June 11, 2008

Nursing Homes Structure Ownership in Ways to Avoid Liability for Negligence, Abuse, and Death of Patients

Late last year private equity firms came under the scrutiny of the United States Senate, according to a story in The New York Times. It seems that private equity firms have been snatching up nursing homes all over the country-structuring complex levels of ownership in an attempt to avoid liability from lawsuits handled by New York personal injury lawyers.

Both Democrats and Republicans support oversight and an investigation into why it seems that nursing homes bought by private investor groups scored poorly on 12 to 14 indicators used by regulators to track ailments of long-term residents. In two separate letters, Chuck Grassley [Rep], of Iowa, asked the Government Accountability Office, Congress’s investigative arm, to examine how private equity ownership had affected the quality of care in nursing homes. In one of those letters, reprinted in the Times, Grassley questioned the legal schemes used by investment firms to shield them from liability-in effect denying both patients and family members any legal remedy against nursing homes. Grassley further indicated that the use of such varied and complex ownership structures voided any transparency that would indicate who was responsible for resident care and the operation of investor-owned nursing homes.

According to another New York Times article, corporate structures employed by the investor-owned nursing homes allows them to bypass typical disclosure requirements mandated by Medicare and/or Medicaid funded nursing homes.

The complex structuring of private equity nursing homes seems to reinforce the notion that safety may be compromised for a good return on investment.

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June 5, 2008

Federal Report Finds Nursing Home Abuse Still Prevalent

According to a recent study by Federal Health officials, only minimal penalties are assessed to organizations that have been repeatedly cited for nursing home abuse of their patients. Congress has established strict standards for nursing homes as far back as 1987, and both Presidents Clinton and Bush, along with the nursing home industry have announced many initiatives to improve nursing home care.

However, The New York Times reports that Congressional Investigators, an investigative arm of Congress, has commented that “Some of these homes repeatedly harmed residents over a six-year period and yet remain in the Medicare and Medicaid programs.” Further, the report illuminated the fact that because of the ‘slap on the wrist’ penalty mentality, some nursing homes cycle ‘in and out of compliance’ with federal standards and such nursing homes present a continued threat to the health and safety of their patients.

The report went on to indicate that the accountability office under the Bush administration rarely uses its authority to deny payment to homes with a history of compliance problems. Fines are typically far less than the maximum $10,000 a day according to the report. Apparently, the Bush administration prefers to impose lighter fines fearing that imposing the $10,000 maximum penalty may force some nursing homes into bankruptcy. Instead, those facilities guilty of nursing home neglect are given a grace period.

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