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.

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.

Holiday Season Sees Surge in Scams Preying on Seniors

This time of the year, many seniors are particularly vulnerable to elder abuse and scam artists who prey on our senior citizens. Citizens are encouraged to report elder abuse immediately. If you or someone you know has been the victim of elder abuse please call your local police department.! holiday phone scams.jpg 

The following examples highlight scams regularly perpetrated against senior citizens. You are encouraged to share examples with all the senior citizens you know.

The Grandparent Scam - There are several versions of the "Grandparent" scam. In the most common version the victim will receive a call from an unknown person who will immediately say "Grandma" or "Grandpa" after the victim answers the phone. The victim will reply, "Johnny" or Janie" (the name of their grandson or granddaughter). The caller will reply, "Yes it's your Grandson Johnny." The caller will explain they are in trouble while visiting another country. The most common countries are Canada, Mexico, Jamaica, and Spain. The caller will claim to have been arrested and/or in jail, involved in a vehicle accident or experiencing a medical emergency and they need money wired to them urgently. The caller will ask the victim not to contact other family members because they are embarrassed. The caller will ask for the money to be wired in the name of an unknown third-party. The amount to be wired can vary from $500.00 to $50,000.00. The largest amount wired from San Diego to China was $130,000.00. The caller said he needed emergency surgery. The hospital would not perform the procedure without a "bond" to cover the expense since the imposter did not have medical insurance in China.

What can I do? The victims in these scams have all sworn the caller sounded just like their loved one. The first thing you should do after receiving such a call is make a telephone call to a "good" phone number you have for your grandson or granddaughter. If you cannot reach them call your grandson or granddaughter's parents to confirm they are indeed out of the country before you wire any money. Once the money has been wired and received, the money is gone!

The "International Lottery" Scam - Another common telephone scam is the "International Lottery" scam. The caller will inform the victim they have won a substantial amount of money from the lottery of Jamaica or Canada. The victim will be instructed to wire money to cover the "taxes" associated with the prize. The amount can range from $1,500.00 to $15,000.00. Usually the prize is worth anywhere from one to four million dollars. If money is sent, the victim will begin receiving multiple calls asking for more money to be sent to cover additional taxes, fees, and/or insurance. In reality, the victim has not won any prize and will never see any of their "winnings". And just as the "grandparent" scam;

Once the money is wired and received, it's gone!

What can I do? Before you send any money remember this, "If it sounds too good to be true, then it probably is." Also, did you know it is against federal law to participate in an international lottery? The reason, the Federal Trade Commission says most foreign lotteries are likely to be scams and U.S. citizens send an estimated $120 million a year to foreign countries on the prospect of obtaining instant wealth. Scammers have turned to the telephone because federal law enforcement officials intercept and destroy millions of foreign lottery mailings every year.

Home Improvement Scams - There are several versions of the "home improvement" scam. An unknown and unsolicited building contractor / handyman will come to the victim's door soliciting for work. In the most common version, this unknown person will explain they are working on a neighbor's home and they ordered too much product for the job. They will also explain that he cannot return the materials, so they will offer to re-roof, paint, or fix cracks in the driveway of the victim's home at a substantial savings. The catch, the victim has to pay in cash. The amount can range from $500.00 to $5,000.00. The work on the victim's home will look professional at first glance, but it will turn out to be substandard and it usually ends up costing the victim a substantial amount of money to repair.

The purpose of the scam is not to perform substandard work for an inflated expense. The purpose this scam is to steal cash, jewelry, or any other property from inside the victim's home. The victim's home will be burglarized while they are distracted by the workers.

What can I do? Do not allow unsolicited workers into your home. If someone is soliciting work in your neighborhood, make an appointment for them to return on another day to give you time to check the credentials of business. Check their rating on the "Better Business Bureau" for example.

Vehicle Repair Scams - There are several versions of this scam. In the most common version the victim will be approached by an unknown person after the victim parks their vehicle, usually in a mini-mall. In some cases the victim was followed home. The unknown person will tell victim they are a mechanic and noticed an unusual amount smoke coming from the rear of the victim's vehicle. The "mechanic" will ask the victim to open the hood so they can take a look at the engine. The "mechanic" will then pull the "O2" sensor or another small component that will disable the vehicle, not allowing it to start. The "mechanic" will now ask the victim to start their car. The "mechanic" will offer to fix the car for less money than a shop or dealership. The amount can range from $300.00 to $500.00. Why, because this is usually within the amount a person can withdraw from an ATM. The "mechanic" will offer to go to a parts store that is around the corner, pay for the part and replace the defective part. In reality, the "mechanic" will leave for twenty-minutes and return with the same part, re-install it and the victim's vehicle starts no problem.

What can I do? Thank the "mechanic" for their concern, but you would rather call a tow truck or relative to assist you. Start to call someone you trust to come help you. Once you start to introduce someone else into the situation the "mechanic" will walk away. Remember, do not open your hood or let this unknown person in your vehicle. If you become afraid, call 9-1-1 to have an officer respond. The police would like to talk to this person and document who they are.

The Immigrant Scam - This scam usually targets Spanish speaking women. The victim will be approached in a public area, commonly a clothing store by a Hispanic female. The female will claim to be an immigrant from the interior of Mexico. She will tell the victim a sad story about how she came to the United States looking for work. She lived with an American family as a housekeeper and the family mistreated her. She ran away because of the abuse and wants to return to Mexico, but does not have enough money.

She will show the victim a bar of gold, or a bar of silver, or a diamond she took from the American family to sell in an effort to return to Mexico. An unknown male will introduce himself during the story and say he "could not help but over hear" their conversation and offer to help. The male will explain that he has a friend who works at a jewelry store and he'll offer to take the gold, silver, or diamond to have it appraised. The male will return and tell the victim the item is worth thousands of dollars and talk the victim into buying the item for a profit from the female. In the end the victim gives the female $1,000.00 to $5,000.00 for the bar of gold, or silver or the diamond and then cannot find the unknown male to sell the item for profit. As for the bar of gold, silver or diamond, it's fake, usually a painted lead paperweight or Cubic Zirconia gem and not worth $100.00.

What do I do? Offer to refer the female to a church or other service for assistance. But, do not engage in a business deal with unknown people you've just met.

Remember - If it sounds too good to be true, it probably is.

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.

 

 

 

 

More on Pressure Sores

The Nursing Home industry continues to claim that some pressure sores or pressure ulcers are unavoidable.  But, it is important to point out that they can not specifically point out which of these sores are unavoidable.  While it may be argued that some patients are vulnerable to developing sores, I believe that it simply can not be argued that pressure sores should be allowed to develop to an extent that results in serious consequences for the patient. 

So often, we see patients who develop pressure sores that result in serious health conditions and sometimes death.  

iStock_000013955070XSmall.jpgWhy is this allowed to happen?  Why are these patients caregivers not providing the type of care and treatment that these patients are entitled to receive.  Most often, it is because these patients are neglected.  Don't put up with this neglect.  

 

 

 

 

Report pressure sores that are allowed to go "unchecked"

 

 

Pressure/Bed Sores

Pressure sores or bed sores, as they are commonly called, should not happen.  These sores cause great pain, a loss of dignity, infections and often times result in the death of an elder loved one. The elderly and those with spinal cord injuries are most susceptible to pressure sores. These sores are the result of pressure, or pressure in combination with shear and friction.  The sores develop often as a result of the failure to move patients' body positioning or as a result of the failure to provide an adequate bed.  

iStock_000004738489XSmall.jpgPressure sores can be prevented by keeping a patient's skin clean and dry, changing a patients position and using pillows and products that relieve pressure upon the skin.

Pressure sores are very difficult to treat.  Taking the necessary steps to prevent the development of the pressure sores is one of the keys to providing the proper quality of life and care to which patients are entitled.

 

 

Watch for signs of pressure sores developing.  Talk with your elder loved ones about how they are being treated and how they are feeling.  You want to avoid the development of pressure sores.

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.

Preventing Falls

iStock_000001416234XSmall.jpgAs I have reported in the past, falls for the elderly are all too common and often times lead to their confinement to bed rest.  Some reports indicate that 25% of those suffering injuries from a fall die within six months to a year of suffering injury. Falls commonly cause hip fractures and head injuries. Falls can be prevented.

Take the necessary effort to make living situations for the elderly safer.  Make pathways safe. Remove clutter; install grab bars in bathrooms and showers.  Adhere non-skid surfaces in areas that may be slippery.  Make sure that lighting is proper and adequate. Provide whatever safe aids are available.  At Nursing Homes or Adult Homes where you loved ones are residents, look for these necessary safety features. Question their fall prevention programs

At times it can be difficult to convince a senior that they should use a walker, ask for assistance or avoid certain activities.  But, communicating these safe practices with an elder loved one is essential to ensuring that the quality of their lives remains at the highest possible level.

Take the time to walk around and observe your elder loved ones living situation.  Make their living environments as safe as possible. 

Falls and Hip Fractures

iStock_000007051468XSmall.jpgAll too often, elders suffers needless falls as a result of the failure to provide them with the assistance that that need and desire.  We hear story after story of elders who have fallen because they were not being helped.  These falls lead to hip fractures which create a downward spiral.  The bones of older patients take longer to heal and the surgeries that are required to repair hip fractures are very trying.  

Be active in assuring that your elder loved ones are being properly assisted while getting up out of a chair or bed and while walking. Make sure that those providing care to your elder loved ones are providing the type of assistance that is required and expected.

Often a hip fracture leads to an elder loved one being confined to their bed, ending the mobility that created for them their last bit of independence.  

DePuy ASR Hip Replacement Device Recall

It is estimated that nearly 100,000 folks have had hip replacements using the DePuy replacement hip implants.  The devices were first approved in 2005. These implants are defective and dangerous.  The implants components can come loose, fracturing bone around the implant causing major health problems.  In addition, the devices can cause exposure to metals in patients.iStock_000002383752XSmall.jpg

New data and research showed that more patients than expected needed revision surgery within five years after receiving the ASR resurfacing device or the ASR total hip replacement device.  As a result of this information, in August 2010, DePuy instituted a recall.  

If you have been implanted with either of these devices, you should be aware of your legal options and remedies.

Pain, swelling and difficulty walking are some of the symptoms indicating an implant problem.  

In addition, the implants can release metal ions into a patients tissue and blood stream. Symptoms of metal poisoning can include dizziness; vision problems, pain and rashes.  Those wrongfully exposed to implant metals may not experience symptoms initially.

iStock_000000865567XSmall.jpgMany of our elders have received the DePuy hip replacements in the hope of continuing active lifestyles.

Making a difference

I began practicing law in 1986.  My purpose in becoming an attorney was to help people and to make a difference in their lives. Protecting the elder who have been abused or neglected has always been one of my missions.  In addition, doing what I can to prevent any type of abuse and neglect has always been one of my goals in the practice of law.  

Make a difference for those exposed to elder abuse and neglect.  Watch their care, be active in their lives and report any suggestion and/or knowledge of abuse and neglect.  

Be a squeaky wheel.  While family members and the resident may be afraid of retaliation, that risk is much smaller than the risks involved in being passive.  In addition to reporting abuse and neglect to staff, document the abuse and neglect and submit a written complaint.  

Make a difference by being involved in the Care Plan.  The resident and family member have a right to be involved in the Care Plan.  Review the Care Plan regularly with staff and make sure necessary updates and changes are made to the Care Plan.  Use the Care Plan to assure that the resident receives the best possible care and treatment.  

Make a difference by building trusted communication with your elder loved one.  Communicate with them about their care, their treatment, the activities they are involved with, food, fluids and medications.  Let them know that you care and that you are available to talk with whenever needed.  Build their trust so that they will never hesitate to report abuse or neglect.iStock_000012673992XSmall.jpg

 

Circle of Life

iStock_000003859987XSmall-thumb-240x240-7092.jpegWhen children are born, they are completely dependent upon their parents and caregivers for every basic need of life.  Food, drink, clothing, changing, all aspects of human existence.  As they grow, their need for care lessons, but, it is after much time and much effort and commitment by those providing the care.  There is also much love and nurture that is shared with our infants.  This early care, love and affection is so similar to what is needed by our elders as they enter the last stages of their life with us.  So often, this is forgotten and so often our elders are looked upon with so much less respect and value as our infants.  No less care, love and affection is needed, however, for our elders.

iStock_000006428030XSmall-thumb-240x240-7093.jpeg

Our great honor and care has been earned by the elders in our communities. And, although, the stage of their life is so different from our infants, their need for our care and their need for our love and affection is no less desired.  Every aspect of their lives desires the very best care and our very best concern.

Dignity

Mistreatment, neglect and abuse of our elders not only has physical effects upon them, but, as importantly, it attacks their dignity.  Dignity encompasses self-respect and a sense of self-worth. Dignity, as many have said is the heart of humanness.  Without dignity, one's self is lost.  One's identity is erased.  Abuse and neglect of our elders steals their dignity.  iStock_000014348945XSmall.jpgSo often those abused and neglected enter into a sense of loneliness and emptiness when their dignity has been taken from them. The pain of the loss of dignity is great. Protecting the elder and their dignity is of great importance.  The elder have so much to share and so much to give.   

Be Involved

Visiting family members in Nursing HiStock_000005242444XSmall.jpgomes on regularly is very important.  So often, it is the unannounced visit or the visit that comes an an irregular times that helps determine the type of care that loved ones are receiving.  It is so important to be involved in the care of loved ones at Nursing Home Facilities.  Take the time and be involved.

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.

Proactive Tips

In this time, when some many are placing elder loved ones in the care of Adult family homes, group homes and nursing homes, it is important to be proactice in watching and assessing the care and treatment that your loved ones are receiving. A proactive approach is a must. Here are some tips on how to be proactive:

1) Talk to the staff about their care plan.  Confirm that they know your loved ones needs.

2)Visit regularly to observe staff’s performance. 

3) Visit at different times and on different days.

4) Ask your loved ones how things are going, if there are any problems, if they are comfortable with the staff and the setting.

5) If your loved one is being treated by a primary care doctor, talk with that doctor to make sure he has no concerns about your loved ones care and treatment.

6) If your loved one is lacking proper care, confront the administrator with the problem and ask for a plan to address the issue. Always follow up.

7) Stay proactive throughout your loved ones stay.

These are just some simple tips. I will add more in the future.

Washington State Licensing Requirement Gap for Adult Family Homes

 I currently have several cases involving Adult Family Homes. In a recent meeting with a DSHS investigator in one of my cases, I learned of a startling fact. The licensing requirements don't apply to adult family homes where each caregiver cares for less than two people full time.

Under the Washington Administrative Code, an adult family home only requires a license if it provides care and services to more than one person. However, home is defined in such a way that one entity can own several single unit homes, place a full time live-in caregiver on site for each, and get away with staying under the radar of the licensing requirements. 

The way I have seen it work is such:

A person buys several condominiums, each one counting as a home. The person puts an unqualified or minimally qualified caregiver in each condo, and provides care to less than two people at a time. According to the DSHS investigator, this has been interpreted to be less than two people full time, and can include one person full time and one person half time. This is despite the fact that regulations say that it can't be more than one person. 

The owner then "supervises" the many unlicensed homes and usually the care is haphazard at best.

If you're debating a move to an adult family home, make sure you ask the right questions:

  • Is the facility licensed by DSHS?
  • Does the owner operate more than one adult family home?
  • Who is the caregiver that will be working with you?
  • Does the caregiver have the qualifications to manage your specific care needs?
  • Has their been any disciplinary actions or investigations by DSHS?
  • Where will the caregiver sleep (yes, I have seen caregivers that sleep on the couch in the living room of a one bedroom condo).

Go in with your eyes open, and you can avoid being placed in a facility that can't support your needs.

Medicare Site a Wealth of Knowledge for Elder Care

Medicare's website provides an excellent resource for those making the tough decision of whether and where to place a loved one in a nursing home. The Official U.S. Government Site for People with Medicare, www.medicare.gov provides useful and detailed information. If you are struggling with the decision, the site provides alternatives to a Nursing home for you and your family to consider.

Other useful information on the site includes:

  • A nursing home rating system;
  • An easy way to find medical equipment suppliers;
  • A comparative tool for nursing homes;
  • Medical nutrition therapy; and 
  • Caregiver stories.

If selecting a nursing home is, indeed, the option you have chosen, follow the steps set forth on the website and take both the time and care to consider where you will being placing your loved one. This is an important decision, so take great care in obtaining as much information as possible. Look at ratings, heath inspection results, staff data, and quality measures.

Once you have narrowed your list of homes to a few, take the time to visit the homes, wander the hallways and to observe the nature of the care and the appearance of the residents. If possible, talk to families who have their loved ones at the home. Visit a few times, as each visit may provide you with new information. Some of the less reputable homes put on a facade for a sales visit. Only by coming in armed with information and taking the time to conduct a thorough investigation on your own can you break down that wall and see if the home is right for your loved one.