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  • Failure to Supervise

    From Seattle comes a cautionary tale of why it is necessary to take swift action when any allegation of a sexual nature is lodged against an employee.  Richard Garcia, a respiratory therapist, was charged with sexual abuse of a patient and pleaded guilty, receiving a six month jail sentence in the process.  His employer has not been so ...
    Posted to Legal Speak (Weblog) on May 11, 2011
  • More Changes in LTC Populations

    In previous blogs I have spoken about the changing trends in nursing homes. One of the trends I have mentioned is the increasing number of residents in nursing homes who are in the young adult and middle adult ages. This is adding to the complexity of the nursing home environment. Moreover, understanding and implementing different ...
    Posted to Gerotalk (Weblog) on February 22, 2011
  • No Third Chances

    I am dumbfounded by the Kansas State Board of Nursing.  Media reports indicate that a 55 year old Kansas nurse is charged in a 10 count indictment with tampering with a consumer product and adulteration of drugs. She supposedly diluted morphine solutions intended for five patients at a skilled nursing facility. Okay, this much I ...
    Posted to Legal Speak (Weblog) on December 22, 2010
  • New Health Care Legislation's Impact on Nursing Homes

    The new health care legislation could have significant impact on the growth of the nursing home industry. Moreover, it may have an impact on reimbursement, potentially reducing the amount of financial resources that will be allocated to nursing homes. During a time in which nursing care centers have been struggling with reimbursement, ...
    Posted to Gerotalk (Weblog) on December 14, 2010
  • Dr. Alvarez's Deal

    The $9.13 Solution Suppose someone offered you this deal: You go to jail for thirty years in a federal prison, and we'll pay you X amount. How large would X have to be? In a federal prison you are told when to get up, when to go to bed, and what to eat. You're told where you can go. You're told what jobs you're going to ...
    Posted to Legal Speak (Weblog) on November 23, 2010
  • Examining Competencies of the LTC Workforce

    The United States Department of Health and Human Services has released an interesting report on the competencies of the long-term care workforce. The article is entitled, ''Examining Competencies for the Long-Term Care Workforce: A Status Report and Next Steps.''  Overall, it does not paint a very complimentary picture of the skills found ...
    Posted to Gerotalk (Weblog) on October 25, 2010
  • Can Apples & Oranges Be Compared?

    The Bush administration advocated the need to rate nursing homes on a similar ranking system to that found in the hotel and restaurant industry. At first blush this seems an intuitively simple and consumer friendly system. Why not have consumers that are looking to place their loved ones in nursing homes have a simple system of one through ...
    Posted to Gerotalk (Weblog) on June 30, 2008