Elderly For Sale: Placement Services Run The Gamut In Quality And Approach To Placing Seniors

In yesterday's Seattle Times, Michael J. Berens wrote an article entitled: "Senior-care Placement Companies Scramble For Cash." In the article, Mr. Berens does an excellent job of pitting two competing business models for elder-care placement against each other: One is a nationwide internet-based service; the other is a locally based provider. Although both providers charge facilities the same amount for their service -- one month's rent -- that is where the similarities end. The differences between the two are both stark and disconcerting.

The nationwide internet-based company, A Place For Mom, is allegedly the nation's largest senior placement firm. The company never meets face-to-face with any senior it is placing; instead all contact is either via telephone or internet. It sends mass facsimile transmissions to its list of approved homes which contain potential residents and urges the facility to call the potential resident. Although they supposedly visit each facility in which they attempt to make a placement, that does not always happen. In fact, according to the article, A Place For Mom placed a resident at a facility which had been cited for hiring caregivers with felony convictions that should have disqualified them from working with vulnerable adults; lying to state investigators and fabricating records; and failing to provide proper care for 32 days to an 88-year-old woman who died from untreated pressure sores. Only after this fact was brought to A Place For Mom's attention by Mr. Berens, did it remove the facility from its list of approved homes.

On the other end of the spectrum is Careful Placement Adult Home Agency, which is a "one-man show" run by Brandon O'Larey. Mr. O'Larey visits each home he places residents in. He visits all potential residents. According to the article, Mr. O'Larey even visits people after he places them to make sure they are doing well and to check up on them. Perhaps this is not the best "business" model; isn't it, however, a more comfortable and caring process?

The moral of the story: Be careful when it comes to placement agencies; they may not always have your best interests in mind. There is no substitute for your own research and site visits to make certain the place you or your loved one is going is all it needs to be. Do not become just another "number" to a placement agency.   

Politics And Florida Office Of Ombudsman...Does Industry Hold Too Much Sway?

I found a story in today's Tampa Bay Online (Florida) interesting, disturbing and, unfortunately, unsurprising. According to the article, Brian Lee, Florida's long term care ombudsman resigned after "butting heads" with Florida's new governor, Rick Scott. Mr. Lee indicated the "last straw" which lead to his forced resignation was a letter he sent out to Florida's nursing homes "directing them to submit information on their ownership, as permitted under the new federal health care legislation." This is a contentious issue because, according to critics of the nursing home industry, "facilities are often broken into multiple businesses to make lawsuits against them more difficult."

Florida's ombudsman program is funded, in part, by the federal government. Idaho's Commission's on Aging's ombudsman's program receives similar funding. The federal government is looking into Mr. Lee's situation; a representative of the federal government is quoted as stating: "We expect that Florida will make every effort to avoid even the appearance of a conflict of interest" in the appointment of a new ombudsman.

In Idaho, the Ombudsman is hired by the administrator of the Idaho commission on aging. Currently, Ms. Kim Toryanski is the administrator of the commission. Ms. Toryanski was appointed by the governor, and confirmed by the state senate.

Let's hope the Idaho ombudsman program is not politicized. The Ombudsman serves as a critical advocate for those who need it the most, residents of long-term care facilities and persons 60 years' or older living in the community.

Do you have questions about the Idaho ombudsman? Submit them to me and I will try to find answers and post them in the future on this blog.

 

 

Does Your Nursing Home Hire Criminals? Chances Are Pretty Good It Does!

handcuffsIn a recent New York Times' article, Robert Pear writes about a disturbing fact: More than 90% of nursing homes in the United States "employ one or more people who have been convicted of at least one crime." Frankly, I find that disconcerting.

Mr. Pear's story is based upon a report issued by Daniel R. Levinson, inspector general of the Department of Health and Human Services, who obtained the names of more than 35,000 nursing home employees and then checked with the Federal Bureau of Investigation to see if they had criminal records.According to Mr. Levinson: “Our analysis of F.B.I. criminal history records revealed that 92 percent of nursing facilities employed at least one individual with at least one criminal conviction.” He went on to say: “Nearly half of nursing facilities employed five or more individuals with at least one conviction. For example, a nursing facility with a total of 164 employees had 34 employees with at least one conviction each.

The rules that govern Idaho nursing homes and assisted living facilities require criminal background checks be performed. There are also certain "disqualifying crimes" which prohibit a person from working in a nursing home such as abuse or neglect of a vulnerable adult, among many others. Although the potential employee must "self-report" any criminal convictions, they must also provide finger prints for their criminal background investigation.

No system is fool-proof, however. Make sure to report any suspicious activity to your nursing home or assisted living facility. As the Department of Health and Human Services' survey reveals, nursing homes and assisted living facilities are hiding a "dirty little secret": they employ some unsavory characters.