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Nursing Home Abuse

Regulations and Virginia Nursing Homes

I visit nursing homes with some frequency. When I walked into one two weeks ago, I noticed the fake flowers in the entry way. I notice the clean carpet and residents sitting in wheelchairs near the front windows. I didn’t see, and didn’t expect to see a copy of the Federal Code on the coffee...[Read More]

No staffing requirements in Virginia Nursing Homes

This week I shared a fact on our firm’s Facebook page: Virginia does not having minimum staffing requirements for nursing homes.  This means, it is technically legal for a facility to accept 120 residents, and only have 1 RN, 2 LPNs and 2 CNAs that can care for these patients per 12 hour shift.  On...[Read More]

Pressure Ulcers / Injuries in Virginia Nursing Homes

Again, this week, I received a call from someone who was shocked to learn their Mother had developed significant pressure ulcers at a local nursing home, and now they were infected. Pressure Ulcers have gone by many names is the last 10-15 years: bed sores; pressure sores; pressure ulcers, and now the people who write...[Read More]

Retirement Planning and Continuing Care Communities: Myth v. Reality

Our local business magazine just ran a thorough and thoughtful article on retirement planning. It shows pictures of youthful seniors doing water aerobics, swinging on a lake-side hammock and more. The article highlights idyllic retirement where assets cover comfortable living and seniors have choices.  Yes, some people (those blessed with good health and good jobs...[Read More]

Why nursing home policies and procedures are so important

Have you every heard the phrase – honesty is the best policy? It is an ironic truism. True, because honesty is always preferable to the opposite, dishonesty, and yet ironic because why do we as humans need a policy (a written rule) encouraging honesty? Shouldn’t honesty be innate? Shouldn’t we know to tell the truth, without...[Read More]

Use of Haldol for dementia / Alzheimer’s patients in nursing homes

So the FDA says the following about using Haldol for a dementia / Alzheimer’s patient in a nursing home. Read it carefully, the language is not soft but very clear:  WARNING Increased Mortality in Elderly Patients with Dementia-Related Psychosis: Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death....[Read More]

Can a patient’s family call 911 in a nursing home?

We get questions like the following, all the time: “I am worried about my loved one in the nursing home. I asked the nurse to call the rescue squad and she said she couldn’t – waiting for a doctor’s order. What can I do?” or “I told the nurse I was so worried about my Mom...[Read More]

Can they do that?

Families call our office all the time with the question, “Can they do that?” Meaning, can the nursing home: Change Mom’s Oxygen from 3L to 2L? Change Dad’s medications without notifying families? Discharge Grandmom on day 99 when her Medicare ends on day 100? Refuse to apply for Medicaid benefits but rather bill the family...[Read More]