Tuesday, October 21, 2014

"SanStone our passion makes the difference" Really !!!!

October 19, 2011, that was the day they moved mom from Memorial Mission Hospital to Hendersonville Health and Rehabilitation. It finally looked as if she was headed down the road to recovery. This time she was strong enough to actually benefit from the rehabilitation and physical therapy sessions.

It was later in the afternoon on that Monday when she arrived at Hendersonville Health and Rehabilitation. I remember my sister and I were there when the cna came in to get her personal information. Everyone felt that Mom was going to overcome the effects of the surgery and return home. It was apparent that it would still be a while, but she was expected to make a full recovery!
I will never forget the first night, sitting there and hearing the woman across the hall screaming. I am sure Mom was probably scared to death. Her fear was that she would die in a nursing home. We were all convinced that was not going to happen. I would guess that she did not sleep much that first night due to the screaming and howling across the hall.

The next day Mom got a roommate, she was very nice and a visit to Mom included a visit to her as well. She was in Hendersonville Health and Rehabilitation just for iv medication, I would guess her age somewhere in the late 30's to early 40's. She was a blessing, she would always try to help Mom when she was able.

The first week was an educational experience for all of us. After Care Partners and Mission Hospital, someone from the family would be there most of the day. My sister spent the night in a chair for the first couple of days. Someone would stay and help Mom with dinner, and stay till nine or so.  As Mom gained her strength back we started to feel more comfortable leaving her alone at night.
The roommate would fill us in the next day about how the night went. Everything seemed to be going well.

Mom was participating in the therapy and doing great. When I would visit in the afternoon, she would be in therapy. Mom was doing everything she could to get out of there. She was still needing help toileting as she could not see very well. Then one during my morning visit, I was going to help her to the restroom and when she pulled back the covers she was naked from the waist down. I got one of the cna's to assist her and dress her.

 I went to the director of nursing, Susan Habel, and was told that sometimes they have to let them "air dry ". This was when we started to notice certain things were not right. One afternoon, Mom  asked my brother to see if she could get a shower, said she was getting "fragrant ". He spoke to the cna on that hall and she said she had three or four others waiting but she would make sure Mom got a shower. Mom had a voice recorder and one of her recordings stated that it was three o'clock in the morning and she had not had her shower yet.

We complained and a meeting was scheduled with the social director and Susan Habel RN the Director of Nursing. I was not able to attend the meeting, but my sister and brothert did. There was no mention of the problems we had discussed, they just started talking about Moms discharg.
Thats when things got serious, Mom fell on the 29th of October, 2011. Hendersonville Health and Rehabilitation called my sister and informed her of the fall and supposedly informed Dr. Larry Joe Russell. According to which one of Dr. Russell's statements you read. One says he saw her as he would any patient who fell while he was on site, the other says he did not see her and that he agreed with the nurses evaluation that she didn't need to be seen. Both these statements are in the NCDHSR investigation of our complaint. I tried to get them to explain how DR. Russell did both see her and not see her in the same day? I was totally blown off by the NCDHSR. Their report is full of lies and falce statements. From their own documents I believe it is obvious that the "investigation" wasn't taken very seriously by the NCDHSR. I'm sure they see this kind of stuff regularly, and just turn their heads. I dont know how Todd Davis, Kim Britt and Paul Yockey of the NCDHSR can sleep at night.

I bet none of them could sleep at Hendersonville Health and Rehabilitation. I gurantee you their parents will never end up in Hendersonville Health and Rehabilitation either. My Mother died three years ago in Hendersonville Health and rehabilitation. Her greatest fear became a reality. The cause of death had nothing to do with what she had been admitted for. The real cause of death is the low staff levels at Hendersonville Health and Rehabilitation.

The company who operates Hendersonville Health and rehabilitation is SanStone Health and Rehabilitation. Their telivision and print ads state " Sanstone, our passion makes the difference ". I guess their passion is to run substandard homes with low staff levels and get rich. My Mom is gone and I am at peace with that.  It's just that people need to open their eyes and see who these people really are. Thats what drives me to continue on my quest for the truth, I welcome any help!

Tuesday, October 14, 2014

NCDHSR and Hendersonville Health and Rehabilitation, Volentary Manslaughter ?

Three years ago, I would never have imagined I'd be writing about these issues. Like most people I assumed that the people watching out for the elderly were actually doing their jobs. That is the furthest thing from the truth. As I learned how slack the NCDHHS regulations were on nursing homes, and how they were not even enforcing them, the journy began.
I never would have dreamed I'd have any reason to call the the State Bureau of Investigation, the
NCDHHS, two different Congressmen, the NC State Medical Examiner, Centers for Medicade and Medicaid Services, The Office of the Inspector General, NC State Medical Board and NC Board of Nursing. And if you told me I would have two meetings in the office of the F.B.I., I would have told you you were crazy.
But that was three years ago. And believe it or not, the above is just a partial list of people I have spoken to. Anyone heard of the office Ombudsman, Carolinas Center for Medical Excellence, NCI Advancemed, North Carolina Department of Medical Assistance,
My Mother died in the hands of greedy nursing home owners and theives at Hendersonville Health and Rehabilitation. In the days following Mom's death, I started to see many reasons for concern. Questions were only fueled by the number of people who had died in that same facility in just a few months time. I origionally counted eighteen in a little over two months. That seemed to be a lot of deaths for a "Health and Rehabilitation" facility. Maybe they should change the name to "Hendersonville if you're lucky you get out alive and Rehabilitation".
As time went on, I was more and more convinced that something had gone wrong and Mom did not die a natural death. Immediatly I questioned why the death certificate was signed by Dr. Larry Joe Russell instead of the Emergency room doctor. I was told Dr. Russell was Mom's doctor at Hendersonville Health and Rehabilitation which was a surprise because no one in the family had ever met him or heard his name.
While picking up the death certificate for the estate paperwork, I looked through the books at the courthouse. Dr. Larry Joe Russell has signed a whole bunch of death certificates. Over two thirds of them, the cause of death is listed as "failure to thrive". Most of them died in one of Henderson County's many nursing homes. Dr. Russell is the Doctor of record at all the local homes and the medical director at the Laurels of Hendersonville.
I cant prove what happened to Mom was not due to natural causes. What I can prove is that the medical records from Hendersonville Health and Rehabilitation are incomplete, inacurate and sometimes just false. I can also prove that Dr. Russell never saw her.
Mom's medical records prove that they are playing games with medications, and committing Medicare fraud. I can also prove that the North Carolina Department of Health Service Regulation, a division of NCDHHS, is allowing this to happen. I have documents that indicate that the NCDHSR is committing Medicare fraud by allowing them to operate without true regulations.
With all that said, I have been unable to get any response from any of the agencies listed above. Not the NCDMA, CMS, OIG, CCME, OIG, NCBON, NCME, FBI or the NC Medical Board. The one thing that keeps holding me back is the ficticious report by the NCDHSR and subsequent " medical review. The NCDHSR should be charged with volentary manslaughter and the investigators prosecuted.
I currently have a request with the Freedom of Information Act for a complaint inspection of Hendersonville Health and Rethabilitation that was completed the day before Mom died. The status of that request is pending since March of this year. My brother has a Freedom of Information Act request for documents from NCI Advancemed that has been pending since September 2013. They are all trying to keep us from finding out the truth.


According to one publication Dr Russell had seen over 4000 patients in the year 2012. That doesn't account for his stable of FNP's and PA's. According toa study from The Annals of Family Medicine, one doctor can reasonably help 983 patients in a year working solo. As part of a team, delegating tasks properly, the same doctor could reach 1,947 patients.
Even if you include his "team" thats more than twice what the Annals of Family Medicine says they reasonably see in a year. Maybe thats why so many of Doctor Russell's patients die.

Wednesday, October 1, 2014

SanStone, Care Partners, Hendersonville Health and Rehabilitation, licensed to kill by the NCDHHS ????

After twenty one days at Care Partners, they decided that Mom was ready to go home. She was still not eating well and was barely able to walk. Again, if someone in the family had medical power of attorney we could have disputed the release.
Care Partners did little to rehabilitate Mom, they simply put her in a room and kept her from falling out of bed. They did not help her eat and the rehab was a joke. The simple truth is Mom was not ready to be released. She was forced out of Mission hospital before she was ready and now Care Partners was doing the same thing. If someone had medical power of attorney we could have
protested her release. They would have had to reevaluate and Medicare would have had to pay for her care during the process. But twenty one days is twenty one days, and Mom wanted to go home.
Care Partners did help with obtaining all the necessary home medical supplies, from their recommended providers. I would not be surprised to learn that the providers were owned by the same people as Care Partners.
Mom was released from Care Partners and sent home. She was still unable to care for herself and the family tried to take over where Care Partners left off. My sister spent the night sleeping in a chair at the foot of Mom's bed, and each of us helped when we were able. Mom was able to stay in her house for a whole week before she was readmitted to Memorial Mission Hospital. Proof that her initial release was premature. This time they kept her for about two weeks and then they sent her to Hendersonville Health and Rehabilitation.
Mom was admitted to Hendersonville Health and Rehabilitation on October 19, 2011. Her doctor, according to the records was Dr. Larry Joe Russell. I have obtained a copy of Mom's records and there is no indication that Dr. Russell Ever laid eyes on my Mother. There are no notes from Dr. Russell in all of her records. Anything that had to be signed by her doctor has Dr. Russells initials on it, usually three to ten days after it's origional date.
Hendersonville Health and Rehabilitation is operated by SanStone Health and Rehabilitation. SanStone Health and Rehabilitation is owned by Christopher Sprenger and Michael Deloach. The Sprenger family owns numerous nursing and rehabilitation facilities, starting in Ohio. Sanstone is spending lots of money advertising, their slogan is " Our passion makes the difference". I would have to agree with that statement, their passion (for making money) is why the care is substandard in their homes. Can you say understaffed? Go into Hendersonville Health and Rehabilitation on the weekend, early in the morning, or after seven at night. Try to find a nurse or cna when you need one. It really doesn't matter when you go, there is never enough staff.
According to the North Carolina Division of Health Service Regulation, they are required to post the staffing details in a public place. I was never able to find where they posted it, and when I did it was out of date. I requested a copy of the staffing reports for the dates Mom was in Hendersonville Health and rehabiloitation. They sent me the information, twenty one days of a form that was filled out in the same handwriting every day. I doesnt break down the times or anything, just the total number of hours worked in a day. What they do is put the majority of staff on in the daytime when people are most likely to be visiting.
It is important that anyone reading this understands that this has been going on for three years. My brother and I have spent countless hours going through the medical records. We could also write a book on what we know about the way nursing home ownership works. We have made numerous attempts to get the NCDHSR to hear our case, to no avail. I have gone so far as to send a certified letter to Aldona Vos, the secretary of the NCDHHS. I received a letter from her chief of staff stating that the matter was closed.
Lets just say that there were things in the records that were not accurate, or even incriminating, wouldn't they want to know. Keep in mind, they are responsible for licensing and inspecting these homes. Who am I supposed to go to if there is something the NCDHHS did, that needs to be explained? There is not one governing authority that will allow me to show them the information I have. So much for representation! 



Footnote:
Thomas Franke, Chairman of the board of Care Partners is also on the board of Omega Health Care Investors. Omega is a major player in the healthcare business as is Mr.Franke.
There was a time when the governing authorities would take a look at Mr. Franke and all of his business relationships. That was before corporate contributions took over our government. It would take an act of congress to get anyone to question Mr. Franke's  financial relationships. The irony is that Congress is basically in the pockets of Mr. Franke and people like him so that will never happen. God help us all!