sad story about a supposed "caregiver," 52 year old Samantha Pierce, who bilked an elderly couple for several years. Pierce was hired in 2005 to serve as an in-home caregiver to the 93 year old woman, who did not want to move to a nursing home.Escalade.jpg

Instead of focusing on caring for the dying 93 year old woman, Pierce integrated herself into every aspect of the man's life, including managing his finances. Writing roughly $300,000 worth of checks to herself, her family, and friends, she also convinced the man to buy and transfer the title of a Cadillac Escalade SUV, which was “was inconsistent with (the man’s) tastes” (according to what a detective was told). 

By 2007, Pierce had herself added to the man's checking account. 

Pierce's presence had grown so dominant in the man's life, that he toasted Pierce rather than commemorate his wife on the day his wife died.

She battled with the man's children, who demanded early on that she be fired after their mother had suffered an overdose because Pierce had given her too much Ritalin.  The woman ended up in a nursing home after all, and died in early 2007. However, Pierce returned as his "Executive Assistant, CNA," which is what she called herself on her business cards that she had made. Pierce was not ever a certified nurse's assistant.

After keeping the man isolated and apparently over-medicated, she was poised to purchase a $2 million Lake Washington house sight unseen.  But thankfully, Pierce was arrested in 2009, and the man appears more cogent and now spends more time with his family--something that he has always enjoyed.

This story seems fantastic, but it is true. What is even scarier is that there are likely more stories like this out there, which no one has yet (or may never) unearth. One of the lessons that we can take away from this man's misfortune is to stay vigilant, if you see your loved one/elderly relative under the care of a suspicious "caregiver." Trust your instincts. Ask a lot of questions from the start. Ask to see verification, when they call themselves a "CNA." It may save your elderly relative a huge sum of money and heartache.

 

 

 

 

Researching Nursing Homes May Give You Greater Peace of Mind

Recently, a family who had filed a wrongful death claim involving a 97 year old nursing home resident, settled with Everett Rehabilitation and Care Center for $3.5 million. In 2009, their lawsuit was filed, alleging that Everett Rehab staff failed to care adequately for the 97 year old patient, who had developed penile cancer.  Staff neglected to inform the nursing home patient's family or primary care physician that his genitalia was literally disintegrating. In 2008, a couple weeks after he was rushed to the emergency room, where the doctors had discovered the dramatic deterioration, the patient died.

I was curious to see what type of ratings and reviews that this defendant nursing home received, and went to various sites that review and rank nursing homes.  One such site is the US News Health Nursing Homes site. When searching Everett Rehabilitation and Care Center, sadly, I was not surprised to see that it had abysmal rankings. For almost all of the metrics, the home received only one or two stars.  

Ratings of Everett Home.jpg

We can learn a lot from this horrific tragedy. For one, when you are trying to decide on a nursing home for your loved one, be sure to do your homework.

Search the internet for the many sites that provide reviews and ratings on the health and standard of care that the facility provides. This homework will pay off in the long run, giving you greater peace of mind that your elderly loved one is in the best hands.

Tools To Help Find The Best Care for Aging Relatives

On Jan. 1st of this year, nursing homes in California began to post federal ratings on their quality of care.  This is in response to a state law that passed in 2009. 

Visitors, residents, and employees are now able to see how a specific home rates on a five-star scale, according to the U.S. Centers for Medicare and Medicaid Services.  The scale ranges from five stars, which represents “much beyond average” to one star, which represents “much below average.”

For those in Washington State, similar tools are available online at the DSHS site with the Nursing Home Compare tool.  There, you can check out the other options, in addition to finding nursing homes in a particular area of the state.

However, ratings alone are not enough to base your decision about where to place an elderly relative.  Visit and ask questions of the residents, the employees.  Do not rest, until you feel confident that you have found the best option available.  Even once you have made up your mind, always remain vigilant for any signs that your loved one is being cared for in the best manner possible.

Nursing Home Abuse Includes Broken Bones & Infections

A watchdog group, Nursing Home Complaint Center (NHCC), recently reported that many nursing homes in this country are keeping fewer staff on their payrolls, to meet their financial goals.  Not surprisingly but unfortunately, this means that we have seen a rise in broken bones and serious infections that have led to wrongful death of nursing home patients.

Tragically, family members often were not aware of warning signs. People typically do not connect elder abuse with the fact that their loved one may be a victim, if they have frequent serious infections and broken bones.  They may not realize that these are signs that the nursing home may be negligent in their care of its patients.

If you know someone who may be an actual victim of nursing home neglect or worse yet wrongful death, call the Nursing Home Complaint Center at 866-714-6466, or contact the group via its web site

Don't Simply Trust a Referral

Yesterday, the Seattle Times published an article about companies who provide referrals to Nursing Homes and Adult Family homes.  The article outlines examples of how, even with a referral to a specific facility, seniors have been mistreated and neglected.  Referral of seniors to housing and care facilities is a lucrative business.  Many seniors and their families have no ideas where to start when looking for placement and reach out to referral services.  If you work with a referral service, do your own background check and investigation.  Once a placement has been made, continue to observe and review the care that the facility is receiving.  Always report any mistreatment, failed care and neglect.  Don't simply trust the referral.

Seniors for Sale

The Seattle Times recently ran a three part story about the neglect of seniors at Adult Family Homes. One particular aspect of this case is something I had encountered in my own practice. In fact, the very story in the article involved my client.

When seniors or other disabled people are discharged from the hospital, its usually in a hurry. The vulnerable don't necessarily have the time to research a facility before they are placed in one. Instead, they rely on referral services to help make that decision for them. 

The way the system works, is the referral service will place a vulnerable person in a facility, then accept the first month's rent at that facility as payment for their services. This wouldn't be a problem if every facility recommended by the referral service was up to snuff. Unfortunately, this isn't always the case. As noted in the article, there is no check on the referral service. 

These services can refer you to places that can't meet the needs of your loved one, are unlicensed, or even employ people with revoked medical credentials. 

If you think you may have to go into a nursing home, adult family home, or other facility, do the research on the front end. Unfortunately, you can't rely on people, even if within a hospital, to do that research for you.

Help Finally Getting to Haiti Nursing Homes

The Associated Press is telling the harrowing tale of some of Haiti's most vulnerable. In the recent earthquake endured by the impoverished country, residents of one nursing home were left to fend for themselves:

On the grounds of the Municipal home for the elderly Thursday, old people lay listlessly in beds out in the open with sheets smeared with excrement, surrounded by hundreds of people living in makeshift tents. One man wore just a T-shirt, his private parts exposed. A woman, just skin and bones, held her head. A body lay in the debris of the nearby nursing home.

The aid that is starting to trickle in isn't getting to the nations most vulnerable nearly fast enough:

On the grounds of the Municipal home for the elderly Thursday, old people lay listlessly in beds out in the open with sheets smeared with excrement, surrounded by hundreds of people living in makeshift tents. One man wore just a T-shirt, his private parts exposed. A woman, just skin and bones, held her head. A body lay in the debris of the nearby nursing home.

The quick end to lives in these nursing homes only highlights what a lack of proper nutrition and hydration can do to an elderly person's body, with people passing from a lack of food of just 3 days.

I often decry the conditions at for-profit nursing homes. But I have to admit that the situation in Haiti is far worse. If you can, please donate a couple of dollars to the American Red Cross. You can do so by texting the word GIVE to 24357 (2HELP). You may give up to 5 $5 donations using that method.