Why arbitrated nursing home outcomes matter to the public

Should private arbitration that definitively — and legally — settles a nursing home dispute between a resident and facility matter to you if, as an adult reader, you have no personal connection to any such care provider?

Put another way: Should you care a whit whether the outcome concerning an allegation of nursing home negligence or neglect is settled through arbitration forced upon a facility resident or, alternatively, proceeds pursuant to a process that works its way through court?

According to a media article that examines nursing home arbitration versus litigation, you should care. And quite a bit. Here’s why.

For starters, the statistical likelihood that you might someday become a nursing home resident is increasing. According to the article noted above, the number of Americans 65 and older who will be receiving care in nursing facilities in 2050 will be more than double the amount that was similarly situated in 2010.

And that increase is becoming progressively realized at a time when homes are proactively searching for ways to lessen their liability in instances of negligent care that harm patients.

One such way they seek to minimize their risk, notes the above article, is by requiring would-be residents to agree to arbitration for any future dispute prior to being admitted.

As opposed to a court proceeding, that arbitration is often private, even secretive, with its terms never disclosed to the public. As such, the public is not privy to important information concerning infirm care delivery that might otherwise receive wide media coverage following a court outcome.

As a result, there can be a dulled impetus for a home — and other similarly acting entities — to improve. The cited article notes that, as opposed to a court outcome, there will lack “a detailed public record that can inform industry practice and help develop case law.”

That is why you should care. For a number of notable reasons, arbitration in the nursing home context favors care facilities. Conversely, court outcomes promote transparency and accountability that can help promote safety improvements in the nursing home industry.

A few simple steps that could help you after a car accident

Those frantic, fleeting moments in the wake of a car accident will leave you intimidated and scared. What are you supposed to do? How are you supposed to react? Have people been injured in the wreck? So much is happening so quickly that it is understandable to freeze and not have the slightest clue how to react.

To lead things off in this discussion about what to do after a car accident, let’s talk about something you shouldn’t do: flee the scene of the wreck. Doing so is a criminal act, and it deprives people who have been injured in the wreck valuable aid that you could be providing them. Never flee from the scene of a car accident in which you were involved.

Now that you’ve remained at the scene, there are a few constructive steps you can take. The first, as we mentioned above, is to check on the other drivers in the wreck to see if they are okay. If they need medical assistance, call 911 and follow any instructions that emergency responders give you over the phone. Every little bit of aid that you provide could help save a person’s life.

Once you have completed this step, or if your accident isn’t serious enough to warrant immediate medical attention, you can survey the scene and collect information. Take photos of the crash scene and talk to some of the witnesses (if there are any) of the crash. They could provide valuable information. Get their contact information and statements, and save that information for when you are dealing with insurance companies or a case in civil court.

Source: FindLaw, “After a Car Accident: First Steps,” Accessed Aug. 27, 2015

California nursing home group suffers string of decertifications

A prominent California nursing home operator says that industry regulators are unfairly singling out his facilities and taking unnecessarily adverse actions against them.

That is not how government officials see it. In fact, they say that many of the multiple homes owned and operated by business entrepreneur Shlomo Rechnitz — described in one media account as “California’s most influential nursing home owner” — are rife with worrisome problems.

That concern has indeed brought a forceful response from officials, with a recent article focusing on nursing home neglect noting the “flurry of citations and fines [doled out] for alleged poor quality care.”

Rechnitz reportedly maintains control of about seven percent of all skilled nursing beds in facilities across the state, owning more than 80 homes. Collectively, his operations have come in for withering criticisms and strong sanctions; notably, three Rechnitz-operated facilities were recently decertified by federal authorities, which bans them from receiving funding from Medicare and Medi-Cal, respectively.

And now litigation has entered the picture, following the harrowing story concerning a former resident of the Rechnitz-owned Mission Grove Healthcare & Wellness Centre in Pasadena.

That facility is one of the decertified homes. Health officials failed it on four consecutive inspections last year, and slapped it with more than a score of citations earlier this year.

The lawsuit targeting Mission Grove was filed earlier this month by the family of an ex-resident with known mental health issues who took her life at the home.

The complaint centrally alleges that the quality of care at the facility has suffered in light of management’s undue focus on maximizing profits.

Source: The Sacramento Bee, “California’s largest nursing home owner sued,” Marjie Lundstrom, Aug. 12, 2015

Bus crash investigation spurs myriad safety proposals

It is hardly surprising that an accident involving multiple vehicles and resulting in 10 fatalities has been under continuing study by federal accident investigators since its occurrence last year.

The results of a lengthy and comprehensive analysis of a head-on collision between a commercial truck and a motorcoach bus in northern California last April concluded with a recent safety report issued by the National Transportation Safety Board.

The NTSB states that the accident continues to be a puzzle of major proportions. Safety experts have been unable to pinpoint any reason why the FedEx driver of a tractor trailer crossed over a nearly 60-foot-wide interstate median and rammed a bus carrying dozens of passengers.

Both drivers died in the crash, along with eight bus passengers. Two occupants of a passenger car that was also hit by the truck were injured, along with 37 motorcoach passengers.

The sheer scope and tragedy marking the accident understandably yielded the NTSB’s closest scrutiny, and what the agency noted in its post-crash report was revealing.

For starters, neither commercial vehicle had an on-board data event recorder (the so-called “black box”), which the NTSB found lamentable. Board Chairman Christopher A. Hart stated that that NTSB has been strongly pushing for universal installation of that equipment on all commercial vehicles for more than a decade, but to no avail.

The NTSB also noted that emergency lighting on the bus was inadequate and that lack of a second emergency exit door hindered post-crash evacuations. The board recommended that federal safety regulators address such deficiencies, as well as upgrade flammability standards operative to commercial buses and better ensure that operators conduct pre-trip safety briefings for passengers.

Source: Claims Journal, “NTSB calls for black boxes, safety improvements for motorcoaches,” NTSB cited as source, July 20, 2015