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Autistic man abandoned at Naples hospital has no place to go

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A public guardian and a state agency thought they had a solution for a severely autistic young man whose mother abandoned him more than a year ago at a Naples hospital.

Placement in a local group home lasted four days before the 22-year-old — referred to as “John Doe” in court records — was back at NCH Downtown Baker Hospital, said Patrick Weber, the public guardian in Collier County. 

“In my history I have never quite had a case like this before,” said Weber, the county’s public guardian for 25 years. “Nothing is the same as this case.”

Doe's care requires intensive services in a 24-hour setting, and no group home in Collier is equipped for that, experts say.

The young man can smile and acknowledge people around him but is nonverbal; he can’t speak about his fears and wants, Weber said.

Doe was first taken to NCH in May 2017 for emergency medical care, court records show.

He was hospitalized for treatment and cleared for discharge in mid-August 2017. The catch is that the hospital had no place to send him.

Hospitals are required by state and federal law to follow discharge planning requirements that include making sure discharged patients have access to services that fit their needs. NCH was stuck because Doe’s mother refused to accept responsibility for him.

The hospital racked up a huge sum for uncompensated care and filed a complaint in court to have Doe moved to another setting.

NCH cannot comment on specific patient cases because of privacy laws, but in general, hospitals have a responsibility to use inpatient hospital beds for patients who medically require that level of care, spokeswoman Debbie Curry said.

“Unfortunately, on a somewhat regular basis, many hospitals are put in the unfortunate position of having to address situations involving patients who do not (or no longer) require hospital care, but who are without a safe discharge plan due to a lack of family involvement, funding, or other circumstances beyond the hospital’s control,” Curry said in a statement.

“These situations ultimately result in millions of dollars of uncompensated care annually to the hospitals involved,” Curry said.

Weber said NCH filed the court complaint in hopes of convincing the mother to take responsibility.

“This was a legal battle because of the inactivity of the mother,” Weber said.

The court declared Doe mentally incapacitated and appointed Weber as guardian, and he began working with the Agency for Persons With Disabilities to get involved. The agency agreed, even though Doe did not qualify for benefits.

Doe’s mother sponsored him in June 2016 to come to the United States on a green card. At the time she agreed to take responsibility for him, but she didn’t complete the process of becoming his guardian, Weber said. Court records do not say which country Doe is originally from or his mother's name.

Once APD agreed to pay for services he needs, Doe was moved to a local group home April 23. It didn’t work out. Weber declined to disclose which group home.

After leaving the hospital, Doe was being weaned off an antipsychotic medication. He became physically aggressive, and the group home realized it couldn’t accommodate him. The state agency also does not allow the group home to administer the injectable antipsychotic medication, Weber said.
“He was returned to NCH and having seizures,” Weber said.

The state agency is looking to place him in a more intensive group home that can address people who require a higher level of services.

That type of group home offering intensive behavioral services doesn’t exist in Collier, Weber said. That means Doe will be placed out of the county or will wind up in a state mental hospital in Tallahassee or Miami.

“He’s going to be institutionalized unless his mother agrees to take him home,” Weber said. “He’s never going to live independently. He will require either institutional or family" care.

Karen Govern, executive director of STARability, formerly the Foundation for the Developmentally Disabled, confirmed there are no group homes offering a higher level of services with medical personnel.

“There are none that are intermediate care facilities for people who require regular medications for (conditions such as) diabetes or seizures,” she said.

It is unusual that Collier doesn’t have intermediate care homes; the issues are land availability, costs, objections from neighborhoods and an entity’s desire to open one, Govern said.

Long-term housing is the top concern for parents with a developmentally disabled child, especially when parents get too old to care for the child. Parents also desire for their child, as he or she gets older, to have some independence and /to feel connected, with opportunities for a job and social interaction. 

She knows of one intermediate care home in North Fort Myers because a Naples family needed to place a loved one there.

“Lee County may have more than one,” Govern said. “Housing is part of our long-term strategy, to try and help our members of the community and people with developmental disability. It really is about educating the community about the needs of families.”

She is not familiar with the case involving Doe and has never heard of a family refusing to care for a developmentally disabled loved one.

“That is a very unique and unusual situation,” Govern said.

Melanie Etters, spokeswoman for the APD in Tallahassee, said she is not familiar with the Doe case and could not speak about it if she did because of privacy laws. In general, APD steps in when there is a dire situation.

“We work with a bunch of different organizations to figure out the best option to protect the health and safety of an individual,” Etters said.

In terms of a parent abandoning a developmentally disabled child at a hospital, Etters said she is not aware of that happening.

“It’s a very rare incident, in general,” Etters said.

Weber said he does not know if Doe’s mother has visited him since he has been back in the hospital.

“I do know she has done nothing to pursue taking back guardianship,” he said.

He could not say if her abandonment of him would be criminal.

“There’s not been a complaint to the state attorney’s office for abandonment,” he said.

Samantha Syoen, spokeswoman for the state attorney's office, said the matter would be civil.

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Autistic man abandoned at Naples hospital has no place to go

Scammers guilty of bilking elderly Verona woman

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STAUNTON - Two men who offered an elderly Verona woman free paving work before bilking her out of $10,000 pleaded guilty Wednesday to a multitude of felony charges in Augusta County Circuit Court.

The paving scam took place in May of 2017 when a group of men approached an 84-year-old woman on Beverley Street in Verona with an offer of free painting and sealing for her driveway.

The woman, who suffers from dementia, accepted the deal. But after the men began working on the driveway, they told her she would instead be charged $3 per square foot, according to the Augusta County Sheriff's Office.

Later, after supposedly finishing the work, the men told the woman the job would cost her $4,000. After she told the men she didn't have that kind of money, authorities said a check was taken from her, forged and cashed for $6,000. 

That same day, after cashing the check and pocketing the money, according to the sheriff's office, the men returned to the woman's home and demanded another payment.

When the woman refused, Augusta County assistant prosecutor Lorna Port said one of the men grabbed a second check from the woman and forged her signature. Another $4,000 was then withdrawn from the woman's checking account, Port said.

The scam was reported the next day, resulting in the arrest of Virgil Henry Jr., 37, of Strasburg. A second suspect, Belcher Grady, 34, also of Strasburg, was charged in January.

A third suspect remains at-large.

In court Wednesday, both men pleaded guilty to multiple charges of exploitation of an incapacitated adult, construction fraud and forgery.

Henry was given two years of home incarceration. 

Grady was was sentenced to five years behind bars but the sentence was suspended in its entirety, giving him no time to serve.

Both men were ordered to pay restitution to the victim, Port said.

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Scammers guilty of bilking elderly Verona woman

5 Early Signs Of Dementia (And Why Everyone Should Know Them)

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Dementia is an uncomfortable subject to talk about, particularly when it affects a loved one.


Throughout the world, there’s something of a stigma surrounding dementia. That certainly isn’t helpful, since the syndrome is extremely common. An estimated 47 million people worldwide are living with some type of dementia, per the World Health Organization, and that number will likely increase to 75 million by 2030. The WHO expects the number to triple by 2050.

Contrary to popular misconception, dementia isn’t a standardized syndrome. Different types of dementia affect the brain in very different ways, and as a result, some people ignore the early symptoms in themselves or their loved ones. Generally, dementia is progressive, so it gets worse over time, but early detection can greatly improve a patient’s quality of life.

HealthyWay

Before we discuss some of these early warning signs, however, we should note that dementias share symptoms with other conditions. Only a qualified physician can make an actual diagnosis, and articles like this one aren’t intended as a replacement for a visit to the doctor’s office.

“Sound bytes don’t work for these types of discussions,” Dr. Roselyn G. Smith tells HealthyWay. Smith is a clinical psychologist and Fulbright specialist working in Pinecrest, Florida. “The research is far more complex than that—we can’t just take one symptom and follow it to a diagnosis.”

With that said, Smith notes that awareness is crucial, particularly for people with elderly loved ones. By obtaining a diagnosis in the early stages of dementia, patients can start treatment earlier, and in some cases, stop the progression of symptoms entirely.

Unfortunately, dementia isn’t a simple condition, and there are a lot of misconceptions. For example…

HealthyWay

1. Memory loss is a common symptom, but different types of memory loss can mean different things.


Memory loss is closely associated with dementia, so it’s the symptom that most people think about when considering the diseases that cause dementia—Alzheimer’s, for example. However, physicians now know that memory loss doesn’t always occur in precisely the same way.

“With an Alzheimer’s type dementia, some of the earliest indicators are short-term memory loss—that’s what’s responsible for asking the same question over and over within a few minutes, or even a few hours,” Smith says. (Click to continue)

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5 Early Signs Of Dementia (And Why Everyone Should Know Them)

Ex-guardian fails to appear in court, but judge orders her to repay $35K to elderly woman’s estate

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JOSE F. MORENO / Staff Photographer
A Delaware County woman accused of financially exploiting elderly people for whom she served as a court-appointed guardian failed to come to a Philadelphia City Hall courtroom on Tuesday for a hearing on how she spent a Northeast Philadelphia woman's funds. Her attorney also didn't appear.

Gloria Byars, 57, of Aldan, had been removed as guardian of about 100 elderly clients in the region after past convictions for fraud, passing bad checks, and forgery came to light.

Orphans' Court Judge John Herron said at the hearing Tuesday that Byars must repay about $35,000 to the estate of Estelle Segal.

The judge was angry that Byars did not come to the proceeding, and said he was "frankly shocked" at the absence of her lawyer, Sharon Alexander. "I don't understand a practicing lawyer intentionally failing to appear at a hearing and failing to ask for a continuance," he said.

Herron held the hearing with lawyer James Tyler, who was appointed as Segal's executor after her February death.

Byars' record was chronicled in a March 30 Inquirer and Daily News article highlighting a lack of state requirements, including background checks, for guardians who manage the affairs of people deemed incapacitated. The article featured the case of a Fox Chase couple, Edmund and Margareta Berg, for whom Byars also had been appointed guardian.

Herron in May had ordered Byars to pay $63,079 to the Bergs, including $34,112 for improper expenditures. Byars has not paid any of that money. Despite that order, Byars spent tens of thousands of dollars on a July 14 wedding reception at the Manor House at Prophecy Creek Park in Ambler.

Byars already was married to Leon DeShields, 57, and had asked guests to a "vow renewal," according to the invitation. Copies of the Manor House bills obtained by the Inquirer and Daily News show the planned reception for 163 adults and 34 children cost about $35,000 for meals, hors d'oeuvres, a shrimp-and-clam station, a dessert station, a patio tent, and facility charges.

Heidi Austin, a niece of the Bergs', said she was "disgusted" to learn about the reception.

"It has been a challenging year and a half, and still the woman is free to spend all the money she stole from the elderly," Austin wrote in an email. "My uncle just turned 90, and I would at least like to tell him that there is justice in this world before he leaves it."

Austin discovered Byars' fraudulent past and through an attorney brought it to Herron's attention. As a result, Philadelphia now requires that a state criminal history report be submitted for proposed guardians.

The new requirements mirrored recommendations proposed by the Pennsylvania Supreme Court's Orphans' Court Procedural Rules Committee. In June, the justices approved new statewide rules requiring background checks; they take effect next June.

At Tuesday's hearing, Tyler said that Byars' lawyer had emailed him Aug. 16 and said she was aware of the hearing date but was going to be out of the country.

In his review, Tyler said he found that Byars had not accounted for $35,405 that she had spent of Segal's funds.

"Essentially," the judge said in court, it appears that Byars "converted [the $35,405] to her own uses and purposes."

Byars has not been criminally charged in any guardianship cases. Herron earlier this year referred the Segal and Berg matters to the District Attorney's Offices in Philadelphia and Delaware County. The office of State Sen. Art Haywood (D., Montgomery-Phila.) referred another case to the Montgomery County District Attorney's Office.

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Ex-guardian fails to appear in court, but judge orders her to repay $35K to elderly woman’s estate

See Also:
Judge sees 'mismanagement,' 'misappropriation' in ex-guardian's handling of elderly clients' funds

California Judge Rules Wife has Legal Right to Remove Husband’s Life Support

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San Francisco, CA (Law Firm Newswire) August 29, 2018 – A Los Angeles Superior Court judge recently found that a wife in California had the legal right to decide whether to end treatment for her husband who was in a permanent vegetative state.

Judge Mary Thornton House decided in her ruling that if an unresponsive individual does not have an Advance Health Care Directive, their spouse can make end-of-life decisions for them. The case concerned Juan Fernando Romero of San Gabriel Valley, California. He was found to be in a persistent vegetative state without any likelihood of recovery after sustaining serious brain damage in 2015.

“This case highlights how important it is for every adult to complete an Advance Health Care Directive. The document allows you to control your health care decisions by appointing an individual to carry out your wishes in case you become incapacitated,” said nationally known estate planning attorney Mark Gilfix. “It provides clarity for your loved ones so they can honor your preferences for end-of-life decisions. Without an Advance Health Care Directive, there is likely to be confusion, guilt and possible legal challenges for family members.”

In 2016 Ana Romero, Juan Fernando Romero’s wife, sought to disconnect his feeding tube and life support. His parents and sister filed a lawsuit against Mrs. Romero to obtain control of his end-of-life decisions from her. In order to keep Mr. Romero on life support, they asked the court to appoint Mr. Romero’s sister as the health care proxy. Mr. Romero died of natural causes at age 37 in June 2017 before the case concluded.

The family’s attorneys argued Mrs. Romero had no legal decision-making authority. The family also said removing Mr. Romero’s life support would go against his religious beliefs.

However, House ruled Mrs. Romero had the authority to make end-of-life decisions on her husband’s behalf as he had previously discussed with her the issue of not prolonging death. The judge dismissed the family’s claims that they had seen Mr. Romero show signs of consciousness. She cited expert testimony from a doctor who concluded his limited brain function meant that he would remain permanently unconscious with no chance of recovery.

“As his spouse, Ana is the presumptive health care surrogate for Juan Fernando in light of his incapacitation,” House wrote. She said his immediate family never spoke about his preferences in case of incapacity.

The judge also noted that there is ambiguity in the state law when it comes to determining who has the legal right to make decisions for an incapacitated individual. However, she ruled that Mrs. Romero fully complied with California’s Health Care Decisions Law as her husband’s surrogate.

This case and its outcome are reminiscent of the Drabick case from years ago. Attorneys responsible for a similar outcome in that matter were Myra Gerson Gilfix and Michael Gilfix.

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California Judge Rules Wife has Legal Right to Remove Husband’s Life Support

Assembly OKs expanded conservatorship bill for mentally ill SF homeless

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SACRAMENTO — The state Assembly passed a bill Wednesday sought by San Francisco officials to expand conservatorship rules so they can have more control over who can be involuntarily held for mental-health treatment.

The bill now heads to the state Senate, which has already approved a similar version. If passed there, SB1045 by Sen. Scott Wiener, D-San Francisco, would head to Gov. Jerry Brown.

The bill would allow the Boards of Supervisors in San Francisco, San Diego and Los Angeles counties to create five-year pilot programs that expand conservatorship rules.

“This pilot will provide for the least restrictive and most clinically appropriate placement including supportive housing and wrap-around services,” said Assemblyman David Chiu, D-San Francisco, before the bill passed the Assembly by a vote of 61-0.

San Francisco Mayor London Breed and Supervisor Rafael Mandelman testified in support of the bill at the state Capitol earlier this year, saying the city needed more power to help chronically homeless people suffering from both mental illness and substance abuse.

County mental health professionals can now hospitalize people against their will for 72 hours, in what is known as a 5150 hold, if they pose a danger to themselves or others or are gravely disabled because of mental illness. A county can ask a judge for a 14-day extension to continue intensive treatment and repeat that process every 30 days.

Supporters of SB1045 say the guidelines for a hold are too strict, resulting in severely mentally ill people with drug and alcohol addiction returning to the streets. Wiener said that even the bill’s expanded criteria would apply to only 1 percent of San Francisco’s homeless population.

“It’s beyond inhumane to sit back and let these people die when we have the ability to help them,” Wiener said in June. “Our current conservatorship laws are inadequate.”

Opponents of bill, including Western Center on Law and Poverty and American Civil Liberties Union, said expanding involuntary holds is an affront to civil rights and ignores the factors that lead people to homelessness in the first place.

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Assembly OKs expanded conservatorship bill for mentally ill SF homeless

Elder abuse in R.I.: When a ‘guardian’ becomes a fiscal predator

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Part 6: Jane Jacques was too cognitively impaired to realize that the court-appointed lawyer entrusted to manage her money had secretly stolen $130,000 from her. But lawyer Janet Mastronardi never spent a day in jail. SIXTH OF NINE PARTS

Jane Jacques, a cognitively impaired elderly Rhode Islander, was robbed of nearly $130,000. The money wasn’t stolen by a scam artist or a family member. It was taken by her court-appointed guardian, a Harvard-educated lawyer who was handling Jacques’ finances since she couldn’t do so herself.

Attorney Janet Mastronardi faced up to 60 years in prison for the charges filed against her, but after she admitted her guilt and paid full restitution, she did not serve any time behind bars. Her sentence was 30 months in home confinement.

Jacques was an amateur artist from North Kingstown who had led historical tours throughout Rhode Island. She had no children and was widowed for the last 16 years of her life. Toward the end, she suffered from vascular dementia and experienced multiple strokes. She died in 2013 in the West View Nursing Home in West Warwick.

While Jacques was a patient there, the nursing home contacted the Alliance for Better Long Term Care, asking for help in finding Jacques a legal guardian to handle her finances. Jacques had blood relatives who lived in New England, according to court records, but she did not want them involved. A doctor who determined that Jacques was unable to manage her own affairs noted in his report that she was “paranoid about people stealing from her.”

She had given power of attorney to an 85-year-old neighbor, but that arrangement didn’t work out.

The Alliance, a federally funded nonprofit that seeks to promote the quality of life and care of people living in nursing homes, asked attorney Mark Sjoberg to petition the North Kingstown Probate Court for a guardianship for Jacques, according to Kathleen Herren, the state’s ombudswoman for long-term care.

In September 2005, when Jacques was 80, Mastronardi was appointed her guardian by a North Kingstown probate judge. The Alliance had previously recommended Mastronardi to be a guardian for several other cognitively impaired clients, and Herren said that she was “very good to her clients.” However, she said, in Jacques’ case, the Alliance did not make the referral to Mastronardi, who is married to a lawyer in Sjoberg’s office. It is unclear from court documents who made the recommendation.

The initial inventory filed with the probate court shows Jacques as having $554,831.47 in cash and $365,000 in real estate.

Each year, as required by law, guardians must file accountings with the probate court. Five years into the guardianship, Donna Halsband, Mastronardi’s legal assistant/bookkeeper, started to get suspicious.

In September 2010, Halsband was finalizing the annual accounting for the guardianship when she noticed that bank statements showed Jacques had about $92,000 more than was listed on her accounting. She asked Mastronardi about the discrepancy. Mastronardi quickly gave her a new accounting that reconciled the differences.

Two months later, Halsband was writing checks from the Jacques account to cover Mastronardi’s legal fees, which had been approved by the probate court. The next day when she went to photocopy an office file, she found a piece of paper that had been left in the machine. It showed three checks written to Mastronardi, with the same dates and in the same amounts as the checks Halsband had written for her the day before.

Even though it was Halsband’s job to write all checks to Mastronardi for her legal fees, these checks bore Mastronardi’s handwriting. The funds being withdrawn were from a Citizens Bank account belonging to Jacques that Halsband did not know existed.

Halsband’s first reaction was that she had mistakenly forgotten to list the Citizens Bank account in the court filing that listed Jacques’ assets. She combed through the Jacques files looking for the account, eventually concluding that she hadn’t made a mistake — her boss had never made her aware of the money or the Citizens account.

“That’s what brought it all to a head,” she said. “It was just her and I in the office, so my first thought was, I need to cover my ass because this wasn’t something that I did. So I wanted to make sure that I had all the proof that it wasn’t just an account that I’d missed.”

It didn’t take long for Halsband to become a whistleblower.

She’d worked for Mastronardi for seven years, first part time from home and then as a full-time employee working out of the law office that Mastronardi had set up in the East Greenwich home she shared with her husband, lawyer William Stanton.

Halsband was Mastronardi’s only employee, and over time the two grew quite close. Mastronardi would come to the Halsbands’ for Thanksgiving dinner. The two women would go Christmas shopping together, and they would periodically even take “mental health” days off from work and go to the Twin River Casino, Halsband said.

Halsband never told Mastronardi that she’d found evidence of the duplicate checks Mastronardi had written to herself. But once she’d found the copies, she became scared that she might be drawn into an investigation of Jacques’ missing money, and maybe even suspected of wrongdoing. To protect herself, she made copies of the photocopied checks that Mastronardi had written to herself, and she began scouring the law office to see if she could find more.

She found a folder on Mastronardi’s desk labeled “JJ” that wasn’t kept with the office’s other Jane Jacques files. The papers inside made Halsband even more suspicious. They showed that Jacques had two investment accounts Mastronardi had failed to report to the court. She had used the funds to open two new Citizens Bank accounts in Jacques’ name, totaling more than $214,000.

One of the accounts was the one she had used to double-pay herself. There were photocopies of more checks that Mastronardi had written to herself from these accounts as well, along with a note she’d written to remind herself to destroy the file when the accounts ran out of money.

On Feb. 11, 2011, Halsband said, Mastronardi’s husband walked into the office and fired her without explanation. She told state investigators she believes she was terminated because she had questioned Mastronardi about Jacques’ unreported investments.

Seventeen days after her termination, Halsband compiled all the papers she’d photocopied and anonymously sent them to the Rhode Island State Police and the board at the Rhode Island Supreme Court that handles disciplinary complaints against lawyers. She alerted them to what she believed the evidence indicated — that Mastronardi had stolen $144,989.21 from Jacques over the previous year.

Since Halsband was Mastronardi’s bookkeeper and sole employee, it didn’t take long for authorities to suspect that she was the whistleblower. When an investigator showed up at Halsband’s home, she admitted that she’d sent the documents.

In March 2013, a month before Jacques’ death, Mastronardi was charged by the Rhode Island State Police with three felonies: embezzlement, larceny and exploitation of an elder for stealing $129,107.57 from Jacques. She ultimately pleaded no contest to embezzlement and exploitation of an elder, and the state dropped the felony larceny charge as part of a plea deal. While the case was pending, Mastronardi made full restitution.

At the 2014 sentencing hearing, state prosecutor Maureen Keough, now a Superior Court judge, argued that Mastronardi deserved to go to prison for what she had done to her elderly and cognitively impaired client. The crime, she argued, was particularly troubling given Mastronardi’s occupation as a lawyer, and as someone whom Jacques had trusted to look after her best interests.

“She took that trust and she abused it and she used it for her own financial gain,” Keough told now-deceased Superior Court Judge Walter R. Stone at the beginning of the hearing.

But in the end, the deal struck with the prosecution included no prison time.

Noting that Mastronardi had made full restitution and was in treatment for a gambling problem, the judge sentenced her to seven years in prison, with 30 months to serve on home confinement and the remaining 54 months suspended with probation.

At the sentencing hearing, Mastronardi’s lawyer, Peter DiBiase, argued that a gambling addiction had driven his client to steal from Jacques. The state found that she had run up large losses at nearby casinos through 2012, totalling more than $140,000 at Foxwoods, almost $90,000 at Twin River and more than $100,000 at Mohegan Sun.

At sentencing, Stone said he was impressed that Mastronardi was attending a program for people with gambling addictions. “There is no question in my mind that your gambling addiction led to some of the conduct involved here,” he said.

Just before her sentencing, Mastronardi sold her East Greenwich home to make restitution to Jacques’ living relatives. DiBiase said in court that the sale of this house displaced Mastronardi’s elderly parents and two adult children who had been living with her and Stanton. Mastronardi, he said, had “gone through great sacrifices to try to make her misconduct right.” He quoted Mastronardi’s husband, who claimed that they now lived a “very basic” life in an inexpensive Warwick rental.

What was never mentioned in court was the property on Martha’s Vineyard that Stanton and Mastronardi had bought in November 2011, nine months after Halsband reported Mastronardi to the police. The Oak Bluffs property was purchased for $399,000, according to land records. Property records also show that Mastronardi and Stanton took out a $279,000 mortgage to make the purchase, from Edgartown National Bank. There are two gingerbread-style cottages on the property, each with two bedrooms. The two homes together are assessed at $593,000, according to a 2018 town appraisal.
When asked recently if he had known about the Martha’s Vineyard property, DiBiase declined to answer, citing attorney-client privilege, and abruptly hung up the phone.

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Elder abuse in R.I.: When a ‘guardian’ becomes a fiscal predator

Dying badly despite all my efforts

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I’m a palliative care nurse practitioner so you would think that my mother would have had a good end-of-life experience, but she didn’t.

She had done everything she could to prepare for a “good” death.” She was aware of her health situation and willing to discuss it with her family and health care providers. I lived nearby, was her health care power of attorney, and we talked regularly about her wishes. She had a living will and a MOLST (Medical Orders for Life-Sustaining Treatment) form. And she chose to live in a continuing care retirement community outside of Baltimore, a place with varying levels of care.

She lived there for more than 16 years in its independent living section. But in her 91st year, her doctor recommended hospice. The care they provided was wonderful. My mother was comfortable, and we felt supported.

The first challenge came when the alarm sounded on my mother’s oxygen concentrator. I called the equipment company, and they agreed to send a replacement. Hours went by. Calling them again, the answering service told me if this was a medical emergency I should call 911. Then the on-call person called back to say my mother wasn’t one of their patients. Minutes later, the delivery driver called to say he had arrived but couldn’t find the apartment.

But the real trials came when we moved my mother to the nursing facility within the continuing care retirement community (CCRC). This was when we discovered that the CCRC had no process to move her there, even though it was only a few hundred yards away. I had to explain that taking her in a wheelchair through the public areas was not going to work. The facility asserted that my mother’s hospice should arrange — and pay — for the ambulance, which the hospice rightly refused. After multiple phone calls, the CCRC ordered transport.

When my mother finally arrived, the problems with care coordination began. It took an hour to be seen by a nurse. The nurse said she had to check my mother’s chart, which was puzzling because my mother didn’t have one, having not come from a medical facility. However, without such a chart, the staff had no idea who my mother was or why she was there, even though her medical records from the previous 16 years were in the adjoining clinic. When they finally examined her, they tore her fragile skin, which bled. Finally, the charge nurse asked me for the details on my mother’s terminal diagnosis, medical problems, medications and even which hospice was providing her care. I could provide that, but what about a family who couldn’t?

The charge nurse agreed that my mother urgently needed medication for her breathing. Her physician had ordered it, but it hadn’t arrived, and as the hours went by her breathing became rapid and labored. The pharmacy sent an emergency delivery of a laxative, but not the breathing medication. That finally arrived eight hours after her admission and took a while to work.

The next day an aide came in to note that “he seemed to be sleeping” and left. Then the nurse tried to place some medication ordered for my mother’s mouth in her eyes instead. That evening, the manager came by, noted our exhaustion, and sent us home saying someone would check on my mother every hour that night.

Early the next morning a tearful nurse called to tell me she hadn’t given my mother any of her ordered medications overnight because she hadn’t known about them. We rushed to the nursing facility where the staff was apologetic. Not long after, my mother died.

There’s so much about this that’s hard to understand but little that’s unusual. Our health care system is not really a system. It does a bad job of coordinating transitions between clinical settings. Communication is poor and inconsistent, and the CCRC was using paper charts. The nurses had too many patients, and they were licensed practical nurses (LPNs), who lacked the training that registered nurses (RNs) have.

We thought we could overcome these issues and did as long as my mother was in our care. We managed to keep her comfortable and at home until 42 hours before her death. But those last hours were awful because of our decision to move her to the CCRC’s nursing facility.

I have to live with that. My mother may have died badly because of it. The question is: How many more will?

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Dying badly despite all my efforts

What it's like be 'locked in' your own body: Victoria Arlen on her miraculous journey from vegetative state to the Paralympics and 'DWTS'

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Victoria Arlen is a fighter.

The on-air personality for ESPN, gold-medal Paralympian swimmer, and author of the new book Locked In, has overcome seemingly impossible odds after a health scare that could have ended her life.

At 11 years old, Arlen, an active kid full of personality, was suddenly struck by two rare neurological conditions, transverse myelitis and acute disseminated encephalomyelitis, which caused inflammation in her brain and spinal cord and left her unable to speak or walk. “I was in a vegetative state for four years,” she tells Yahoo Lifestyle.

“I was locked in,” she says. “So I could hear and see. I just had no way of moving or communicating or letting anyone know that I was in there.”

From her hospital bed, Arlen could hear her own doctors speaking with her family and being written off as a “lost cause,” she says. “I had to become pretty stubborn to prove them wrong.”

But her situation was grave enough that she also realized she might not make it. “I wrestled with the thought of dying every day, and so I had to make a conscious decision to be grateful for the day I’ve been given, for the moment I’ve been given,” she says. “I just need to be grateful for the fact that I’m alive right now.”

She says her faith in there being a bigger plan for her and having hope kept her going. “I realized very early on that I hadn’t really fully lived yet,” she says. “So I was not going to let my story end like this when I really never even got a chance for it to get started.”

Having her family’s unwavering support was also critical to Arlen’s recovery. “They were being told to kind of give up and move on with their lives, and they refused to do so,” she says. “And so their fight and their willingness to keep believing and supporting me and loving me was the wind beneath my wings.”

Although Arlen couldn’t move on her own, she desperately wanted to give her family a sign that she was aware of her surroundings. When she was 15 — after 4 years of living in a vegetative state — she somehow managed to get control of her eye movements.

When Arlen’s mom walked into her hospital room one day, Arlen tracked her mom with her eyes as she moved, which surprised her mom and made her realize that her daughter may have been alert the entire time.

Like a scene out of a movie, Arlen’s mom asked her daughter to blink if she could hear, and Arlen was able to. “It’s single-handedly the most powerful moment I have ever shared with anyone,” Arlen says.

The simple act of blinking let Arlen’s family know she was there, and she was fighting.

From there, Arlen progressed, going from blinking as a way of communicating to eventually signing when she developed hand control and then using communication boards.

While in her vegetative state, Arlen didn’t have a clear concept that four years had actually passed. When she was told, she says she felt a sense of “panic [from] missing all these years of my life.” She adds, “I really tried to not focus on how much time had passed because I could drive myself crazy with that.”

Arlen, who sustained severe permanent damage to her spinal cord that left her paralyzed from the waist down, had to relearn how to speak, eat, and move again. As her strength increased, her family encouraged her to do more and push herself. Although Arlen had been an avid swimmer and “water baby” before getting sick, she was now petrified of the water. “The thought of going in a pool where my legs didn’t work and I didn’t have full trunk support terrified me.”

But her brothers, William and Cameron, decided they would take her swimming, strapping a life jacket on her and jumping into the water with her to help Arlen get over that fear. They did this daily, and eventually, she became strong enough in the pool that she decided to get into competitive swimming.

It was humbling at first, as the teenage Arlen was beaten by 8-year-olds. But she didn’t give up. She says that when she was in the pool, no one knew the wheelchair off to the side belonged to her. It was a motivating factor for the athlete.

Arlen kept swimming, found a coach, and realized she had an opportunity to use her swimming competitions as a platform to inspire others. She eventually made it to the 2012 Summer Paralympics in London and won three silver medals for Team USA. Then, on the last night of the competition, she thought, “I have nothing to lose and everything to gain.” So she swam for herself, singing One Republic’s “Good Life” in her head — her go-to song whenever she does anything that scares her — and she won gold in the 100-meter freestyle.  (Continue)

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What it's like be 'locked in' your own body: Victoria Arlen on her miraculous journey from vegetative state to the Paralympics and 'DWTS'

Former Colorado credit union manager given jail time for stealing $134K from elderly woman

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DENVER — A federal judge has sentenced a woman to two years in prison, after she admitted stealing thousands of dollars from an elderly woman while managing a Colorado credit union.

Judge R. Brooke Jackson on Thursday sentenced Claudette Retana for taking $134,650 from an 80-year-old woman’s account at a credit union in Pueblo. Retana pleaded guilty in May to financial institution fraud.

The Pueblo Chieftain reports that Retana admitted taking the money in small amounts between 2009 and 2017 from the account of the victim, who is now 91.

Retana apologized during the hearing and said she knew it was “very wrong.”

Her attorney says Retana also will pay back the credit union, which reimbursed the customer’s money plus more than $26,000 in interest she should have earned.

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Former Colorado credit union manager given jail time for stealing $134K from elderly woman

Couple held 70-year-old woman in a dog kennel and stole her disability money, Texas cops say

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Leonnia Darlene Castillo and Tommy Lee Anderson
The string of alleged abuse reads like a torture scene in a prisoner-of-war movie.

Police in the tiny East Texas town of Malakoff, about 78 miles southeast of Dallas, say that one couple there put a 70-year-old woman through all of it, over the course of eight months.

The victim, who is a relative of 47-year-old Leonnia Darlene Anderson Castillo, had been living with her and Tommy Anderson, 49, since January, according to an arrest warrant affidavit obtained by McClatchy.

Over the course of the last eight months, the woman told police, Anderson and Castillo periodically locked her inside a dog kennel, threw glass bottles at her and stripped her down to her underwear before forcing her walk on the glass shards, according to the affidavit. The allegations were first reported by KLTV

She said that Anderson “coerced” her into buying the dog kennel, then forced her to stay outside in the heat until she vomited. When she did, the affidavit states, her punishment was getting locked inside.

While she was trapped inside the kennel, the couple didn’t buy her any food, she said. Instead, according to the affidavit, the victim accused the couple of keeping her debit card from her, and using it to withdraw money from her bank account when her disability payments came in.

Over the course of the eight months she lived with the couple, the woman also accused Castillo of trying to drown her in a bathtub in Anderson’s home.

When other family members tried to intervene and come get the woman from the house on Wesley Street, “Castillo wouldn’t let it happen,” the affidavit states.

Last week, though, two family members from the Dallas area succeeded, according to the affidavit. They took the victim to Mesquite to live with other family on Wednesday, it states.

Police interviewed the victim the same day, where police officers noted “a bruised left eye, and apparent hand print on her left arm, numerous red circular sores on her back and cuts on her feet,” according to the affidavit.

Arrest warrants for Castillo and Anderson were issued on Friday, and the couple was booked into jail on Saturday. Castillo has been charged with injury to the elderly, with a $50,000 bond, while Anderson is charged with unlawful restraint, with a $15,000 bond, according to jail records.

Anderson bonded out of jail on Monday, and Castillo was bonded out Tuesday, according to Jennifer Carmon, clerk for the Henderson County Justice of the Peace, Precinct 5. Malakoff Police Chief Floyd Thomas would not comment on the case any further Tuesday, telling McClatchy that the investigation was still ongoing.
 more here: https://www.star-telegram.com/news/state/texas/article217470300.html#storylink=cpy

Read more here: https://www.star-telegram.com/news/state/texas/article217470300.html#storylink=cpy


Read more here: https://www.star-telegram.com/news/state/texas/article217470300.html#storylink=cpy
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Couple held 70-year-old woman in a dog kennel and stole her disability money, Texas cops say

Tim Conway's daughter gets temporary restraining order against his wife over star's care

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Tim Conway’s wife and daughter are at odds over his medical treatment as the “Carol Burnett Show” star suffers from dementia.

A rep for Conway's daughter Kelly told Fox News Friday she received a temporary restraining order to stop his current wife's plans to move the ailing comic from his current medical facility.

"My brothers and I are extremely happy that the plan to move our dad by his wife has been temporarily stopped by a court order today," wrote Kelly.

"We are grateful to the judge for taking this matter seriously by considering all the evidence before making a decision. We appreciate the overwhelming support and love we have received from my dads friends and fans."

Actor Tim Conway, wife Charlene Fusco and daughter Kelly Conway being photoraphed on August 9, 1983 at Chasen's Restaurant in Beverly Hills, California. (Photo by Ron Galella, Ltd./WireImage)
Actor Tim Conway, wife Charlene Fusco and daughter Kelly Conway being photoraphed on 
August 9, 1983 at Chasen's Restaurant in Beverly Hills, California. (Getty)

The rep added there is an upcoming court date to decide conservatorship.

According to court documents obtained by The Blast, Kelly was seeking a temporary restraining order to stop the comedian’s current wife, Charlene Conway, from moving the 84-year-old to a lesser medical facility.

Kelly alleged Charlene is “planning to move him out of the excellent skilled nursing facility he is currently at,” and place him into a lesser-quality home. She claimed her father cannot “properly provide for his personal needs for physical health, food and clothing” and is “almost entirely unresponsive.”

In the documents, Kelly said her father has his own private room and a caregiver who has been assisting him for the last two years and attends to his needs 24 hours a day. She argued that moving Conway to "a facility without skilled nurses on staff in his current condition will be harmful to his health and life.”

SANTA MONICA, CA - MARCH 13:  Actors Tim Conway (L) and Bob Newhart in the audience at the 2005 TV Land Awards at Barker Hangar on March 13, 2005 in Santa Monica, California.  (Photo by Vince Bucci/Getty Images)
Tim Conway (left) with Bob Newhart in 2005. (Getty)

Conway’s “various medical conditions put him at risk of being a subject of medical emergencies," she added.

Kelly also alleged Charlene’s attempt to move Conway to an “inferior” facility run “contrary to his “special personal and medical needs.” Consequently, Kelly is asking the court to grant the order or at least move up the hearing on the proposed conservatorship to before September 1. She argued Charlene plans to move Conway during the first few days of the month.

The Blast reported a judge has yet to rule on the order. A rep for Kelly told Fox News Thursday she is expected to make a court appearance Friday.

In court documents obtained by People magazine Friday, Michael Harris, who has been appointed to protect Conway’s interest during the ongoing feud between daughter and stepmother, also said the comedian is “unable to communicate” and is “suffering from fluid on the brain.”

“He showed no ability or willingness to talk and no apparent sign that he comprehended the nature of the Conservatorship or any of my statements to him,” alleged Harris, who claimed he made a visit to Conway’s home on Tuesday.

Harris added Charlene is “obviously devoted” to her husband.

“She informed me that her motivation was to work with Jeffrey Cummings MD, a renowned neurologist who is trying to deal with Mr. Conway’s past brain surgeries involving a shunt that failed and later a valve procedure to correct his neurological problems,” Harris explained.

“Her concern now is for Mr. Conway to receive proper physical therapy so that he can better improve neurologically. It is my present belief that Mrs. Conway, my client’s wife, is an adequate and appropriate steward of her husband’s well-being and that her motives regarding Mr. Conway are in his best interest.”

Harris also said Charlene denied Kelly’s claim that she is planning to move him out of his current nursing facility.

“Kelly Conway wants to thank everyone for their outpouring of love and support for her dad and cannot make any statements at this moment due to a pending court date,” a rep for Kelly told Fox News Monday.

Conway had zero experience when he first embarked on his journey to Hollywood. His first credited role was 1964’s “McHale’s Navy” as Ensign Charles Parker.

He continued working in both film and television before he made his mark in “The Carol Burnett Show” as various beloved characters, including the Oldest Man and Mr. Tudball from 1975 until 1978. He won a Golden Globe Award for “Best Supporting Actor.”

Conway, who was a frequent guest, ultimately became a regular in later seasons by popular demand.

Conway continued acting and even voiced the character of Barnacle Boy on the animated series “Spongebob Squarepants.” He made a special appearance on the second season of “30 Rock,” which earned him an Emmy.

Some of his other TV credits include guest appearances on hit shows, such as “Married … With Children,” “Mad About You,” “Glee” and “Two and a Half Men,” to name a few.

His last credited role was that of Dorf, a diminutive Scandinavian from a series of satirical how-to videos, in the 2016 comedy “Chip and Bernie Save Christmas with Dorf.”

Throughout his reign in entertainment, Conway has won six Emmys.

“My ambition was to be a jockey, but at my weight, even the horses were asking me to get off,” Conway joked on his website. “I have seven children, two grandchildren and a puppy. I have been married since 1984, a record for Hollywood.”

Charlene is Conway’s second wife. The couple tied the knot in 1984.

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Tim Conway's daughter gets temporary restraining order against his wife over star's care

Judge Martin Colin had a hand in his wife’s guardianship cases, state says

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The Office of Public and Professional Guardians has launched a complaint against Judge Martin Colin’s wife, Elizabeth “Betsy” Savitt, saying she abused her power as a guardian. The complaint also spells out how Colin had a hand in getting her earliest guardianships. (Madeline Gray / The Palm Beach Post)

Former Circuit Judge Martin Colin, his finances in shambles in the fall of 2009, asked an attorney who appeared regularly in front of him to step out from the courtroom into the hall.

There in the corridor, Colin’s wife, Elizabeth “Betsy” Savitt, waited. The judge then asked lawyer Sheri Hazeltine to represent his spouse, a tennis instructor who aimed to become a professional guardian — a court-appointed overseer of the finances, health care and living arrangements of incapacitated seniors and disabled adults.

Attorney Sheri Hazeltine 
“I can acknowledge there was a natural measure of fear involved, as any attorney would feel if asked to have this type of side conference with their home court judge,” said Hazeltine, a sole practitioner with a disabled son, recalling the conversation. “It was an odd thing for a judge to do.”

Now nearly a decade later, the state of Florida spells out in an administrative complaint how Colin, a guardianship judge, was involved in Savitt’s cases. Court records indicate that his was an invisible hand establishing his wife in the lucrative field.

The Office of Public and Professional Guardians is taking action against Savitt based on a confidential report by the Palm Beach County Clerk & Comptroller’s Office.

“While we can’t comment on ongoing litigation, the department takes seriously its statutory authority to investigate complaints made against professional guardians,” said Ashley Chambers, communications director for the Florida Department of Elder Affairs, which oversees the guardianship office.

“Guardians are entrusted with an immense responsibility, and we will steadfastly pursue disciplinary action – up to and including revocation of a guardian’s registration – when appropriate. Protecting vulnerable adults from exploitation or harm is our utmost priority.”

The guardianship office alleges Savitt abused her power as a guardian and violated state guardianship statutes regarding conflicts of interest because she was married to Colin and failed to disclose that fact. She is also accused of failing to act in good faith and behaving in a manner contrary to her wards’ best interests.

Savitt continues to serve on cases in which she should have been disqualified, according to the complaint.

Judge David E. French presides over a court hearing to enforce the 4th DCA’s ruling removing court appointed guardian John Cramer ... read more

Colin is not the only judge the state says Savitt had a conflict with: Judge David French, who oversaw many of Savitt’s cases, went on vacation with her at least once.

The state is asking an administrative law judge to impose sanctions on Savitt. Those penalties could include suspending or revoking her guardianship registration and ordering her to pay restitution. The complaint notes Savitt has earned $190,000 in fees in at least 13 cases in Palm Beach County.

Guardians cannot practice in Palm Beach County without being registered with the state, according to an order issued by the chief judge in the wake of a 2016 Palm Beach Post investigation involving Colin and Savitt, Guardianships: A Broken Trust.

A three-day hearing is scheduled for Wednesday in West Palm Beach.

The action against Savitt is the first of its kind against any guardian by the guardianship office, which was bestowed new regulatory powers by the Florida Legislature in 2016 after an avalanche of complaints about predatory guardians statewide.

The guardian office points to two of Savitt’s earliest guardianships in which Colin appointed Hazeltine as an attorney for another party and then Hazeltine’s actions paved the way for his wife to become a guardian or guardian advocate for a disabled adult. The state accuses Colin of improperly transferring cases to fellow jurists, avoiding random assignments by the clerk’s office.

In the case of a developmentally disabled woman, Carol Dobrzynski, now 75, Colin never entered an order of transfer and therefore was presiding when his wife was appointed, the complaint says. The clerk formally reassigned the case, involving a $290,000 trust, nearly four years later.

The signature above is that of Circuit Judge James Martz, who signed the order appointing Betsy Savitt guardian of Irving Stone. ... read more

The Post found another judge’s signature appeared on key orders in one of Savitt’s cases over the printed name of Judge Colin. Savitt tapped the joint account of the senior ward and his wife for $18,000 and overdrew it, leaving his widow complaining to the court to no avail, court documents show.

In another case, Colin appointed Hazeltine, positioning Savitt to take over a guardianship attached to a trust worth about $680,000.
 
Judge French approved at least four petitions for Savitt in which she had taken retainers from the life savings of her incapacitated wards without prior court approval and before doing any work, the complaint states.

According to a motion by the state, Savitt said in her deposition that she went on vacation with French, but Savitt’s attorney Ellen Morris denied in court papers that Savitt ever went on vacation with French.

The Post previously reported that French’s second ex-wife, Christine Connelly, said she and Judge French were friends with Colin and Savitt. The two couples had planned a cruise vacation, but it fell through when Colin didn’t have his passport.

Colin and French also often lunched together when both were on the bench in south county.
But French wasn’t the only one signing Savitt orders. The guardianship office’s complaint claims Colin signed orders in cases where Savitt was appointed as either a professional guardian or guardian advocate.

Colin denies conflict

Colin in 2015 told The Post he never presided over cases involving his wife. He also denied any conflict of interest in granting fee requests for attorneys who represented his wife and appeared in front of him in other cases.

Colin, though, recused himself from 115 cases that involved his wife’s lawyers in the last six months of 2015 after The Post started asking questions in its investigation. And the complaint uses the term “conflict of interest” more than 30 times.

Hon. Peter Blanc, 15th Judicial Circuit
Chief Judge Krista Marx said last month that the state’s complaint against Savitt is a rehashing of accusations that have dogged the guardian for years. But she did add that at the time Savitt was going to apply to become a guardian, then-Chief Judge Peter Blanc expressed concern to Judge Colin and told Judge Colin he should not directly oversee Savitt’s cases.

“There definitely came a time when Judge Blanc became aware of this issue,” Marx said.

Blanc said in his recollection Colin came to him to say Savitt would be a professional guardian. Blanc advised Colin to be sure his wife didn’t appear in front of him and that it would be up to other judges if they would recuse themselves or not from her cases.

Husband, wife communications

How extraordinary is this first-ever hearing on a professional guardian? Consider the wrestling match between the two sides prior to the hearing.

The guardian office asked for all communications Savitt had with her husband, Judge Colin, about the cases in question. It also sought from Savitt any communications and “photographs or video recordings” where Savitt is seen with current or former judges outside her work as a guardian.

As for the pillow talk, Morris, claimed spousal privilege for the upcoming proceeding to keep such communications secret — even though claiming that privilege would appear to support the state’s point that it was an inherent conflict of interest.

Morris’ response to the initial complaint asked the guardianship office to admit that there is “no law which requires a guardian to disclose a marriage to a judge who is not presiding over any of the guardian’s cases.” She also asked that the guardianship office admit that the orders Colin signed in Savitt’s cases were only “perfunctory.”
 
The guardianship office responded that Colin signed two mandatory annual plans for guardianships submitted by Savitt and denied that they were routine.

Elizabeth Savitt, left, and her attorney Ellen Morris listen during a hearing in the Frances Berkowitz guardianship cases at the North ... read more

Morris said in a court document that Savitt’s actions were not within the purview of the state guardianship office since it wasn’t established by law until March 2016. She challenges the clerk’s authority to determine how judges transfer cases and holds fast to her position that Savitt had every right to take retainers before doing any work.

“There are many court documents which disprove the allegations in the complaint,” Morris writes in Savitt’s objection.

Morris adamantly objected in a motion to the use of the clerk’s confidential report during the hearing, dismissing the report, saying it “contains hearsay … statements and conclusions that are highly objectionable throughout.” The administrative law judge, Mary Li Creasy, late Friday denied the motion.

Colin, Savitt and Hazeltine are listed as witnesses for the upcoming hearing. So is Anthony Palmieri, deputy inspector general for the clerk’s office.

Morris has defended Savitt as families repeatedly have alleged the guardian puts her and her attorneys’ own monetary wants above caring for the needs of their loved ones. The accusations from families include missingmoney, overbilling and unnecessary litigation to generate fees. No court has found Savitt responsible for any missing money or that she engaged in unnecessary litigation to generate fees.

Post asked 'to defer writing'

Savitt did not return a phone call or email, but in the past, dismissed The Post’s stories about her as “fake news.”

Colin said the allegations in the complaint lack merit but said he felt commenting on the allegations was inappropriate with the pending hearing.

“The Post was requested to defer writing a story on mere allegations against Ms. Savitt until the final hearing when all sides will be heard and the judge will make a decision,” Colin said in an email. “Regrettably, the Post said it was declining to wait, stating that the reporter was instructed to write the story before the hearing would be held. That is unfortunate but not surprising.”

After the publication of The Post’s initial investigation, Colin was moved out of the guardianship division. He later announced his retirement. All of Savitt’s cases were moved to the north county courthouse and the south county judges, including French, were directed to recuse themselves from Savitt’s cases. French also was moved to another division and has announced his retirement as of the end of this year.

Palm Beach County then adopted new requirements for guardians that addressed the problems highlighted by Savitt’s behavior — such as taking thousands of dollars as “retainers” from the life savings of her elderly wards without prior court approval.

Savitt’s reign as a guardian started when Colin approached Hazeltine in the hallway of the South County Courthouse in 2009.

“I was leaving the courtroom and he hopped off the bench and asked me to meet him in the hallway outside the courtroom,” Hazeltine recalled. “His wife was there and he asked me to sit down with him and her in a side conference room, just outside the courtroom. He introduced me to her and then asked if I would represent her in guardianship cases. That is how it began.”

At the time, the judge’s finances were marked by foreclosures, liens and unpaid debt. Colin even borrowed money repeatedly from a wealthy client — Helen Rosburg Rich, heir to the Wrigley gum fortune — from his days as a divorce attorney, records show.

Rich said she initiallty balked at one $20,000 request, and the judge threw a “diaper baby fit.” Securing the loan for Colin from Rich was his former law partner, Kirk Friedland, who was to net more than $500,000 fees in a probate case where he was appointed by Colin as a “neutral fiduciary” between warring heirs of the founder of the Wet ‘n’ Wild cosmetic line. In 2008, the IRS placed liens on Colin for about $67,000 in unpaid income taxes.

Another judge's signature

A look at Savitt’s early cases by The Post indicates Colin’s role in steering guardianships to his wife.
Irving Stone, 83, of Boynton Beach suffered from Alzheimer’s disease and was alive for only eight days during the guardianship, court documents show.

Colin appointed Hazeltine as attorney for Stone on Nov. 30, 2011, after Stone’s son petitioned to be the guardian. On the emergency temporary guardian petition filed two days later, the name of Stone’s son is crossed out and Savitt’s name written above in pen.

Colin’s name is printed on the order as the judge making the decision, but the signature is of Circuit Judge James Martz, The Post found in court documents.
 
Judge Colin then asked the clerk on Dec. 6 to transfer the case but makes the transfer effective five days earlier. But by that time, Savitt had already been appointed and taken the $18,000. Stone died four days later.

Court documents show Savitt received $3,240 in fees for less than two weeks of work as a guardian. Hazeltine got $4,600. Two other attorneys brought into the case were awarded fees for nearly $10,000.

The bill of Clifford Hark, who represented Stone’s children, notes he reviewed a “fax from Judge Colin.” He ended up charging more than $7,100 and would later refer other guardianships to Savitt.
“Retired Judge Colin never asked me to assist his wife in establishing herself as a guardian, nor did I ever assist her in establishing herself as a guardian,” Hark said.

Hazeltine’s bill notes that she was in touch with the judicial assistant, who instructed her to prepare a notice “so it reflects it is in front of Judge Martz.”
 
Jean Stone, the spouse for 17 years of the deceased and a retired school teacher, pushed back on the fees requested by Savitt and the attorneys. She said the guardian ignored her husband’s living will, which gave her power of attorney and named her his health care surrogate.

The widow Stone also demanded Savitt return $18,000 taken from a joint bank account, causing it to be overdrawn.

“This woman belongs in jail. She is just an evil, evil person,” said Jean Stone, now 87.

The widow said she first heard from Savitt by phone on Thanksgiving night 2011 — a week before the judge’s wife was appointed. “She said you better be in court at 8 a.m. or else,” Jean Stone said. “I didn’t know what to do.”

In her husband’s last days, she said Savitt showed up at her door with members of Irving Stone’s estranged family and a sheriff’s deputy at 2 a.m. Savitt demanded to take inventory of all the possessions in the home, but the widow Stone had her husband’s will leaving everything to her and the deputy would not allow the guardian to enter, she said.

As for the $18,000, Jean Stone said, “I figured that was lost. There was no way to recoup it.”

She said Savitt treated her — the wife of a dying man —“like I was that something that crawled out from under a rock. They (Colin and Savitt) deserve to be punished.”

Another early Savitt guardianship involved Jennifer Keller, a woman who suffered from schizophrenia and who, according to documents, had a $680,000 trust after a personal injury settlement that financed her guardianship.

Keller was 48 when she called Hazeltine in September 2009, wanting out of an assisted care facility full of elderly people that her current guardian had placed her in. In addition to her mental illness, Keller was a diabetic and had to have kidney dialysis. The administrators of the trust had sought the guardianship after Keller was involuntarily hospitalized and wasn’t taking care of herself.

It was around the same time Colin had asked Hazeltine to be his wife’s lawyer.

Colin appointed Hazeltine to represent Keller. Within the year, Hazeltine was to initiate proceedings to remove Keller’s guardian and bring in Savitt. The guardianship office’s complaint says Colin entered an “order of transfer” to Circuit Judge Charles Burton and bypassed a random assignment by the clerk’s office.

Documents showed that the administrator for Keller’s trust paid $25,000 a year for the guardianship in 2008.

Other accusations against Savitt in the complaint include her promise incorporated in a court order that she would serve as a co-guardian to Wendy Schmid — a 45-year-old mentally disabled woman — without compensation, only to later submit a petition and be paid $903 from a ward whose income was about $1,000 a month from Social Security.

Morris in court papers says that Savitt indeed agreed to take no compensation and received money but denied it’s a violation of the court’s order.  (Continue)

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Aretha Franklin's lack of a will could make things rocky for heirs

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LOS ANGELES (AP) — Aretha Franklin was so hard-nosed in her business dealings that she demanded to be paid in cash before performing. Her heirs won't have it so simple.

Though she lived to 76 and was terminally ill with pancreatic cancer, the Queen of Soul died without a will.

As her four sons and other family members move on from Friday's funeral in Detroit, they're left with the potentially tall task of finding out how many millions she was worth, and divvying it up, a process that could take years and is likely to play out in public.

Estate law experts expressed surprise but not shock that a wealthy person like Franklin would put off making a will until it was too late. At least one of the singer's attorneys says he urged her repeatedly over the years to draft one.

"I tried to convince her that she should do not just a will but a trust while she was still alive," says Don Wilson, a Los Angeles lawyer who worked on entertainment matters for Franklin for nearly 30 years. "She never told me, 'No, I don't want to do one.' She understood the need. It just didn't seem to be something she got around to."

Laura Zwicker, an attorney who specializes in estate planning but is not affiliated with the Franklin estate, says she sees it happen all too often in her work.

"People don't like to face their own mortality," Zwicker says. "I had a client who had a $70 million real estate portfolio who had had end-stage diabetes. He had plenty of conversations with me about estate planning but would not sign the documents."

Papers filed in Michigan's Oakland County court last week by David J. Bennett, the lawyer who worked most closely with Franklin, lay out the few known basics:

She was not married and left four sons, ages 48 to 63: Clarence Franklin, Edward Franklin, Kecalf Franklin and Ted White Jr. Clarence, Aretha's eldest, is incapacitated and is represented by a guardian. And a niece of hers has accepted the role of executor.

Under Michigan law, as in most states, the sons will equally divide their mother's assets in the absence of a will, and so far no signs of conflict have emerged among family members. Bennett did not respond to phone and email messages seeking comment.

Aretha Franklin's friend Ron Moten, a Michigan businessman, gave the four sons some guidance in his speech at Friday's funeral.

"Remember your family, and friends that have been with you for years," Moten told the men. "Because you are about to meet a lot of people who will now want to be your new best friend. You will also meet some people that will have the best investments in the world for you. My advice? Go slow, be careful and be smart."

The documents make no mention of the value of Franklin's estate. The figure almost certainly runs into the tens of millions, but there will probably be widely varying estimates as her attorneys seek to downplay her wealth for tax purposes and the IRS tries to maximize the amount for its own reasons.

Franklin maintained ownership of the songs she wrote and did well by them, Wilson says, though of her major hits, "Think" is the only one that's her own composition. She also wrote some lesser hits, such as "Rock Steady."

Though her records were played millions of times, she earned little in radio royalties from smashes like 1967's "Respect" because such payments go overwhelmingly to the song's author, not the performer. In the case of "Respect," the royalties go to the estate of Otis Redding, even though the song owes nearly all its popularity to Franklin.

"I would imagine she probably felt she was entitled to more, but probably received more than a lot of artists from the time, especially African-American artists," Wilson says.

Among Franklin's more tangible assets are several pieces of property in the Detroit area that according to tax assessors' estimates are worth at least $2 million, with a market value that could easily be twice that.

Once the value is established — a process that could take years — the IRS will take any back taxes Franklin owed, then will tax her estate at 40 percent for any assets beyond $11.2 million.

Kenneth Abdo, an attorney who specializes in probate law and has worked on the estate of Prince, who also died without a will, says the IRS will conduct an audit of her holdings.

Wilson, her entertainment attorney, says she would not have wanted to see her finances publicly aired: "She was a private person."

As for why some clients don't make out a will, Zwicker said some heirs, like Franklin's son Clarence, may need more than others, and that can be a difficult and touchy decision for a parent.

"One arrangement may be fitting for one child, where other people need more help," Zwicker says. "To accept that and put it on paper can be hard for a parent."

Full Article & Source:
Aretha Franklin's lack of a will could make things rocky for heirs

This is Not Your Grandma's Retirement

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By Joan Hunt

Grandma Minnie always had a jar of chocolate chip cookies on hand. If you dropped by her house and she wasn’t home, Mr. Burling next door, or Cora across the street, always knew where she was—and they would offer you a lemonade, so you could go sit on her porch swing and wait for her to return. She always had a lap to sit on, an ear to lend, and good advice if you asked her for it. For as long as I can remember, she sold Avon door to door in her little town of 580 people. A talker, she exchanged more conversation than products, but my dad and my uncles had her back financially, so the Avon was mostly to make her feel independent.

Grandma didn’t retire at a specific point, because she had never really worked outside the house. She raised a family, and after my grandfather died she found ways to stay valuable. She took in boarders, volunteered at the church, and would take any of her nine grandchildren for a weekend or so to take the burden off their families. I was lucky enough to earn that honor quite often. And in those days, I vowed to be just like her when I became a grandma. It seemed like she had all the time in the world, and no matter how busy she was, you could always get her attention.

Flash forward. After decades of editorial deadlines and juggling work, kids, household chores, and personal needs, I wake up wired for activity. That is after three years of being retired! Sometimes I dream about all the things I must accomplish during the day, just as I used to do when I was responsible for 15 weekly newspapers and a staff of a dozen people. In the morning, my partner, also retired, does the crossword puzzle with his coffee, while I read a few pages of my current novel.  Then we hit the ground running. We often skip breakfast because it takes too much time.

Three days a week, we babysit his three grandchildren. One day a week, I take one of my grandchildren for the day. We often take kids to their doctor’s or dental appointments or run errands for our children who are at work. We have a beautiful yard, a garden, and a koi pond that require a lot of maintenance. We take the dog to the dog park almost daily. My partner does taekwondo, I exercise, we walk a lot. I freelance for the local paper and two other clients. We also have a beach house in Old Lyme, which is about an hour away. In the summer, we try to get down there as often as we can—and, of course, it requires regular maintenance, as well as our home. Are you exhausted yet?

The other day, it occurred to me that we are working so hard at retirement we aren’t enjoying it. We’ve just turned it into another job. Many of our retired friends are just like us, so I have determined that it is a real “thing.” We need to chill out. But how? All these responsibilities are valid, and I don’t see them going anywhere. What needs to change, I have decided, is our mindset.

Most of us gauge our value in life by what we accomplish. We pride ourselves on being able to juggle activities. And my generation wants to remain vital and self-reliant for as long as we can. “Use it or lose it” is our motto. I think we are afraid to stop and smell the roses.  But if not now, when?

I can’t help contrasting my lifestyle with my grandmother’s. She got just as much done, but she wasn’t neurotic about it. And I think the difference is that her generation didn’t feel guilty about renewing themselves. After mowing the grass, Grandma might sit on the front porch for an hour or more with a magazine, or a neighbor, or maybe singing silly songs with one of us kids if we were there. She could lose herself playing the piano for half the afternoon. Work ended with dinner dishes. Sundays were for family entertainment: ballgames, the movies, a picnic in the backyard. The ebb and flow of life for her was not goal-oriented, it was grounded in common sense. Relaxation was part of that.

So, at 70, I am teaching myself to relax. I have taken up drawing and painting as a hobby, and now I am working on not feeling guilty about the time it takes. I have a charming little studio in the loft where I can lose myself for half a day if I want. What I am turning out up there may not be all that valuable, but it makes me happy—and that is the quality I most identify with my Grandmother Sahling.

Full Article & Source:
This is Not Your Grandma's Retirement

Assembly passes Stern’s bill aimed at helping ‘the most vulnerable’

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An effort to help Californians most in need, authored by Sen. Henry Stern, D-Canoga Park, passed the Legislature on Thursday, and is now headed to Gov. Jerry Brown for a signature.

Senate Bill 1045 would establish a five-year pilot program authorizing San Francisco, Los Angeles and San Diego counties to create a conservatorship focused on providing critical services and housing to the most vulnerable, who suffer from mental health and substance abuse issues, and who cannot care for themselves.

“Currently, local governments’ hands are tied when gravely disabled Californians experiencing homelessness refuse services,” Stern said. “The old model of conservatorship doesn’t give us the flexibility we need to address the crisis.”

A conservatorship is a court case where a judge appoints a responsible person or organization, called the “conservator,” to care for another adult, called the “conservatee,” who can’t care for himself or herself or manage his or her own finances, according to the Judicial Council of California’s website.
The bill, which was also supported by Scott Wiener, D-San Francisco, essentially expands and strengthens existing California conservatorship laws. 

“People who can’t help themselves are dying on the streets, and our communities suffer with them,” Stern’s office said in a news release. “This law will give our local leaders the power to update and modernize our antiquated and inhumane conservatorship system.”

The five-year pilot program would focus on housing with wraparound services to care for those who are mentally ill or otherwise unable to care for themselves. Under the bill, a county’s Board of Supervisors would have to opt in to the program by a vote via resolution, as is the case under Laura’s Law, and ensure that no resources dedicated to voluntary services and programs are curtailed or diverted in order to support this conservatorship.

Once a county votes to establish such a program, in order for an individual to be considered for conservatorship, an individual must be suffering from serious mental illness and substance use disorder, such that those co-occurring conditions have resulted in frequent detentions under a 5150 hold, or frequently being held for psychiatric evaluation and treatment.  

Los Angeles County officials, through 5th District Supervisor Kathryn Barger’s office, said Thursday they brought forth competing legislation, AB 1791, which was held on the Assembly floor due to concerns over amendments that were added to the bill in the Judiciary Committee, according to Eric Matos, Barger’s deputy in charge of health and legislative affairs.

Matos said both bills work to address issues surrounding conservatorship that have been brought to officials, “particularly, around (the term) grave disability, the concern where individuals who are in need of treatment and they’re having chronic issues, they’re not qualifying for a conservatorship because the current definition lacks the clarity needed.”

The current law is subject to interpretation, Matos said, noting the qualifications for someone to need a conservatorship state an inability to provide one’s self with food, clothing and shelter, however, the definition of shelter, i.e. a home and a lean-to under a freeway underpass could both be considered shelter, as an example.

The bill by Stern and Wiener also requires San Francisco, Los Angeles and San Diego counties to form working groups to assess the effectiveness of this new conservatorship, including collecting data that would be used to determine the effectiveness of the five-year pilot program. 

Full Article & Source:
Assembly passes Stern’s bill aimed at helping ‘the most vulnerable’

Judge Defers Ruling on Tim Conway Conservatorship Amid Dispute Over Care

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A Los Angeles judge issued an order Friday preventing ailing actor/comedian Tim Conway from being moved to a different medical facility amid a growing dispute between his wife and daughter over his care.

Los Angeles Superior Court Judge Robert Wada did not immediately rule on a request by Conway’s daughter, Kelly, to be appointed as her father’s conservator. She has argued in court papers that the actor best known for his work on “The Carol Burnett Show” suffers from dementia and is completely unresponsive.

She expressed concern in court papers obtained by the website The Blast that Conway’s wife, Charlene, was planning to move him out of his existing care facility, where he has a private room and receives around-the-clock care. She argued that such a move would be “harmful to his health and life,” according to the court papers.

But Charlene Conway — who married Tim Conway in 1984 — denied in court papers that she has any plans to move her husband. She claims Kelly Conway’s request to be named conservator was based on a shoddy medical report based on “conjecture” and fabrications.

Attorney Michael Harris, who was appointed to protect Conway’s interests in the dispute, wrote in a court filing that he spoke to Charlene Conway, who also told him she had no intention of moving the 84-year-old actor, according to papers cited by The Blast and People magazine.

“Her concern now is for Mr. Conway to receive proper physical therapy so that he can better improve neurologically,” Harris wrote in his court papers. “It is my present belief that Mrs. Conway, my client’s wife, is an adequate and appropriate steward of her husband’s well-being and that her motives regarding Mr. Conway are in his best interest.”

Harris wrote that Conway suffers from “fluid on the brain” and is unable to communicate.

Wada scheduled another hearing in the matter for Sept. 7. But he ordered that “Mr. Conway’s residence shall not change pending the next hearing.”

Kelly Conway issued a statement after the hearing praising the decision.

“We are grateful to the judge for taking this matter seriously by considering all the evidence before making a decision,” she said. “We appreciate the overwhelming support and love we have received from my dad’s friends and fans.”

Questions about Conway’s health and his care prompted comedian and television legend Bob Newhart and his wife, Ginnie, to issue a statement on social media last week, saying, “We have been friends with Charlene and Tim for many years and want to assure you that he (Conway) is receiving the most devoted care.”

Conway was a performer on “The Steve Allen Plymouth Hour” in the 1950s before landing a role on the comedy series “McHale’s Navy.” But he shot to fame with his work on “The Carol Burnett Show,” with his comic antics often causing on-screen bouts of laughter by co-star Harvey Korman.

In addition to Kelly, Conway and his first wife Mary Anne Dalton had five other children. They divorced in 1978.

Full Article & Source:
Judge Defers Ruling on Tim Conway Conservatorship Amid Dispute Over Care

See Also:
Tim Conway, 84, Suffering from Dementia: He's 'Almost Entirely Unresponsive,' Says Daughter

Tim Conway's daughter gets temporary restraining order against his wife over star's care

Tonight on Marti Oakley's T. S. Radio Network: Abolishing Probate with Teresa Kay-Aba Kennedy

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

In 2012, Dr. Lillie Sykes White, was entrapped in an involuntary guardianship by a "family friend" in Florida in order to control her Trust. The estranged granddaughter joined forces with him and waged a multi-year campaign to strip away her grandmother's rights. Dr. White called her only living sibling, Janie Sykes-Kennedy, for help and they have been fighting back the granddaughter and a team of attorneys ever since. In Orange County, where the case started, Ms. Sykes-Kennedy was named Limited Guardian and Trustee per her sister's request. Exploitation escalated when the case was moved to Flagler County where Dr. White lived. Judge Margaret Hudson suspended and then removed Ms. Sykes-Kennedy and unnecessarily appointed three court agents--a Guardian, Attorney ad Litem and Guardian ad Litem--all paid out of Dr. White's assets. On August 30, 2016, Dr. White was abducted by the Guardian and Attorney ad Litem and the family has not seen her since--for over two years. The team of attorneys, including the court agents, are billing large sums against her estate. Dr. White's 90th birthday is on September 6, 2018 and the family wants to celebrate with her but they don't know where she is being sequestered. The family is seeking federal intervention.

Bio: Teresa Kay-Aba Kennedy, or Terri, is a Harvard Business School-trained strategist, entrepreneur, award-winning author and former Vice President at MTV Networks. As President of Power Living Enterprises, Inc., she offers strategy consulting, executive training and motivational content. In 2009, she was named a Young Global Leader by the World Economic Forum recognizing her “professional accomplishments, commitment to society and potential for shaping the future of the world.” You can learn more at terrik.tv. she is an Elder Justice advocate and launched www.elderdignity.org in 2016.

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Elder abuse reports, substantiations up in Pennsylvania

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A decade ago, investigators substantiated 159 elder abuse cases reported to the Pennsylvania Department of Health. Last year, the number was 1,018, more than a six-fold increase.

The number of abuse reports is up, too. More than 4,200 suspected cases were reported in 2017, a nearly 45 percent rise since 2008.

But agency regulations that shield caregivers from providing even basic information to the public mean little is known about the kind of elder abuse that is prevalent, who is reporting it and what type is more likely to be substantiated.

State officials were at a loss to explain the surge in reports.

"The Wolf administration and the department are committed to ensuring safety for seniors, which includes residents of nursing homes," Nate Wardle, a Health Department spokesman, said in an email. "There is no way of knowing what has caused the increase in reported abuse cases over the last 10 years."

Advocates, however, saw a silver lining.

Diane Menio, executive director of the Center for Advocacy for the Rights and Interests of the Elderly, or CARIE, credited greater awareness for the nearly 60 percent increase in reporting from 2,689 in 2016 to 4,236 last year.

"It's in the news; people are watching and seeing they can make complaints," Menio said.

That wasn't always the case. The Health Department had halted anonymous complaints - even though federal law required the department accept them - for nearly three years. Since reinstituting anonymous complaints in 2015, reporting has steadily climbed.

Still, elder abuse is widely believed to be underreported.

An oft-referenced study out of Boston by the National Research Council touted by advocates as evidence of underreporting estimated only 1 in 14 incidents of elder abuse is reported, and even fewer for financial exploitation, 1 in every 25.

Even though Menio and others - including an industry association and lawmakers - interpreted the increased reporting as a good sign, she also expressed concern that the percentage of substantiated abuse cases - while increasing - remains stubbornly low, only 1 in 4.

"As ombudsmen we struggle with this, that things aren't getting substantiated," Menio said. "It's my sense that they don't get reported unless it's pretty serious."

And what frustrates Menio is that Health Department investigators, she said, do not trust CARIE's ombudsman.

When conducting a performance review released two years ago, state Auditor General Eugene A. DePasquale found staffing cuts and revised policies had negatively impacted the agency's ability to prioritize and respond to complaints.

Full Article & Source:
Elder abuse reports, substantiations up in Pennsylvania

Bedsores, neglect, alleged abuse: Inside low-rated VA nursing homes

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Helga and Charles Amidon
BEDFORD, Mass. – The nurse’s aide was busy getting a patient ready for bed when she noticed a commotion behind a privacy curtain on the other side of the room. She heard Russ Bonanno, a 94-year-old veteran, shout, “Ow, ow, ow.”

“It sounded like fighting,” said Julee, who asked that her last name not be used out of fear of retaliation. When she went to check what was happening, she saw another aide trying to hoist Bonanno from his wheelchair to his bed, normally a two-person job.

Julee said she watched the other aide simply toss the elderly dementia patient onto the bed.
“Let me tell you how brutal that guy was with the veteran,” Julee wrote to her supervisor two days after the alleged incident May 18. “After he was done, (we) went and checked Mr. Bonanno. The guy was wet. Everything needed to be changed.”

The aide accused of roughly handling Bonanno quietly resigned, but Julee, the aide who blew the whistle, was fired two weeks later. She said her supervisor told her she had attendance problems.

Welcome to one of the lowest-rated nursing homes for veterans in the nation run by the U.S. Department of Veterans Affairs. The facility, at the VA hospital in Bedford, Massachusetts, is among 11 nationwide to earn the lowest-possible one-star rating from the agency based on both overall quality and the results of surprise inspections. The ratings are on a scale of one to five, with one being the lowest.

The others are scattered from Lyons, New Jersey, to Prescott, Arizona, and from Dayton and Chillicothe, Ohio, to Tampa, Florida. 

Full Article & Source:
Bedsores, neglect, alleged abuse: Inside low-rated VA nursing homes
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