Thursday, May 21, 2015

NCDHSR, are they the death panels we were warned about during the last election.

Well we finally received the information we have waited two years to get. The information is concerning an investigation done by NCI Advancemed. The investigation involved Hendersonville Health and Rehabilitation and Dr. Larry Joe Russell.
Finally a government agency that actually does something, actually a government contractor. Their job is to verify Medicare benefits and maintain integrity in the program.
It seems that the issues that were not substantiated by the NCDHSR, are questioned repeatedly by NCI Advancemed. The issues that we had been raising with the NCDHSR for over three years were almost all addressed in this report. Imagine that,an agency that actually reads the records and questions the answers.
Possibly the single most important issue is the records from the night Mom fell. I have always believed that the " late entry " nurses note was created simply to avoid the State Medical Examiners requiring an autopsy. The one thing that could have proved my suspicions was the facility incident report. This is considered an internal document and was not included in Mom's records. The administrator of Hendersonville Health and Rehabilitation , Paul Shogren refused to share them with me when asked.
Imagine my surprise that according to the investigation, the original entry didn't match the nurses late entry. Not only did it not match but according to NCI Advancemed there was more added to the incident report in different hand handwriting! None of the entries were dated or signed.  It specifically states that Mom fell while trying to ambulate to the restroom, contradicting the "late entry where the fall was witnessed by Lara Mooney. In Lara Mooney's "late entry" she states that mom was sitting on the side of her bed and slid to the floor before she could get to her.
Is it a coincidence that this "late entry " was created after I asked the NC State Medical Examiners office to consider an autopsy based on the fall, and two days before I received their refusal? Is it also a coincidence that the "late entry" was faxed from Hendersonville Health and Rehabilitation to somewhere only two days before that refusal? I think it is obvious that the folks at Hendersonville Health and Rehabilitation falsify documents to protect themselves. It is also obvious that the NCDHSR who investigates them is so used to seeing this kind of thing that they just ignore it.
NCI advancemeds' investigation found several deficiencies, and they are not even trained to look at those kind of things, they basically work with numbers. It has always been obvious to me that the NCDHSR was covering for Hendersonville Health and Rehabilitation, Now after reading the reports from NCI Advancemed my suspicions are confirmed.
You may ask, is there any real harm done if the NCDHSR looks the other way during their inspections. I would venture to say that the 189 people who died at Hendersonville Health and Rehabilitation in 2011 might say yes. Along with the ones who died at Hendersonville Health and Rehabilitation but were sent to Pardee to be pronounced. That is what happened to Mom, she had not had a heartbeat or breath for over twenty minutes and was still sent to the ER and billed for their services as well as the ambulance. Looks like fraud to me.
Is it normal for a health and rehabilitation to lose a patient every other day? I cant answer that I only have figures from Hendersonville Health and Rehabilitation. I am assuming that most of them had the same doctor, Larry Joe Russell. He and his staff of PA's and FNP's are the ones who see most patients there. I personally wouldn't let Dr. Russell treat me for anything, statistics would prove my chances better with no treatment at all!
I have lots more information to share from the recent FOIA documents, keep watching it gets better.

Tuesday, May 5, 2015

Shame on Dr. Larry J. Russell and Hendersonville Health and Rehabilitation

As the the school year comes to an end, I have one son finishing his freshman year in high school, and one graduating from college on the 8th. Their Grandmother would have been very proud of both of them. I feel sorry for them that Mom wont be there to share in their joy. She wasn't at my niece's wedding last May, or any other special events that she would have loved to attend.
I know she is looking down from above with pride as she watches all her children, grandchildren and great grandchildren and all their accomplishments. I know they all know how proud she is of each of them as well.
I think a lot about what happened with Mom at Hendersonville Health and Rehabliltation. I think about the lack of care that was provided by Dr. Larry J. Russell. I feel sorry for the others that this has and will continue to happen to. If these people are allowed to provide substandard care and get protected by the government agencies that are supposed to regulate them. There are going to be a lot of empty seats at graduations, weddings and Holiday meals!
Death of a parent is a major event in life. I lost my father in 2008, and it was life changing to say the least. However over the years it has changed me but I am at peace with his passing. Mom's death is another story. I cant even begin to explain how it feels to suspect that Mom didn't have to die. If they had taken proper care of her she would be going to my son's graduation. Of course, Dr. Russell would say that sudden death is  common in that age group ( Mom was 76 ). And the NCDHSR would say they found no deficiencies at Hendersonville Health and Rehabilitation. Although we have found several deficiencies that can be proven simply by the records. The NCDHSR wont even consider anything we could provide because of the time that has lapsed. The records are the records weather they are from today or five years ago.
If nothing is wrong with the inspection done by the NCDHSR, why did all the key players get transferred or disappear. Gail Maloney, the Western Regional Director of the NCDHSR , retired right after I met with the FBI. Susan Habel, the director of nursing at Hendersonville Health and Rehabilitation, and Lara Mooney , the nurse that wrote the fictitious report of the fall, both gone. The medical examiner in Asheville who examined Mom at the mortuary, retired. Even the original FBI agent I spoke with transferred to another office.
Why did the NCDHSR review team write two different versions of their findings? Did they actually even look at the information? Neither of the versions they sent were accurate it was like they mixed the whole thing up.
I'm sure none of this really matters to the average reader, but trust me one day it will. We are all getting older , and this is a serious matter. No one is looking out for the elderly in these homes. There is no safe place for Mom or Dad when you can no longer take care of them. All these homes spend all their money on landscaping and fancy china. The nurses and cna's are overworked and underpaid. The doctors like Dr. Russell take money from Medicare and do little more than stick their head in the door on the initial visit. The nurses and cna's are the ones who take care of the patients, and they are always understaffed. In other words, the patient is left to fend for themselves however they are able. Most I've seen are barely to get out of bed, let alone fight for a meal or shower.