Published on:

Recently, shocking video footage was captured at a South Florida nursing home showing a certified nursing assistant striking a resident, pouring mouthwash on him, pushing him and handling him very roughly.  The resident was ninety four years old and suffered from dementia.  The CNA involved claimed she knew nothing of the allegations – until the video surfaced.  Apparently, the resident’s family members were suspicious that he was being mistreated and hid the camera in his room.  Without the camera footage, the abuse would probably never have been proven.

It is common that family members of nursing home residents call us to express a concern that a resident is being abused or mistreated.  Without obvious signs of injury, abuse can be very hard to prove as some residents with dementia may be confused to the point of equating normal movement required for bathing and dressing as abuse.  With advances in technology, it is now economically possible for most people to purchase small video cameras that can be concealed in a room.  Consequently, we have seen a rise in hidden surveillance footage and it is certainly going to continue to increase.

Of course, the use of hidden surveillance cameras also raises ethical concerns.  While a resident certainly has the ability to use such a camera, when the camera is placed by a family member, what if the resident lacks the mental capacity to consent to being filmed?  Nothing in standard power of attorney or health care surrogacy documents addresses this issue.  We support the ethical use of surveillance cameras as one of many tools that can be used in an effort to ensure a resident is receiving safe and respectful care.

Some states have enacted legislation specifically allowing nursing home residents to install cameras, which means that a nursing home cannot remove, or refuse to admit, a resident on this basis.  Most states; however, have no laws addressing the issue.  Florida does not have such a law.  A nursing home industry group, the American Health Care Association, has fought legislation allowing for cameras as it claims that people placing the cameras are more interested in gathering evidence for a lawsuit than in protecting the resident.  They also claim that, with cameras in place, it will be more difficult to hire and keep qualified caregivers.

Our Jacksonville law firm focuses on nursing home neglect and abuse cases.  If you suspect nursing home abuse, we provide free no obligation consultations.  Often, we help guide family members dealing with the issue of whether to leave a resident in his or her current nursing home.  We frequently recommend that the family request a care plan meeting to be attended by the resident’s doctor, the nursing home’s director of nursing and the resident’s nurse unit manager.  When abuse, neglect or mistreatment is more certain, we recommend the resident be moved to a nursing home with strong ratings and we recommend the resident or the resident’s family members contact Florida’s Department of Children and Families abuse hotline at 1-800-96-ABUSE.  Nursing home ratings are published by the Centers for Medicare and Medicaid Services and can be found here.

Continue reading

Published on:

Yesterday, the Florida Supreme Court affirmed Florida’s longstanding legal principle that an insurer may have to pay as much as 2.5 times the usual attorney fee when a homeowner has to sue his or her own insurance company and wins.  The basis for this rule, called a “multiplier,” and its effect on homeowner’s claims is especially timely given the recency of Hurricane Matthew and Hurricane Irma.

The case involved a St. Augustine couple who suffered water damage to their home and presented a claim against their homeowner’s insurer, Federated National Insurance Company.  The insurance company denied their claim based on its position that the homeowners failed to accurately list prior claims when they completed the application for insurance.  The homeowners retained an attorney on a contingency basis, meaning that the attorney agreed she would only get paid if she was successful.

After litigating the case for months, it was determined that the disputed prior claims were disclosed by the homeowners to Federated National, and, as a result, it agreed to pay the claim.  The homeowners’ attorney was to be paid a reasonable fee to be determined by the St. Augustine court pursuant to Florida Statute 427.428.  The judge determined that the attorney’s time at a customary hourly rate came to $38,150.00.  Then, the judge applied a “multiplier” of 2 and thus, doubled the fee to $76,300.00.  The insurance company appealed.

The use of fee multipliers in contingency cases has been part of Florida jurisprudence for decades.  The rationale for awarding a multiplier is to encourage attorneys to accept these types of cases on a contingency basis which provides access to the courts for people who cannot afford to hire an attorney.

From the attorney’s perspective, taking these cases on a contingency basis involves a big risk of time and money.  The attorney is not going to win every case.  As such, if the attorney is awarded only a normal hourly fee when he or she does win, then, with respect to the caseload as a whole (with some cases being lost), the attorney would be working for a less than a reasonable wage.  As a result, few, if any, qualified attorneys would agree to handle cases against insurance companies.

The multiplier can range from 1.1 to 2.5 depending on the likelihood of success at the outset.  A low multiplier is to be applied to cases where winning at the outset was likely – meaning that the attorney had a strong incentive to take the case.  The higher multipliers are to be applied where the likelihood of winning at the outset was low.

On appeal, the Fifth District Court of Appeal struck the multiplier portion of the attorney fee award citing federal law for the proposition that multipliers are to be applied only in “rare and exceptional circumstances.”  The Florida Supreme Court rejected this holding and explained that it never limited the application of multipliers to “rare” or “exceptional” circumstances.

In the wakes of Hurricanes Matthew and Irma, this is very good news for homeowners in the St. Augustine and Jacksonville areas.  For one, it makes insurance companies more likely to fairly evaluate claims at the start even before an attorney is hired.  This, of course, is because the insurer is aware that not adjusting the claim fairly could result in a significant financial loss if the homeowner later hires a lawyer to sue the insurance company.  Second, it helps homeowners hire an attorney without having to pay out-of-pocket, an important consideration as many of these homeowners are already financially distressed due to the costs associated with dealing with hurricane damage. Continue reading

Published on:

When Hurricane Irma plowed the length of Florida on September 10 and 11, it left a surprising amount of damage throughout the Jacksonville area given that the eye of the storm passed more than 60 miles to our west.  Heavy flooding occurred in downtown Jacksonville, Doctor’s Inlet, St. Augustine, San Marco, Jacksonville Beach, Orange Park and Middleburg.  Wind damaged thousands of roofs.  Falling trees damaged houses, fences and cars.  Rising waters flooded homes and destroyed bulkheads and docks.  In Vilano Beach, at least one home fell into the ocean.

Within a few days of Hurricane Irma, our phones starting ringing with people concerned that their homeowners insurance companies were not treating them fairly.  At least one caller was shocked to learn he did not have flood insurance after his broker assured him that flood coverage was in place.  Others have already received woefully insufficient offers to address their storm damage.  In one Hurricane Irma claim, our client was offered $9,000.00 by his homeowners insurer for repairs that are estimated to exceed $50,000.00.

The most common insurance disputes our lawyers handle following hurricanes or major storms include: whether damage (especially interior water damage) existed before the storm; whether out-buildings are covered under the insurance policy; whether docks, decks, boatlifts or bulkheads are covered under the insurance policy; whether appropriate mold remediation has been completed; whether the hurricane deductible has been applied correctly; whether the value of damaged personal property has been fully evaluated; and whether the full extent of required repairs have been determined.

Often, our attorneys resolve insurance claims without filing suit; however, when suit is necessary, we do not hesitate.  We find that proper preparation and using appropriate experts and contractors usually convinces an insurer that paying the claim in entirety is its best course of action.

If you have a dispute with your own insurance company regarding damage from Hurricane Irma, we recommend that you speak with an attorney experienced in hurricane damage claims without delay.  If your insurer asks you to submit to an examination under oath, we cannot stress highly enough the importance of discussing the matter with an attorney before the statement is taken.  These statements can be used by the insurer to deny or limit the claim.

 

Continue reading

Published on:

Nine residents of a Miami, Florida, nursing home suffered death by agonizing heat distress after Hurricane Irma interrupted the supply of electricity to the nursing home.  The people who lost their lives ranged in age from 71 to 99.  Many other residents were treated for dehydration, breathing difficulties and other heat related issues.

For days following the hurricane, the nursing home’s residents were left in Miami’s sweltering heat and humidity.  The day after the hurricane passed, the temperature rose to 98 degrees.  The fallout from this tragedy is just beginning as the deaths were entirely preventable. A criminal investigation is ongoing and civil damages are likely to exceed $10,000,000.00.

Following Hurricane Wilma in 2005, it became abundantly clear that nursing homes in the state needed to have a backup source of electricity in the event weather conditions cause an interruption of power.  In 2006, legislation was proposed to require that all nursing homes in the state have generators able to cool and run their facilities.  Of course, providing this level of resident safety and comfort came with a price tag.  The nursing home industry successfully lobbied against the bill. Now that there has been a tragedy of this magnitude it is likely that similar legislation will pass.

It should not require legislation for nursing homes to obtain backup electrical power.  Common sense dictates that the loss of air conditioning alone creates life-threatening circumstances for the elderly and infirm.  If a nursing home operator is being paid to provide a safe environment for its residents, it is axiomatic that the operator should make the investment necessary to provide an uninterrupted supply of electricity.

Nursing home operators claim that they operate on slim profits due to the limited amount they receive from the Medicare and Medicaid programs.  However, for the most part, this is not the case.  While balance sheets can make it look like there is little profit to the nursing home owners, many of the listed “expenses” for rent, consulting services, and management services are paid to corporations owned by the same people that own the nursing home itself.  With the average nursing home profiting well over $1,0000,000.00 per year, there are certainly enough funds to finance a backup generator system.

It is my hope that the families of these victims obtain a full measure of civil justice.  With large payments to the families, perhaps this nursing home operator and others will realize that, even if they do not feel morally obligated to provide a safe environment, the short term financial savings in not doing so are outweighed by the legal claims that result.  Continue reading

Published on:

On June 28, 2017, the United States House of Representatives passed H.R. 1215 titled, Protecting Access to Care Act of 2017.  Among other provisions in this bill is a limit on non-economic damages that can be recovered from a nursing home that accepts Medicare or Medicaid funds.  This encompasses essentially all nursing homes.  The bill will become law if passed by the Senate by a simple majority.  With the republican majority in the Senate and, with tort reform being a battle-cry campaign platform for the Republican party, the chances of this bill passing are a real concern.

What are the effects of this bill?

Non-economic damages compensate a person for the emotional harm he or she has suffered.  Non-economic damages do not include medical bills, funeral costs or lost wages that might result from injuries caused by neglect.   Economic losses are not subject to any cap or limitation and, under this bill, would remain uncapped.  With nursing home residents, this provides little assistance as there is almost never a lost wage claim given the age and infirmity of the residents.  Further, the medical bills resulting from injuries caused by neglect are typically paid by Medicare or Medicaid, and any sums recovered for medical bills must be turned over to the government.  As such, practically speaking, non-economic damages (i.e., pain and suffering) provide the only recovery that can compensate an injured victim of nursing home abuse or neglect.

Currently, the pain and suffering damages are uncapped.  If a jury is horrified by neglect or abuse, it can render a verdict that provides incentive for the nursing home to provide quality care for its residents.  Without this “check and balance” in place, the nursing homes’ financial incentive will be to minimize their costs.  As the single largest expense of operating a nursing home is staffing, an incentive to lower costs translates into fewer nurses and nurse assistants available to provide care.

The Practical Effects of a $250,000.00 Cap

At first blush, $250,000.00 may sound like a lot of money.  However, it is necessary to keep in mind that this is the worst case scenario for a negligent nursing home operator.  Why would the operator voluntarily agree to pay its worst day?  Rather, in all but the most egregious cases, the operator will offer only a fraction of that amount.  One reason for this is that they know going to trial is nearly impossible for the plaintiff’s attorney with such a cap in place.

Even if we were to achieve a verdict of $250,000.00 at trial, the years of work and tremendous amount of time we spend on these case make such a recovery unprofitable.  Add to that the uncertainty of winning when we decide to take a case and it quickly becomes obvious that agreeing to handle a nursing home neglect case is a poor business decision.

Some specifics may flesh this out.  Abuse or neglect in nursing homes almost always start at the top with a corporate culture of saving money at the expense of resident care.  This is typically done by under-staffing the nursing home leaving nurses and nurse assistants with more work than can be done during their shifts.  In order to prove that under-staffing is the root cause of neglect, we must perform a very thorough investigation.  The time records of every nurse and cna must be evaluation and matched with the shifts in question.  In addition, the census and overall acuity of the health needs of the nursing home residents must be considered.  Multiple expert witnesses are needed to perform this analysis, each with a hefty price.  Further, nursing home operators fight tooth and nail to try to keep the time records and budget information from being provided to us, creating delay and additional expense.

As an example, in a recent case, our law firm spent approximately $150,000.00 on experts and litigation expenses – this figure includes nothing the reflect the value of the time we spent on the case.  We worked on the case for four years.  The result of our work was nothing short of alarming – the nursing home understaffed the facility by: having employees listed as working when they were not; counting nurse managers as providing hands on care when they did not do so; and having a system in place designed to staff the facility at the bare minimums regardless of the overall complexity of the health needs of the facility’s residents.  Only upon the discovery of this damming information was the case was settled for a fair amount.  With the cap in place, we could not have done the investigation and we never would have uncovered the nefarious reason why the nursing staff failed to provide sufficient care.  Simply put, with the cap in place, we cannot prosecute these claims.

Nursing home neglect is a serious problem.  Capping damages decreases the incentive to provide quality care as plaintiff’s lawyers will no longer investigate these incidents.  With the aging of our country, this is the last thing Americans should support.  Continue reading

Published on:

Sexual abuse in nursing homes is a sad occurrence.  A CNN  investigation concluded that between the years of 2013 and 2016, the federal government cited over one thousand nursing homes failing to prevent, or otherwise mishandling, allegations of sexual abuse including rape. Even more disturbing is that nearly every instance of sexual abuse is preventable if nursing homes are properly staffed and if employees and residents are properly vetted and supervised.

Several years ago here in Jacksonville, a $750,000.00 verdict was rendered against a nursing home as a result of a female resident being sexually assaulted by a male resident.  The male resident had criminal record for past sexual crimes.  What is worse is that there were also complaints that he was engaging in inappropriate aggressive and sexual behavior at the nursing home before the rape occurred.

Many residents of nursing homes are unable to protect themselves due to dementia or physical limitations, or both.  This makes them vulnerable to resident on resident sexual abuse and abuse from nursing home employees.

Published on:

Last year, the Centers for Medicare and Medicaid Services (“CMS”) enacted a federal regulation banning the use of pre-dispute arbitration agreements for nursing home residents.  Through such an arbitration agreement, a nursing home resident agrees to give up his or her right to have any disputes, including those related to injuries resulting from abuse or neglect, resolved by a jury.  Instead, one or more arbitrators will decide the outcome.  The arbitrators are usually attorneys who have practiced in the field of healthcare related injuries.

Awards in arbitration cases are often more limited than those provided by juries.  This results in part due to the fact that the discovery allowed in arbitrated cases is much more limited than in a lawsuit.  As a result, the most damming of evidence is often never found.  This is because much of the nursing home neglect that occurs is not the result of a simple mistake by a nurse or nursing assistant.  Instead, nursing home neglect usually results from a corporation’s systemic effort to cut staffing, training and supplies to a bare minimum in order to maximize profits. Without the ability to conduct thorough discovery, this type of information cannot be uncovered.  As a result, a full measure of justice is often avoided by a neglectful nursing home if the case is arbitrated.

In November of 2017, we reported that a federal court ruled that CMS’ rule banning arbitration agreements was invalid as it overstepped the rule-making authority of CMS. In short, an agency is entitled to make regulations for the implementation of laws provided the rules are consistent with the authority granted by the legislation.  However, an agency cannot create rules beyond the scope of that authority.

The federal court’s decision was on appeal at the time CMS enacted the new rules.  The new rules essentially render the appeal moot as the new regulations remove the ban on pre-dispute arbitration agreements.  This is unfortunate for nursing home residents.

The new rules do provide some additional measures a nursing home must take in order for an arbitration agreement to be binding; however, these measures are more form than function. The new measures include:

  1.  The arbitration agreement must be in plain language;
  2. If signing the agreement is a condition of admission, the agreement must make that clear;
  3.  The arbitration agreement must be explained “in a form and manner” understandable to the resident;
  4.  The resident acknowledges that he or she understands the agreement; and
  5. The nursing home must post a notice in a visible area advising of its use of arbitration agreements.

These additional requirements do little to help.  For the most part, they mirror already existing case law that our lawyers use to challenge the enforceability of a nursing home arbitration agreement.  Further, the requirement that the resident acknowledge understanding the agreement will likely be addressed by a signature line next to a sentence that affirms something to the tune of “I understand the terms of this agreement and I willingly and knowingly enter into the agreement.  I have been provided the opportunity to ask questions about the agreement and to consult with a lawyer regarding the agreement.”

Since these forms are routinely signed as part of a volume of admission documents that are all signed at once, adding such a signature line actually does nothing to demonstrate the resident understood the agreement at all.  Illustratively, it is estimated that fifty percent or more of nursing home residents suffer from some degree of dementia.

It appears that federal legislation will be necessary if pre-dispute arbitration agreements are going to be banned for nursing home residents. With the current makeup of Congress, this is not likely to happen anytime soon.

If you suspect nursing home abuse or neglect, we encourage you to call Florida’s Department of Children and Families’ hotline at 1(800)962-2873.

Continue reading

Published on:

Since 1976, Florida law has required that all vehicle owners purchase personal injury protection insurance coverage.  Personal injury protection (commonly called “PIP”) coverage provides medical and lost wage benefits for people injured in car accidents.  PIP coverage, also referred to a “no-fault” coverage, applies to injuries suffered by the vehicle owner and occupants in the vehicle regardless of fault.  In other words, your own auto insurer pays for up to $10,000.00 for your medical expenses and lost wages even if another driver was at fault for causing the car accident.

By requiring these benefits, Florida’s PIP statute prevents injured persons from seeking reimbursement for pain and suffering unless the person suffered a permanent injury, the loss of an “important bodily function,” significant scarring, or death.  In other words, if you suffered injuries in a car accident but eventually returned to normal, an at fault driver and his or her auto insurance company are only obligated to pay any unpaid medical bills or lost wages.

Concerns have arisen that PIP has provided fertile ground for insurance fraud by medical providers and unscrupulous accident “victims” charging for unnecessary medical care.  The cost for PIP coverage, which can duplicate health insurance benefits that most Floridians now have, was also a concern.

During Florida’s most recent legislative session, House Bill 461 was introduced to repeal and replace Florida’s PIP law.  Instead of requiring PIP coverage, the bill, if enacted as law, would require that every vehicle owner carry bodily injury coverage of $25,000.00 per person and $50,000.00 in aggregate bodily injury coverage if two or more persons are injured.  Currently, Florida law does not require that vehicle owners carry any bodily injury coverage at all.  It was estimated that, if enacted, repealing PIP would save Florida car owners approximately $80.00 annually.

Florida personal injury car accident lawyers are mixed on the idea.  The existing PIP framework allows for injured persons to have their medical expenses and lost wages paid.  This makes it easier for them to obtain medical care, especially for those who do not have health insurance.  Also, medical bills paid by PIP do not have to be paid back to the client’s auto insurer if the client receives a financial recovery from the at-fault driver’s insurer.

On the other hand, people who have suffered serious injuries sometimes lose their case because a jury does not agree that the person has suffered a permanent injury.  This most commonly arises with injuries to intervertebral discs. Spinal discs tend to degenerate over time and can be likened to brake pads that eventually wear out.  Some people who have never suffered an  accident or any trauma of significance have herniated or bulging discs.  Because of this, the presence of a herniated or bulging disc identified on an MRI is not the same as an x-ray that shows a person suffered a broken bone in an accident.

Insurers hire doctors of their own choosing who routinely testify that herniated or bulging discs were not caused by an accident. Unfortunately, the car insurers do this in almost every disc injury case even if the injured person never previously suffered from neck or back pain in their entire life prior to the car accident.

The result can be very unfair.  A jury may very well check the “no” box on the verdict form indicating a legitimately injured claimant suffered no permanent injury, which then results in a loss and subjects that person to a judgment for the insurer’s significant court costs.

If PIP is repealed, the “permanency” threshold will not apply, and jurors will simply award the amount of compensation to which a person is entitled, assuming the jury finds the other driver to be at fault for causing the accident.

For the time being, Florida’s PIP laws will remain in place as the House bill died during the legislative session as the Senate failed to vote on it before the session ended.  Similar bills will certainly be proposed in the future.  Continue reading

Published on:

You’re driving down the road and someone cuts you off. You’re understandably mad, so you might yell and wave your fist. But that’s not always where it stops. For many drivers, emotions continue to escalate.

Nationally, incidents of road rage are on the rise.  A recent study from AAA shows 80 percent of drivers admit to expressing significant aggression, anger or road rage in the past year. The same study shows that men are more likely than women to express aggression on the road and that 56 percent of fatal accidents involve at least one form of aggressive driving.

Road rage behavior includes tailgating, blocking and cutting off other drivers and repeated horn honking. All of these can lead to car accidents, injuries and even death.

Earlier this year in Jacksonville, a trucker from New Jersey was shot and killed by another truck driver due to road rage resulting from an earlier traffic confrontation.

Truckers often warn passenger vehicle drivers about the dangers of cutting them off because they simply cannot stop in time to avoid a collision. Not only are they extremely heavy and hard to stop, hitting the brakes hard causes the braking system to dysfunction and can shift the truck’s load out of balance.

Car accidents caused by road rage are not uncommon in Jacksonville, especially since many roadways are congested due to what seems like never-ending construction. Whether you are on the giving or receiving end of road rage, here a few tips to keep you safe:

  • Move over is someone is tailgating you and travel in the right lane if you are driving slower than other traffic.
  • Never engage with someone who has yelled or gestured at you. Most of the time, the person who is angry is not thinking rationally, so trying to engage with them won’t work out well.
  • Use an “I’m sorry” gesture if you accidentally do something offensive to another driver.
  • If an angry driver is following you, don’t pull over and don’t drive home. Instead, call 911 and drive to a fire or police station, or public place like a shopping mall for help.
  • Give yourself plenty of time to get where you’re going. Running late causes anxiety and impatience.
  • Listen to soothing music and relax your shoulders when driving.
  • Give people the benefit of the doubt. Maybe the woman trying to get over to the far right lane is rushing a child to the emergency room.
  • Be mindful of other drivers and always use your turn signal.
  • Lay off the horn. Excessive honking stresses drivers.
  • Don’t be distracted by anything. Checking your phone, putting on makeup, texting, even eating, don’t mix well with driving.
  • Don’t tailgate. Follow at a safe distance – allow 10 feet for every 10 mph you are traveling. So if you are going 60 mph, there should be 60 feet between you and car ahead.
  • If you you notice dangerous or aggressive driving, have a passenger write down the license plate number, date, time, and road you are on and contact the Florida Highway Patrol by dialing *FHP. The best people to handle bad drivers are law enforcement professionals

Written by Elizabeth Allen. Continue reading

Published on:

It’s not hard to find information about how to select a nursing home, but once you’ve made a choice, how can you make sure the facility is treating your mom, dad or relative well?

The number-one way to find out is simply to be there. Just like it made sense to be involved at your child’s school, it also makes sense to be involved in your parent’s nursing home care. So make regular visits and most of all, be an advocate for your loved one.  If something doesn’t seem right, speak up.

In many cases, being more involved and acting as an advocate for your loved one can make a big difference. But sometimes conditions don’t improve and residents suffer the consequences.  We see this far too often and our lawyers have brought injury or death claims against nearly every one-star rated nursing home in the Jacksonville area.

Pay attention to these important aspects of care to help protect your loved one:

Nutrition is critical for an elderly person. As people age, the number of effective taste buds decreases, so they often lose interest in food and it becomes harder to get the nutrients they need. Because of this, it’s important that food is presented in a visually appetizing way and patients should have a variety of healthy choices at each meal, along with healthy snacks.

Have a meal with your loved one on a regular basis at the nursing home and pay attention to how much your loved one is eating. If they are not eating much, talk to the dietary staff about making some modifications so they can get better nutrition.

How does the staff treat each other? A harmonious work environment usually translates to better care and concern for patients. If the nursing home’s staff doesn’t seem to work as a team and you overhear yelling and harsh words, it may be a sign that they treat patients the same way.

How do staff members interact with patients? Nurses and certified nurses’ assistants should treat patients in a positive and encouraging way. Knocking before entering and calling them by name should be the norm.  A good nursing home will encourage staff to ask each patient how he or she would like to be addressed.

How does the home smell? Of course, there may be some unpleasant smells in any nursing home. Medications, special foods, and even cleaning supplies can emit odors. If the home smells badly every time you are there, and you notice a stale urine or fecal smell, it could mean that the staff is not tending to residents’ needs that can lead to a whole host of other problems.

How does the staff handle a fall? If a resident falls, take notice of what happens next. Do they check the patient carefully to see if they have any injuries? Do they take the time to comfort the patient and make sure he or she is okay? Hallways should be uncluttered with plenty of room for patients to walk.

How do residents spend their free time? A quality nursing home will have activities for residents to engage in if they so choose. Card games, bingo or simply having group discussions are good ways for patients to keep their minds sharp. For patients who are able, it’s good for them to get outside and enjoy the fresh air. For patients who are room-bound, activities should be brought to them.

Interact with management. If you notice something seems out of place, bring it to the nurse unit manager’s attention. If that doesn’t work, escalate your concern to the director of nursing or the administrator. A good nursing home will take your concerns into consideration and make improvements.

If you’re like most people who lead busy lives and you simply don’t have time to visit frequently, enlist the help of other family members. The more advocates a nursing home resident has, the better.

Written by Elizabeth Allen
Continue reading