Quantcast
Channel: National Association to Stop Guardian Abuse
Viewing all 12009 articles
Browse latest View live

Fraud in the Family

$
0
0
Jonathan Bartlett
When you think of the villains who defraud older people, you might picture crooks hacking into bank accounts or selling bogus stocks. But don’t be misled.

The real scoundrels might be sitting at your next family gathering, looking as innocent as folks in a Norman Rockwell painting. Roughly 6 out of 10 cases of elder financial abuse are committed by relatives, according to a large-scale 2014 study. And about 3 out of 10 instances can be traced to friends, neighbors or home care aides. In other words, 90 percent of perpetrators of fraud are known to their victims.

Even scarier: The closer the tie between perpetrator and victim, the greater the damage. A detailed study of elder financial abuse in Utah found that the amount stolen by people who knew their victim averaged $116,000 — nearly triple the haul taken by strangers. Criminals within the family got even more: $148,000. And the thieves who stole the most money — $262,000, on average — were the victims’ children.

Maybe you thought such thefts occurred only among the rich and famous — think of Brooke Astor, the New York heiress whose son was convicted of swindling her.

But elder-abuse experts say this crime infects a wide range of households. You just don’t hear about it. Only 1 in 44 cases of elder financial abuse get reported, estimates the National Adult Protective Services Association. Why? Victims are embarrassed. Families don’t want to air conflicts. People doubt money will be recovered. They also fear the perpetrator.

What follows is an attempt to spotlight this scourge — with true stories of exploitation, plus advice for preventing and remedying it. Our narratives are based on witness interviews, legal records and other documents. Due to some sources’ fear of retaliation, some identities have been disguised.

The Distant Son


In 2005, 88-year-old Francine Maloney was suffering from dementia and about to move to an Orange County, California, assisted living facility. (All names in this family have been changed.) Maloney had given her daughter, Amy, power of attorney to handle her affairs in 2000, a year after Francine’s husband had died. Amy, also from California, put her mother’s home up for sale.

Then Amy’s only sibling, Randy, got involved. His relationship with their parents had always been strained, and he had an alcohol problem they were slow to recognize, Amy says. In 2005, Randy was living with his wife, Madeline, in Westchester County, New York, and hadn’t been around much. But when he learned the house had to be sold, he became attentive—fast, Amy recalls. Unbeknownst to Amy, he flew west and got Francine to sign a new power of attorney giving him total control over her finances. Amy consulted a lawyer about fighting back, but the $10,000 retainer was too much. She and her brother stopped talking.

Once the house was sold, the $450,000 proceeds went into a trust for Francine’s benefit, controlled by Randy. In theory, Francine had plenty of money. Amy, however, suspected something was amiss. Yet a lawyer was too expensive, and she doubted social service agencies could help. So she communicated her concerns to Randy via his attorney and left it at that.

That is, until she visited her mother in May 2010 and found a fraud-alert notice for a Bank of America credit card in her mother's name. The letter listed more than two dozen suspicious charges, including $1,135 from a Boston hotel, a $372 Boston car rental and a $250 dry cleaning bill in Maryland where Randy then lived. Amy later determined that Randy had additionally revived a dormant Citibank credit card of Francine’s and was using it to pay for his living expenses. Payments to that account, Amy concluded, were coming from her mother’s trust account. By mid-2010, the account that had been seeded with $450,000 from the sale of Francine’s home had dwindled to $158.51—and the assisted living facility was owed nearly $9,500. Francine was broke.

After Amy filed a police report in June 2010, the local California sheriff’s office subpoenaed checks drawn on the trust account. One expenditure: $9,100 to a luxury-car dealer. Checks made out to Randy’s wife totaled $35,000.

“I wasn’t shocked,” Amy says.

Contacted for this article, Randy said he is 14 years sober. He disputed the overall amount Amy alleges he took from Francine’s account, asserting it was in the “low-six-figure range.” But he admitted via email that he took the money for his personal expenses and expressed remorse, terming his behavior “the most regrettable thing in my life.” He wrote, “I was under some financial pressures that I was too weak to stand up to. … The intention was always that the money would be returned from future realized gains.”

In the end, he got away with it. The sheriff in California told Amy the prosecutor had declined to pursue the case; the D.A., contacted for this article, has no record of the sheriff's referral. Prosecutors in Maryland passed as well, suggesting Francine wouldn’t be able to fly east to testify. The FBI said no, too. Amy could not afford to file a civil suit against her brother. “He is dead to me,” she says. “How can you do that — steal from your mother for luxuries?”

Eventually, Francine had to leave the assisted living facility. Because she couldn’t afford a nursing home, Amy placed her mother in a Social Security–financed small-scale custodial-care facility, a converted private home. Care was barely adequate. Francine died in February 2016, at age 99. “None of us would want to live like that,” Amy says.

Fraud Tainted by Emotion

Elder financial abuse, as in Francine’s case, doesn’t appear out of the blue, experts say. It may be the result of long-

festering family issues. Sometimes a big dose of rationalization is involved. “One of the things I’ve heard is, ‘It’s OK to steal or take this money from Mom and Dad because it’s my inheritance,’ ” says Jilenne Gunther, director of AARP’s BankSafe initiative.

Substance abuse may also play a role, Gunther says. The perpetrator may be a child or friend with a drug addiction.

Once someone close to you gets over the moral hurdles, the logistics are easy. A relative or friend, unlike a larcenous stranger, knows or can quickly find out exactly what you own and where it is. Most important, that person has your trust. Once a fraudster has that, experts say, getting you to agree to requests is relatively simple.

“This is the easiest crime to commit,” says Karen Sundstrom, who works for the Lexington County, South Carolina, Recreation and Aging Commission as an advocate for older adults who experience abuse. “It’s a piece of cake.”

The Family Friend


Ethel Simmons, now 87, expected to live out her life in comfort. She had pension income, Social Security and money in the bank. And, above all, a home.

She and her late husband, Elgie, bought their house in 1962 and raised their three sons there. It’s a green one-story dwelling with a large detached garage, located in south-central Los Angeles. Ethel was a full-time homemaker; Elgie worked as a mechanic in a factory. Johanna Holmes, whose parents were friends with the Simmonses, remembers the two families picnicking together when she was a kid. Johanna’s “Aunt Ethel” was active in the Church of God in Christ; she was, Johanna says, “fun loving, kind and caring.”

After Elgie died, in 2011, Ethel continued to live in the house, which had three rental units. One was occupied by her middle son, Wayne. (Ethel’s oldest child, who was born disabled, lives in a group home; her youngest son doesn’t figure in this story.) Wayne, who Johanna says was Ethel’s favorite, had been in trouble with the law over the years — a conviction for car theft, for one, and convictions or guilty pleas for drug possession and possession with intent to sell. “He was an addict,” says Johanna.

Wayne also had some worrisome friends, including one we’ll call Alfred.

Alfred grew close to Ethel after Elgie died. He shopped for her groceries. Ethel grew to trust him. Johanna didn’t. Around 2012, Ethel told her that Alfred wanted to buy her house for $200,000. Johanna, who suspected that Wayne was involved, was stunned. “I said, ‘How is he going to afford $200,000 when he doesn’t even have a job?’ ” she remembers. Ethel declined the offer.

illustration of a boy stealing the wallet of an older man
Jonathan Bartlett

In 2015, Alfred moved onto the property. He soon went with Ethel to the bank and became joint owner of her only account. The balance wasn’t high — maybe $2,500 — notes Nicholas Levenhagen, a lawyer with Bet Tzedek Legal Services who later got involved in Ethel’s case. Money, however, was flowing in from Social Security and Elgie’s pension.

Early in 2016, after a stroke put Ethel in the hospital, Alfred had her meet with a man he said was an attorney, supposedly to discuss what Ethel understood were tax and insurance issues. Ethel didn’t remember signing a thing. It’s not clear even now who the “attorney” was, according to subsequent litigation. But somehow Alfred got the title to Ethel’s home, and Ethel never got a penny.

Ethel didn’t tell Johanna about any of this. But by March 2016, Alfred had begun intercepting Johanna’s calls to Ethel, making excuses for why she wasn’t available. Once, when Johanna got through, Ethel sounded frightened. “Why are you whispering? This is your phone,” Johanna recalls saying. By this time, according to court documents, Alfred controlled Ethel’s life, physically and financially. He used the joint account as a piggy bank, spending Ethel’s money for restaurant meals and gas bills. He drove around in a Mercedes. The City of Los Angeles alleged that narcotics were being sold out of Ethel’s garage.

Johanna, increasingly worried, recalls that on Good Friday, March 25, 2016, she drove over to the now-shabby house and barged in. She was shocked to find drug addicts in the front room. Ethel’s room was filthy, and she had been defecating in a pot.

Eventually, Los Angeles Adult Protective Services intervened, after Ethel was hospitalized following another stroke. She was placed in a nursing home, and an APS caseworker put Ethel and Johanna in touch with Bet Tzedek Legal Services, which filed suit to reverse the property transfer. Alfred did not contest the suit.

Ethel said, “I have money in the bank,” Johanna recalls. But Alfred had taken it all. Ethel didn’t even have any clothing. Hers were so foul that they had to be thrown out when she went to the hospital, Johanna says.

The house, with the title reverted back to Ethel, was sold in July for $440,000, which can be used for Ethel’s care. Johanna closely monitors the nursing home: “I have them on their toes when it comes to her.” 

Ethel is not pursuing further legal action. Alfred cannot be located. As for Wayne’s role in what happened, Johanna is clear: “God forgive me, but I can’t stand him,” she says. “No way would I let anyone violate my parents.”

Where’s Justice?

Financial elder abuse is a crime. It’s theft. Yet people who complain to law enforcement are frequently told that it’s a “family” or “civil” matter or that the older person “won’t press charges.” These aren’t valid reasons to avoid action, says Paul R. Greenwood, head of the San Diego District Attorney’s Office Elder Abuse Prosecution Unit. Child-abuse victims, he notes, don’t decide whether abusers are charged.

Another excuse for not prosecuting is a victim’s inability to testify. But Peter A. Lichtenberg, director of the Institute of Gerontology at Wayne State University in Detroit, says that elder-abuse cases rely on forensic examination of financial records more than they do on witness testimony.

An added hurdle: Police and prosecutors may be suspicious about those who make accusations. “I often get these calls from adult family members who want me to prosecute the other sibling,” Greenwood says. “I interrupt and say, ‘Now, where were you when all this was going on?’ ”

Plus, a victim might say the money was a gift, says Greenwood: “ ‘He’s a nice boy, and he’s been helping me around the house.’ Those arguments are very difficult to overcome.”

There’s one more reason these crimes are rarely prosecuted. People who have been robbed won’t admit it. “It’s hard to get victims of elder abuse to talk,” says Lori Delagrammatikas, a longtime specialist in elder abuse and the incoming president of the National Adult Protective Services Association. “They’re so embarrassed.”

The Housekeeper


Lori Delagrammatikas is quite familiar with the embarrassment caused by elder financial abuse. It happened to her mother. Janet Dermy had a doctorate in education and spent her life as a teacher, at one time running a small technical college. She was a tough, hardheaded woman. She was perfectly fine — self-sufficient and healthy — when, at 76, she moved into an independent-living facility north of Phoenix in 2009.

Janet, like other residents, had an apartment with a small kitchen. On-staff housekeepers tidied up every day. While residents could get rides to local places, Janet drove herself in a late-model four-door sedan.

chart about Fraud in the Family
AARP

One day in 2012, Janet told Lori — who lived a seven-hour drive away — that she had a new car. Janet also told Lori that months before, she had sold the previous car to her housekeeper. The housekeeper (let’s call her Mary) had been chatting daily with Janet about her marriage. “She said she was a victim of domestic violence, her husband didn’t work, and he was pushing her to work more and more hours,” Lori says. Mary told Janet that she needed a car because her old one wasn’t working.

Janet, taking pity on Mary, sold her car to her for monthly payments of about $100. Lori never learned how much Mary promised to pay in total. There was no paperwork. All she discovered was that not long after Mary made her first (and only) payment, she vanished. She was dismissed for borrowing money from residents.

Janet had been conned. “I see it so much at work that I wasn’t surprised,” Lori admits. “But I was frustrated my mom wasn’t willing to do anything about it,” such as file a complaint. Janet died last year. “It’s humiliating when you get ripped off,” Lori adds. “It hits people in the deepest level of their self-image.”

Lori was developing a training program for protective services workers when her mother was swindled. “I talked to my mom a lot about the work I do — ‘Oh, let me tell you about the latest scam that’s happening,’ ” Lori says. “Didn’t make a bit of difference.”

Full Article & Source:
Fraud in the Family

Tonight on Marti Oakley's T. S. Radio: Hospice Survivors and Victims with Carly Walden

$
0
0
5:00 pm PST…
6:00 pm MST...
7:00 pm CST...
8:00 pm EST

Please tune in tonight to Hospice Survivors and Victims premiering at 8:00 EST call into 917-388-4520 or click the link and listen as we have Mrs. Barbara Latham on to tell the world how her mother was murdered in a hospice under a guardianship. We will also hear from Barbara’s attorney Candace Schwager. This case was so terrifying we need to all learn and protect our loved ones!

We are giving Mrs. Barbara’s mother a voice today as she was unable to escape the guardianship.

If you would like to share a story about Hospice with us, please send an email to this address:

victimsandwhistleblowers@outlook.com

Also, you must have adequate documentation to be a guest.

LISTEN LIVE or listen to the archive later

Man suffering from dementia found hours after walking away from local care home

$
0
0
When Thomas Granger was found at a Bloomfield coffee shop Sunday, his grandson, Shawn Granger, said the 88-year-old was confused and unsure of how he got there.

Shawn said his grandfather left his residence at Schenley Gardens four hours earlier. He said a camera on the hotel next door showed him walking out at 7:58 a.m., and that that was the third time in less than two weeks that the staff couldn't find Granger.

"Thomas Granger is free to come and go as needed," said Jason Childers, executive vice president of Blue Harbor Senior Living, the management company for Schenley Gardens. "He is in a personal care apartment."

Childers said Granger does not live in the secure section of the facility, but in light of what happened, he has been placed on 24-hour monitoring while they move him to the memory care section of the home.

Granger's grandson said the staff promised to watch him more closely after the last time he went missing. He said he is currently searching for a new home for his grandfather.

According to the Pennsylvania Department of Human Services, Schenley Gardens is operating under its fourth provisional license after repeated violations that include fire doors that don't latch, internal doors left unlocked, long wait periods for residents in need of assistance and sanitary issues.State records reveal that this is their final provisional license, and if corrections aren't in place by July 4, the facility's license will expire.

Full Article & Source:
Man suffering from dementia found hours after walking away from local care home

W.Va. AG Secures $257K Elder Abuse Settlement, Shuts Down Meat Wholesaler

$
0
0
CHARLESTON — West Virginia Attorney General Patrick Morrisey secured a $257,500 settlement against a door-to-door meat wholesaler, along with a court order that permanently prohibits it and its owner from engaging in similar business activities.
 
Members of the Attorney General’s elder abuse litigation and prevention unit alleged Thaxton Wholesale Meats LLC and its owner, Steven A. Thaxton, exploited elderly and vulnerable West Virginians. Both stood accused of coercing elderly consumers to purchase meat they could not afford and in quantities they could not possibly consume.
 
“No one should be pressured into buying goods they do not need at unreasonable prices,” Attorney General Morrisey said. “This settlement exemplifies our office’s diligent work to protect the elderly, and all West Virginia consumers, from fraud or financial exploitation.”
 
The settlement requires Thaxton Wholesale Meats to pay the state $250,000, while requiring that its owner Steven Thaxton pay $7,500. Both defendants are required to cease the sale of meat and any other goods or services to consumers at their homes in West Virginia or any other state.
 
The October 2016 lawsuit alleged that Thaxton defrauded and deceived consumers through door-to-door sales of beef, poultry, pork, seafood and other perishable foods. The company engaged in thousands of sales, many without a contract and virtually all without giving consumers notice of their unconditional right to cancel orders within three days.
 
The most extreme example involved an 83-year-old woman from Walton in Roane County. She purchased more than $12,000 in meat and two deep freezers from Thaxton between December 2013 and October 2014.
 
Other victims identified in the lawsuit lived in Parkersburg, in addition to Roanoke, Lewis County; French Creek, Upshur County; and Durbin, Pocahontas County. One’s fear prompted him to post no trespassing signs and place his credit card with a trustworthy neighbor to prevent further purchases.
 
The Attorney General contended Thaxton was responsible for the unlawful actions of his salespeople. Thaxton claimed they were independent contractors, but the Attorney General’s investigation revealed ample evidence to prove Thaxton controlled their actions on behalf of the company, which was headquartered at his Millwood residence in Jackson County.
 
The lawsuit accused Thaxton of violating the state’s Consumer Credit and Protection Act by financially exploiting elderly and vulnerable consumers. It also alleged fraudulent and deceptive schemes, obstruction of the consumers’ right to cancel and violation of the implied warranty of merchantability.
 
Kanawha Circuit Court Judge Joanna I. Tabit entered the agreed upon settlement in February. It recently received final approval in federal bankruptcy court.
 
The Attorney General’s elder abuse litigation and prevention unit includes a dedicated team of seasoned civil prosecutors to hold accountable anyone who exploits, abuses or neglects West Virginia’s senior citizens. Anyone needing its expertise can contact 304-558-1155 or HelpForSeniors@wvago.gov.
 
Read a copy of the Thaxton settlement at http://bit.ly/2GtNeDk.​

Full Article & Source:
W.Va. AG Secures $257K Elder Abuse Settlement, Shuts Down Meat Wholesaler

D.C. Senior Freed from Guardianship in Favor of Supported Decision-Making

$
0
0
FOR IMMEDIATE RELEASE
June 18, 2018

Washington, D.C. – For the first time in the District of Columbia, a guardianship of an older adult has been terminated in favor of Supported Decision-Making.

Sarah Miller,* a woman in her 80s, was placed under guardianship in 2015 because she had fallen behind on her rent and faced eviction. The landlord offered to work out a payment plan only if Ms. Miller had a court-appointed guardian. Faced with the difficult choice of losing either her home or her decision-making rights, Ms. Miller consented to guardianship. However, Ms. Miller is an independent person with a robust network of family members, friends, and professionals to help her, and she shortly realized that guardianship was more restrictive than she had thought it would be. She wanted to enroll in a local program that helps older adults with memory loss manage their finances and pay bills, but was unable to do so because of the guardianship. Ms. Miller wanted to regain the right to legally make her own decisions, just like every other citizen.

Ms. Miller came to Quality Trust’s Jenny Hatch Justice Project (“JHJP”) for help. This project is funded by the D.C. Bar Foundation to assist low-income District residents with disabilities facing overbroad or undue guardianship. Working with JHJP Staff Attorney Jessica Bronson, Ms. Miller presented the judge with evidence of her history of making decisions and directing her own life using Supported Decision-Making. When people use Supported Decision-Making, they work with friends, family members, and others they trust to help them understand the situations they face, so they can make their own decisions without the need for a guardian. Ms. Miller also presented a case reviewer report and capacity assessment that supported terminating the guardianship. After reviewing this material and hearing from Ms. Miller, the Court agreed and restored Ms. Miller’s rights by ending the guardianship.

Ms. Miller is elated by the decision. “Thanks to Ms. Bronson and Quality Trust, I have my legal rights back,” she says. “I am now working with them on an Advance Directive and Durable Power of Attorney, so that I can plan for my future and avoid ending up in court again.”

“Quality Trust is committed to defending the right of District residents with disabilities to make their own decisions, receive the support they want and need, and direct their own lives,” says Tina M. Campanella, Chief Executive Officer of Quality Trust for Individuals with Disabilities.

“We are honored to work with people like [Ms. Miller] and are so pleased with the outcome of her case. Her story is a perfect example of how Supported Decision-Making can also work for older adults – getting them the help they need while preserving their decision-making rights.”

For more information on Supported Decision-Making, please visit:

www.DCQualityTrust.org
www.JennyHatchJusticeProject.org
www.SupportedDecision-Making.org

Contact:
Morgan K. Whitlatch, Legal Director, 202-459-4004,
MWhitlatch@DCQualityTrust.org

Florida man indicted for bilking elderly Rochester woman

$
0
0
DOVER — A Florida man was indicted in Strafford County Superior Court on five charges of stealing or attempting to steal over $1.5 million from an elderly Rochester woman.

Assistant Attorney General Brandon Garod obtained the grand jury indictments that allege Michael R. Smith, 55, of Bohland Street in Avon Park, Florida, committed five Class A crimes, which could come with enhanced penalties because of the victim’s age, physical or mental condition.

The victim, identified only as M.K., has died since at the age of 98 after the alleged crimes occurred, according to the AG’s office.

Two of the indictments allege that Smith obtained or exercised unauthorized control of the victim’s money by transferring the money into his account, having unauthorized checks issued to himself, and making multiple purchases and ATM withdrawals. These events were alleged to have occurred between Oct. 24 and Nov. 30, 2017, according to the indictments. The total amount of the alleged theft was over $488,000, the AG said.

Smith was also indicted on three counts of attempted theft by unauthorized taking. The indictments allege that between Sept. 7 and Oct. 24, 2017, Smith provided three different financial institutions with forged documents in attempts to steal $1.1 million, according to AG.

If convicted, each charge comes with a maximum prison sentence of 7 1/2-15 years. If convicted with the enhanced penalties, each charge could be punishable by up to 10-30 years in prison.

The charges and allegations in the indictments are merely accusations and do not constitute guilt.

Full Article & Source:
Florida man indicted for bilking elderly Rochester woman

W.Va. Supreme Court Justice Allen Loughry Is Charged With 22 Counts, Including Fraud

$
0
0
Allen Loughry
A federal grand jury has indicted West Virginia Supreme Court Justice Allen Loughry on a number of serious charges, from fraud to making false statements and witness tampering.

The indictment says the FBI investigated Loughry under suspicion that for years, he had engaged in a scheme to defraud the government of West Virginia — and that he lied to FBI agents when he was questioned in March.

Loughry, 47, has been suspended without pay, the state Supreme Court says.

West Virginia has five Supreme Court justices, who are elected to 12-year terms. Loughry took office in 2012 and became the court's chief justice – a rotating position — in January of 2017.

In addition to being a judge, Loughry wrote a book about political corruption in West Virginia; it was published in 2006.

Federal charges against the judge were unsealed on Wednesday, more than three months after that interview. The indictment says that Loughry:
  • Falsely claimed mileage for car trips in which he had actually used a Supreme Court vehicle "and used a government credit card for gasoline."
  • Used official vehicles and credit cards for personal use under false pretenses, and "lied to other Justices of the Supreme Court about his vehicle usage."
  • Illegally "converted to his own personal use, a valuable and historic desk that belonged to he Supreme Court," taking it home to his own office.
  • Lied about his actions to government investigators and tried to mislead them by "accusing others of malfeasance, and engaging in other fraudulent conduct."
In addition, the indictment says, Loughry tried to influence a Supreme Court employee's testimony, after questions arose last October about the costs of renovating and furnishing his office.

Full Article & Source:
W.Va. Supreme Court Justice Allen Loughry Is Charged With 22 Counts, Including Fraud

Guardianship system reforms ‘a foot in the door’

$
0
0
Patricia Smith, second from left, waits to testify before the guardianship commission last year. The state Supreme Court appointed the commission. (Colleen Heild/Albuquerque Journal)
Patricia Smith’s father was dying of Alzheimer’s in 2007 when dementia took hold of her 87-year-old mother.

The older woman began driving on the wrong side of the road and was so paranoid she believed her daughter Patricia was exploiting her. And, an ex-convict on parole had ingratiated himself into her mother’s life.

Smith needed help, she said last year. “I realized I could not protect my mother. She wouldn’t let me.”

Like others who have aired their personal stories about the dysfunction of New Mexico’s guardianship system, Smith recounted for a Supreme Court commission in April 2017 how she finally went to court to obtain a professional legal guardian/conservator for her mother, only to discover the firm treated her mother as a “cash cow.”

“It behooved the whole interest of that company for the guardians to amp up their care to burn off my dad’s estate as fast as possible.”

They started charging $19,000 a month, Smith told the commission looking into guardianship reform, but wouldn’t pay for her mother to get a replacement for her inch-thin coat. It took eight months and $20,000 in legal fees before Smith and her sister could “disengage” her mother from the corporate guardian firm and recruit a separate guardian and conservator, with whom they had no complaints.

Heeding calls from family members like Smith, district courts in New Mexico come July 1 will operate under a new openness and greater accountability mandated by a new guardianship/conservatorship law approved by the Legislature earlier this year.

The state Supreme Court took the reforms a step further last week by requiring enhanced financial and background information from those who are legally appointed by judges to manage the affairs of the incapacitated.

For the first time, under the new Supreme Court rules and reporting forms, court-appointed guardians and conservators will have to regularly report the fees they charge the incapacitated person’s estate and, in the case of conservators, how the fees were calculated.

They must also provide specific bank account information about the incapacitated person, including bank account balances, in a format that will permit an auditor to detect misappropriation or mismanagement of funds. To that end, a pilot project involving the State Auditor’s Office is in the works, said state District Judge Shannon Bacon of Albuquerque, who has spearheaded the reform effort for the judiciary.

In another new disclosure, guardians and conservators must annually advise the court on their own status – if they had declared bankruptcy, been arrested or investigated by state Adult Protective Services, for instance. None of the annual reports filed with the court will be available to the public.

New law

Whether the new measures will fix New Mexico’s troubled guardianship system is unclear, Smith told the Journal last week. “But it’s a foot in the door,” said Smith, who has spent the last year contacting public officials, including Gov. Susana Martinez, to press for change.

In testifying before the now-disbanded commission last year, Smith cited the inadequate reporting forms required of guardians and conservators. Smith, a retired respiratory therapist, also advocated more openness in the system.

“We could really get more accountability and sunlight into the system so it wouldn’t be such a setup for abuse and exploitation of our elders,” she told the commission appointed by the Supreme Court.

In fact, the new law passed unanimously by the Legislature this year will require that hearings in such cases be open to the public, although filings will remain confidential unless a judge authorizes disclosure.

Two other changes give family members greater visitation rights and expand notification to relatives of court proceedings for an incapacitated loved one.

Not all critics are satisfied. Lorraine Mendiola, whose adult son has a professional guardian, told the Journal last week, “There’s no state agency for family members to voice their concerns if a corporate guardian is negligent or committing criminal actions.”

She said she has had no luck approaching the judge on her son’s case with her grievances.

As for the enhanced reporting, Mendiola said, “Who is going to provide accountability to make sure that the correct information (on the new forms) is reported?”

The new law requires professional conservators to post bonds upon appointment, but Mendiola questioned why the cost will be borne by the incapacitated person instead of the conservator.

Gaelle McConnell, an Albuquerque attorney who headed the Supreme Court committee that proposed the eight new forms and five new guardianship/conservatorship rules, told the Journal the bond “protects the (incapacitated) person” so it makes sense to deduct the surety fee from the assets, rather than charge the conservator. She noted that a judge can make an alternative asset protection arrangement under the new law or decide a bond isn’t necessary.

New forms

The new reporting forms are 12 pages long for guardians, and 15 pages for conservators – compared to the current forms that ask 17 questions of guardians and a mere 10 questions of conservators every year.

Bacon told the Journal the changes “will make it easier for judges to get a handle on the details (of a continuing guardianship or conservatorship).” In her Albuquerque court, she schedules a hearing if she has questions or sees discrepancies in reports filed by a guardians or conservator.

“Not all judges ask those questions,” Bacon conceded. “This (new reporting mandate) forces the information to be put in front of them.”

She said the state Auditor’s Office helped design the questions asked of conservators “to make sure we have a picture of assets and liabilities and to inform the judge and to be useful to an auditor. We wanted to be very careful that it (the disclosure) works if somebody audits the case.”

Meanwhile, district judges around the state have undergone training about the new law and rules.

McConnell also served on last year’s Supreme Court commission that spent nine months studying the issue before issuing its own recommendations.

“Frankly, from hearing the public testimony, it was clear to me that something had to happen,” McConnell said.

The Supreme Court rules committee, appointed earlier this year, isn’t finished with its work, McConnell said. Her group will explore issues the guardianship commission last year recommended for further study – such as certification of guardians, and improving the court appointment process for guardians ad litem and court visitors. By law, those two professionals advise the judge on whether a guardianship is needed and whether the guardian proposed is appropriate.

But the process has been criticized as lacking objectivity, because judges typically appoint whomever is nominated by the attorney seeking the guardianship or conservatorship.

Smith, whose mother died in 2012, said dealing with an incapacitated loved one is “always inherently painful but it’s necessary and it’s going to become more necessary as baby boomers come down the pike.”

“More of us are going to be facing it – either for ourselves or our loved ones.”

 More information
The new forms and information about guardianship system changes are available on the Judiciary’s website at: adultguardianship.nmcourts.gov.

Full Article & Source:
Guardianship system reforms ‘a foot in the door’

West Virginia Supreme Court Justice Indicted in Investigation He Initiated

$
0
0
A federal investigation initiated when West Virginia Supreme Court Justice Allen Loughry brought his concerns about Supreme Court spending to federal investigators has culminated with Loughry himself being indicted on 22 federal charges alleging fraud, witness tampering and lying to investigators.

A federal grand jury handed up the indictment against Loughry late Tuesday charging him with 16 counts of fraud and swindles, three counts of making false statements, two counts of fraud by wire, radio or television and one count of witness tampering.

U.S. District Magistrate Judge Dwane Tinsley released Loughry on a $10,000 personal recognizance bond following his initial appearance Wednesday morning at the Robert C. Byrd U.S. Courthouse.

He is subject to the standard terms and conditions of bail for defendants in federal criminal cases, including surrendering his passport and firearms and remaining within the geographic boundaries of the Southern District of West Virginia for the duration of proceedings in his case.

Loughry, 47, left the courthouse with his attorney, John Carr, just before noon. Loughry is scheduled to be arraigned and answer the charges against him Friday afternoon.

Carr would not comment on the case.

If Loughry is convicted of all of the charges against him, he faces a maximum sentence of 395 years in prison and up to $5.5 million in fines.

Loughry is accused of improperly using state vehicles and purchasing gas with a state credit card to travel for personal trips, including visits to his native Tucker County and signing events for his book, ironically about political corruption, at The Greenbrier resort.

He also is accused of having state-owned property at his home and lying to federal investigators about his knowledge of the property and about his involvement in high-cost renovations at the Supreme Court.

U.S. Attorney Mike Stuart held a news conference after the indictment was unsealed Wednesday morning.

"These are supposed to be the wisest and the most unbiased, the fairest, the most impartial in the land," Stuart said. "Our citizens deserve that here in West Virginia, and I think, on West Virginia Day, we deserve a Supreme Court, for goodness sake, that we can look at and know that it is untarnished by any blemish."

The federal criminal charges are separate from a 32-count statement of charges against Loughry from the West Virginia Judicial Investigation Commission issued on June 6. Those charges allege that Loughry violated the West Virginia Judicial Code of Conduct.

Teresa Tarr, general counsel for the commission, said Loughry abused the prestige of his office and lied to the news media, state lawmakers and the public in general about his personal use of state resources, including furniture, computers and cars, all in violation of the Judicial Code of Conduct.

A Supreme Court consisting entirely of specially appointed members on June 8 suspended Loughry from the bench without pay while the commission's case is pending. The court did not rule on whether Loughry's law license would be suspended.

It is standard practice for the commission to halt its proceedings if a judge is facing criminal charges, but commission officials weren't available for comment Wednesday, which was a state holiday.

The commission's statement of charges and the federal indictment deal with a lot of the same allegations, but the focus on the events differ in regard to what laws or codes Loughry is accused of violating.

Rumors have swirled throughout Charleston for weeks about possible criminal charges against current or former Supreme Court justices, but Loughry is the only person to face charges so far.

Stuart said public officials throughout the state had heaped their condemnation on Loughry after the commission released its statement of charges, and he suggested that public confidence in the court might not be best served by focusing on Loughry alone.

He declined to comment on whether any other justices or Supreme Court employees are under investigation.

Stuart said investigators' work "continues on many fronts, including additional areas of corruption."

"I'm sure there are a whole lot of people that would like Justice Loughry to be indicted and go down in a great ball of flames and, somehow, the rest of the court escapes uncharged," Stuart said. "I don't know whether there will be charges in the future, but I can tell you that we're interested in public corruption. ... We'll let the facts lead us to where the facts lead us."

Assistant U.S. Prosecutor Phillip Wright prepared the indictment, which doesn't indicate exactly how much money Loughry is accused of costing taxpayers by using the state vehicles, purchase cards and E-ZPass transponders and other state resources for personal use.

Stuart said there's no indication that Loughry misused federal dollars.

Loughry is accused of using state vehicles to take personal trips, at no personal cost, mostly between July 2013 and August 2016.

On at least two occasions, he is accused of using the state vehicles for personal trips, but he also was reimbursed by institutions to which he traveled for mileage and other expenses, according to the indictment.

Loughry is accused of defrauding American University, in Washington, D.C., one of his alma maters, and the Pound Civil Justice Institute, in Baltimore, by accepting reimbursement for his personal travel to those institutions even though he traveled to those places using state vehicles at no personal cost.

Loughry's book on political corruption in West Virginia, "Don't Buy Another Vote, I Won't Pay for a Landslide," and his promotion of that book reportedly are what led to a part of his alleged scheme.

He attended at least three book-signing events at The Greenbrier resort using state resources, according to the indictment.

By August 2016, Wright said, Loughry began taking steps to cover up his fraudulent conduct, an effort Wright said lasted at least through March 2 of this year.

Wright said Loughry's "pattern of concealment, misdirection, and deception" began in late August 2016 in a dispute with another Supreme Court justice about vehicle usage.

On Aug. 25, 2016, the justice, who isn't named in the indictment, sent a memo to the administrative director of the Supreme Court asking very specific questions about instances when Loughry reserved state vehicles between 2013 and 2016. All of the justices, Loughry included, received copies of the memo, Wright said in the indictment.

The next day, Loughry responded to the memo with his own memo, in which he questioned the vehicle usage by the other justices.

"I unhesitatingly assure each of you that on the dates mentioned in [the other justice's] various memoranda to [the administrative director], I was acting in my capacity as a Justice of this Court in utilizing a Court vehicle," Loughry wrote in his response memo, according to the indictment.

The indictment, however, alleges that the statement Loughry made to his peers was not true.

After the exchange of memos, the justices met in September 2016 to establish a formal written policy for using state vehicles, and Loughry stopped using the Supreme Court's vehicle reservation system even though he continued to use state vehicles, Wright said in the indictment.

When news reports came out in fall 2017 regarding excessive spending on renovation in the Supreme Court offices, Loughry "continued the pattern of deceit and misdirection by misrepresenting to members of the media his role" in the renovation, Wright said.

He said that's when Loughry attempted to influence a Supreme Court employee's potential testimony in a federal grand jury investigation about the extraordinary spending by the Supreme Court, according to the indictment, which doesn't indicate how Loughry tried to influence the person or reveal the identity of the witness.

In its separate investigation, the state Judicial Investigation Commission found that Loughry lied to reporters and West Virginia lawmakers who questioned him about the $3.2 million in renovations to the court's offices, which included a customized West Virginia county map embedded in the floor of Loughry's office, as well as a $32,000 couch for his office.

None of the charges in the federal indictment relate directly to the renovations, but the renovations are a catalyst for Loughry's alleged scheme to lie to investigators.

In November 2017, Loughry returned the keys for both state-owned vehicles he had used to the Supreme Court's director of security, according to the indictment.

The indictment also includes allegations that Loughry's use of state-owned furniture was another catalyst for him to lie to federal investigators.

Stuart noted that the announcement of the indictment against Loughry came the day before the 5-year anniversary of when Loughry was alleged to have moved what's called a "Cass Gilbert desk" from the Capitol to his house in Charleston.

The Cass Gilbert desks are a set of five desks that were original to the Supreme Court offices when they were dedicated in 1932.

In the indictment, Wright said Loughry arranged for a state-contracted moving company to move the Cass Gilbert desk and a leather couch to his home on West Virginia Day 2013, costing the state $836. The indictment states that Loughry acted under the false pretense that the had the authority to order such a move.

"[Loughry] did not inform the other Justices or any Supreme Court employee that he planned to take the Cass Gilbert desk. Nor did he tell them that he had in fact taken a Cass Gilbert desk to his home," Wright said in the indictment.

On Nov. 27, 2017, Loughry arranged for Supreme Court employees to remove a leather couch from his home and take it to a state warehouse after a Gazette-Mail column questioned the location of the couch and a Cass Gilbert desk.

Three days later, Wright said, Loughry arranged to have the Cass Gilbert desk removed from his home, where it had been for about four years.

Loughry told Supreme Court employees he was permitted to have the furniture, as well as computers to furnish his home office, as part of a court policy, according to the indictment.

However, Wright said no such policy, written or oral, exists to allow justices to have such furnishings in their homes.

Loughry's state furniture moving days took place roughly one week after he met with an FBI agent and a representative from the U.S. Attorney's Office for the Southern District of West Virginia "to report his own concerns about spending by other Justices of the Supreme Court and the former Administrative Director that he believed was unauthorized or otherwise inappropriate," the indictment says.

That meeting led to the opening of a federal investigation into the "possible misuse of state funds by members of the Supreme Court to determine if any federal crimes had been committed" and who committed them.

Part of the investigation used the grand jury process to obtain records and information, Wright said.

On March 2 of this year, Loughry, with his attorney present, spoke with a FBI special agent and other investigators.

During the interview, the indictment alleges, Loughry lied about his use of state vehicles, when the Cass Gilbert desk was moved into his home and his understanding of the significance of the desk, telling investigators he didn't know it was a Cass Gilbert desk.

"The statement was false, and defendant Loughry knew it was false at the time he made it," Wright said in the indictment.

Loughry was elected to a 12-year term on the Supreme Court in 2012. In 2017, he was named chief justice for a term of four years. Previously, justices served in the role for one year. He stepped down from chief justice as public scrutiny began to increase.

During the 2018 legislative session, Democratic lawmakers called for impeachment proceedings against Loughry, which some renewed Wednesday.

Multiple political leaders in both parties called for Loughry to resign after the Judicial Investigative Commission's report came out. Gov. Jim Justice said at the time that Loughry should resign if the allegations against him are true.

Full Article & Source:
West Virginia Supreme Court Justice Indicted in Investigation He Initiated

Guardians from Hell

$
0
0

The completely legal, utterly grotesque system for undermining the rights of the elderly 


By Gretchen Rachel Hammond

At 92-years-old, Virginia “Jean” Wahab hadn’t lost any of the vitality and health she maintained throughout her life. She raised two daughters as a single mom and made a home for them in the Detroit, Michigan suburb of Oak Park. Wahab worked on her feet and didn’t retire from her job at a local family restaurant until she was 88.

Fiercely independent, Wahab was quite happy living at home after retirement. She had a healthy social life. She did her own grocery shopping and chores. She so rarely needed to pay a visit to a hospital that her health insurance was barely touched.

Her eldest daughter Mimi Brun converted to Judaism at the age of 18. She went on to become a prolific Jewish artist, who sold her work all over the world. In 2010, she began to establish art schools for children under 12 in France and then Chicago. Although Brun was estranged from her younger sister, she and her mother were extremely close. Wahab was Catholic, but Brun noted that she had the fastidious nature of a Jewish mother.

Wahab’s legal affairs were in order including a durable power of attorney she had signed in January, 2016 which named Brun as a patient advocate (the handler of her medical needs) as well as giving her daughter charge of her financial affairs should she ever become incapacitated. Wahab’s home was also registered in Brun’s name in a quit claim deed signed by Wahab on December 29, 2014.

The two talked on the phone every day. Brun particularly relished visits with her mother during which she would gift her a piece of art. Wahab was an eager collector of Brun’s work.

That was two years ago. Everything has changed since then.

In 2016, after a fall at her home, Wahab was diagnosed with a slight cognitive problem but otherwise deemed healthy. Wahab’s doctor recommended that Brun find her a short-term rehab facility.

“I looked for a Jewish one,” Brun said. “They were all full. I found Lourdes because it had a five-star reputation.”

On February 23, that year, with the approval of her HMO, Wahab was admitted for short-term rehabilitation at Lourdes Senior Community in Waterford, Michigan—a nonprofit elder care facility founded by Dominican nuns in 1948. According to the organization’s 2016 I-990s, Lourdes listed end of year assets of $22,096,166.00. Expenses totaled $14,476,851.00

Brun said she made her mother’s meals and went to each of her physical and occupational therapy sessions.

“The insurance granted her up to 120 days,” Brun remembered. “She was excelling like a champ but the therapist at Lourdes started telling me she suspected Mom should not live alone. Mom and I decided that I was going to go back to France and Chicago, put my businesses on hold, rent out my homes and move my work and studio to Mom’s. It was what she had dreamed about—to spend the end of her life living with me.”

Brun left for France, placing her aunt and sister in charge of caring for Wahab while she was in rehab.

“I called Lourdes every day,” Brun said. “Then the insurance cut off.”

Brun asserted that she spoke to Lourdes social worker Sara Van Acker and pledged that she would enter into a payment plan. Shortly thereafter, however, she received an email from a Lourdes administrator which stated “Your payment plan with Sara Van Acker was not approved by me. I cannot receive partial payment nor be patient for your payment plan time frame.”

On June 6, Lourdes filed a petition for guardianship on the grounds of a $31,416.65 past-due bill. Brun said that the petition notice was sent to an address that was not hers. The petition shows that the address used to serve Brun belongs to an apartment complex in Harper Woods Michigan—one hour’s drive from Lourdes and 30 minutes from Oak Park. On the address, no apartment number is listed. It is also not the address listed on the Power of Attorney paperwork Brun says she provided to Lourdes.

Brun rushed back to Michigan. On the morning of June 29, 2016, she attended a hearing presided over by Oakland County Probate Judge Linda Hallmark, one of four judges serving there. Hallmark vacated Wahab’s power of attorney and appointed a local attorney Jon Munger as Wahab’s guardian. According to Brun, neither she nor her mother ever requested Munger’s services.

Also appointed by the court was a man named Matthew Jason Brown, another local lawyer. Brown was named as Wahab’s guardian ad litem (GAL)—a person entrusted with investigating what course of action is in the best interest of a person unable to care for themselves. The June 29 hearing was also attended by two representatives from Lourdes: Van Acker and Lisa Hibbert from the organization’s accounts receivable department.

According to court transcripts from that morning, Van Acker stated that she had filed the petition for guardianship because “there’s a concern about the nursing home being paid.”

Brown wanted to know if an application for Medicare benefits for Wahab had been made.

“Not to my knowledge,” Van Acker replied.

“Are you familiar with [Wahab’s] medical condition?” Brown wondered, to which Van Acker answered “slightly.”

When Brown asked Brun if she had any objection to the petition, Brun replied “I am contesting this hearing because I was not served. I’ve had no time to get a lawyer.”

“Well, you’re here Ma’am,” Hallmark replied, “and it’s a guardianship so there is some urgency about it, so we’re going to proceed.”

When Brun protested that she had been appointed as Wahab’s guardian through a power of attorney, Hallmark quickly rebuked her.

“That’s different than an appointment by the court,” Hallmark said. “Has any court appointed you guardian?”

“No, but I haven’t applied for it yet,” Brun replied. “I’d like to petition for it, but I need time.”

Hallmark did not respond to this request.

In delivering his report to the court, Brown went on to state that he had visited Wahab at Lourdes only two days earlier. During that visit, he said, he “explained to Wahab her rights and gave her a copy of [the petition].”

“She didn’t have any objection to the appointment of a public administrator at that time,” he added. “But I would note that she was not oriented to date, time, and place.”

Brown also stated that he “went over [Wahab’s] medical condition with Ms. Van Acker and she went over with me sheets that said she was suffering from dementia, unspecified lack of coordination, osteoarthritis, two…type two diabetes, muscle weakness and hypertension.”

Transcripts from that day indicate that Hallmark never asked for medical reports to prove Brown’s assertions.

Brun told Hallmark that she had witnesses who would speak on her and Wahab’s behalf. Those witnesses, however, were never called.

“My Mom needs love,” Brun went on to tell Hallmark. “No one loves my Mom more than me. When I asked my mom ‘what’s your greatest desire?’ she said ‘I want to go home. I want to go home with you.’”

“I want to take her home,” Brun begged Hallmark.

“I’m going to grant the petition,” Hallmark said. “I would like to appoint Mr. Munger [as guardian]. If he thinks that an independent medical or some other action is required that’s fine. I’m also going to appoint [Munger] as special fiduciary to make sure we have the Medicaid application on track. I’ll revoke the power of attorney today. If it’s appropriate that [Brun] should serve, if you want to get counsel and bring the matter in, we’ll consider that.”

“She hasn’t lost any of her rights…” Hallmark added, speaking of Wahab. “She has a guardian and it’s Mr. Munger…”

Brun made one last desperate plea. “Is there a reason why?”

“Yes,” Hallmark replied. “Because she’s in need of a guardian and I’m appointing Mr. Munger. That’s why.”

Hallmark never mentioned the grounds by which she was revoking the power of attorney.

The court adjourned.

Brun’s fight to have her mom released from Lourdes would eventually result in Hallmark issuing an injunction restraining her from entering Lourdes premises, denial of her visitation rights (even when chaperoned by a nun and a locally renowned, retired judge) and a bench warrant from Hallmark’s court for Brun’s arrest.

Two days after Munger had been assigned, Brun received an email from his office which stated “It will be necessary to close [Wahab’s] bank accounts and locate all assets in order to apply for Medicaid. I understand that there is at least one account at ****** Bank with both of your names on it. It would be more efficient if you cooperate with the closing of the account(s). I will need proof of closure for the Medicaid application. I will then open a guardianship account at ******** for your mother, pay her bills, and apply for Medicaid.”

Even though Wahab was originally admitted for a short-term rehab at Lourdes, on July 1, 2016, according to his own accounting, Munger completed a long-term medical assistance application that entitled Lourdes to three months of retroactive disbursement, faxing the application to Michigan State’s Department of Human Services. Five days later, Munger completed and mailed another admissions packet to Lourdes for Wahab.

A July 17, 2016 affidavit, signed by Wahab and filed in court, read “I want to go home with my daughter Mimi.”

On August 15, 2016 Brun’s then-attorney sent a letter to Lourdes CEO Sr. Maureen Comer stating “Ms. Brun has not and has never been opposed to negotiating the payment of the outstanding bill. Ms. Brun has made arrangements to take Ms. Wahab home and Ms. Wahab has even signed an affidavit stating she wants to return home.”

Two days later, Brun, her attorney and Lourdes received an email from Munger which stated that he was clarifying “for both Lourdes and for yourself, that I am not authorizing either Mimi Brun or yourself to discuss, negotiate or otherwise become involved in any potential discharge plan nor payment.”

Munger also went on to say “there have already been repeated complaints about your client’s behavior while at Lourdes facility. I have not yet taken full steps to curtail your client’s visitation, but we may need to revisit that issue.”

In a subsequent series of emails Brun’s then-attorney called Munger’s actions “highly inappropriate. You are needlessly dragging on this litigation so you can keep billing and billing.”

Munger replied “You and your client will cease any communication with Lourdes administration or management.  Your failure to abide by this requirement will simply force me to place the matter before Judge Hallmark, where I will ask that both you and your client be sanctioned for this grossly unprofessional, abusive and threatening behavior.  I simply will not allow either of you to interfere with Virginia’s care.”

On August 18, 2016, Munger billed Wahab $245 for his drafting “of a petition to limit visitation.”

An email that day from Munger to Brun’s attorney stated that it was “due to your attempts to pay Lourdes.” It makes no mention of any complaints about Brun’s behavior.

Because he was Wahab’s guardian, Munger was legally permitted to bill his ward for any work on her behalf. A 2017 statement of other fees and services billed to Wahab by Munger and Associates shows that in little over a three-month span, Munger billed Wahab a total of $6,097.00 in fees and services.

Brun filed an emergency petition to have Wahab released from Lourdes. In an October 5 hearing in Hallmark’s courtroom, Munger was represented by attorney Joseph Ehrlich.

Munger billed Wahab $450 to “attend hearing on court motions and “[a] conference with judicial staff attorney.”

Following the hearing, Ehrlich secured an order from Hallmark compelling Brun to pay $25,000 to Lourdes and gave her 25 days to come up with the cash.

Brun told me that, because it did not include the provision for her mother to be released, she refused to pay it.

A subsequent motion Brun filed to vacate the order stated that “upon review of the transcript of this hearing, at no point did Brun ever agree to pay $25,000 to Lourdes. It does not comport with the settlement placed on record.”

Lourdes retained attorney Mary Lyneis to represent them.

A November 2016 letter from Lyneis to Brun accused her of violating “Court Orders entered into the Probate Court.”

While it did not mention which of those orders Brun was supposed to have violated, it went on to accuse her of “Threatening conduct toward the staff at Lourdes. In addition, you upset your mother with unfounded allegations the staff at Lourdes. As a result, you are hereby notified that you are no longer permitted on the premises. Should you attempt to enter the premises, appropriate law enforcement will be contacted.”

The letter offered no evidence of any court order sanctioning a decision to bar Brun from the premises.

In a February 2, 2017 email, Lyneis told Brun “We want to be paid. You cannot expect to show up to see your mother when you have not paid for the privilege and you have disappeared since November.”

A subsequent email from Munger to Brun stated “If you want to visit your mother and or even remain in contact with her, you would be better served by complying with the existing court order than by continuing to harass everyone trying to see your mother.  In particular, pay the $25,000.”

Concerned about being able to pay her legal fees, Brun sold her and her mother’s home to Michigan banker Bradley Silverstein on the proviso that he draft a lease for her and Wahab to live there. A lease with that condition was drafted on February 28, 2017.

Two days later on March 1, 2017, Ehrlich, Lyneis, and Munger appeared before Hallmark and asked for a series of ex parte orders against Brun.

Ex parte orders are issued without the presence of or even notification of the parties it affects. Since due process is Constitutionally guaranteed, these orders are supposed to be temporary while allowing ample room for them to be contested.

Brun was not present at the hearing when the ex parte orders were issued. At the time, with the support of her doctor and with his medical order in the court file, she had requested a two-month medical leave from the court.

Hallmark also issued a permanent injunction against Brun restraining her from entering Lourdes premises, and a bench warrant for arrest alleging that her refusal to pay the $25,000.00 was in contempt of court.Regardless, Munger and Ehrlich requested that the house be transferred back to Wahab’s name “and then [to] permit Jon Munger to sell the house in order to pay for her care, so that [Wahab] would then qualify for needs-based benefits.” The court issued this order on June 28, 2016.

Brun told me that, in the months that followed, Munger attempted to force his way into the house. On August 8, 2017, she filed a police report, complaining that Munger had attempted to enter the house on three separate occasions.

When Brun replied that she had never received such an order, Munger wrote “A hearing was held on June 21 in front of Judge Linda Hallmark, and you received notice of that. I have every legal right to enter your mother’s home, and I have done so.”A June 30 email from Munger to Brun read “As you are aware, Judge Hallmark entered an order in the eviction case requiring you to vacate your mother’s home by Wednesday, June 28th 2017.  I went to the home with several others on the following day, June 29th, and it was apparent that no one was residing in the home.  Accordingly, we had the locks changed and the home secured. Upon our entry into the home, it was apparent that you had left a great deal of valuable personal property behind, including artwork.  We deem this to be abandoned property under the law.  For the time being, we are holding that personal property and artwork as security for repayment of the $25,000 you were ordered to pay on October 5.”

Brun has filed criminal police reports for larceny home invasion and theft against Munger with the Oak Park Police. The police took no subsequent action.

On August 30, Munger billed Wahab $245 for “a hearing to set aside deed” and $119 for calls to the real estate agent and the locksmith.

Brun said she was not present at any such hearing.

Brun’s attorney Phillip Strehle would later tell Hallmark “In October ’16 [Munger] filed a forwarding address card with the post office which has Mimi’s name on top and Munger’s address on it. So, he already knew, as of October ’16, that whatever mail he sent to the house, she would never get, because he sent it to himself. Mr. Ehrlich told me out in the hall that the order of August 30 was entered because it was uncontested. There’s a reason why it was uncontested; because Ms. Brun was not properly served.”

Brun finally got a break in October 2017 when attorney Lisa Orlando became Wahab’s new Guardian ad Litem.

In two reports Orlando submitted to Hallmark in 2018, she wrote “I visited [Wahab] at Lourdes Senior Community first on November 16, 2017 and then again more recently, on February 28, 2018, at which time I again served her a copy of the petition, notice of hearing and the order appointing a Guardian ad Litem. I don’t believe that Virginia was able to understand the information being presented, however she did clearly say that she did not want to go to court. I then asked her if she wanted Mimi to be her guardian and she said ‘of course!’”

“In the opinion of this GAL, it is Virginia Wahab a 94-year-old woman, who is paying the price of these ongoing legal disputes and suffering harm by not being able to see her daughter for more than 17 months,” Orlando added. “To isolate and prohibit an aging Mother from seeing her daughter is heartbreaking to this GAL. Mimi Brun has priority under the statute and is Virginia’s choice to be her Guardian.”

An affidavit signed by Wahab’s sister Sr. Helen Essa reads “Mimi is a devoted daughter and attended to every detail of her mother’s care not ever putting her own needs first. I know how desperate my sister is to go home with Mimi and have Mimi care for her. I pray, as we all do, that my sister will not die in a nursing home.”

In concluding her report, Orlando cited Michigan statutes.

“Under MCL 700.5313(3)(b), [Brun] has priority over a professional guardian,” she wrote. “’If suitable and willing to serve as guardian, the court shall appoint, an adult child of the legally incapacitated individual.’” Under MCL 700.5313(2)(b), [Brun] is Virginia’s choice to serve as her guardian. I discovered no clear and convincing evidence why the Petition should not be granted.”

Yet, Munger still remains as the sole guardian for Wahab who is still at Lourdes. Despite her best hopes, Brun has yet to see her and bring her home

The question remains as to why the Oakland County Probate Court effectively became a debt collector for a nursing facility and why the now 95-year-old Wahab is still held there despite her own Guardian ad Litem opinion that Brun replace Munger as guardian and family members’ pleas to Hallmark that Wahab be allowed to go home with her daughter.

On May 25, 2018 Hallmark vacated the order to pay $25,000.00. Hallmark also found Brun not guilty of contempt of court.

Brun does not believe the petitions she filed in October to have Munger removed as guardian will even be heard until July.

“I have been offering to pay Lourdes the money to let my mother go but Munger refuses to accept my working with the facility,” she said. “I promised Mom that her last chapter would be her best. But I think my mom will die before Munger ever lets her go.”

Strehle, who has been Brun’s attorney since October, 2017, told me that he felt the entire case against Brun was “bizarre.”

“The transcript of June 29, 2016 does not comply with the statute or the court rules,” he said. “There’s not a single bit of evidence to support even the creation of a guardianship; not one iota of evidence.”

He added that for a nursing home to present a petition for guardianship based on a past-due bill is something “I’ve never seen in all my years of doing probate. Ever.”

In the [June 29, 2016] transcript, the guardian ad litem [Brown] is the one that’s asking the questions,” he added. “Not Munger. Not an attorney for Lourdes. That’s even more bizarre. Usually, the person asking the questions is the petitioner not the guardian at litem. The court grated it because of an overdue bill. That’s not a basis for getting even a limited guardianship.”

Strehle also addressed the March 1, 2017 subsequent bench warrant and injunction issued against Brun.

“In my view, the bench warrant against Mimi was entered improperly because of the $25,000 provision which the court recently vacated,” he said in an interview with me. “In her petition Lyneis was seeking a restraining order against Mimi. A restraining order lapses on its own in 14 days. That’s not what she got. The court granted her a broad injunction. Lyneis had a huge burden of proof to get the restraining order. After that, she was supposed to notify us of a hearing within 14 days. She didn’t do that. It was based on no evidence whatsoever.”

“After all this time, I still have not seen any evidence to support [Munger’s] guardianship,” he concluded. “I have emails from Lourdes saying ‘we don’t want [Wahab] here.’”

“Twice on the record now in open court Ehrlich has said he wants to get the house to pay fees,” [referring to both his and Munger’s legal fees]. “I don’t see how that’s a basis for keeping this poor woman in this location, isolated, with no visitation. I’ve never seen it before in 31 years of doing this.”

I reached out to both Lourdes CEO Sr. Maureen Comer and Lyneis. In a series of email responses, Lyneis requested my “credentials” in the form of a “CV”. When I refused to provide her with a resume, Lyneis declined to confirm or deny any of the emails or statements on court transcripts made by her or Lourdes staff members. She also refused to answer a long list of questions pertaining to everything from Wahab’s initial medical diagnosis to why a petition for guardianship was filed over a past-due bill.

I also reached out to Hallmark via email and telephone and was told by a staff member in her office that, since she had not responded to my email, it was an indication that she had no comment.

An Oakland County Probate Court Administrator later replied, “In the interest of fairness to those involved, it is this court’s policy not to comment on pending litigation.”

Wahab’s first GAL, Brown, however, did respond. “As I stated in my report, Ms. Wahab consented to the guardianship,” he wrote. “I also felt, after interviewing Ms. Wahab, that she needed a guardian to be appointed. The information regarding the medicals was given to me by the nursing home regarding Ms. Wahab’s medical condition and are consistent with my report and testimony.”

This is not a story drawn from a dystopian fantasy. It is happening today all over America, where Probate Courts employ an exponentially growing network of professional, for-profit guardians.

I talked at length to six other families—in Michigan, Arizona, New York and Illinois respectively about their experiences with predatory guardians; some are court appointed professionals, others are family members granted leave by Probate Courts to cut their siblings out of a ward’s life.

The tapestry of each story was as complicated as it was heartbreaking. Each narrator pulled on the memory of each thread of that tapestry and found tears, despair, rage and frustration behind it.

Dr. Sam J. Sugar, MD is the founder of Americans Against Abusive Probate Guardianship(AAAPG) and the author of the May 2018 book Guardianships and The Elderly: The Perfect Crime.

“In 2003 in Florida, there were 23 professional guardians,” he said. “Today, there are 670.”

According to Sugar, these guardians are sometimes no more than high-school graduates with little or no experience and are often untrained, uncertified and unlicensed. Yet they can make $85-per-hour-per-ward-per-day. An income potential of $100,000-per-year can be earned simply by opening the daily mail belonging to half-a-dozen wards.

“The stated occupation of one of the most prominent guardians in the State of Florida is ‘dog walker’,” Sugar said. “But she has control over the lives of elderly people and multi-million or billion-dollar estates.”

Speaking generally, and without addressing Munger or any other guardian, Sugar described what he said was a common pattern.

“The first thing the guardian does, within the first 30 days, is to collect every nickel the ward owns. It’s called ‘marshaling the assets’,” he explained. “Then they seize recurring revenue streams. If you’ve ever worked, been in the armed services or had a pension, you represent a tremendous amount of income because the guardian now controls your Medicare or Medicaid. They seize and divert social security payments or veteran’s benefits and change beneficiaries on life insurance policies.”

Sugar added that the power guardians are given concerning a ward’s home or estate can result in “Strawman Sales.”

In a Strawman Sale, a guardian will appraise a home for a low amount for which he will secure court approval to sell. After ransacking it and taking whatever is of value, the guardian will then use a colleague, friend or associate to purchase the home at the court-approved rate. The court will then be sold at its full value allowing the guardian to keep profits never reported to the court.

“There are an endless number of ways for a guardian who is a layer to profit particularly from one ward,” he said.

Meanwhile, the family members who fight in Probate Courts to have their loved ones restored to them are systematically drained both emotionally and financially; punished for daring to oppose a system which is completely out of control and has all but been left unchecked, except by those few who have run afoul of it and fought back through ceaseless activism.

*     *     *

For eight years, Sugar has made it a life mission to raise awareness about guardianship abuse.

The son of two survivors of Auschwitz and Bergen-Belsen, who met in a Swedish refugee camp after liberation, Sugar arrived in the United States with his parents in 1949 and settled in Chicago. After a successful practice in internal medicine and a directorship of medical services at a North Chicago hospital, Sugar retired with his wife to Florida proud to leave the work of continuing the family legacy to their four children and eleven grandchildren.

Prior to eight years ago, Sugar was like many Americans. He was, he said, unaware of a nationwide industry that, in his opinion, was created around hijacking seniors and plundering every last item of value from them.

Sugar’s own family became involved in a legal matter involving guardianship—one he still cannot discuss today because, like the family courts who dispense judgment on the future of minors, those charged with rendering decisions on the elderly routinely issue the same non-disclosure gag orders which, under the auspices of privacy, also serve to shield court employees from accountability from the media or from legislators.

One thing Sugar can talk about was the effect the case had on him.

“It seemed to me that this was a system unbelievable for it to be occurring in the United States,” he said. “It was so off the charts, so unexpected and cruel that I decided to get educated. I had thought we were the only ones but, very quickly, I ran into people who had the exact same thing happen to them.”

“I wish I had never heard the term ‘guardianship’,” Sugar wrote in his book. “Our entire American legal system hinges on the faith and trust of the American citizen. Our country’s three foundational documents take great pains to enumerate and guarantee the unique ideals that countless Americans have been willing to die for. Our tacit understanding of government is that, if we abide by the laws of our land, our sacred rights will be guaranteed. In guardianship, however, everything is different. Innocent individuals can be stripped of their rights by probate courts. In fact, most wards have even fewer rights than do convicted serial murderers.”

“Who would believe such a thing?” Sugar wondered aloud, in an interview with me.

Brun and Wahab do. They have been living it. And they’re not the only ones.

In October, 2017 WXYZ television in Lansing, Michigan launched an investigation into the Oakland County Probate Court and its court appointed guardians Barbara Andruccioli and Thomas Brennan Frasier whom a family member accused of neglecting and financially exploiting her parents Lorrie and Sandy Kapp.

Andruccioli and Brennan have yet to respond to these allegations.

The Oakland County Probate Court judge in the case, Daniel A. O’Brien, issued an ex parte order denying WXYZ the ability to show the Kapp’s faces.

Andruccioli was subsequently fired as a public administrator and has become part of a still ongoing criminal investigation by both the Oakland County Prosecutor’s Office and the Sherriff’s office yet she still remains conservator and guardian for cases at the Oakland County Probate Court.

According to court documents from the Michigan Court of Appeals, in 2011, Hallmark appointed Munger as guardian to Angela M. Robinson who had been declared legally incapacitated. In 2012, her parents Remo and Marie Marzella petitioned Hallmark to remove Munger as guardian and transfer her to their care. They claimed Munger “had not investigated Angela’s best interests or made proper decisions regarding her future care.”

Following an evidentiary hearing, Hallmark denied the petition.

“I am not going to remove Mr. Munger at this point,” she said. “I don’t find that Mr. Munger did anything wrong.”

In a subsequent 2014 lawsuit, the Marzellas accused Munger of committing legal malpractice. Among the complaint’s allegations, Munger “failed to investigate and ascertain Angela’s best interests with respect to her living arrangements, advocated for Angela to live in an institution instead of with her family” and “failed to foster Angela’s family relationships and family involvement in her care and life.”

“Angela and her special needs trust were subsequently shorted and she and her family suffered economic and non-economic damages,” the complaint added.

Munger claimed that, because Hallmark had already ruled he “did nothing wrong” during the petition for his removal, the Marzellas were barred by “collateral estoppel” (preventing an issue from being relitigated.)

In 2016, the Michigan Court of Appeals found that “no discovery was even conducted before [the evidentiary] hearing. Simply stated, the probate court’s decision not to remove Munger as Angela’s guardian was not tantamount to a finding that Munger did not commit legal malpractice or breach fiduciary duties owed to Angela.”

It concluded that the Marzellas “never had a full and fair opportunity to litigate the issues underlying their claims.”

The same court dealt with the 2007 case of Brenda Cupp—who suffered head injuries after a car accident. According to court documents, her sister Dana Browning had been appointed as guardian. After Cupp’s attorney contested the case, Munger was appointed co-guardian and co-conservator of Cupp’s special needs trust.

Five weeks later, Munger petitioned the probate court for Browning’s removal as co-conservator “on the basis that she acted erratically during Cupp’s independent medical examination [IME] and Munger heard second-hand that Browning intended that the money in Cupp’s estate would not be used to pay legal fees.”

The petition was granted.

In 2010, the Michigan Court of Appeals ruled “the IME incident was not sufficient good cause to remove Browning from her co-conservatorship position a mere five weeks after her appointment” and that “the probate court abused its discretion in finding that good cause existed to remove Browning as co-conservator.”

In 2002, Joseph Ehrlich, was sanctioned over $113,000 by a Michigan Court for “pursuing frivolous litigation” in a case disputing the estate of John J. Fannon, Jr.

Ehrlich appealed in 2005 and, in denying that appeal, the court stated that “The record reflects that, when they joined the case, Ehrlich and his firm continued to file pleadings and documents that lacked factual and legal support. The record clearly reflects that Ehrlich failed to make reasonable inquiry into the factual and legal merit of the claims he asserted on behalf of plaintiff when he knew or should have known that they lacked such support.”

On his website, Munger claims to be an Oakland County Public Administrator although an email from State Public Administrator Michael Moody reads “Mr. Munger’s appointment as an Oakland County Public Administrator was terminated on October 6, 2017.” Munger is also not among the Oakland County Probate Court’s list of Public Administrators.

According to Sugar, Public Administrators serve as professional guardians for a Probate Court. He added that professional guardians who also function as attorneys can bill the ward for legal fees.

Between June 29, 2016 and September 19, 2017 Munger’s statement of fees and services billed for his guardianship of Wahab totaled $12,282.

I reached out to Munger by email and telephone and was told by his office secretary that he had no comment.

I reached out to Ehrlich via email and telephone. His office secretary responded that Ehrlich had never received the email. When I asked to speak to him in person, she concluded the conversation.

Abuse of the elderly by Probate Courts, attorneys and professional, for-profit, guardians across the United States is not a new issue However it is one that has yet to gain significant traction with the general public or legislators on a State or Federal level despite investigations conducted by both local and national media outlets which reveal activities that take exploitation to unprecedented and sickening heights.

As early as 1987, the Associated Press was raising the alarm about this issue, in a story headlined “Guardians of the Elderly.” The report described a process that “uproots people, literally ‘unpersons’ them [and] declares them legally dead.” A Las Vegas television station KTNV reporter Darcy Spears conducted an exhaustive investigation in 2015 during which one alleged victim of professional guardian April Parks described the horrors he and his wife suffered as akin to “Nazi Germany.”

Spears has been relentless in her pursuit of those allegedly engaged in guardianship abuse.

Similarly, an October 2017 New Yorker article by Rachel Aviv meticulously detailed a litany of Parks’ alleged crimes, particularly against Rudy and Rennie North. According to the story, Parks forced them from their home and into a senior living facility while she drained them of every cent they owned. Although Parks had operated with the continual support of a Las Vegas probate judge, once the media got wind of her activities, that support quickly vanished. Parks was eventually charged with several felonies. She is currently awaiting trial.

On June 3, HBO comedian John Oliver addressed the guardianship issue.

Yet, many of those organizations who advocate for the elderly against guardianship abuse still face a continual challenge in raising awareness about the nationwide scope of the problem.

*     *     *

Sugar and the AAAPG fight to shed light on the issue. With a nationwide network of chapters but limited resources and a shoestring budget, today the AAAPG advocates for over 1,200 multigenerational families from attacks waged and sanctioned by their own states and a legal system in which the Constitution or any of its amendments are utterly meaningless.

“Our mantra is ‘educate, advocate, legislate’,” Sugar said. “That’s in response to the [unofficial] mantra of for-profit guardians—which is ‘litigate, isolate, medicate, take the estate’.”

Often, Sugar says he fields calls from five or six families-per-day who are victims of that mantra.

“The elderly themselves don’t call because their phones have been taken away,” he explained. “They aren’t given access to anything and are placed in every type of senior warehousing. For people with lots of money, the guardians have an incentive to find the cheapest place possible. Why waste money for potential fees on feeding or clothing the ward? They are given huge doses of… drugs for no corrective medical reason but to stop them crying or screaming. When the family protests, the judge retaliates by issuing an isolation order. The family cannot see their parents for the rest of their lives under threat of arrest.”

Sometimes, a family isn’t even involved. A state’s Adult Protective Services agency may be called. Sometimes, it’s a neighbor suspecting neglect or a dangerous living environment. In other cases, it is a doctor or bank teller who believe a relative is committing physical abuse or, ironically, financial theft.

Just as when a state’s Child Protective Services agency begins an investigation, once a court steps in, entire families find themselves thrown into a hellish system which, in every way imaginable, is designed to work against them while systematically bleeding them of the resources needed to keep fighting for their loved ones.

“Perhaps the most easily understood precedent to elder abuse trafficking is family discord,” Sugar said. “Any member of the family who is under the mistaken notion that, if they simply submit their grievances to an attorney, the attorney will give them control. But the system of guardianship is all about diverting power and money away from its rightful owners. The fundamental flaw to all these courts is that they are equity courts whether probate, divorce, family or bankruptcy. That means no juries, no rules of evidence or civil procedure. It’s one person [on the bench] and their impression of the information and so-called evidence that is put before them.”

Throughout a half-decade-long of discoveries, Sugar found that guardianship abuse has disproportionately affected Jewish families, particularly those with money.

He puts that down to a mixture of wealth and family dysfunction.

“There is a sense or entitlement with downstream heirs that is very strong,” he said. “They are very prone to litigate their family problems.”

There are also a number of cases involving Holocaust survivors.

Al Katz barely escaped numerous Nazi camps, including Dachau, only to become the ward of guardians in Florida at the age of 89, as court documents show.

“My father came to the United States in 1946,” his daughter, Dr. Beverly Newman, told me.

“His mommy, daddy, little brother, older sister, her husband and their one-month-old baby had all been murdered. He was a walking skeleton with no money, no job and didn’t know the English language. He felt very alone.”

Nevertheless, Newman remembered that her father never lost a wonderful sense of humor while he lived by the motto “Never forget, never forgive and never be bitter.”

It was at a Purim ball in Indianapolis that Katz met Sophia Passo.

“He was stricken with love,” Newman laughed. “He asked her over and over again to marry him. She just would not do it.”

Katz started to work in bakery and then a packing house where he was injured twice. It was when Sophia was visiting him in the hospital that she relented.

He and Sophia were married in 1947. Katz began a successful insurance career. The couple had two children, Newman and her younger brother, and were inseparable for over thirty years until Sophia passed away in 1977.

The devastation Katz felt remained with him the rest of his life.

After retirement, Newman said that her father became a snowbird, spending winters in Florida.

In 2009, concerned for his health, one of Katz’s doctors contacted a public guardian.

That individual was M. Ashley Butler who worked in the Office of Public Guardian for three Florida counties since 2006 together with a partner, Jo Eisch, under the business name Aging Safely, Inc.
Newman maintained that the first she heard about it was when she was told by Katz’s Indianapolis attorney that “there are people poking around about putting your father into guardianship. That was August of 2009.

Newman added that hospital records she obtained from the time include numerous orders made by the guardians not to inform her of any medical decisions or procedures.

“On Rosh Hashanah, September 18, [Butler and Eisch] filed papers to put my dad into Emergency Temporary Guardianship,” Newman said, adding that neither guardian had ever met her father. “They didn’t even know him. I have the transcripts of the hearing. The judge knew that I had not been contacted and went ahead and approved it anyway. Things then moved very quickly.”

A 2011 Florida Supreme Court complaint filed by Newman and her husband noted that Bradenton attorney Ernie Lisch was appointed by the court to act as Al’s counsel.

“Despite many irregularities at the hearing, Lisch took no steps to advocate for or protect the rights of his client,” the complaint reads. Lisch contested these allegations, and the Florida Appellate Court ruled in his favor.

Newman discovered that Katz had been placed in Casa Mora Nursing Home in Bradenton.

In 2015, the Bradenton Herald reported that the facility was one of three on a Florida watch list “due to prior problems or deficiencies.”

The Herald noted, among those deficiencies, “A 58-year-old Casa Mora resident and the resident’s representative had requested in a resuscitate order that the resident receive CPR if she was ever found unresponsive. This procedure was not followed when she fell unresponsive. She was pronounced deceased after not receiving CPR.”

According to the article, these deficiencies have since been corrected.

Casa Mora is no longer on the state’s watch list.

Newman and her husband Larry immediately drove from their home in Indianapolis down to Florida.

She asserted that, shortly before they arrived on September 20, Butler utilized the Florida Baker Act—which allows for involuntary commitment—in order to place Katz in Manatee Memorial Hospital.

“They said that he had taken his walker and bumped it into someone at the nursing home,” Newman said. “But my Dad was barely able to use a walker. He was in very poor physical condition and not a danger to anyone else. They never told him anything. Not what was going on, nothing. We arrived while daddy was in the Manatee Hospital emergency room. It was horrifying. My dad just wanted to go home. A psychiatrist chosen by Butler and Eisch made a No-Contact order. The hospital kept my daddy in an underground unit, like a dungeon. There were armed guards and these huge electronic doors. A nurse told us he was pacing the halls like a caged animal. It was traumatizing.”

She added that Katz was there for three weeks.

Newman remembered Katz calling Butler and Eisch “Nazis” to their faces.

Meanwhile, like the family members in Michigan, Newman launched a fight to have Butler’s guardianship removed and her father returned to her care, as court documents show.

Opposed by Lisch, the case was heard on October 26, 28, and 30, 2009 in Florida’s Twelfth Judicial Circuit Court.

“In the intervening three weeks, Katz was repeatedly hospitalized and near death,” the 2011 complaint noted.

“Guardianship in Florida is a very lucrative industry,” Newman said. “People who go into guardianship lose every cent they ever had. Their families are wrecked.”

She stated that the guardians even took control over her father’s Holocaust Survivor Compensation checks as part of their oversight of her father’s assets.

I attempted to track down Butler. The telephone numbers for Aging Safely have been disconnected. Email addresses for Butler have been shut down. The last I-990 tax return filed by the organization in 2014 listed bet assets of $1,767.00.

As of publication, Eisch had not returned phone calls or email requests for comment.

In Newman’s case, Florida Circuit Court Judge Paul E. Logan (now retired) restricted visits to her father to only three hours-per-day. “He said I could never tell my daddy that I was fighting in court to get him home or that he was under guardianship,” Newman asserted. “If I did, I would lose visitation completely. Daddy was crying and saying, ‘Take me home!’ ‘Why do you have to leave me?’ ‘Why can’t I go home with you?’ and I was prohibited by court order from telling him the truth.”

On November 23, 2009 Newman won her petition for guardianship of her father but not his property.
“I didn’t care,” she said. “I just wanted to get daddy out of the nursing home and hospitals and give him a real life. It was such a relief that I couldn’t stop crying.”

However, by then, Katz was extremely ill and in the hospital.

“I spent Thanksgiving that year with my daddy and in the hospital,” Newman said. “In some ways, that as the best and worst Thanksgiving of my life. At least I could shower him with love and attention.”

By the time Newman and her husband got Katz home, it was Hannukah.

“He was finally smiling,” she said. “By New Year’s Eve, he was able to eat and talk. We took him to a restaurant that he liked. We got him all dressed up. He wanted us to take pictures of us celebrating New Year’s Eve. It was a happy time.”

Their time was all too short. Katz passed away on July 11, 2010.

“He had no catheters or feeding tubes in him,” Newman said. “He was just as normal as you could be at 90-years-old.”

In January that same year, Lisch filed a petition for $24,354.15 in attorney’s fees and expenses.
“For doing essentially nothing,” Newman asserted.

She opposed it and took the case all the way to Florida’s and then the United States Supreme Court, the latter of which declined to hear the case. Ultimately, Lisch prevailed in his original petition.

Even nine-years after her father’s death, Newman said she is still subjected to verbal abuse and numerous accusations from those with a vested interest in a system against which she has actively taken a stand. Meanwhile, she continues to fight in Indianapolis to settle her father’s estate and to remove liens on Katz’s properties.

In 2006, in the case of Marshall v. Marshall, the USSC determined that issues dealing with Probate Courts are “reserved to state probate courts” and “also precludes federal courts from disposing of property that is in the custody of a state probate court.”

In memory of her father, the Newmans founded the Al Katz Center for Holocaust Survivors and Jewish Learning in Bradenton.

“We serve many hundreds of persons every year through advocacy and programming open to the entire community,” the Center’s website reads, “and we are life-sustaining and life-saving to elders in peril and trauma.”

On the opposite side of the country, the probate and guardianship system created another activist and family advocate out of an individual who found herself opposing those who have successfully exploited it.

Terry Williams is the founder of Citizen4Justice.com which seeks to expose predatory guardians operating in the Las Vegas area and across the country. In February of 2003, after she found herself tied up in a guardianship case, Williams began to research other cases in Las Vegas probate courts, where she noted one particularly prominent name: Jared E. Shafer.

Shafer was appointed to an unexpired term as Clark County Public Administrator/Public Guardian in 1979.According to a 2005 document filed by the Nevada Commission on Ethics, he was elected as the Clark County Public Administrator in 1982 and spent the next 20 years in the role.

Prior to leaving office in 2002, Shafer was active as a private fiduciary and started a business Professional Fiduciary Services, Inc., and, in 2003 “publicly established himself as a private consultant/fiduciary in estate, trust, and guardianship matters. Most of Mr. Shafer’s business as a private fiduciary comes from the court and attorneys he worked with during his tenure as a public official.”

A 2017 article in the Las Vegas Review Journal called Shafer “the county’s most prominent private guardian.”

“[Shafer] is considered an insider in the Las Vegas legal community,” the Review Journal added, “where his contacts with judges, politicians and prominent business leaders go back decades. Despite repeated accusations of financial irregularities, ethical lapses and at least one FBI investigation, he has never been accused of a crime.” I reached out to Shafer’s business Professional Fiduciary Services via telephone. No response was received as of time of publication.

According to KTNV in July 2017 a 28-year-old sufferer of cerebral palsy named Jason Hanson filed a lawsuit against Shafer, the current public administrator and attorneys (three of whom served on the Nevada Supreme Court’s 2016 Guardianship Reform Commission) for racketeering, fraud, negligence, and unjust enrichment. The lawsuit is ongoing.

William’s numerous attempts to secure justice for Shafer’s alleged victims through the Las Vegas Police Department were fruitless. She said that she is “waiting for the feds.”

The Bradenton police department wouldn’t help Newman. Brun said that the police in her case were similarly unable to act, unless it was to prevent her from entering Lourdes to see her mother.

The AAAPG has collected over 600 and growing fully-documented, self-reported cases of guardianship abuse which contain enough groundwork for the FBI or Department of Justice to investigate with barely the lift of a finger—if they were interested.

“They aren’t,” Sugar said. “They say it is a civil matter and that we should talk to a lawyer.”

While people like Williams, Newman, and Sugar say that their aim is to expose and fight guardianship abuse nationwide, there is an organization that advocates for those working in the profession.

The National Guardianship Association (NGA) was formed during a national conference in Chicago in 1988—one year after the AP’s article was released.

In the 30 years that followed, the NGA’s membership increased to over 1,000.

Sally Hurme is an attorney and member of the NGAs Board of Directors. She said that, while she is not and has never been a guardian, she has been involved in developing guardianship policy for decades.

“NGA does not have any mechanism by which to do anything other than to keep developing standards of practice and educating individuals who want to provide excellence in guardianship,” she said.

According to the NGA’s website, those standards of practice have increased from the original seven to their present number of 25. In 1997, the NGA voted to create an entirely separate entity,  the Center for Guardianship Certification (CGC) on whose board Hurme has also served.
It states its vision as one in which “every professional guardian will obtain and maintain CGC certification.”

“The CGC is the only national certifying body for guardians,” Hurme said. “Any guardian; professional, family, public or volunteer is welcome and encouraged to become certified.”

Among the five pillars Hurme listed as necessary to obtain certification is an examination.

To become a Nationally Certified Guardian (NCG), the $375 exam is scored on core competencies including professional practices, knowledge of person under guardianship, application of surrogate decision making, medical decision making and personal and financial management.

The competencies listed in the $525 examination to be certified as a National Master Guardian (NMG) are basically the same with the addition of “professional practices of a master guardian” and knowledge of the guardianship planning process.

Hurme stated that, at present, there are approximately 1,500 certified guardians.

“There is an agreement to a disciplinary process which receives grievances, determines whether there is probable cause to go forward with a professional review board,” she stated.

Ironically, according to Hurme, the professional review board is one in which “due process” is afforded to a certified guardian while a determination is made as to whether or not they have violated standards of practice.

“The professional review board has a range of sanctions from a letter of concern, to suspension, dismissal to decertification,” Hurme said. “The one problem with the CGC process is that we can only hear grievances if the individual is certified. If we receive a complaint about a guardian that is not certified, our hands are tied. There’s nothing the CHC can do.”

The CGC’s list of disciplined guardians posted on its website numbers 12 and includes April Parks alongside guardians from Oregon, Texas, Utah, Nevada, New Hampshire, New Mexico, Ohio, Oregon and Michigan.

The CGC lists 12 States that ask for mandatory CGC certification for its guardians or have their own State-specific licensing requirements. In the case of California, it’s a combination of the two. Michigan is not among them. Since 2016, Florida has employed The Office of Public and Professional Guardians (OPPG) to regulate “more than 550 professional guardians statewide, which includes investigating and, if deemed appropriate, the discipline of guardians in violation of the law.
“NGA and many of the other organizations such as those that are members of the National Guardianship Network are continually striving to make guardianship work better for those individuals who will need it,” Hurme said.

As an example of those efforts, Hurme noted the Uniform Guardianship, Conservatorship, and Other Protective Arrangements Act (UGCOPAA). The over 150-page document was drafted, over the course of two years, by a committee consisting of multiple stakeholders including representatives from the American Bar Association (ABA) and was approved and recommended for enactment in all US States at a July, 2017 meeting of the National Conference of Commissioners of Uniform State Laws.

Hurme stated that members of the NGA, herself included acted as technical advisors to the commission “in making sure that the new model; law addresses many of the issues that are floating around in guardianship; perhaps that there are too many guardianships and that there needs to be more emphasis in limiting the authority of the guardian, better recognition of the due process rights of the individual and a more person-centered focus of the individual in the hearing process that limits the authority of the guardian.”

American Association of Retired Persons (AARP) Senior Legislative Representative Diana Noel was part of the drafting committee.

“I felt as if it was a very thorough process that was very public,” she said. “There were a lot of people in the room. One of the things that is very important; that the drafting committee really wanted to come across, which is why the name is so long, is to recognize that guardianship was a system that was really not including the individual that it was about. One of the things the act did was to update terminology. Instead of using the term ‘ward’, it’s ‘individual’ so that the focus is on the individual and so that they have a say in their care.”

A Uniform Law Commission document encouraging States to adopt the UGCPOAA, declares that, under the act, “Each guardianship and conservatorship will have an individualized plan that considers the person’s preferences and values. Courts will monitor guardians and conservators to ensure compliance and approve updates to the plan in response to changing circumstances.”

It adds that “Without a court order, a guardian under UGCOPAA may not restrict a person under guardianship from receiving visits or communications from family and friends for more than seven days, or from anyone for more than sixty day” and that the act “prohibits courts from issuing guardianship or conservatorship orders when a less-restrictive alternative is available.”

These provisions and others in the UGCOPAA could have protected Brun and her mother had the act been adopted in Michigan.

It hasn’t.

As of the time of publication only Maine has adopted it. The New Mexico State Legislature introduced it this year and opened it up for public comment.

Hurme pledged that the NGA would direct its advocacy efforts to assisting States in understanding the importance of what she called “a forward-thinking law.”

Sugar is dubious.

“States put a lot of effort into creating their own legislative agendas and their own statutes,” he said. “The restrictions are very stringent and might make it very difficult to continue guardianship as we know it in the United States.”

Noel is more optimistic.

“This isn’t a partisan issue,” she asserted. “This isn’t a caregiving and an aging issue. I don’t want you to think that, because States haven’t adopted it, that means that they are not looking at it. They may be looking at it. These things take time. They look at their current laws, they see what’s working and what’s not working and how things like the Uniform Act could help fix what’s not working or enhance what is.”

As to whether the CGC’s certification exam is working, Sugar called it a “relatively meaningless paper tiger that is not a rational way to monitor people simply based on paying a fee and taking some courses.”

“I’m not speaking against [the CGC] per se but it seems like a joke because, when there are problems, they seem to be so slow to act,” Williams agreed. “I have a problem with that and when they would try to smooth things over by claiming that these are isolated incidents. There’s too many people with the same scenario for that to be the case.”

“While predatory behavior does not happen in a majority of guardianships, our statistics based on State Court information, our own interviews and surveys indicate that 14 percent of all guardianships involve criminal activity,” Sugar said. “That is a large number of cases that we know about. We don’t know about any others because there are no statistics. If the National Guardianship Association were really interested in the welfare of wards it would work with us to develop reliable and meaningful data and statistics, so the subject can be studied appropriately.”

Noel says she has spent seven years fighting to stem these abuses.

“As long as I’ve been here, I’ve been working on this issue,” she said. “States have been working on and updating their statutes because they are pretty outdated. They’ve been around for a very long time. It’s a very complicated system. What we’re doing and what states are doing is making sure that policy and practice meet and complement each other.”

The AAAPG has had some success with Florida lawmakers which led to the unanimous passage of legislation aimed to curb guardianship abuses and the 2016 expansion of the state’s OPPG.

Federally, legislators have taken a similar interest. The Elder Abuse and Prevention Act passed by the senate and signed into law by President Trump in 2017, charged the Department of Justice with establishing “best practices for data collection on elder abuse” and “in coordination with the Elder Justice Coordinating Council, [to] provide information, training, and technical assistance to help states and local governments investigate, prosecute, prevent, and mitigate the impact of elder abuse, exploitation, and neglect.”

“We have a real long history in combatting abuse and exploitation and ensuring that State laws address and prevent abuse by a guardian or a neighbor or whoever,” Noel said. “We’ve really been engaged in working not just with State legislators but State courts.”

“You know how much difference it’s all made?” Sugar asked. “Zero. You can have all the laws you want but, if they aren’t enforced, they mean less than nothing. There isn’t any data. There’s nothing to collect.”

Wondering about the laws in a State like Michigan and how far they extended in the protection of wards and their families from predatory guardians and the probate courts which employ them, I reached out to probate attorneys across the State.

Nathan R. Piwowarski is a highly respected lawyer and share-holder at the firm of McCurdy Wotila & Porteous, PC in Cadillac. He has been practicing trust, estate and elder law for ten years.

Ronald Dixon has practiced law since 1975 and served as a hearing panelist for Michigan’s Attorney Discipline Committee for approximately 25 years.

Neither Dixon nor Piwowarski were asked to comment on or given the details about any case pending or decided in Michigan Probate Courts.

“The problem is that when a person needs a guardian or conservator, frequently the family members are not worked with by the court or by the guardian appointed,” Dixon said. “The families are concerned, always, about the living conditions for the ward.”

He added that a conflict between a conservator and the family can be easily avoided with a durable power of attorney that specifically names a family member and an alternative as guardian and conservator “and none other.”

However, if judges arbitrarily strike down a durable power of attorney in favor of a court-appointed guardian, Dixon noted that “they should not do that. They should follow the family wishes. If that happens, it should be immediately appealed.”

He added that a judge needs to demonstrate sufficient grounds as to why a power of attorney listing a family member can be discarded.

“The record should be complete,” he said. “Showing the reasons why this person is not qualified or cannot maintain their position.”

Piwowarski noted that the issue “can get a little bit complicated” depending on whether the power of attorney is generic and related to financial transactions or whether it concerns healthcare and placement issues (a patient advocate designation.)

“In the case of the latter, unless the court specifically invalidates that document and removes the patient advocate, it remains in place,” he said. “The law presumes that the patient advocate would continue serving. That document should stay around unless there was some problem with it like there were not an adequate number of witnesses when it was signed. There are also situations where there is a valid document, but the patient advocate is not doing their job or honoring the person’s preferences.”

In terms of the Constitutional rights a participant in Michigan’s Probate Courts can expect, Piwowarski cited Michigan Compiled Law (MCL) 700.5304 (4) through (6) which addresses the rights of the individual who is allegedly incapacitated.

“They include the right to a jury trial [or] a closed hearing, if they request it, the right to be present at a hearing, the right to obtain an independent medical examination,” Piwowarski said. “There are other procedural rights and protections that are supposed to be afforded the individual who is the subject of a guardianship petition. For example, they’re entitled to personal notice in advance of the hearing. The minimum personal notice requirement is seven days. They are supposed to be given a visit by the Guardian ad Litem who is then supposed to report back to the court, in a timely manner, about whether that individual desires to contest any aspect of the petition or exercise any procedural rights such as the right to request something less intrusive than a full guardianship.”

According to Piwowarski, different rights are afforded to those who have an interest in the subject’s welfare.

“There are certain rights that they just don’t have,” he said. “They can’t demand a jury trial. But if there is a durable power of attorney, all of those individuals are entitled to notice and entitled to participate in the proceeding.”

“In terms of who should be serving as a guardian, the nominated patient advocate is right near the top of the list,” he added. “So, the court should be looking to the patient advocate before almost anyone else. The way the statute should work and the way that it’s written is that the court can only intervene in a person’s affairs if that person is legally incapacitated and if there’s an actual need for the court to intervene. The court should evaluate, on the record, why a patient advocate is inadequate. There are express provisions in the Estates and Protected Individuals Code that tell the petitioner and the judge that they have to identify why the court has to actually intervene alternatives short of guardianship can’t be used.”

The question of how much power a professional guardian in Michigan has Piwowarski noted both a statutory and political dynamic.

“In terms of the statue, a guardian has the right to set appropriate access and limit access for a protected individual,” he acknowledged. “That said, the guardian is specifically required by statute to do everything they can to have as full of a life and as high of a level of function as possible. In terms of financial transactions, the court can issue protective orders to remediate situations where a vulnerable person made a property transfer when they didn’t understand it or were under inappropriate influence. A conservator is not able to do something like that without a court order and there should be pretty significant showing before a court would reverse a transaction like that.”

“In my experience the court is typically appreciative of the willingness of a public fiduciary [guardian] to serve,” Piwowarski added. “There is such a need right now for a variety of reasons; families are smaller and more spread out. The public fiduciaries typically are overworked so I can certainly see a situation where a court adopts an overly deferential attitude because of the role that they serve in keeping the local legal system functioning.”

“Oakland County is the wealthiest county in Michigan bar none,” Dixon said. “Frequently estates are incredibly large. Public administrators can err on the side of greediness for him or herself. Frequently, because the judge trusts them to carry out their tasks properly and in good order and rely on them for accurate information.”

Sugar described the Michigan statutes as “platitudes reflecting the rarely achieved aspirational goals of what should be a transparent system of protection for the vulnerable.”

On a national level, the sheer power that has been extended by Probate Courts over wards and family members raises the question as to what the point is of making any kind of will when it can be rendered meaningless.

Sugar’s book offers some preventative measures that include advance directives (power of attorney documents in financial and health matters) specifically forbidding the appointment of a professional guardian.

“Then you have to hope a judge reads it,” he added. “They often don’t.”

Williass also recommends establishing a durable power of attorney and an advance healthcare directive along with an estate plan.

“Make it with someone that you trust implicitly, who can take over for you in the event of a crisis or a health situation or something that may affects your ability to represent yourself,” she said. “But I would caution against full disclosure of the extent of your wealth to anyone other than the person you nominate.”

Ultimately, Sugar believes his campaign of raising awareness could at least begin to decrease the number of professional guardianships.

“If there must be guardianships, they must be moral, just and in the hands of family members—and not court predators,” he said.

Full Article & Source:
Guardians from Hell

Fort Myers man found guilty of exploitation of an elderly person

$
0
0
John James Dunn
A Lee County court found a man guilty of exploitation of an elderly person or a disabled adult for a 2016 incident where he scammed $2,000 from an 80-year-old woman under the guise of a fake air conditioning service contract.

John James Dunn, 37, went to the woman's Fort Myers home to sell her air conditioning services. She agreed to pay $3,000 through financing to have her air conditioner refurbished. The owner of the company Dunn worked for went to the woman's home and discovered that she didn't fully understand the contract, so he canceled the contract and did not charge her, authorities said.

The company owner told Dunn he had canceled the contract. Dunn proceeded to create a fake contract using letterhead from an air conditioning company that previously employed him. He convinced the woman to go to the bank and withdraw $2,000 to pay for the fake contract.

A month later, Dunn returned to the home while a well-being check was being done at her home. Dunn told the person checking on the woman that he worked for the air conditioning company on the letterhead, which was untrue, and introduced himself using his deceased father's name, authorities said.

He is then said to have aggressively demanded that the woman pay an outstanding balance of $1,000.

Dunn left the home without getting the money and was reported to law enforcement. The Lee County Sheriff's Office investigated and then turned the case over to the state attorney's office.

Dunn faces up to ten years in jail. His sentencing is scheduled for July 24.

Full Article & Source:
Fort Myers man found guilty of exploitation of an elderly person

Moving an Aging or Disabled Parent Into Your Home: 4 Things You Should Know

$
0
0
It’s every adult child’s nightmare: getting a phone call in the middle of the night from an aging parent, or worse, the hospital. Maybe there’s been a fall or a medical emergency. Perhaps the early stages of dementia have advanced more quickly than anticipated, and there’s been an incident. Either way, one thing is clear in this situation — it is no longer safe for the parent to live alone.

Deciding to move an aging parent — especially one who is disabled — into your home isn’t a decision anyone makes lightly, but it’s often the most affordable option. One out of every four caregivers lives with the person they are caring for. While this can be very rewarding to both the son or daughter and the aging parent, there are several important pros and cons to this arrangement. On one hand, if the parent is mentally and physically sound, they can help in small ways with the kids, housework or finances. On the other hand, if they require constant care due to a disability or illness, the entire family might experience moments of added stress, anxiety and frustration.

That’s why you need to weigh options and considerations when an elderly parent moves in with you. Though there might be heavy emotions surrounding the decision, it could still be the right choice. This guide will help you make that decision by giving you some insight on:

  • Understanding how to give the right kind of care.
  • Estimating the costs associated with assisted living facilities versus in-home care.
  • Making your home elderly-friendly.
  • Adjusting the whole household to the lifestyle changes.

Giving the right kind of care


Being the child of a senior who needs more vigilant care means you have your heart in the right place — your parent’s health and well-being is your priority However, that doesn’t necessarily mean you are as qualified as an expert to give the best care.

If Mom or Dad is still relatively healthy and independent, moving him or her in will be much simpler and smoother. However, most people don’t get to the point where they consider moving a parent into their own home unless in response to a specific health crisis. In that case, it’s important that you know your parent’s illness or limitations very well. Consider where this health situation is likely to go. How will a chronic illness, a broken hip or mental illness progress one, two or fives years from now? You may be prepared today, but you also need to think about how prepared you will be later on.

If the health situation is serious or extreme, you may not be capable of giving the best quality of care. Living with you might only be a temporary solution. This could help ease the transition to a nursing facility, or you could hire an in-home professional to support your caregiving responsibilities. However, if their health requires 24/7 monitoring, specialized care or equipment, it may be best to to move them to a nearby nursing home or assisted living facility.

Estimating the associated costs


Sometimes the decision to move in an elderly parent comes down to cost. On average, a nursing home can run about $80,000 per year and an assisted living facility costs roughly $43,000 per year.

However, there are also care costs to consider when moving Mom or Dad in. Things may be easy now, but the amount of assistance needed will most likely increase as they age. That means that sooner or later you might consider finding an in-home aide. A caregiver hired to help with self-care tasks like bathing, feeding and chaperoning activities can cost about $20,000 per year for full-time help.

For other tasks around the house, you may want to consider hiring an errand runner or personal assistant to ease the burden on both you and your loved one. These services can cost about $25 per hour, and may come in handy in a pinch. If you’re reacting to a recent health crisis, you may need to hire a caregiver with specific medical training, which can double, or even triple, the cost of care.

Providing full-time care may entitle you to financial or other forms of assistance. Do thorough research to help you prepare and budget for the many facets of care giving.

Making your home ready for care


Moving in a parent who is aging or disabled is, in all probability, the most cost-effective solution for many people. However, that doesn’t mean that there won’t be some expenses associated with renovating areas of your home to make it safe and secure for senior care. Some common remodeling projects include:
  • Installing an automatic lift to help the senior navigate flights of stairs ($1,500 – $3,000).
  • Building a ramp in addition to your front steps if the senior needs wheelchair access ($400 and up).
  • Widening doorways for wheelchair and walker access ($500 – $1,000).
  • Converting an attic, basement or den into a bedroom, possibly for you or your children. You’ll want your senior to be comfortable, and usually, a first-floor bedroom without stairs is the safest place for them to reside ($1,500 – $5,000).
  • Adding a new bedroom or suite for your aging parent, especially if there is no other room to renovate ($100,000).
  • Adding handrails and modifications to the bathroom to prevent slips and falls ($40 per foot).
  • Covering prescription medication costs and healthcare copays.
  • Paying additional bills for electricity, groceries and water.

The National Alliance for Caregiving (NAC) released a study stating that out-of-pocket caregiving costs can run about $5,500, but other studies have shown the costs may be much higher, topping at around $15,000 per year for care.

While these renovations are less of a financial burden than a nursing home or assisted living facility, not planning for any costs can creep up on your finances. To avoid problems or roadblocks later, talk to your parent and family members about this up front.

Adjusting to the lifestyle changes


There are going to be more sacrifices than just finances and space when you move in an elderly parent. Will your child’s music disturb your aging parent? Is your elderly housemate as clean and tidy as you expect the rest of your family to be?

Instead of focusing on the potential issues, think about this as an opportunity for everyone to grow. Creating room for your parents in your home can help your children learn how compassion leads to joyful compromise. It also empowers everyone to try out critical thinking and conflict resolution skills. If your mom or dad is uncomfortable with your teen’s loud music, ask your child to use headphones after a certain hour, or pick up a pair of noise cancelling ones for your parent.

When you bring a senior who needs extra care into your home, some of your vacation plans will likely have to change. You may have to put off some vacations, while others may just need to be modified or adjusted to accommodate for accessibility. Again, get the whole family involved in the decision-making process, especially if you feel like resentment is building.

Caring for an aging or disabled parent can help you give back some of the love and devotion they gave to you when you were young or going through challenging changes. There will certainly be stressful times, and not everyone will be satisfied with each compromise or outcome. However, if you feel in your heart that this is the right decision, the relief you feel being able to keep your aging loved one safe will override most tense and stressful moments. Remember, you are one of many to make the choice to have your parent live with you; there are others out there, in groups online or in person, who can provide emotional support when you need it.

Full Article & Source:
Moving an Aging or Disabled Parent Into Your Home: 4 Things You Should Know

Couple sentenced for financially exploiting elderly man locked in room

$
0
0
Kevin Miller and Janice Miller
PINEVILLE, Mo. — A husband and wife from southwestern Missouri have been ordered to pay $5,000 in restitution for cashing government checks intended for an elderly man who was found padlocked in a bedroom in their home.

The Joplin Globe reports that 47-year-old Kevin Miller and 50-year-old Janice Miller of Goodman pleaded guilty Tuesday to financial exploitation of an elderly person. The plea deal dismissed kidnapping and armed criminal action charges. The couple received a suspended sentence.

The Millers were arrested after a McDonald County deputy, acting on an anonymous tip, found 79-year-old Herbert Spell inside a padlocked bedroom of the Millers’ home. Spell told the deputy he had been locked in the room for six months, fed “sporadically,” and rarely allowed to shower.
 
Full Article & Source:
Couple sentenced for financially exploiting elderly man locked in room

Breathing Tubes Fail to Save Many Older Patients

$
0
0
One-third of patients over age 65 die in the hospital after they are put on ventilators. Doctors are beginning to wonder if the procedure should be used so often. 


David Plunkert
Earlier this year, an ambulance brought a man in his 80s to the emergency room at Brigham and Women’s Hospital in Boston. He had metastatic lung cancer; his family had arranged for hospice care at home. 

But when he grew less alert and began struggling to breathe, his son tearfully called 911.

“As soon as I met them, his son said, ‘Put him on a breathing machine,’” recalled Dr. Kei Ouchi, an emergency physician and researcher at the hospital. 

Hospice patients know that they’re close to death; they and their families have also been instructed that most distressing symptoms, like shortness of breath, can be eased at home.

But the son kept insisting, “Why can’t you put him on a breathing machine?”

Dr. Ouchi, lead author of a new study of how older people fare after emergency room intubation, knew this would be no simple decision. 

“I went into emergency medicine thinking I’d be saving lives. I used to be very satisfied putting patients on a ventilator,” he told me in an interview. 

But he began to realize that while intubation is indeed lifesaving, most older patients came to the E.R. with serious illnesses. “They sometimes have values and preferences beyond just prolonging their lives,” he said.

Often, he’d see the same people he’d intubated days later, still in the hospital, very ill, even unresponsive. “Many times, a daughter would say, ‘She would never have wanted this.’”

Like all emergency doctors, he’d been trained to perform the procedure — sedating the patient, putting a plastic tube down his throat and then attaching him to a ventilator that would breathe for him.

But, he said, “I was never trained to talk to patients or their families about what this means.”

His study, published in the Journal of the American Geriatrics Society, reveals more about that. 

Analyzing 35,000 intubations of adults over age 65, data gathered from 262 hospitals between 2008 and 2015, Dr. Ouchi and his colleagues found that a third of those patients die in the hospital despite intubation (also called “mechanical ventilation”).

Of potentially greater importance to elderly patients — who so often declare they’d rather die than spend their lives in nursing homes — are the discharge statistics. 

Only a quarter of intubated patients go home from the hospital. Most survivors, 63 percent, go elsewhere, presumably to nursing facilities.The study doesn’t address whether they face short rehab stays or become permanent residents.

But it does document the crucial role that age plays.

After intubation, 31 percent of patients ages 65 to 74 survive the hospitalization and return home. But for 80- to 84-year-olds, that figure drops to 19 percent; for those over age 90, it slides to 14 percent.

At the same time, the mortality rate climbs sharply, to 50 percent in the eldest cohort from 29 percent in the youngest.

All intubated patients proceed to intensive care, most remaining sedated because intubation is uncomfortable. If they were conscious, patients might try to pull out the tubes or the I.V.’s delivering nutrition and medications. They cannot speak. 

Intubation “is not a walk in the park,” Dr. Ouchi said. “This is a significant event for older adults. It can really change your life, if you survive.”

A study at Yale University in 2015 following older adults before and after an I.C.U. stay (average age: 83) confirmed what many geriatricians already understood. Depending on how disabled patients are before a critical illness, they’re likely to see a decline in their function afterward, or to die within a year. 

Those who underwent intubation had more than twice the mortality risk of other I.C.U. patients. “You don’t get better, most of the time,” said Dr. Ouchi. While outcomes remain hard to predict, “a lot of times, you get worse.”

Intubation rates are projected to increase. But so has the use of alternatives known as “noninvasive ventilation” — primarily the bipap device, short for bi-level positive airway pressure. 

A tightfitting mask over the nose and mouth helps patients with certain conditions breathe nearly as well as intubation does. But they remain conscious and can have the mask removed briefly for a sip of water or a short conversation.

When researchers at the Mayo Clinic undertook an analysis of the technique, reviewing 27 studies of noninvasive ventilation in patients with do-not-intubate or comfort-care-only orders, they found that most survived to discharge. Many, treated on ordinary hospital floors, avoided intensive care.

“There are cases where noninvasive ventilation is comparable or even superior to mechanical ventilation,” said Dr. Douglas White, a critical care physician and ethicist at the University of Pittsburgh School of Medicine. 

Dr. Ouchi, for instance, explained to his patient’s distraught son that intubation would thwart his father’s desire to remain communicative. The patient, able to see though not to say much, died four days later in a hospital room with bipap and morphine to reduce his “air hunger.”

Most patients in the Mayo review died within a year, too. But bipap may provide an interim option, giving families and physicians time to decide together whether to intubate an ailing older patient, who at this point probably can’t direct his own care.

The harried emergency room environment, after all, hardly encourages thoughtful discussions about patients’ prognoses and wishes. Those can become fraught conversations anyway, as Dr. White’s previous research has demonstrated.

His 2016 study showed that when physicians and surrogate decision makers have very different expectations about a critically ill patient’s odds of recovery, it’s not merely because family members fail to grasp what the physician explained

“Other things get in the way of making good decisions,” Dr. White pointed out. “A lot of this has to do with psychological and emotional factors” — like “optimism bias” (Most people with this condition will die, but not my mom) or “performative optimism” (If we maintain hope, our mom will get better). 

In their most recent study, he and his colleagues experimented with a support program for families with relatives in I.C.U.s., nearly all intubated.

When a specially-trained nurse checked in daily to explain developments and answer questions, families rated their communications more highly and felt more satisfied with their loved ones’ care

The University of Pittsburgh Medical Center’s health system has begun adopting the program in its 40 I.C.U.s. 

But discussing how aggressively an older person wants to be treated remains a conversation — probably a series of them — best held before a crisis.

Intubation, for instance, is often something a physician can foresee.Older patients who have cardio-respiratory conditions (emphysema, lung cancer, heart failure), or who are prone to pneumonia, or who have entered the later stages of Alzheimer's or Parkinson's disease — any of them may be nearing this crossroads. 

When they do, Dr. Michael Wilson, a critical care physician at the Mayo Clinic, opts for a particularly humane approach. 

As he recently described in JAMA Internal Medicine, before he inserts the tube, he explains to the patient and family that while he and the staff will do everything they can, people in this circumstance may die

“You may later wake up and do fine,” he tells his patient. “Or this may be the last time to communicate with your family,” because intubated patients can’t talk.

Since setting up intubation generally takes a few minutes, he encourages people to spend them sharing words of comfort, reassurance and affection. Without that pause, “I have stolen the last words from patients,” he told me. 

His editorial has drawn attention from critical care physicians around the world.

Dr. Wilson has used this approach about 50 times in his I.C.U., so he has learned what patients and families, given this opportunity, tell one another. 

“It’s nearly always, ‘I love you,’” he said. “‘I hope you do well.’”

Full Article & Source: 
Breathing Tubes Fail to Save Many Older Patients

Deputies: Hospice aide stole from elderly couple

$
0
0
Nekeya Denise Jenkins
TARBORO — A Wilson woman is accused of swindling an elderly Edgecombe County couple out of more than $13,000 while working as an in-home hospice aide.

Edgecombe County sheriff's deputies say 36-year-old Nekeya Denise Jenkins of 905 Macon St. S. was hired to provide hospice care in the couple's home May 26. After six to seven home visits, she allegedly began stealing the patients' personal checks and debit cards.

Jenkins spent $13,596.28 of the couple's money on herself without authorization, according to the sheriff's office. Deputies said the male patient has died due to a terminal illness.

Deputies said Jenkins was employed as a hospice nurse, but the exact nature of her job is unclear. The North Carolina Board of Nursing's online database does not list Jenkins as a registered nurse, licensed practical nurse or Level II nurse aide. The N.C. Division of Health Service Regulation registers Level I nurse aides but requires the last four digits of a person's Social Security number to search its registry.

If Jenkins is a licensed or registered health care worker, the allegations she faces could cause her to lose required state credentials to work in that capacity.

The Edgecombe County Sheriff's Office on Friday credited Wilson police and Wilson County deputies with assisting in the case and helping to locate Jenkins in her Wilson home. She was jailed in Edgeconbe County under a $40,000 secured bond.

Jenkins is charged with exploitation of an elder adult, identity theft and two counts each of obtaining property by false pretense and financial card fraud - all felony counts. She also has a pending charge of felony larceny by employee in Wilson County.

Records show Jenkins is due in Edgecombe County District Court on Wednesday.

Full Article & Source:
Deputies: Hospice aide stole from elderly couple

Legendary astronaut Buzz Aldrin sues his family alleging fraud

$
0
0
© JP Yim, Getty Images for Nick Graham
MELBOURNE, Fla. — Apollo 11 moonwalker Buzz Aldrin has launched a legal battle against his children and family foundation, accusing them of abusing his trust and finances nearly 50 years after his historic moon landing.

The 88-year-old Aldrin's children, in turn, say they fear he is a victim of manipulation by parties seeking to take advantage of his money and reputation.

In a civil suit filed this month in Brevard County Circuit Court, Aldrin, a Satellite Beach resident, claims his son, daughter and a former manager have misused credit cards, refused to disclose financial information and mismanaged social media accounts and other media obligations.

Aldrin further says they have slandered him, telling others that he has dementia and Alzheimer’s disease, and have refused to let him marry and undermined romantic relationships.

The family and Buzz Aldrin Space Foundation “have used this tactic to gain further control over (Buzz Aldrin’s) personal relationships, business contacts, and assets,” the lawsuit states.

Aldrin also seeks to remove his son, Andy Aldrin, as the controlling trustee of his estate that oversees memorabilia worth millions of dollars.

Andy Aldrin is a former rocket company executive who also serves as the foundation’s president and director of the Aldrin Institute based at the Florida Institute of Technology in Melbourne. Buzz Aldrin's daughter, Jan Aldrin, is a foundation board member. Buzz Aldrin is the foundation’s chairman, but does not oversee day-to-day operations.

The foundation, which is gearing up for an annual gala fundraiser July 21 at Kennedy Space Center, did not comment directly on the lawsuit Friday.

However, the foundation said in a statement that it has “concerns for (Buzz Aldrin’s) vulnerability to manipulation by other parties seeking to gain access to and control of foundation and personal resources.”

Those concerns were expressed this week after public questions arose about a surge of activity on Aldrin’s official Twitter account, after it had been dormant for six weeks.

One of the messages personally attacked Aldrin’s longtime manager, Christina Korp, of Winter Park, accusing her of “using Buzz’s voice and brand to self-promote/ promote her clients.”

Echoing the lawsuit filed June 7, the tweet said Aldrin had fired Korp, whom the lawsuit also accuses of fraud and other exploitation.

The family foundation said that was not true, and that Korp remains a board member with its full support.

The foundation also said someone else appeared to be speaking for Aldrin on his official Twitter account, @TheRealBuzz.

“We are not sure who is responsible for the tweet regarding Christina Korp, but we are confident Buzz did not write this," the foundation said in a statement.

Florida Tech, which houses the Aldrin Space Institute and Aldrin Center for Entrepreneurship in Space, also is a defendant in the case.

Identifying Buzz Aldrin as a “vulnerable adult” under Florida law, the lawsuit accuses Andy Aldrin of making “large sums of transactions monthly” from Buzz Aldrin’s accounts.

“The amounts are unknown in amount but substantial, potentially hundreds of thousands of dollars,” the suit states.

Robert Tourtelot, Buzz Aldrin’s lawyer, did not immediately respond to a call for comment.

The lawsuit reflects a rift that has divided the Apollo astronaut — who this week visited the White House for a National Space Council meeting — from his family in favor of a different management team.

The new team last month promised to unveil a new Aldrin initiative, the Human Spaceflight Institute, at Spaceport Houston located at Ellington Airport.

The planned May 22 press event was canceled without explanation. But on Friday, its spokesperson, Beverly Hills-based Edward Lozzi of Lozzi Media Services, said to stay tuned.

“We are going to be making a major announcement in the near future,” Lozzi told Florida Today.

Lozzi previously has represented celebrity clients, including Lou Ferrigno and Jon Voight, and served as a White House press aide under President George H.W. Bush, according to his website.

Aldrin’s new advisers have established a Los Angeles-based entity, Buzz Aldrin Ventures, that they say now represents his business interests.

The organization’s website says it is “Buzz’s overarching holding company charged with developing strategic projects and international joint ventures that further Buzz’s vision and legacy in addition to activities formerly undertaken by Buzz Aldrin Enterprises.”

The venture’s chief operating officer is Linn LeBlanc,who had previously worked as executive director for Buzz Aldrin’s Share Space Foundation, a major educational initiative run by the family foundation. Her involvement with Share Space ended in February 2017, according to LeBlanc’s LinkedIn page.

LeBlanc also previously served as executive director for more than a decade of the then Kennedy Space Center-based Astronaut Scholarship Foundation.

Also involved with Aldrin, according to the online news site NASA Watch, is Lisa LaBonte, who once served as CEO of the United Arab Emirates-based Arab Youth Venture Foundation, which partnered with NASA on some education projects.

Aldrin’s family foundation says its mission is to promote STEM education, space exploration and Aldrin’s legacy. It reported net assets of about $240,000 in 2016, according to IRS documents.

“We are determined to protect Buzz’s personal reputation and professional legacy, while also protecting his ability to remain self-sustaining financially,” the foundation said.

Full Article & Source:
Legendary astronaut Buzz Aldrin sues his family alleging fraud

This Kansas nursing home had high rates of mind-altering meds. Today, that has changed

$
0
0
Dorothy "Dottie" Morgan gets assistance from her daughter, Deanna Seimsen, middle, and her husband, Ted Morgan, inside the Kearny County Hospital's assisted living facility in Lakin

Read more here: http://www.kansas.com/news/state/article212842959.html#storylink=cpy

  When Dorothy “Dottie” Morgan entered High Plains Retirement Village in Lakin, she was already on at least one anti-psychotic medication. 

Risperdal — and the other anti-psychotic medications she received on an as needed basis — has a “black box” warning for elders, the strictest warning from the U.S. Food and Drug Administration.

In 2016, 20 percent of all Kansas long-term nursing home residents had an anti-psychotic medication at some point in the year. That tied Kansas for the highest rate with Oklahoma and Mississippi.

Those medications, which are intended for serious mental health issues such as psychosis and schizophrenia, can increase the risk of falls, heart attacks, strokes and more, particularly for the elderly. They are not recommended for someone with dementia, like Morgan.

Today, those rates have declined across the country, throughout Kansas and at High Plains Retirement Village, which is located at Kearny County Hospital.

‘Zombie like’


As Morgan’s dementia worsened, it was hard for family to know whether the medicine or her disease was changing her. She was lethargic, “kind of zombie like,” uninterested in anything, said Ted Morgan, her husband. She had difficulty moving and hardly seemed to notice when people walked by. 

For years, prescribing anti-psychotics for nursing home residents who were difficult to control was common practice, said Mary Chipley, director of nursing at the hospital. When physical restraints ceased to be used in the late 80s and early 90s, nursing homes moved to chemical restraints.

Chipley first learned that the hospital had high rates of anti-psychotic usage shortly after becoming the new director of nursing. In a short period of time, she received a state survey, heard from the Kansas Partnership to Improve Dementia Care and was surveyed by federal regulators.

With 38 percent of residents on anti-psychotics, Kearny County had the second highest rate in Kansas — a state that, at the time, had the highest rates in the nation. (Nursing home advocates point out that Kansas has nine designated Nursing Facilities for Mental Health, which are unique to Kansas and make up nine of the top 10 homes in the state for anti-psychotic use. That has raised Kansas’ ranking). 

In just 18 months, rates at Kearny County Hospital have dropped from 38.2 percent to 8 percent. The one resident remaining on anti-psychotic medications has a psychiatric diagnosis for which the medications are approved. 

With the physicians on board, they began to gradually reduce the medications. Chipley required nurses to receive approval from her before asking a physician for anti-psychotic medications for a resident. Consultants came in to offer training on how to handle difficult behaviors without medication.

One of the most important elements was completing a “life story” for each resident. In it, staff met with family members to find out about the resident’s personality, history, comfort foods and more. 

That allows staff to better manage behaviors if they know the root cause. Perhaps a favorite comfort food can be used to help someone calm down. When a resident tries to get out of the locked area, staff might take him for a walk rather than making him immediately return indoors. 

Siemsen, the Morgans’ daughter, said one of the greatest successes was explaining to the staff that her mother didn’t like being ordered around. 

“If you ask her, ‘Hey Miss Dottie, would you like to go have an ice cream?’ if you ask Miss Dottie and approach it that way, she’s much, much more receptive than if you just tell her it’s time for lunch,” Siemsen said.

It can be hard to understand the needs and desires of someone with dementia, Chipley said. Knowing their histories helps people to understand how they think and behave.

“A please and a thank you go a long way with her (Miss Dottie),” Chipley said. “That’s still there. She still wants you to use your manners.”

Another resident was a homemaker. In the past, if she had become upset after lunch, staff might not have known why and opted for anti-psychotic medication. Now, they know she wants to wash dishes every day, so they let her.

Changing mindset


No nursing home wants to put their residents on these medications, said Benjamin Anderson, CEO of the hospital, but they sometimes don’t have the tools to do otherwise. 

“The difference (here) has been a nurse leader who was willing to say there’s another way,” Anderson said. 

It takes a while for people to change the mindset of “that’s just the way they’ve always done it,” said Tim Keck, secretary of the Kansas Department for Aging and Disability Services. 

“It really starts with focusing on the person, person-centered care, and thinking about what would you want for yourself or your family member,” Keck said. “You start there.” 

Debra Zehr, CEO of LeadingAge Kansas, the statewide association of nonprofit long term and aging care providers, also referenced creating “a person centered place for people to call home” when she recognized Kearny County Hospital for the decrease in medications last week.

What’s being done at the hospital is also happening around the state as people become better educated, Zehr said.

Data from the Centers for Medicare & Medicaid Services shows that anti-psychotic use for long-term nursing home residents has declined in Kansas from about 26 percent when the rate was first measured in 2011 to 18.4 percent in the fourth quarter of 2017, moving Kansas to 45th in the country.

Ted Morgan said he’s seen a world of difference in his wife since she stopped taking the anti-psychotic medications.

On Tuesday, “Miss Dottie” was alert, curious about a Wichita Eagle photographer’s camera and eager to show off her pastel pink fingernails.

She might not know who residents, staff and visitors are, said Ted Morgan, but she pays attention to them once again. Before the medications, she loved the outdoors, flowers, grass, books, reading, family photos, pictures and paintings. Those interests have returned, her family say. 

“If she can be off the antipsychotic medication and function fine in her environment and have a little more response to her environment, then absolutely, why wouldn’t you do that?” Ted Morgan asked.

Chipley says others have had similar reactions to being taken off their medications. At first there was some resistance among staff, but they came on board when they noticed the change.

“It was like they were coming alive again,” Chipley said. “It wasn’t just people sitting in recliners anymore sleeping. It was going outside. It was doing an activity. It was being up and moving around, having a conversation. It was almost becoming a person again.”
d more here: http://www.kansas.com/news/state/article212842959.html#storylink=cpy


Full Article & Source:
This Kansas nursing home had high rates of mind-altering meds. Today, that has changed

Democracy vs. Oligarchy

$
0
0
by David Arnold

This is the third in a series of articles on democracy in the United States. The first was “The death of democracy in the Probate Court,” posted at http://tinyurl.com/yc5c3lom.

The second was “We the people and accountability of lawyers,” posted at http://tinyurl.com/ybg8llwm.

We have all been taught since childhood that the United States is a democracy. I used to just accept that without questioning it. However, democracy is not automatic. It is a constant struggle to make sure no individual or entity takes control of the whole government.

The United Stated has the structure of a democracy with three different branches of government. There are supposed to be checks and balances between the three branches to prevent abuse of power by any one of the three branches of government.

The tripartite system of government is commonly ascribed to the French political philosopher Baron de Montesquieu. Having three branches of government is a necessary but not sufficient condition to insure a democracy. Montesquieu pointed out an additional requirement. The personnel of the three branches must not coincide. If a single person or entity controls all three branches, this destroys the checks and balances. The government ends up being an oligarchy.

The website http://tinyurl.com/y7fu3eak claims that this has, in fact, happened in the United States. This article, entitled “America is now an oligarchy,” states:
  1. An oligarchy (Greek oligocracy) is a form of government in which power effectively rests with a small elite segment of society.
  2. Lawyers currently make up approximately only one third of one percent of the population of the United States.
  3. Lawyers currently control over 85% of all local, state and federal government, including the legislative, judiciary, and executive branches. The remaining 15% all use lawyers as policy advisers and authors of any new laws.
The Judicial Branch is obviously controlled entirely by lawyers. You don’t have to look at very many biographies of legislators to realize that the majority of legislators are lawyers. The legislature is supposed to represent a cross section of the general public. It is clear that two of the three branches of government are controlled by lawyers. A disproportionate number of governors and presidents are lawyers. The office of the district attorney in the executive branch is controlled by lawyers.

A government controlled by a profession that constitutes only a third of one percent of the population is not a government “of the people, by the people, for the people.”

The danger that the United States could end up being controlled by an oligarchy was recognized very early in the history of our country. The article starts with the quote, “It is a very dangerous doctrine to consider the judges as the ultimate arbiters of all constitutional questions. It is one which would place us under the despotism of an oligarchy.” – Thomas Jefferson, letter to W. C. Jarvis, 1820.

The legal profession is entirely self-policing. This violates the principle that no entity can be its own judge. In my article on “We the people and accountability of lawyers,” I pointed out that the Constitution does not deal with the special case of lawyers. Although the original Constitution does not deal with this issue, archival research expert David M. Dodge claims that the “missing” 13th amendment of the Constitution was intended to prevent lawyers from serving in government.

On the website http://tinyurl.com/y7wvtb8d, David M. Dodge states the following:

“If the evidence is correct and no logical errors have been made, a 13th Amendment restricting lawyers from serving in government was ratified in 1819 and removed from the US Constitution during the tumult of the Civil War. Since the Amendment was never lawfully repealed, it is still the Law today. The implications are enormous.”

The amendment is also called the “Titles of nobility amendment.” The Wikipedia article on the amendment is posted at https://en.wikipedia.org/wiki/Titles_of_Nobility_Amendment.

The amendment was passed on a vote of 19-5 by the Senate on April 27, 1810 and on a vote of 87-3 in the House of Representatives on May 1, 1810. The Wikipedia article disagrees with the interpretation by David Dodge that the intent was to prevent lawyers from serving in government. By December 9, 1812 the amendment was ratified by 12 of the 13 states needed for ratification. The Wikipedia article says that the amendment was never ratified by the required number of states. However, David Dodge has shown that the proposed 13th amendment was printed in copies of the Constitution up until the Civil War when it was replaced by the current 13th amendment prohibiting slavery.

The controversy over the meaning of the amendment and whether it was ever fully ratified may never be resolved. However, if lawyers had been prevented from serving in government, we would not now be living in an oligarchy ruled by a single profession that does not represent the population as a whole.

Full Article & Source:
Democracy vs. Oligarchy

Secret VA nursing-home ratings hid poor quality care from public

$
0
0
Nick Bonanno pushed his father, Russ Bonanno, down the hallway at the VA in Bedford.
World War II veteran Rosario “Russ” Bonanno was facing worsening dementia when his family took him last year to the Department of Veterans Affairs nursing home in Bedford. He had been in assisted living, but after six years, some family members thought he needed more specialized care.

Within days after Bonanno arrived, his son Nick said the 94-year-old was “dazed, confused, disheveled” as staff began medicating him. And he wasn’t the only resident who looked drugged. “Everyone looks like a zombie,” Nick said.

What Nick and his family didn’t know was that the Bedford facility ranked among the worst of 133 VA nursing homes across the country, in part for giving so many residents antipsychotic drugs.

The agency has tracked detailed quality statistics on its nursing homes for years but has kept them from public view, depriving veterans of potentially crucial health care information. Nearly half of VA nursing homes nationwide — 60 — received the agency’s lowest ranking of one out of five stars as of Dec. 31, 2017, according to documents obtained by USA Today and The Boston Globe.

The VA finally made some of its ratings public last week after receiving questions from the Globe and USA Today about all the secrecy. VA officials claimed that President Trump wanted to release the ratings all along and blamed the Obama administration for not making them public earlier.

Statistics the VA has not released paint a picture of government nursing homes that scored worse on average than their private sector counterparts on nine of 11 key indicators last year, including rates of antipsychotic drug prescription and residents’ deterioration. In some cases, the internal documents show, the VA ratings were only slightly worse. In others, such as the number of residents who are in pain, the VA nursing homes scored dramatically worse.

The worst-performing VA nursing homes in the ratings were scattered across 32 states, including Pennsylvania, which had five one-star facilities, as well as Texas and California, which had four each. The VA facility in Bedford and another in Brockton were the only one-star nursing homes out of six in New England.

But VA officials argued that the nursing home system overall “compares closely” with private nursing homes despite caring for typically sicker residents.

VA spokesman Curtis Cashour called it “highly misleading” to compare pain levels at the VA to private nursing homes because VA residents have more challenging medical conditions.

The VA quality tracking found that its nursing home residents were five times more likely to report being in pain than private nursing home residents.

Cashour added that 60 VA nursing homes have improved their ratings over the last year, while only one had a “meaningful” decline.

“We are committed to continuous improvement efforts in all of the [VA nursing homes] and demonstrating performance that is as good [as] or better than private sector facilities,” Cashour said.

The VA’s hospitals have drawn intense criticism for repeated scandals with veterans’ health care in recent years, including preventable deaths, but the agency has largely operated its nursing homes with scant public scrutiny. VA nursing homes serve 46,000 veterans annually in 46 states, the District of Columbia, and Puerto Rico.

Internally, the agency has long monitored care at its nursing facilities through quality indicators and unannounced inspections, and, since 2016, through star rankings based on the indicators. But until now, it has kept all of these quality measures from the public.

Under federal regulations, private nursing homes are required to disclose voluminous data on the care they provide. The federal government uses the data to calculate quality measures and posts them on a federal website, along with inspection results and staffing information. But the regulations do not apply to the VA.

The VA has “got this whole sort of parallel world out there that’s hidden,” said Robyn Grant, director of public policy and advocacy at the National Consumer Voice for Quality Long-Term Care. “I still can’t get over that this information is not available to people who are looking for a veteran’s home; that’s just unacceptable.”

VA spokesman Cashour blamed the Obama administration for resisting making quality data public. “But under President Trump’s leadership,” he wrote in a June 12 statement, “transparency and accountability have become hallmarks of VA.”

However, the VA’s decision to release the quality data came after first asking USA Today and the Globe for more time to answer questions about the secret ratings. Then the VA released the quality ratings while the reporters waited for answers.

The agency did not release the more detailed information that underlies the star ratings, such as rates of infection and injury.

Alex Howard, a transparency advocate and former deputy director of the Sunlight Foundation, said the VA should release all the data immediately — and on an ongoing basis. He said the underlying information is critical to understanding what the stars mean..

“There shouldn’t be a gap between the reality of how we’re treating people under the government’s care and public understanding of it,” said Howard. “This is not a situation where we’re concerned about some matter of national security, this is simply being honest about how well things are going.”

‘I was told how good it is — by VA, of course’


After 38 years of marriage, Leslie Roe made the gut-wrenching decision to place her husband in a nursing home.

Earl James “Jim” Zook, 72, was suffering from dementia and had taken to wandering away from their home in Coosada, Ala., and she worried she would lose track of him.

So Roe moved Zook, a Vietnam-era Navy veteran, into a VA home an hour away in a rural, wooded swath of Tuskegee. She said VA staff put a bracelet on his wrist warning he was a flight risk and placed him in a secure ward.

But just three months after Roe checked Zook into the Tuskegee facility, staff lost track of him. Zook simply walked out into the woods; Roe said she was told there was a faulty door.

She had no idea that the facility ranked among the worst VA nursing homes in the country last year, scoring only one out of five stars in the agency’s rankings. She had to rely on what the VA said.

“I was told how good it is — by VA, of course,” Roe said

The VA assigns stars based on 11 indicators that can be tip-offs to larger problems with overall quality. For example, high rates of falls or bed sores may indicate understaffing or neglect.

The Tuskegee nursing home scored worse than private nursing home averages on eight of the 11 criteria as of Dec. 31, 2017, including rates of residents being in pain, receiving antipsychotic drugs, and contracting urinary infections.

Ironically, this year, the Tuskegee nursing home improved from one star to two stars. But that was too late for Zook.

He hasn’t been seen since he walked out of the Tuskegee facility in January 2017. Searches by helicopter and with tracking dogs turned up nothing.

“We finally declared him legally dead,” Roe said earlier this year. “Because there was no way he could have lived without his medication.”

“Anybody that deals with VA, I feel sorry for them,” she said.

Cashour said that after Zook’s disappearance, which he called an “unanticipated outcome,” the VA implemented more safety measures, including adding GPS to an alarm system that notifies staff if patients leave the facility.
11veterans -- Nick Bonanno pushes his father, Russ Bonanno, down the hallway at the VA in Bedford. Nick visits his father several times a week to push him around the building in his wheelchair along with throwing a ball around. Nick tries to engage his dad as much as possible when he comes to visit. (Kelsey Cronin)
Kelsey Cronin
Nick visits his father several times a week to push him around the building in his wheelchair along with throwing a ball around.

‘They break their spirit’


The VA has relied for more than a decade on an outside company, Wisconsin-based Long Term Care Institute Inc., to conduct inspections of VA nursing homes and report back to the agency.

The VA banned the public release of institute reports after the Pittsburgh Tribune-Review in 2009 published the findings from one report detailing “significant issues” at the VA nursing home in Philadelphia, including poor resident grooming and pest control. In one case, a patient’s leg had to be amputated after an infection in his foot went untreated for so long his toes turned black and attracted maggots.

The VA said the reports are internal quality-assurance documents “protected” from disclosure under federal law. However, in their announcement last Tuesday releasing the nursing homes’ star ratings, VA officials said they would also release the long-term care reports. They didn’t say when.

Such reports might have been helpful to Bonanno, the WWII veteran whose family moved him from a private assisted-living facility to the Bedford VA last April as his dementia worsened.

An inspection report obtained by The Boston Globe shows reviewers from the Long Term Care Institute found several instances of neglect at the nursing home in April 2017. They saw a veteran lying in bed covered only by a urine-and-feces-stained sheet. They saw another veteran struggling to eat, using his hands to shove food in his mouth after trying unsuccessfully to maneuver food onto a spoon. Staffers were nearby, the report said.

By then, inattentive patient care in Bedford had already proven to be fatal to one resident. Vietnam veteran Bill Nutter died in 2016 while an aide who was supposed to check on him hourly allegedly played video games on her computer and didn’t check on him at all. She later resigned, and Nutter’s family has sent a demand letter to the VA seeking $10 million in damages.

Bonanno’s family would learn about the conditions the hard way.

His son said Bonanno, a happy-go-lucky retired mechanic, would always wake up early for breakfast. But for the first few months in the Bedford facility, he was fast asleep when his son arrived after 11 a.m. for a visit. According to Nick, the staff woke him up at 6 a.m. to put him back to sleep.

They gave him an antipsychotic drug and a sedative, Nick said.

“They medicate them until they break their spirit and make them passive. I guess it’s easier for the staff to deal with them,” Nick said. “In six years in assisted living, he’d never been medicated during the day.”

Staff told Nick that his father was “agitated” and needed the medication — a contention Nick disputes.

Cashour said many of the veterans at Bedford live with “chronic mental illness” related to their military service and require psychotropic medication “to reduce distress and manage behavior.” After the veteran is stabilized, he said, the VA works to reduce the use of these drugs.

Nick’s brother, Russ, who lives in Indiana, said that he and his sister, who also lives outside of Massachusetts, believe that their father’s overall health has improved and he is properly medicated.

“My sister and I both agree he’s getting care that’s high quality and appropriate for his needs,” he said.

Still, Nick said as their father became more and more groggy, he participated in fewer activities; he went from walking with help to sitting in a chair for hours, doing nothing.

“There are ways to care for people with dignity and allow them to be themselves,” said Nick, who plays catch with his father indoors, using a small rubber ball, when he visits several times a week.

“I was lucky to have Dad in a place that was pretty good for six years. It was a huge drop-off in the way they provide care at the VA versus a private facility.”

Full Article & Source:
Secret VA nursing-home ratings hid poor quality care from public

Bills would help combat elder abuse

$
0
0
Kate Klunk
According to the National Council on Aging, one in 10 Americans aged 60 or older has been the victim of some form of elder abuse. Some estimate that as many as 5 million senior citizens are abused each year. Another study estimated that only one in 14 cases of abuse are reported to authorities.

Chances are great you are related to or know someone who is a victim of this despicable crime.

To further combat elder abuse, I have teamed up with three colleagues to draft a package of legislation. We have circulated the co-sponsorship memos for these important bills and anticipate introducing them shortly. My bill will address using social media to share images of elderly patients.

Over the years, there has been numerous reports of care providers posting inappropriate images of elderly patients online. In one report, a nursing assistant recorded video of a 93-year-old Alzheimer’s patient in nothing but her bra. This video was then uploaded to social media – an undignified post for anyone to see.

As the granddaughter of a dementia patient, I take great offense to these actions as that woman could have been my dear “Mamaw.” That woman could have been your mother, grandmother or great grandmother.

In another case, humiliating images of an elderly patient covered in feces were taken and posted to social media by a care provider in Iowa.  In that case, the law, unfortunately, hadn’t kept up with technology. The care provider wasn’t criminally charged because the images didn’t meet the definition of sexual exploitation because none of the photos actually showed restricted content, such as the patient’s genitals.

This case is exactly why we need to update our laws so those who post these horrific images are dealt with appropriately. Our seniors deserve better and deserve to be protected by the law.

My bill would make it a misdemeanor for employees of care providers to post pictures of care dependent individuals without their permission.

The additional bills in the package would amend the Health Care Facilities Act to allow residents or representatives of residents to place electronic monitoring devices, such as cameras, in rooms with appropriate notices and consent of the facility and other residents.  Another bill would add a definition of financial exploitation to the Older Adult Protective Act. It would also establish a private right of action for certain financial crimes and add a $100 fee to those proceedings to create a Senior Trust Fund at the state Department of Aging.

Finally, the fourth bill would allow for concurrent jurisdiction for the Attorney General during financial exploitation investigations of care dependent individuals.

Elder abuse has increased over the past few years. Though I am working in the state House to combat elder abuse, there are some steps that can be taken to prevent the abuse from happening and it all begins with education. With June being Elder Abuse Awareness Month, I want to share information about elder abuse.

Elder abuse includes physical, emotional and sexual abuse, as well as exploitation, neglect, and abandonment. Perpetrators range from a victim’s children and spouses to staff at nursing homes, assisted living, and other facilities. Scammers who prey on the elderly are also perpetrators of elder abuse.

Signs of abuse are isolation, weight loss, bruises or broken bones, increased confusion, unusual withdrawals from bank accounts and signing over a home to another person. 

My office regularly partners with the York County District Attorney’s Office at outreach events where we provide seniors and their family members with fraud and abuse prevention tips. Some tips I want to share with you include; staying active in the community and with friends, as this will decrease social isolation; take care of your health; do not give out personal information over the phone; review your will and bank accounts periodically; open your own mail; and seek independent advice from someone you trust before updating or signing legal documents.

If you are the victim of elder abuse, or if you suspect someone you know is a victim, please don’t hesitate to report it. Report incidents to your local police department by calling 911 or call the 24-hour abuse hotline at 1-800-490-8505. 

Rep. Kate Klunk is a Republican from Hanover.

Full Article & Source:
Bills would help combat elder abuse
Viewing all 12009 articles
Browse latest View live




Latest Images

<script src="https://jsc.adskeeper.com/r/s/rssing.com.1596347.js" async> </script>
<script src="https://jsc.adskeeper.com/r/s/rssing.com.1596344.js" async> </script>