Wednesday, December 14, 2016

A nursing home giant stumbles amid expansion - The Boston Globe

Re: A nursing home giant stumbles amid expansion - The Boston Globe

kenneth ditkowsky

Dec 12 (2 days ago)
I had an opportunity to examine the books and records of several nursing home operators here in Illinois, and had the benefit of discussing the operations with several operators.    The information actually sickened me.   What I found was that the patients/residents were a commodity.    There were level of patients.   On floor one were the patients who had advocates and who if mistreated would be TROUBLE.   One floor two were patients who still had advocates but were more or less helpless.   These patient were clearly commodities.   On the remaining floors or tucked away out of sight were the doped up non-entities who were pure profit.

We ascertained that exclusive of 'depreciation costs' the cost of maintaining a patient was (on the average) about $2500 to $3000 a month; however the charges billed were between $10,000 to $15,000.00.    

Institutional food is usually the menu, on the high end Practical nurses are the norm. An RN is rare, and doctor visits are ******.   A linen service, owned by a group of allied nursing home operators is usually the norm and each service required is furnished by a corporation owned by a conglomeration of the owners.   Pharmacy, Nursing, Linen Service, janitorial, management, nursing, utilities, transportation  *****.    The costs can be adjusted as needed.   Each corporation is fitted out with "deniability" i.e. a corporate structure geared to take the if a Government investigation is called for.   
The costs of this institutional cover=up are not true medical costs but are costs of doing business.

The average life of a nursing home venture is about 10 years.   The investment procedure follows a pattern that I will explain elsewhere.    Trouble occurs usually as the facility grows older and past sins catch up to the operators.

A massive profit center is the pharmaceuticals.   The more doped up the patient the less care he/she requires.   Physical Therapy in many instances consists of removing the patient from the bed and placing him/her into a wheel chair.  For others, pushing the wheel chair into the hall is a large part of the procedure.   Of course Medicare pays handsomely for all of this *****.  

Even charity patients generate serious profits however, to maximize profits providing collateral compensation to certain public officials is a necessity.   One nursing home operator in Chicago was reported to be literally kidnapping homeless people and with the aid of the public guardian's office was having them placed as patients in his nursing home facilities.

The Practice of Medicine by government agents and insurance companies has greatly facilitated this tragic situation.    No longer is the DOCTOR the captain who determines the patient's treatment - the question is whether or not there is money to pay for the treatment.   Hospital care is expensive and a hospital that overdoses its patients so that they remain docile quickly gets caught and an administrator finds himself defending his license etc.   The nursing home situation is foolproof.   As long as there are no tangible or physical signs of neglect the patient is an profit arena.   Sleeping 12 of 24 hours a day is not uncommon (whether the patients needs so much sleep or not) = all that has to be worried about is bed sores!   Artificial sleep or sleep induced by drugs is not considered a problem.   

In my Robert Jaycox case, an Engineer, who was retirement age, suffered a serious financial set back.    He was the victim of a massive fraud and lost most of his money.   The doctor prescribed him a medication.   In the medication warnings there was a statement that the use of this medication could cause serious leg cramps.   Jaycox was admitted for unbearable leg cramps to a local hospital.  As the hospital did not cure him he was released and sent to a nursing facility.

The leg cramps persisted and no medication administered have the desired affect and Jaycox remained in the nursing facility.   (skilled nursing facility)   After about a week, the nursing home became worried about the future costs and need Jaycox to sign papers that would provide the nursing home with control of his social security etc.  He refused - he realized that he was not getting better.    

The refusal did not bother the nursing home administration - they called a doctor who regularly serves the nursing home and the public guardian and it was decided that Mr. Jaycox was incompetent and needed a plenary guardian to protect his estate and person.  Mr. Jaycox was not happy.   The bar on his bed was left down as a strong sedative was administered and he fell from the bed hitting his head.    One of his friends discovered the plot and I was requested to lend assistance.   I went to the nursing home and stopped the guardianship proceedings by demanding a hearing as to Mr. Jaycox's competency.   As it is required by statute the Court was required to provide such a hearing.

To prevent Jaycox from appearing at the hearing the nursing home pulled out all the stops, including once again dropping him out of be so that he broke his hip.   The emergency surgery of course occurred on the day that the hearing was scheduled.   Because of the pain, Jaycox could not participate; however, the psychiatrist who certified that Mr. Jaycox was essentially a stone and did not have any competency whatsoever had to testify.  During cross examination he admitted that he had Jaycox sign the consents for his hip operation!    This ended the hearing.

Shortly thereafter Jaycox developed aspirated pneumonia.   This was fatal and he died. Of course the Public Administrator pressed for a guardian, got it, Jaycox died, was almost immediately cremated, and the nursing home got paid in full with State and Federal funds.       

From: "
Subject: A nursing home giant stumbles amid expansion - The Boston Globe



The following appeared on
Headline: A nursing home giant stumbles amid expansion - The Boston Globe
Date: Dec 12, 2016

As Genesis HealthCare has rapidly grown, care at its Massachusetts facilities has eroded, according to a Globe review of federal and state data.

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kenneth ditkowsky

Dec 12 (2 days ago)
The nursing home care scam is not only the norm, but is so profitable and so adaptable that Philip Esformes was able to steal a billion dollars from the medicare program.

The amounts of money that are generated by the scams are so enormous that the mere mention of an Honest investigation gets the elder cleansers into such a tizzy ******.    If one is paranoid enough it would be easy to believe that elder cleansing is the life blood of Establishment; however, we know that there are other scams that are serious money makers.  Just about every government program has a fraud surcharge of about 25% fostered by our political and judicial elite.   

It still amazes me how on government salaries so many of our lawmakers et al become millionaires several times over.   When Clinton left the White house they announced that they were broke; however, in just a few years they became some of the richest people in America.   they are not alone in ****>

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