Understanding Medicaid and Long-Term Senior Care

In discussing nursing home neglect and abuse the phrase “profits over people” is often mentioned. This usually refers to cut corners, poor staffing levels, inadequate equipment, lack of training, and other decisions by facility administrators which harm residents in an effort to limit the resources going to actual care for those in the facility. Much of the work of elder care advocates and those fighting nursing home neglect is pressuring facilities to commit more resources to these efforts to better balance the owners quest for money and the resident’s need for quality services.

To best grasp this situation one must be familiar with most common ways that long-term care is financially supported. For the majority of residents, this means the Medicaid program. Recently, the Kaiser Foundation issued a brief that discusses the role of Medicaid in these affairs to lay the foundation for understanding decisions made by owners and operators.

The full report can be downloaded here.

Paying for the Nursing Home
Medicaid is a joint federal and state program to provide medical support for those with limited incomes. That means that part of its coverage is for seniors who need long-term support services (LTSS) but who do not have the money on their own to pay for it. Considering the relatively high costs of those services, many seniors fall into this category. That is particularly true as the years wear on. Some seniors are able to pay for care out of their savings at first, but when resources dry up, they eventually need Medicaid support.

Unlike Medicare, Medicaid coverage includes payment for LTSS for participants who have certain needs. Those special needs are usually classified as being unable to perform any “activities of daily living” (ADL) or “instrumental activities of daily living” (IADL) without assistance. This includes things like bathing, preparing food, using the restroom, or managing medication. In general, those who qualify either have physical limitations that make these tasks impossible or cognitive challenges (dementia, Alzheimer’s) that place them at risk of harm when left without support.

Medicaid steps in to help provide LTSS. In many cases that might mean enrollment in a nursing home. According to the report more than 60% of all residents in skilled nursing facilities are on Medicaid. Many other program recipients receive “at home” support in a form which allows them age in place.

The report offers a helpful chart that breaks down where money comes from for all LTSS–of which nursing home stays are only a part. In total, about $342 billion is spent on long-term support services in the U.S. each year. Of that total, about 41% is covered by Medicaid and another 20% is covered by Medicare. While Medicare does not cover extended care, it does provide payment for some brief follow-up services after a specific illness or injury that required a hospital stay. The remainders are paid by private insurance, out of pocket, or third parties. Taken together then, it is clear that public funds pay for the majority of care, both inside and outside the nursing home. That is why public agencies can play such a crucial role in ensuring proper standards are met.

See Other Blog Posts:

Flu Risk for Seniors in Nursing Homes

Chicago Senior May Be Example of Brutal Family Abuse

Did DePuy Hip Makers Know 40% of Hips Would Fail in Five Years?

Many Chicago area seniors have had hip implants in the last few years. Unfortunately, some received dangerous “metal on metal” implants, including those designed and manufactured by DePuy Orthopedics–a subsidiary of Johnson & Johnson. Our hip implant injury lawyers are working with individuals who have been harmed by these products.

As most are now aware, the metal on metal implants have been shown in many models to have high failure rates. That means that the implants cause harm or break down at far too fast a rate. This often requires revision surgery and other treatments to try to deal with the complications.

It is important for families to know that these failures are not acceptable. In fact, evidence continues to mount that the company which designed and built the devices knew that the hips posed serious risks of harm.

Five Year Hip Implant Failure
Recently the New York Times published a story which indicates that Johnson & Johnson’s own internal review verified that a staggering 40% of the metal on metal hips would fail within five years of being implanted. It might not be as clear out of context, but a 40% – five year failure rate is incredibly high, are far too dangerous to have ever been used and actually implanted into tens of thousands of patients. Experts on the topic indicate that most hip implants should last fifteen years. Acceptable failure rates are usually only 1% within a year and 5% within five years. That means that the DePuy hips that were part of the recall may actually be 800% more risky than regular implants.

The legal cases related to these hips (which were recalled several years ago) is now underway. The revelation that Johnson & Johnson’s own investigation revealed such problems with the devices has only come to light now because it was part of one of the suits which is set to go to trial soon. Prior to being disclosed as part of the legal action, Johnson & Johnson kept the information about the high failure rate secret. According to the report, at the very time that the company was conducting the investigation which revealed the device’s dangers, it was publicly critiquing reports by others which indicated the devices were failing at too high a rate. In other words they were learning one thing in private but saying the opposite in public. Clearly their bottom line was more important at the time than being completely open and honest with those who may have been affected by their dangerous medical product.

It’s Not Over
The DePuy metal on metal hip recall occurred over two years ago, and some lawsuits have already made their way to court. However, it is a mistake to think that the complications from the defective hips are over. In fact, according to Johnson & Johnson’s own findings, many hips which are currently installing in patients will likely fail in the next few years. In other words, there will be more harmed patients who right now assume that their device is working fine.

The bottom line: If you or someone you know might be experiencing problems with a defective metal on metal hip, be sure to seek medical advice in a timely fashion. In some cases it may also be appropriate to visit with a hip implant lawyer to learn about your legal rights.

See Other Blog Posts:

Skirting Regulations with Metal on Metal Hips

Local Seniors Should be On Notice for Stryker Hip Recall

Levin & Perconti Settle Illinois Nursing Home Fall Case

Two members of our team recently reached a settlement on behalf of a family following a preventable nursing home fall in Chicago that led to the untimely passing of a resident. The facts of this case are very similar to those that strike across the city far too often. We hope that more families understand that things like falls in nursing homes are often signs of neglect or caregiving errors that should have been avoided. These facilities must make changes to prevent falls and learn from past mistakes.

Chicago Nursing Home Fall
This particular incident occurred several years ago, in late October of 2007. An 89-year old woman was first admitted into a local nursing home in the summer of that year. Like all residents she has specific vulnerabilities which required around-the-clock care that she could not receive anywhere else. In particular, this resident was known from the first day of admission to be a fall risk. When a resident has serious mobility problems, it is essential that properly tailored care plans be put in place and followed to ensure the resident’s safety. That usually means, as was true here, that the resident receive assistance with any activity that required movement, like leaving the bed, using the restroom, going to the dining hall, and similar events.

Sadly, many residents who need this close help to prevent falls do not receive it all of the time. That is what happened in this case, as the elderly woman sometimes did not have aid when moving. Most significantly, in late October of 2007 the 89-year old resident was left standing alone in the restroom by a certified nursing assistant who worked at the facility. This was a recipe for disaster.

The resident eventually fell, and she broke her left femur in the incident. She was transferred to a local hospital, and a few days later was ordered to have surgery to repair the damage. Surgery always poses some risks, but the possible harm is significantly higher for individuals with vulnerabilities, including this 89-year old nursing home resident. Complications ultimately developed following the surgery, including sepsis, pneumonia, and breathing trouble.

The senior was transferred to hospice care a few days later. She died as a result of complications from the incident about a week after the original fall.

Illinois Nursing Home Fall Lawsuit
The senior’s family members were understandably outraged by the chain of events that led to the senior’s passing. Families should be able to trust that caregivers at a nursing home will prevent serious falls. When they don’t they need to be held legally accountable.

In this case a nursing home neglect lawsuit was eventually filed on their behalf. As the involved parties were interviewed for the legal matter, it was soon apparent that basic standards of care were violated which led to the tragedy. In fact, the Illinois Department of Public Health cited the facility for those violations following its own investigation into the matter.

Fortunately, an agreement was reached with the defendant-facility without the need to go to trial. The family will receive $750,000 from the home for their failure to provide proper care which led to the senior’s injuries and death.

See Other Blog Posts:

Flu Risk for Seniors in Nursing Homes

Demanding Fairness for Insurance Companies

Nursing Home Resident with Alzheimer’s Sexually Assaulted

One often-overlooked form of nursing home neglect involves resident’s being attacked by third parties–either strangers or other residents. When most think of elder abuse their minds races to caregivers who intentionally act to harm a senior or who are obviously negligent and allow beds sores to develop or falls to occur. But under the law the caregivers can also be held responsible in certain settings where third-parties intentionally harm another.

Recent Example
For instance, take a case recently reported by ABC News involving a sexual assault in a nursing home. According to the report, authorities are investigating the circumstances surrounding the rape of an 86-year old nursing home resident with Alzheimer’s. The crimes was allegedly perpetrated by a 65-year old man who was also a resident of the care facility. The attacker has been charged with several crimes, and investigators are working to learn more details about how this could have occurred.

For one thing, there were clear signs that the man posed a risk that required at least some caution on the part of caregivers. Most notably the man was a registered sex offender under Megan’s Law which requires warning and public notification of living arrangements for those with a history of sexual crimes.

Those familiar with Illinois nursing home surprise inspections in recent years are likely aware of the fact that many dangerous individuals reside in nursing home secretly. Individuals wanted for various crimes, including some sex offenses, often manage to make their way into these facilities–hiding out and, at times, hurting other residents.

It can come as a surprise for many families to learn of the dangers posed by other residents in a long-term care facility. After all, seniors are moved into these facilities specifically because they are at risk of suffering harm if they live at home. One assumes that caregivers in these locations will act appropriately all of the time to ensure that their loved one is spared harm. To get the news that a senior has been physically or sexually assaulted in the very place they were supposed to be kept safe is heart-wrenching.

Nursing Harmed by Others
Family and friends of nursing home residents should be aware that owners and operators of long-term care facilities have a responsibility to act reasonably to protect their residents from harm from third parties. That includes ensuring that other residents do not act inappropriately and cause physical or sexual abuse. When they fail in that duty, they can be held legally responsible for the harm that results. When pursuing a case of this nature lawyers will likely attempt to identify the risk factors that caregivers should have been aware of before the accident (i.e that a resident was a registered sex offender). They will then compare that with basic steps that the caregivers did or did not take to prevent possible harm.

Our team of Illinois nursing home abuse attorneys have worked with countless families whose loved ones have been harmed in just this way. For example, right now we are working a family of a local man with Alzheimer’s who died after he was physically attacked by another resident at an Oak Park nursing home.

Feel free to contact our office to learn more about how the law applies in these cases.

See Other Blog Posts:

Nursing Home Under Investigations for Neglect After Pressure Sores Develop

When Nursing Home Abuse Turns Criminal

Facility Cited for Neglect After Nursing Home Fall Turns Deadly

The Star Tribune reported this week on a new report issued by one state’s health department which found that neglect led a nursing home resident to fall, ultimately causing her death. The department report offers a sad look at how poor care at a facility–often in violation of state and federal law–can be deadly.

A resident at the facility had a history of trying to get out of bed of her own. Her mental and physical vulnerabilities made this a fall risk, and so caregivers were well aware of their need to act prudently to prevent her from falling and hurting herself. However, regardless of this, at some point the senior fell and hurt herself.

It was only later that staff members noticed that she had head injuries which were indicative of some type of fall. She had a large bump on one side of her head and a smaller bump on the other side. A day after they were first noticed the resident complained about pain in her face. At that time staff members also noticed bruising around her neck. The following morning the woman would not get out of bed. She did not open her eyes and was not responsive to staff members.

The main issue was that it was only well after all of this was noticed by staff members that an actual registered nurse was informed of the situation. At that time the senior was sent to the hospital. The resident remained in the hospital for more than a week before she passed away from her injuries. The official death certificate lists the nursing home fall as the cause of her passing.

State Citations
After investigating the situation the facility was recently held responsible for the incident, and several citations were issued. For one thing, the home was criticized for not properly monitoring the change in the resident’s condition and failing to inform medical personnel about the deterioration. It was an obvious error for the resident not to receive medical attention for days after the fall. Similarly, a citation was issued for the facility’s failure to have registered nurse for other staff members to call after hours.

It is perhaps not surprising that this facility is part of a larger group which owns several homes, including one in Illinois. Unfortunately, many long-term care facilities are owned and managed by larger businesses which often prioritize profits over patients. Lack of training, inadequate staffing, and similar problems are commonly found at these homes. Preventable accidents, like a nursing home fall, often result.

Illinois Nursing Home Falls & Wrongful Death
The team of attorneys at our firm are very familiar with cases like this one. Unfortunately, there are very often repeat patterns when it comes to nursing home neglect cases. Deadly falls are, like pressure sores, one of those details that come up again and again. These falls occur so often that it is worth repeating how they are often caused by neglect.

Consider contacting our firm for guidance if you suspect that a loved one many have been mistreated and harmed at a nursing home.

See Other Blog Posts:

Demanding Fairness from Insurance Companies

Nursing Home Under Investigations for Neglect After Pressure Sores Develop

January 1 = Stricter California Elder Abuse Reporting Laws

Assembly Bill 40 is a California law that took effect January 1, 2013. The bill is intended to expand reporting requirements related to elder abuse.

The Napa Valley Register reported in an article that the Napa County Health and Human Services department investigated 370 abuse and neglect cases in 2012. 295 of those involved seniors and the rest involved disabled adults. Reports of theft and embezzlement from the elderly have significantly increased over the last couple of years.

In light of this new bill, it is important to look at the increase in reported instances of abuse and neglect in different ways. A simplistic view of this increase indicates that elder abuse and neglect is on the rise. Whatever measures have been put in place to combat abuse over the last couple of years have failed.

However, you must look at the intent of recent laws including AB 40 in determining the best interpretation of these statistics. AB 40 expands the requirements for reporting instances of elder abuse. This bill now requires a “mandated reporter” to notify both a care center’s ombudsman and a law enforcement agency instead of the previous requirement of notifying one or the other. Mandated reporters are nursing home employees, supervisors, or administrators.

Many individuals look at the increase in reported instances of nursing home abuse and neglect along with this type of bill and say that it is a success story of sorts. Unreported instances of abuse or neglect are a big fear. It is only logical for someone to be fearful over reporting to one nursing home employee that another employee abused him or her. The thought of retaliation and more abuse keeps many victims from reporting the behavior.

An increase in reports of abuse means that more and more victims are coming forward with their stories. This is a deterrent that keeps potential abusers from committing crimes for fear of being caught.

AB 40 also requires mandated reporters to contact law enforcement by phone and in writing within 2 hours after learning of or suspecting physical abuse of a resident resulting in serious injury or within 24 hours of a non-injury incident according to the article in the Napa Valley Register. The new law makes failing to follow these reporting requirements a misdemeanor with a maximum penalty of six months in jail and/or a $1,000 fine.

This is in response to the “spotty” and often times “tardy” reporting of instances according to the article. Now nursing home employees who might try to cover the tracks of another co-worker’s crime by not reporting it face jail time and fines. This bill certainly ups the stakes for nursing home employees and other mandated reporters. Hopefully, more victims of abuse and neglect will feel comfortable reporting these crimes. These mandated reporters must pay attention and spot injuries or instances of crimes and report those to avoid criminal penalties themselves.

The article ends with a great quote from Elizabeth Mautner of the Area Agency on Aging related to the reporting requirements: “It’s not up to the reporter to make the determination that abuse is happening. If they question themselves on whether they should report it, they should report it.”

The mandated reporters should not get caught up trying to make a determination on whether or not abuse is taking place. Bills like this are designed to protect the health and safety of the elderly and disabled adults first instead of delaying justice which might mean more abuse in the meantime.

See Our Related Blog Posts:
Strict Screening for All Nursing Home Employees
Lawsuit Takes Aim at State Regulators and Nursing Home Management

Nursing Home Director Heading to Prison

Gwen D. Hughes, a former California nursing home director, was sentenced on Wednesday to three years in state prison for inappropriately medicating patients at a Kern County nursing home. The San Francisco Chronicle reported that Hughes was originally charged in the deaths of three patients. Hughes however pleaded no contest in October to one felony count of elder abuse with a special allegation that the abuse contributed to the victim’s death, according to the article.

Hughes was working as nursing home director at Kern Valley Healthcare District’s facility in Lake Isabella at the time of the alleged crimes. California Department of Justice officials, including Attorney General Kamala D. Harris, allege that Hughes ordered the director of pharmacy to write doctor’s orders for psychotropic medication for 23 patients.

The prescriptions were not written for health or therapeutic reasons, but instead written to “keep them quiet” says the article. The Justice Officials allege that the psychotropic drugs were given to patients who were “noisy, prone to wandering, who complained about conditions or were argumentative” according to the article. This is clearly an example of nursing home abuse.

All 23 patients suffered some adverse reactions. The investigation found that the drugs actually hastened the deaths of three patients.

Dr. Hoshang Pormir was the medical director who signed the doctor’s orders related to these incidents. He was sentenced in July of 2012 to 300 hours of volunteer service, restitution pending conclusion of civil lawsuits, and a requirement to comply with all orders from the state medical board. The article explains that Pormir was punished because he failed to conduct examinations of patients or monitor the patients’ reactions to the medications.

We previously wrote about Pamela Ott, the former chief executive officer of the Kern Valley Health District, who pleaded no contest to one felony count of conspiracy to commit an act injurious to the public health. She was charged because she failed to adequately supervise Hughes.

Attorney General Kamala D. Harris said, in a written statement describing Hughes, “This defendant maliciously and dangerously drugged patients for her own personal convenience. This is clearly outrageous conduct that justifies a state prison sentence.” In a previous blog post on new investigations of elder abuse, we discussed the attorney general’s plan to ramp up its investigations of instances of criminal abuse. Hughes sentencing is clear evidence that Harris means business and that she, along with her new task force, is out to investigate and prosecute instances of abuse.

This case represents a breakdown on multiple levels. The chief executive officer failed to supervise the nursing home directors. The nursing home directors gave orders that the medical staff went along with without going through the proper procedure. As a result, 23 elderly individuals suffered and three lost their lives. There are guidelines and systems in place in nursing homes to keep this from happening. Unfortunately when the people in charge of enforcing the rules and regulations are the ones breaking them, the system breaks down very quickly – with severe consequences.

Please See Our Related Blog Posts:

Former Head Nurse to Stand Trial for Felony Elder Abuse
Lawsuit Takes Aim at State Regulators and Nursing Home Management

Unidentified Chicago Senior May Be Example of Brutal Family Abuse

One of Chicago’s dubious distinctions–especially in recent years–is the high prevalence of murders in the city. We frequently top the list for homicides each year, and, sadly, many of those crimes go unsolved. This statistic has made headlines in recent months in the context of gun violence. Many victims are killed with handguns, often as a result of gang activity.

But it is a mistake to assume all of these crimes are related to young men involved in gang activity. In fact, a Chicago Tribune story earlier this month reminds us that some victims are on the exact opposite end of the spectrum–seniors or adults with disabilities who are killed, often as a result of abuse.

Unidentified Victim
The article shares the case of one woman whose body was found in 2011. It had been thrown out near railroad tracks on the city’s west side. She did not have any identification on her, and police have yet to figure out who she is or how she ended up discarded in a vacant lot on West 23rd street. The woman age is unknown but authorities referred to her as “older,” likely in her late 50s or 60s. She was of Asian descent (perhaps from Vietnam or Cambodia) and quite small: four feet nine inches and weighing less than one hundred pounds.

Essentially, all that is know about the victim was that she was beaten to death. Not only that but authorities believe that she may have faced some kind of torture before her. passing from blunt force trauma. Authorities noticed that her teeth were almost black, an indication that she frequently chewed “betel nut,” a common practice in many Asian cultures, particular in certain economic classes.

In describing the situation, one police commander explained, “This is not somebody who’s a drug dealer, who was a gangbanger, who in some way is involved with something that can lead to their death. This is an innocent victim.”

But authorities are not entirely without their suspicions. They indicate that the woman was likely in a dependent situation because of physical and/or mental challenges. This is the same situation that many other seniors throughout the city find themselves. In this case, her dependency leads police to suspect that she may have been killed by the ones who were supposed to take care of her, perhaps a relative. It is likely that she may have faced serious physical abuse and neglect for a prolonged period of time.

High-Risk Seniors
An elder abuse academic interviewed for the story explained how, tragically, this sort of caretaker abuse is far too common. Most of the time it occurs behind closed doors without anyone ever learning about it. Some in the immigrant population may be particularly at risk.

The professional explained how many seniors are brought from other countries in order to act as cooks, nurses, or nannies. In some cases the senior qualifies for supplemental income which is often taken by other family members. These seniors are prone to being mistreated or outright abused. Because of language and cultural differences they often have nowhere to turn. They suffer in silence and, occasionally face awful ends.

Our Chicago nursing home lawyers urge everyone to keep an eye out for any vulnerable senior that they know and to act if neglect or abuse is suspected.

See Other Blog Posts:

Demanding Fairness from Insurance Companies

When Nursing Home Abuse Turns Criminal

Flu Risk for Seniors in Nursing Homes

January seems to be a time of year when virtually everyone is sick. Colds and flus abound after the holidays, as family gatherings, friendly holiday events, and travel combine to transfer germs and other pathogens between different groups. No one is immune from the dangers of flu season, and chances are that you or someone in your family has felt the effects in the last few weeks.

For most of us, getting the cold or flu is incredibly unwelcome but not debilitating. We may be out of action for a few days, but eventually it dissipates and everything is back to normal. Others are not so lucky. That includes many seniors with weakened immune systems and other vulnerabilities that make a serious cold or flu far more damaging. It is no wonder, then, why nursing home residents and other elderly community members are strongly encouraged to get flu shots. This simple step can literally mean the difference between life and death for a resident.

Don’t Forget About Employees
Full protection of this vulnerable community does not end with giving senior resident the shot. It is also important for all those who come into contact with seniors to ensure that they are not transferring germs or exposing seniors to things which might harm them. Most importantly, the nursing home employees who work with seniors each and every day need to be extremely careful about their own contamination risks. Considering the potential for long-term harm, there is simply no reason why these employees should fail to take basic steps to keep nursing homes free of pathogens.

Yet, new reports indicate that we still have a long way to go before facilities that these risks seriously. For example, McKnights reported this week on how nursing home residents have been hit hard with the flu in 2013. According to the Center for Disease Control and Prevention (CDC), the rate of flu cases for seniors over 65 years old is at 82 per 100,000. That is four times higher than the overall national rate of 19 cases per 100,000 people.

On top of that, the CDC Director was clear in noting that those statistics do not even tell the whole story, he quipped: “These rates are undoubtedly an underestimate because influenza-related hospitalizations can be missed either because the testing isn’t performed or because cases may be attributed to other causes of pneumonia or other things that may result from influenza.”

Making matters worse, records indicate that many nursing home workers are not even taking the basic step of getting a flu shot to protect themselves and the elderly residents they work with each day. The story suggests that only half of all nursing home employees have not gotten the flu shot–an egregiously high number when the cost-benefit analysis is taken into account. That vaccination rate is far below those in others in sensitive work environments, like hospitals. Doctors and nurses nationally average about an 85% vaccination rate.

The industry can and should do better.

See Other Blog Posts:

Demanding Fairness from Insurance Companies

When Nursing Home Abuse Turns Criminal

Demanding Fairness from Insurance Companies

Those unfamiliar with the legal system are often surprised at the significant role that is played by insurance companies. While most understand that insurance interests are often involved in injury lawsuits, it is hard to underestimate the role that they play in crafting defenses and managing how a case (or possible settlement) plays out. That is why it is critical to ensure that these companies play by the rules and act reasonably when dealing with plaintiffs. Unfortunately, insurance companies are usually only interested in their bottom line, even if they means hurting those to whom much is owed following an act of negligence.

One of the key roles that an Illinois nursing home lawyer can perform is acting as the advocate for the patient with the insurance company. Usually a possible injury settlement as the result of senior neglect is paid for by the nursing home company’s insurance. Some facilities are self-insured, but they are generally the exception, not the rule. Sadly, without representation some residents are often enticed to make side arrangement with insurance companies that are grossly unfair, without taking into account the full scope of their loss. This is true in so many contexts, from nursing home neglect to auto accident cases.

All community members should remember that no matter how quickly they’d like to settle the matter or how fair an insurance representative might seem, they should never handle these matters without a legal professional looking out solely for their own interests. This weekend, for example, a Chicago Tribune article was published which discusses one way in which an insurance company might bilk those who are owed.

Rigged Insurance System at All State?
The article discusses the injury settlement software used by the company Allstate Corp.–one of the nation’s largest insurers. The story was based around a former claims project manager for the company who now offers insight into how policyholders are not treated fairly following accidents. He recalls that his first became upset when Allstate reached a settlement to pay $10 million as a result of problems with software that the company used to determine payouts to those making claims. The adjuster noted that, as someone who worked in the system, he understood how little of a punishment this truly was. For a company as large as Allstate, this penalty would do little to deter its conduct and ensure they were fair to policyholders.

The main issue concerns the software known as “Collosus.” It is a program that allows the company to plug in random variables and get an injury settlement out to pop out. They usually then offer that amount to the injured party as payment on a claim. The main problem, as the former claims adjuster noted, was that the software is easily manipulated. A few numbers can be left out which then allow the software to pop out amounts that are far too small–low ball offers that can be drastically unfair to the unsuspecting claimant.

Have Legal Professionals On Your Side
While this particular article was focused on auto accident injuries, it offers a critical lesson for anyone who has been harmed by another’s negligence and must deal with insurance companies: Do not go it alone. We do not live in a world where insurance interests are placed below those of the individuals owed compensation by the company. Instead, most people harmed must act diligently every step of the way to ensure they are being treated fairly.

See Other Blog Posts:

Investigations After Nursing Home Resident Develops Bed Sores

When Nursing Home Abuse Turns Criminal