Nursing Home Abuse Lawyer Blog

Nursing homes typically face inspection only once a year by state government employees. A May 2008 report from the Government Accountability Office has uncovered a startling fact: at least one serious deficiency is missed in 15% of inspections reviewed by federal officials. Worse, in a review of surveys from 2002 to 2007, inspectors in nine states missed serious deficiencies in more than 25% of the surveys. States noted to miss serious deficiencies were Alabama, Arizona, Missouri, New Mexico, Oklahoma, South Carolina, South Dakota, Tennessee, and Wyoming. Nationwide, one-fifth of the facilities were cited for serious deficiencies.

As a solution to the worsening conditions in nursing home facilities, the Nursing Home Transparency and Improvements Act bill has been introduced before Congress. This bill is designed to force nursing home facilities to provide the general public, as well as the federal government, with more information concerning facility and corporation ownership and related individuals and/or companies that participate in the day-to-day operations of the facilities. It would also increase maximum fines for a serious deficiency from $10,000 to $25,000 and $100,000 for a wrongful death.

Extendicare Homes, a subsidiary of Extendicare Health Services, Inc., faces a class action lawsuit filed in King County Superior Court in Washington State against Extendicare Homes, Fir Lane Terrace Convalescent Center, Inc. and 15 other long-term skilled nursing care facilities in Washington. The suit alleges inadequate staffing. The attorney for plaintiffs alleges that Extendicare's corporate strategy is to "maximize profits at the expense of the elderly and vulnerable people it claims to serve".

Extendicare operates 191 senior care facilities nationwide, 17 of which are in Washington.

Would video cameras, so called "Granny Cams", make nursing home abuse more difficult? Wes Bledsoe, an advocate for nursing home reform, believes so. Mr. Bledsoe also believes that reporting of crimes, such as assaults and rapes, should be mandatory and that a law should be passed allowing families to install video cameras the rooms of residents to protect their loved ones.

Mr. Bledsoe cites the case of James Curnutt as a prime example of what can happen without these precautions in place. Mr. Curnutt, 41, suffers from a neurodegeneration of the brain known as Pick's Disease, which is similar to the advanced stages of Alzheimers. Last August, while a resident of Oak Hills LIving Center in Jones, Oklahoma, Mr. Curnutt was discovered with bruises on his body. It was later determined that Mr. Curnutt was sexually assaulted and physically abused by two residents at the facility.

Mr. Curnutt's father did not contact police because he thought the facility and the Oklahoma State Department of Health would take action. Unfortunately, because no criminal intent was established, the Oklahoma State Department of Health did not notify the police concerning the incidents. The facility was cited for failing to protect residents from sexual abuse.

The Terry Law Firm supports the idea of family authorized video cameras in nursing home rooms. We believe they would make those inclined to abuse elderly residents think twice before engaging in such conduct. Here is a video of an elderly man being abused by a caregiver in Baltimore, Maryland. While this video was made of a home health worker, the concept and goals are the same: protecting elderly citizens from abuse.

Missouri State Fire Marshall Randy Cole recently recommended that smoke detectors be installed in the rooms of most nursing home and long term care facilities in Missouri. His reasoning is simple: by the time a fire is hot enough to trigger the sprinkler system, a room can be engulfed in smoke. If the door is closed and the resident is bedridden, that smoke may not reach a hallway smoke detector until after the resident is dead or dying of smoke inhalation.

In a surprising and disappointing ruling of savings over safety, Missouri legislators on the Joint Committee on Administrative Rules recently voted 9-0 to kill the recommendation of smoke detectors in every room. Why? It would cost too much, according to the nursing home industry. Reportedly, the average cost to install smoke detectors in an entire facility would be $25,000 to $35,000.

In an industry that takes in millions of dollars in profit and where many owners have their own private jets, it seems like this is a small amount of money to pay to insure the safety of vulnerable, elderly residents.

Fortunately, Randy Cole is not finished with the nursing home industry yet. He is trying to influence wording of the regulations that the Rules Committee ordered rewritten by the Department of Health and Senior Services.

The legislators responsible for the decision that leaves Missouri's nursing home residents at risk are: Rep. Timothy Flook (R-34), Rep. Sam Page (D-82), Rep. Jason Smith (R-150), Rep. Bryan P. Stevenson (R-125), Rep. Mike Talboy (D-37), Sen. Joan Bray (D-24), Sen. Victor E. Callahan (D-11), Sen. Jack Goodman (R-29), Sen. John E. Griesheimer (R-26), and Sen. Luann Ridgeway, (R-17). You can contact your representatives and senators who were involved in this decision.

When contacted about this decision Committee member Bryan Stevenson (R-125) stated very clearly that "The industry had a good day." One would think that a good day would be protecting elderly residents, not keeping them at risk.

To read more concerning this matter, go to Nursing Home Industry Unconcerned About Fire Safety.

In a previous blog, we discussed Westside Health Care Center and the Terrace at Westside and the deplorable living conditions at the facilities. This is the nursing home that local police referred to as a "crack house". New information concerning the horror at these facilities was located in the Mansfield News Journal article: Report: Health Inspectors Failed to Report Unsafe Nursing Home Conditions.

Cincinnati is the only city in Ohio that performs its own nursing home inspections. Reportedly, city health inspectors failed to report the life-threatening conditions at the facilities. Inspections from 2003 through February 2008 did not report unsafe conditions. Cincinnati City Council will have a hearing next month to determine why the facilities' unsafe conditions went undetected for so long. State health inspectors have nearly 200 pages of violations at the facilities.

The coverup was revealed on February 25 when Officer Aaron Layton went to the facility searching for a suspect. He was shocked with what he found and obtained a search warrant. Two weeks later, dozens of police officers and city and state health inspectors raided the facilities.

Among other things, the raid uncovered:

* vomit in hallways
* pipes held together with shoe string
* unsafe medication storage
* smoking near oxygen tanks
* 20% medication errors - nearly four times the acceptable rate
* no staff member trained to deal with psychological problems - although every resident had some degree of mental illness
* cigarette butts in the hallways
* mold on walls
* inaccessible fire doors
* roach-infested rooms
* soiled mattresses
* fire doors tied shut

The owner of the facilities, Abe Fischer, was fined $100,000 and faces criminal charges of violating Cincinnati's fire and building codes. Mr. Fischer maintains that the facilities are clean and safe, but that state and advocacy groups are trying to shut him down.

Warren Richardson is a former resident of Anaheim Healthcare Center, a nursing home facility in California owned by Sun Mar. During his residency, Mr. Richardson developed pressure sores due to alleged understaffing. His plight prompted a lawsuit that turned into a class-action lawsuit that Sun Mar recently settled for $2 million.

Current and former residents of Sun Mar's 17 skilled nursing homes will share the settlement proceeds involving the lawsuit that alleged the company's facilities were understaffed and undertrained and that corporate officers and managers at the facilities kept budgets so low that the correct staffing and training could not be provided.

In a previous blog, we discussed The Village at Luther Square and the problems that were occurring at the facility. On Thursday, August 21, 2008, The Village at Luther Square's license was downgraded to provisional. Further compliance issues or more deficiencies could cause the state to levy more penalities, such as prevention of participation in Medicare or Medicaid programs or revocation of the facility license.

The latest in the series of problems at the facility occurred in early July, two days apart. On July 6, 2008, a resident tipped over in a wheelchair and suffered a ruptured blood vessel in the brain and a fractured neck. The resident died the next day. Tragically, the facility staff did not use an anti-tipping device on the wheelchair and the "nursing staff failed to assess the safety of applying a waist restraint".

On July 8, 2008, a resident fell forward from a wheelchair and struck their head on the floor. Stitches were required to close the wound and the patient suffered a closed-head injury and possible concussion. Earlier that day, the resident's physician had ordered the nursing staff to reapply a waist restraint, but the order was disobeyed.

A two month employee at Life Care at Lofland in Seaford, Delaware, has been suspended without pay and faces reckless endangerment and offensive touching charges for his actions on August 17, 2008. He currently remains free on bond.

Police were called to the facility after nursing home employees witnessed the employee twice placing a pillow over a resident's face while performing personal care services in an effort to quiet the patient. Fortunately, the victim appears to have suffered no ill-effects from the incident.

We recently addressed the abuse of Lillian McIntye after her death in our blog. In a rapid response to the unanimous decision of the Michigan Court of Appeals last week that a dead body is not a person, lawmakers are rushing to rectify the situation. State Representative Steve Bieda announced Monday, August 18, 2008, that he would propose legislation that would modify the existing laws concerning abuse to include people who die in nursing homes.

Collinsville Rehabilitation and Health Care Center in Collinsville, Illinois has been sued for allegedly providing inadequate care for one of their residents. Florine Pinson, through her power of attorney, is alleging that the facility failed to protect Ms. Pinson from neglect, failed to notify her physician of changes in her condition, and failed to provide her with sufficient fluids. Ms. Pinson suffered from repeated urinary tract infections, urosepsis, malnutrition, and decubitus ulcers.

Clara August, a resident at Mereway Manor in Scottsdale, Arizona, died August 14, 2008 after suffering third-degree burns over half her body. Ms. August was sitting outside and attempting to burn a thread off of her dress with a lighter when her dress ignited. The owner of the facility, Nenita Schweicheler, saw Ms. August's dress burning and extinguished the fire. State inspectors arrived at the facility not 90 minutes later to investigate.

Michael and Nenita Schweichler, Mereway Manor's owners, have faced state scrutiny before. In March 2008, Nenita Schweichler's certificate was revoked due to failure of a required test. She has not reinstated it and is working as a facility employee. In September 2006, Michael Schweichler paid $3,500 in penalties for failing to ensure medication requirements, hiring an employee with an invalid training certificate, and failing to comply with fingerprinting requirements. In March 2006, Mr. Schweichler paid $2,900 in penalties for physically restraining a resident, being over capacity at the facility by two residents, and no service plans for clients at his other facility.

Doris Rowe, 87, entered Evergreen Bozeman Health and Rehabilitation for a short rehabilitation stay. Instead, the stay cost Mrs. Rowe her life and her devastated family searches for answers.

On June 13, 2007, Mrs. Rowe was found unconscious and bleeding from her head. She died the next day from a cerebral hemorrhage. The fall was the fourth documented fall during her 35 day residency at the facility. She struck her head in three of those falls. The family alleges that the facility failed to prevent the falls, that the staff failed to respond to calls for restroom assistance, causing Mrs. Rowe to attempt her own toilet transfer, and that the staff was untrained and unavailable a great deal of the time. George Rowe, her husband who was also a resident for a portion of the time that Mrs. Rowe was at the facility, waited two days for a glass of water and saw the facility staff drop Mrs. Rowe twice. The lawsuit also alleges a large turnover in employees.

During a state inspection, the State of Montana found 65 pages of deficiencies, among which were restraining an ambulatory resident for no medical purpose, leaving fall-risk residents alone without restroom access, providing drugs over maximum dosage, and insufficient food to meet patient needs.

Another resident at the facility was found with head injuries consistent with a beating. As a result, Joshua Fowler, an Evergreen employee with a prior assault charge, was arrested for felony elder abuse. A lawsuit is currently pending against the facility for the incident and the family alleges that Evergreen failed to perform a background check on Mr. Fowler and failed to follow proper hiring procedures.

Interestingly, state regulations on Montana nursing homes were last updated in 1972. There have been attempts to update the state regulations, but those attempts have failed. The current laws were drafted before CNAs even existed, thus, only one aide is required for every 14 residents.

Certified Nurse Assistant Dennis Rowe faces a felony charge of second degree elder abuse in Jasper County, Missouri. The abuse is classified as a Class B felony and Rowe faces between five and fifteen years in prison. The alleged incident occurred on April 14, 2007 at Carthage Health and Rehabilitation Center in Carthage, Missouri. The victim, a wheelchair bound elderly man suffering from a brain injury, is unable to care for himself, is "barely able to speak", and requires a continuous oxygen supply.

Rowe was showing another employee how he was able to "control" the resident. He struck the victim in the groin and slapped his face. According to an affidavit "the defendant then took the humidification canister hooked up to the victim's oxygen tube, turned the flow of oxygen 'all the way up' and turned the cannister over, forcing water into the victim's nose, causing him to choke, 'turn purple' and spit out water". Another employee had to stop Rowe from continuing with the abuse. The affidavit further states that the canister contained approximately 12 ounces of water and "according to the victim's doctor, this amount of water introduced into the nasal passages and lungs of the victim in his current physical state is sufficient to cause him serious physical injury, such as choking, drowning or pneumonia".

Edward "Tiger" Monsour's family thought that his 2005 stay at Manor Health Care Center in Las Vegas, Nevada would be short. Nearly a year later, in April 2006, his family removed him from the facility via wheelchair wearing a diaper and suffering from bedsores and a gangrenous heel ulcer. He later died of sepsis.

The family filed a complaint in District Court in 2006, prior to Mr. Monsour's death, alleging that there was inadequate supervision, lack of staffing, and a wound care nurse who knew nothing about treating pressure sores. The family was awarded over $754,000.00.

Now, attorneys for Manor Health Care Center have filed motions seeking to modify the decision as well as reduce the settlement amount arguing that Nevada law does not allow heirs to recover most of the damages because the arbitrator found against the portion of the complaint that claimed wrongful death.

As you read in our previous blog, nursing home resident Solomon Owasanoye was accused with beating his roommate to death using a clock radio. On August 14, 2008, Mr. Owasanoye, a dementia patient, pled not guilty to eight counts of first degree murder for the death of Ivory Jackson. Mr. Jackson, 78, died June 23 from his injuries.

The facility where the men resided, All Faith Pavilion, has a history of public health violations, at least two deaths linked to neglect, according to the Illinois Department of Health.

Richard Eddie Robertson, a 71 year-old resident of Bowling Green Health Care Center in Bowling Green, Virginia, suffered from dementia. On August 3, 2008, he wandered away from the facility, unnoticed. He was reported missing around 6:30 p.m. on August 3, 2008. The Caroline Sheriff's Office, with the assistance of other local authorities, began an air and ground search, which failed to locate him. A tracking dog had tracked him approximately one-half of a mile away from the facility, but the trail went dead.

Tragically, Mr. Robertson was found dead on August 15, 2008 - nearly two weeks after he went missing. The cause of death has yet to be determined.

Abuse is not abuse if the patient is dead? Shockingly, a recent Michigan Court of Appeals decision came to that conclusion. The Court of Appeals unanimously ruled "that because a dead body is not a person, it is not protected under a statute that protects patient abuse in nursing homes".

Lillian McIntyre died at Cherrywood Nursing Home in Sterling Heights, Michigan on October 13, 2004. Nurse aides Tahirah Shakur, Keisa Cooper, and Nichole Jackson were assigned the task of preparing the body for removal. Instead of respecting the deceased, the three women found it amusing to pat Ms. McIntyre's hand and tell her to "wake up". One woman took a photograph of the other two hugging the deceased. They also posed the body with hands in the air, arms behind her head, and bending her knees. The women were fired for their behavior, but alarmingly, the Macomb County Department of Community Health did not revoke their licenses, even though the facility was cited for violation of patient dignity.

The Wisconsin Department of Health Services has a new toll-free hotline that will offer information on nursing homes, assisted living facilities, and other agencies. People will be able to get information on facilities or report a complaint by calling (800) 642-6552 or going to http://dhs.wisconsin.gov and submitting a complaint from the main page.

John Riems, a registered nurse with twenty-two years of experience, charged with rape, sexual battery, and patient abuse in January 2008 pled not guilty. He now faces new abuse charges to which he has admitted to investigators that he abused almost 100 patients over the span of his career.

In January 2008, Riems was charged with 12 counts of rape and two counts of sexual penetration over abuse that occurred at Concord Care and Rehabilitation Center in Ohio. Riems' victims were a 55 year old blind and partially paralyzed male resident and a resident in his eighties.

Riems behavior does not come as a surprise to some of his co-workers. He was known to have a temper and was seen throwing papers and hitting walls and medical carts. Patients didn't want him touching them and didn't want him in their rooms. Some of them would refuse their medications just to keep him out of their room.

Patients weren't the only ones to note innappropriate behavior. His fellow employees reported his verbal abuse of patients as well as seeing signs of abuse and neglect, such as bruises and bedsores, to their superiors at Concord Care. Reportedly, however, those reports were ignored. In fact, one former employee noted that "management at Concord Care worked extensively to cover up reports of resident abuse, even calling residents "bottom of the barrel".

Trial is set to begin on September 29.

Gary Trebert, a former attorney, and two accomplices ran a scam from the summer of 1999 until May 2004 where they were able to bilk Medicare out of $34 million in taxes tied to nursing homes. Controlling approximately 70 facilities with 6,000 beds and 4,500 employees, Trebert, Larry May, and Stephen Ewing purportedly created fake companies and diverted withholding taxes of nursing home employees in Texas, Iowa, Kansas, Virginia, and Oklahoma. Larry May created names for payroll companies and traveled to England to mail tax returns, all in an effort to confuse the IRS about the ownership of the companies. For their involvement in the scheme, May received a four year federal prison sentence, Ewing a ten year sentence, and Trebert a six year sentence. Trebert is also required to pay $11.65 million restitution to Medicare and Medicaid.

Power outages should not result in death, but tragically, a resident suffering from heart and lung disease died after her artificial breathing apparatus failed during an April 10, 2008 power outage at Brookhaven Nursing Center in Carrollton, Texas. The power went out after a spring storm around 3:00 a.m. The resident was left alone in a overheated room without oxygen. A nurse checked on the resident around 6:00 a.m. and found the resident "thrashing around in bed" and determined that "the resident was simply uncomfortable because the room was extremely hot". The nurse told investigators that she was not aware that the resident couldn't breathe and couldn't assess her condition "because it was too dark in the room due to the outage". She was found dead at 7:00 a.m. Tragically, the facility did have a backup generator and stored oxygen containers, but the nurses caring for the oxygen-dependent residents had not been trained to deal with an emergency situation.

The State of Texas has charged the center with failing to maintain minimum health and safety standards and is seeking civil penalties of up to $20,000 for each violation of residents' health and safety. During an investigation one week after the tragedy, investigators found 23 violations which placed residents in "imminent jeopardy" and the center was providing "substandard quality of care".

Brookhaven has failed annual inspections every year for the past eight years, with the exception of 2004. In 2003 and 2006, state records show that Brookhaven had been cited for causing "actual harm" to residents or placing residents in "immediate jeopardy".

Interestingly, the parent company, Diversified Healthcare, LLC, of Brookhaven has its own problems. Not only is it not registered with the Texas Secretary of State's Office to operate their business in the State of Texas, but it also owes two years' worth of back franchise taxes.

The National Center on Elder Abuse recently revamped its website, giving the public easier access to a variety of useful websites. Using this site, linking to Elder Abuse Hotlines in any state in the United States is simple and can be accessed in mere seconds. The Eldercare Locator, another useful link found on this site, provides links to state and local area agencies, including Medicare, providing a wealth of information, including hotline abuse numbers and elder abuse prevention numbers. Nursing home abuse prevention and reporting information can also be located on this main page of this site.

Twenty-one patient care and building deficiencies were uncovered in recent inspections at the Village at Luther Square in Pennsylvania. The State Health Department's Division of Nursing Care Facilities also inspected the facility in July and the facility is currently being reviewed for possible sanctions. Recent deficiencies included failure to develop a patient healthcare program, failure to label multidose medications, failure to store records in a secure area, electrical wiring that did not meet safety code specifications, and uninspected fire extinguishers. In the recent inspection, the State uncovered a situation where a resident went eight days without a bowel movement, caused in part by the facility's failure to administer prescribed laxatives. The facility failed to inform the resident's physician of a bowel obstruction.

Purportedly, this facility is not new to problems meeting health code and nursing home regulations. In fact, it has been cited for 107 deficiencies over the past 30 months - 25 more than any other facility in that county and 79 more than the statewide average for other nursing facilities its size.

Heatheridge Assisted Living Center, a Tulsa nursing home facility, has been cited by the State of Oklahoma for twelve violations following a June 2008 investigation. These violations, among other things, include providing inadequate medical care to residents and failure to have a registered nurse supervise and oversee licensed practical nurses and direct care personnel. The report from state Health Department investigators indicates that the facility did not coordinate for health care services with third-party providers, such as hospice nurses, causing actual harm to several residents. The facility has been flagged for "immediate and serious concern".

One resident contracted methicillin-resisant staphylococcus aureas, or MRSA, in her urine and urinary catheter during a March 2008 hospitalization. Her physician ordered daily dressing changes and evaulation of pressure ulcers on lower limbs. In an amazing situation of the right hand not knowing what the left hand was doing, a hospice nurse told investigators that Heatheridge staff was providing care for the staph-infected areas. A licensed practical nurse for the facility advised that "I don't do skin assessments. Hospice does them." The resident was admitted to the hospital on June 11 suffering from dehydration, malnourishment, and sepsis, as well as multiple pressure sores. She died on June 12.

The state report advised that the resident had been improperly restrained with "tightly tucked covers resulting in pressure ulcers to the lower extremities". Several wounds on the resident's right leg were also infected with staph at the time of her death.

The state asked the facility's registered nurse how she supervised the LPNs and other staff to ensure that residents were properly cared for. She responded, "I'm only the consultant. I'm not really her overseer or her supervisor. I don't consider myself in charge." It was also determined that she was only at the facility two days a week, in direct violation of federal laws governing nursing home facilities.

Oklahoma Attorney General Drew Edmondson has accepted a plea agreement from Susan Gail Evers, a former administrator at Grace Living Center - Edmond, an Oklahoma nursing home. Ms. Evers pled guilty August 7, 2008 to taking $3,090.65 from the resident trust fund accounts and gambling it away. As part of her plea agreement, she was required to pay restitution and assessed with various fines. She also received a two year deferred sentence.

Nursing home resident, Rodney Kenney, died after catching fire while sitting in his wheelchair at Regency Place, an Indiana nursing home. On May 26, 2008, Mr. Kenney was found with a cigarette lighter near his wheelchair, even though he was not a smoker. He was, however, an Alzheimer patient who required substantial supervision. Shortly after Mr. Kenney caught fire, state regulations swooped in to investigate. Amazingly, upon their arrival, state employees were informed that no one was in charge. As a result of the state investigation, the facility was cited for improperly supervising Mr. Kenney, as well as medication errors related to a second resident, inadequate staffing, and inadequate screening for employees. The facility faces fines and possible denial of Medicare and Medicaid payments for new admissions after August 19, 2008.

Fifty-three year old Bobbie Jo Wilhelm was charged July 24, 2008 with eight felony counts of financial exploitation by a caretaker by Oklahoma Attorney General Drew Edmondson. The theft was uncovered after an investigation by Edmondson's Patient Abuse and Medicaid Fraud Control determined that she had cashed over $7,600 in royalty checks due a resident at Bartlesville Care Center. Ms. Wilhem has admitted to forging the resident's signature and using the money for personal matters. She was arrested by the Bartlesville Police Department and bond has been set at $25,000. To read more on this matter, see Former Bartlesville Nursing Home Worker Charged.

A ManorCare South facility, located in Pennsylvania, has come under state scrutiny recently for two avoidable deaths. In January 2008, a 90 year-old male resident fell from his bed and hit his head, causing severe head trauma. Despite his injuries, the nursing home failed to call his physician. He died shortly thereafter. A state investigation led to a promise by the nursing home to correct the problems that caused his death. Yet, five months later in May 2008, a female resident complained of a headache and dull chest pain that ran into her shoulders. No calls were made to her physician. She was later found on the floor in a pool of blood and died five hours later from a heart attack.

In each incident, the nursing home has been cited for failure to respond appropriately and failing to contact the resident's physician timely. The Department of Health and Welfare has placed the facility on a Provisional II license due to the second death and has assessed a $7,250 fine. A Provisional I license was imposed after the first death. Facilities are allotted four provisional licenses in a two year period before they face possible shutdown. The State of Pennsylvania is recommending an additional fine of $10,000 per death. The facility is supposed to be correcting the problems and has terminated a nurse involved in the response to both patients.

It is important to review the investigation history of a facility before placing a loved one in their hands. To find the most recent investigation history of a facility, go to Medicare.gov and click on "Compare Nursing Homes in Your Area".

Ashford Court Care Centre in Springfield, Illinois, formerly known as Helia Healthcare and Sangamon Care Center, has been fined $35,500 by the State of Illinois for failing to give its residents enough notice prior to moving them out - less than 90 days. The Illinois Department of Public Health issued the fine after learning on April 30 that the nursing home was not following the time period required by law. On April 28, the facility advised residents and their families that it would close this summer for renovation work. Residents were told to move out so the renovation could be completed. Residents were not told that they would not be welcomed back. Why? Because the facility is going to reopen as an assisted living center - not a nursing home. And why did the nursing home opt not to follow the law? According to former Administrator Susan Barbian, she didn't believe it was in the residents' best interest to have a long delay.

Interestingly, the decision to renovate came approximately one month after the facility corrected various health-care violations and avoided a termination of Medicare and Medicaid program benefits. The facility continues to fight a $30,000 state fine stemming from a September 2007 inspection that revealed untreated bedsores and residents lying in their own waste.

It is important to know everything possible about about a nursing home facility before placing your loved one there. The State of Illinois has inspection reports online. To look up a facility, go to Nursing Homes in Illinois.

It is well known the flammable oxygen equipment and smoking do not mix. However, a resident at Forbes Road Nursing and Rehabilitation Center in Pittsburgh, Pennsylvania recently was allowed outside to smoke while wearing a nasal oxygen cannula. State inspectors witnessed this event and slapped the nursing home with an "immediate jeopardy" citation, which is the most serious citation it can give a nursing home. The Department of Health has assessed a $22,000 fine for that violation and the violation that the facility failed to properly assess whether smoking residents require supervision. As an additional penalty, the facility could not admit any new residents for two days and has also been placed on provisional license for six months.