Sunday, September 29, 2013

Would you fight?

SanStone Health and Rehabilitation, Hendersonville Health and Rehabilitation, Dr. Larry Joe Russell NCDHHS.
I know it must look like I am trying to get revenge, for what I believe happened to my Mom at Hendersonville Health and Rehabilitation. I guess in order to explain, it is important to understand the chain of events leading up to creating this blog.
It all happened so fast, it was hard to believe. We had been getting everything ready for Mom to come home. The evening before, she had gone to the bank, and shopping for new clothes to wear home. My wife and son had spent that afternoon and early evening driving Mom around. She was upbeat, and looking forward to getting out of Hendersonville Health and Rehabilitation. Around 5:07 am , Thursday, November 3, 2011, I received the call that eventually took me to the emergency room at Margret Pardee Memorial Hospital, in Hendersonville Nc.  According to DR. Boleman, Moms heart had stopped and she had stopped breathing. There was no apparent reason, it just happened.
I was overcome with grief, and relived the events of the morning, with each phone call to my brother and sisters. After things started to sink in, I realized that Mom was gone, and would never be back. My faith kicked in, and I was relieved that she was " in a better place ". She was no longer struggling to see the food on her plate, or waiting for someone to take her to the bathroom. She was finally at peace, with our heavenly father. That thought is what got me through the first week or so, and still to this day, gives me comfort.
Does that mean that all the things that I now know happened, don't matter. Am I just to ignore all the abuses that I know the patients are subjected to? Would that be the Christian thing to do, sit back and watch all those helpless innocent people suffer. I know nothing I do can bring my Mom back, so should I just quit fighting, and go on with my life? I was not brought up that way, I was taught to help people who cant help themselves, fight for those who are not able. My Mother, Father and Religion tell me that, even at my own expense, I must try to help.
I am not gaining anything financial from these writings, there is no law suit, or plans to get rich writing a book. I am simply trying to change the system, so that other people do not suffer the same fate as Mom. I have dedicated countless hours to research, and writing to people who have the power to help. I am not looking for anything in return, with the exception of change. I am fighting so that the helpless people, who are at the mercy of these profiteers, can live in peace, and dignity. I am fighting for the person lying in a bed soaked in urine, cant take a shower, cut their nails, change their dirty clothes, eat meals, and get out of bed on their own. I am fighting for those who cant even speak or fight for themselves.
 I hope that in doing so I am honoring my God and my parents. I am asking that if you take the time to read this, that you feel moved enough to pass it on. If enough people care, things will change. My parents are both gone, what about yours. Will they end up at Hendersonville Health and Rehabilitation, or somewhere worse?
 Believe me I wouldn't think that there was anywhere worse, but from reading what I have, there are worse. Please care enough to help make a change.
More to come!

Friday, September 27, 2013

How we ended up with the F.B.I.

SanStone Health and Rehabilitation, Hendersonville Health and Rehabilitation, Dr. Larry Joe Russell, Christopher Sprenger and Michael Deloach, Paul Shogren.
I have been writing about Hendersonville Health and Rehabilitation, SanStone and NCDHHS corruption. I will now get down to what suggests that corruption is just routine business for these places.
I will start with what happened after Mom died. After discovering that something did not add up, I called the NCDHHS. The lady who answered the phone seemed to be really concerned when I told her the story. She asked me if I wanted to file a complaint. She said she could take the complaint over the phone. I spoke to her for just about an hour explaining everything that had happened at Hendersonville Health and Rehabilitation.
When I received a written summary of my complaint, I was surprised to see that all the things we spoke about came down to two things. Failure to answer call bells in a timely fashion, and failure to provide quality care. How did one hour of complaining turn into two simple issues. What about the fall, the missing drugs, the wrong room number, the missing nurses notes, finding Mom naked that one morning " drying out ".
 All the things listed became two simple items. Failure to provide quality care, I guess all the other stuff would be under that umbrella. After all that and about two months of waiting, I get the response, " No Deficiencies Found ". I immediately called the person who signed the complaint and asked him what happened. He was definitely over his head, and put me on the phone with Gail Maloney, Western regional Director of the NCDHHS. Ms. Maloney listened to my ranting, and set up a meeting to discuss my issues.
At the meeting with Ms. Maloney, were my brother and his wife, my oldest sister, and myself. We proceeded to put copies of the records, complete with sticky notes and highlights. We also had a signed notarized statement by Mom's roommate concerning the fall. All of the proof that we had and all of the discrepancies in the records, didn't seem to be an issue with Ms. Maloney. She kept saying they only deal with regulatory issues. After our meeting at the Black Mountain office of the NCDHHS, we discovered the patients bill of rights. The issues we had were definitely regulated by the NCDHHS. At least they were supposed to be. Ms. Maloney told us that they would do a review, and that was all they would do. She also said that there was no one else to go to, NCDHHS was the end of the line. That is when my brother contacted the F.B.I., and spoke to an agent in the Asheville office. We met with the agent for almost two hours, and barely scratched the surface. I guess the NCDHHS is not the end of the line, neither is the F.B.I.. After all our research and phone calls we found the O.I.G. The office of the Inspector General, they are the ones who investigate anything concerning Medicare fraud and abuse issues.
I am writing this to let people know that the NCDHHS is a corrupt agency, and their " surveys "are a joke. All indications are that they even call ahead to let the facilities know they are coming. I was told by Maude " Cookie " Romeo, that the NCDHHS called her and told her that they had spoken to me. Ms Romeo asked me why I was still asking questions. "Cookie " said the NCDHHS had told her that I was informed that they found nothing wrong.
 All complaints to the NCDHHS are supposed to be confidential, if so , why did they tell her it was I who had complained? So much for confidentiality.
Gail Maloney, conveniently left the NCDHHS sometime after our meeting.
More to come !

Thursday, September 26, 2013

See no Evil ???

SanStone Health and Rehabilitation, Hendersonville Health and Rehabilitation, Dr. Larry Joe Russell, Christopher Sprenger and Michael Deloach, Paul Shogren.
I know somewhere there is a chart that says what the life of a seventy six year woman is worth. The lawyers and court system, have a chart for everything. I can tell you one thing, to all of her great grandchildren, grandchildren and children, Mom was priceless. She was the one we all called for advice. She truly lived her life for everyone else. The family basically fell apart after losing Mom.
To the staff at Hendersonville Health and Rehab, Mom was just another old lady that didn't make it. They are used to losing patients, and to them life, and death goes on. By the time my sister left the hospital to pick up Mom's stuff, the staff at Hendersonville Health and Rehab, already had it packed and the bed was made. I am pretty sure that by that afternoon, somebody else's mother was in that bed.
Mom's  roommate at the time asked my sister' how's your Mom? Hard to believe that she was in the same room as all the nurses, paramedics and CNA's. According to the report from the NCDHHS investigation, there were at least three nurses and CNA's. According to the EMS report, there were three paramedics. That's a lot of people to have in a room barely big enough for two twin beds and two chairs. All that commotion in that small room, and the roommate doesn't understand what happened.
From the records at Hendersonville Health and Rehabilitation, Mom was in room 102A. She was actually in room 101A. Maybe the CNA from the other hallway took Mom to room 102A. Maybe none of this actually took place in her own bed. Tammy Mace RN, the nurse on duty, had never seen mom. According to staff statements, the CNA that helped Mom to the Bathroom was from another hallway. Did anyone actually know what was happening to who? Believe me, if you read the records, anything was possible. 
Someone at Hendersonville Health and Rehabilitation, knows what really happened to my Mother. I wonder if they feel any guilt for withholding the truth. From stories I've been told it happens quite often. People get dropped by the nurses, who are forced to move patients, without any help. There are people who fall, and some are given the wrong medication  They die, and Dr. Russell has his pen in hand, ready to sign the death certificate. He will most likely say that the cause of death was "failure to thrive". Lots of Dr. Russell's patients fail to thrive. I have copies of at least fifty death certificates signed by Dr. Russell, and the majority of them list failure to thrive, advanced dementia, as the cause of death.
I wonder how many patients  a doctor can effectively treat in one day, 20,30,100. Dr. Russell, is the medical director at The Laurels of Hendersonville, and the doctor of record at all the other nursing homes in Henderson County. I bet he has more patients than any doctor in Henderson County. I would guess that he would not recognize most of his "patients" and most of them have never even seen him.

Wednesday, September 25, 2013

Who gets the money?

SanStone Health and Rehabilitation, Hendersonville Health and Rehabilitation, Dr. Larry Joe Russell, Christopher Sprenger and Michael Deloach, Paul Shogren.
I have been writing about all the bad things that happen at nursing homes. Medication errors, patients falling, pressure ulcers, lack of assistance with hygiene and even unexplained deaths. All of these things are common at almost all nursing homes. They happen during the day, but more often late at night. How can a business that is making so much money, be plagued by so many problems?
I suggest that it is the way the owners take so much out of the kitty. They are owners, managing partners, owners of other, companies that own their own companies, as well as businesses that support there other businesses. Drug stores, durable medical supplies, testing labs, home health, and oxygen. Each entity taking money from the other.
 Most of the staff levels, are below the State average. The staff is so overworked that they cant keep up with the workload. The CNA's are paid so little and they are the bottom of the food chain. They are doing things that should be done by actual nurses. They are who actually take care of the patients. The RN's and LPN's are completing the paper work, and signing what they have to sign. I'm not saying that there are no bad nurses, or CNA's working in the business. I am saying that the greedy owners of these places take so much money that there is none left for the help. The result is that the patients become a source of aggravation and resentment, and the circle begins.
SanStone , owns or operates, Sanford Health and Rehab, Oak Forest Health and Rehab, Madison Health and Rehab, Beystone Health and Rehab, Stone Creek Health and Rehab, Hendersonville Health and Rehab, and just broke ground on The Lodge at Mills River.
 The Lodge at Mills River, is actually being built to replace Beystone. The Hendersonville Times News says that SanStone health and Fletcher Academy are partners in the new facility. They are most likely changing the name, due to the one star rating that Beystone has at Medicare.gov. Why is a private school a partner in a nursing home? Money, money, money. I have actually seen State pention plans invested in nursing homes.. Why else would SanStone own or operate six facilities.
They are so profitable due to the fact that there is no minimum staff requirement. They are not required to maintain any staff to patient ratio. This is why quality of  care is so poor. There are simply not enough nurses and CNA's to care for all the patients. There are highly paid administrators and other non essential staff, but the nursing staff is not adequate. My point is, this is an extremely profitable business. They could maintain higher staff levels, and still make a profit!
This may not matter to you right now, but if you find yourself needing a nursing home or rehabilitation center, it will matter then. The local, State and Federal level politicians don't care. They can afford to go to the country club style homes that cost more than the average person can afford. Human life is less important to the operators of the average nursing home than al that money. A large portion of the money comes from yours and my tax dollars. I read where around 65% of BeyStone residents were on Medicare, or Medicaid. They are getting rich on our tax dollars.
More to come.

Tuesday, September 24, 2013

Who really owns Hendersonville Health and Rehabilitation

SanStone Health and Rehabilitation, Hendersonville Health and Rehabilitation, Dr. Larry Joe Russell, Christopher Sprenger and Michael Deloach, Paul Shogren.
Now I will attempt to show how deceptive these people really are. I will quote from a Hendersonville Times News article written by Scott Parrott, published on November 30, 2007. This was when Pardee Hospital decided to sell the Pardee Care Center, as it was called then. The Article was titled "Doctors bid $8.45 million for center ".
Now lets look at what was said back then, and what is the truth today.
Times News - "A group of Hendersonville physicians offered $8.45 million for the Pardee Care Center, the highest of 14 bids county - owned Pardee received for the nursing and rehabilitation center. "
" Hendersonville Physicians and Associates LLC, which includes five physicians and other local partners, made the offer for the 130 - bed facility on the campus of Blue Ridge Community College."

Truth - Hendersonville Physicians and Associates does have some doctors listed as owners, but it also has BSH Investments of (Blue Sky Healthcare)  Lorraine Ohio, Leslie Tamplin one of the owners of Blue Ridge Pharmacy, and  Robert Dean Clayton the other owner of Blue Ridge Pharmacy.
 Blue Ridge Pharmacy also provides all the prescription medication for Hendersonville Health and Rehabilitation .

Times News - "When he heard about the care center being sold, Dr. Larry Russell said he "began actively working to put together a group to see if we could try to basically secure the facility locally."

Truth - Dr. Larry Russell is not listed as one of the owners of Hendersonville Physicians and Associates on the NC Secretary of State Website.

Times News - Russell said, "What we've got is a group of local docs who basically have a local interest in Henderson County"
The company includes five local physicians -- Dr. Amal Das, Dr. David Mackel, Dr. Stuart Glassman, Dr. Steven Lackey and Dr. Russell. It also includes Linda Brooks, a family nurse practitioner, Ed Baber, a physicians assistant, and his father, pharmacist Larry Baber, owner of Whitly Drugs.

Truth - According to the NC Secretary of State, corporations division, the owners are : BSH Investments  Dr.Lateef Abu Moussa, Dr. Hayam K. Shaker, Dr. James Pearce, Dr. Stephen Lackey, Linda Brooks FNP, Leslie Tamplin, Robert Dean Clayton, Catherine H.Schroader, Gail C. Pierce, and  Laurie B Lackey. Registerd Agent, Larry Baber

Times News - " You're looking at having an ownership that literally shops at the Wal-Mart and Ingles right alongside the employees of the facility and right alongside the families who have loved ones at the facility"
The group plans to lease the building to Ardent Health and Rehabilitation, which would operate the facility. Mike Deloach and Chris Sprenger of Ardent also have a stake in Hendersonville Physicians and Associates. "So we have a local group of people who own it, and a local company that operates it"

Truth - According to Medicare.gov, the owners are:
http://www.medicare.gov/nursinghomecompare/ownership-info.html?ID=345493&All=True
Local people? Have you seen any of these people at Wal-Mart or Ingles, shopping alongside you. I sure haven't, but then again, I don't live in Ohio like many of them. Can you tell who really owns Hendersonville Health and Rehabilitation?
Does anyone really believe this is a group of local doctors? They must think North Carolinians are really good ole mountain folk. Either that or our local county leaders are money hungry enough to go along with any story that benefits them personally. Check out the article in the Times News on September 22, about The Lodge in Mills River, aka Beystone, another Sprenger - Deloach venture.
More to come.
                           
                       
                   
               
            

Saturday, September 21, 2013

Suspicious Death at Hendersonville Health and Rehabilitation

SanStone Health and Rehabilitation, Hendersonville Health and Rehabilitation, Dr. Larry Joe Russell, Christopher Sprenger and Michael Deloach, Paul Shogren.
What really happened early in the morning Thursday, November 3, 2011. I don't think we'll ever know the truth. I'm pretty sure someone made a big mistake, and everyone is trying to help cover it up.
There are many things suspicious about what happened to cause my Mother's death. There is even a question about where she died. The people at Hendersonville Health and Rehabilitation say she didn't die there. Dr. Poston, the coroner at Pardee Hospital told me that Mom didn't die there either.
What we know according to the records that we received from all the different places.
Mom was assisted to the bathroom at 4:45 am , by a CNA from another hallway, we were never told who, or why they had to come from another hallway.
Tammy Mace RN, found Mom " lying in a strange position" about 5 to 10 minutes later. She called to Mom from the hallway, and when Mom didn't answer, she entered the room and found her with no pulse or breathing. The nurse then called for help, and started cpr, and someone called 911. The paramedics arrived at 5:11 am, they continued cpr, and transferred Mom to Pardee Hospital. Records state that cpr was discontinued at 5:40 am, and patient never had a heartbeat or breath the entire time. That means that they preformed cpr for at least forty five minutes, or as long as one hour, depending on whose time you accept.
 Why is this an issue? The NC State Medical Examiners office regulations, state that anyone dying from a cause that they were not being treated for must be autopsied. Mom was not being treated for anything heart related. The medical examiner on call was Dr. Loken, he told me he never saw Mom, but felt he should have. Why wasn't he called? The notes of the  ER doctor, DR. Boleman, states that Dr. Larry Joe Russell was to sign the death certificate. Dr. Bolemans notes say he discussed the signing of the death certificate with Dr. Harrellson. I found out that Dr. Harrellson was a partner in WNC Family Medicine, 510 Balsam Rd. Hendersonville,  Dr. Russells office. That means that the doctor, who never saw my mother, and was a partner in the facility where she died, was going to say that she died from something she was not being treated for!
 I asked for an autopsy, and was told that the family would have to pay for a private autopsy. I made some calls, and the cost of the autopsy was anywhere from three to five thousand dollars. If I had known then what I know now I would have done whatever I had to do to make that happen.
I called the NC State Medical examiners office, more than once and was told there was nothing they could do. They said I would have to get law enforcement involved.  I called the Henderson County Sheriffs Office, they would not get involved. I then called the S.B.I., the agent was very nice, and gave me the name of someone at the NC Medical Board. Finally during one of the calls to the State ME office, I mentioned the fall. The person I was speaking to said she would get the records from HHR and possibly authorize an autopsy. Upon receipt of the records, she saw the nurses statement that the fall was witnessed, and according to the nurse, Mom did not hit her head. That was the end of that, no autopsy.
 The whole time, I would not allow the mortuary to cremate Moms body. My brother and I met with officials at Pardee. I begged them to do an autopsy, they refused. I then asked them if they could just do an x-ray of Moms head and do blood tests. I wanted to know that she did not die from injuries to her head from the fall, or she was not given the wrong medication. Sounds reasonable right? Denied!
I don't know what actually happened that morning, but I am convinced that someone made a mistake, that cost Mom her life.
Did Mom, hit her head when she fell? I have done a lot of research on brain injuries, and craniotomies. It takes a full year for the skull to heal after a craniotomy. If Mom hit her head it could have caused a subdural hematoma, a slow bleeding in the skull. According to the records, Mom had some of the symptoms. Simply checking the dilation of her pupils would have shown whether more tests should have been done. However, the nurse, Lara Mooney, determined that Mom did not need to be seen by a doctor. I wonder if she knows anything about craniotomies.
The nurse that found Mom that morning, had never seen her before, she was working that hall because someone called in sick. Did she give her the wrong medication. That's entirely possible if you consider that the drug regimen sheet had the wrong room number, and she had never worked with Mom before. Mom was not wearing an admission bracelet either, they had removed it because it had the wrong room number on it. Did she get the medication that whoever was actually in 102 A was supposed to get?
I know of one instance, where a patient at Hendersonville Health and Rehabilitation was dropped by a nurse. The same patient died soon after the fall, I guess the nurse decided she did not need to be seen by a doctor. Dr. Larry Joe Russell signed her death certificate also. Cause of death was listed as failure to thrive, common in Dr. Russell's patients. I obtained a copy of the death certificate, and there is a coroners death certificate attached to the back, amended cause of death, subdural hematoma. She died as a direct result of the fall, and no one even raised an eyebrow?
I have documents and signed statements that can prove everything I discuss in this post. I am not trying to bring my Mom back, I'm happy that she is at peace. I am not trying to sue or obtain financial gain from what happened. I am looking for the truth, so that I can have closure. I am also trying to call attention to a terrible situation, and hopefully cause changes that will save peoples lives. I've heard it over and over, "old people die", I just think it is wrong for these places to help them do it faster.

Friday, September 20, 2013

Where are the watchdogs?

Hendersonville Health and Rehabilitation, Flat Rock NC. SanStone Health and Rehabilitation, Dr. Larry Joe Russell, Dr. Harold Picus, Susan Habel RN., Lara Mooney LPN, Maud " Cookie" Romeo, Christopher Sprenger, Mike Deloach, Paul Shogren.
I have spent the last few days writing about what has taken place over the last two years. Mom died November 3' 2011, following a craniotomy that was done by Dr. Harold Picus, on September 7,2011 at Mission Hospital in Asheville NC. Dr.  Harold Picus , left North Carolina and is now practicing in the Miami area.
Mom was sent to Hendersonville Health and Rehabilitation on October 20, 2011, for physical and occupational therapy. Her doctor at Hendersonville Health and Rehabilitation was a Dr. Larry Joe Russell. Dr. Russell is the medical director at the Laurels in Hendersonville NC. He is also the doctor at all the nursing homes in Hendersonville NC. He also has an ownership interest in Hendersonville Health and Rehabilitation. If you find yourself at one of these nursing homes, and your doctor sent you there for rehab, you end up with Dr. Russell. Dr. Russell also owns Family Medical Center  at 510 Balsam Rd. in Hendersonville NC. He has a staff of physicians and nurse practitioners, that actually see his patients. He has very little if any professional ethics, and is motivated strictly by money. If he is your doctor, double check your bills, and your medications.
 The ownership at Hendersonville Health and Rehabilitation, also includes the owners of Blue Ridge Pharmacy. Blue Ridge Pharmacy provides the pharmacy consultant for Hendersonville Health and Rehabilitation. Blue Ridge Pharmacy also supplies all the pharmaceutical drugs at Hendersonville Health and Rehabilitation. Hardly seems legal to me, but I've yet to find any law enforcement agency or regulatory agency that has a problem with it .I even went so far as to call the NC Attorney General's office, (Roy Cooper). They didn't have any problem with it, and come election time, I said I wouldn't vote for Mr. Cooper. Turns out there was no one running against him.
All of this may not seem important to the average person, and two years ago would not have mattered to me. When you loose someone you love for the sake of the almighty dollar, life changes.
 This is very important, especially if you are dealing with Dr. Russell or SanStone. However, with the research my brother and I have done, it is standard procedure pretty much everywhere with the exception of California. On the West Coast , the people who are supposed to be protecting the public from these kind of abuse are actually doing their jobs.
 The NCDHHS is the governing authority here and they are a joke. There is plenty of evidence that there standard operating procedure, is to turn their heads. They never seem to find any substantiated complaints, and the standard response to their yearly inspections is " deficiencies corrected ". One home in Swannanoa NC had 101 pages of deficiencies found at their last inspection. According to the NCDHHS, all of those deficiencies were corrected. My brother and I visited a friends father at that facility, and saw some of the same things happening, that had supposedly been corrected.
I have begun every post with a list of names, I will list below who is who and what is there role in this story.
Dr. Harold Picus - Mom's surgeon, preformed craniotomy on Sept 7, 2011. Now practicing in Miami Fl.

Dr. Larry Joe Russell - Supposed to have been Mom's doctor at Hendersonville Health and Rehabilitation. Never seen in her room, signed the death certificate, part owner of HHR. Signs a lot of death certificates.

Susan Habel RN - Director of nursing at Hendersonville Health and rehabilitation during Mom's stay . Left HHR after we started asking questions.

Lara Mooney LPN - Nurse on duty when Mom fell. Disciplined a few years ago by NC Board of Nursing, for practicing without a valid license. Lied on nursing note about the fall. Note entered into records one month after Moms death .

Mike Deloach - Part owner, and employee of all SanStone properties.

Christopher Sprenger - Part owner, and employee of all of SanStone properties. Member of the Sprenger family of Lorraine Ohio, owners of nursing homes all over.

Paul Shogren - Current administrator at HHR, also found to have ownership interest in other homes. Past administrator of The Laurels in Hendersonville.

Maude "Cookie" Romeo - Administrator at HHR during Mom's stay. Not a very nice person, promoted to corporate position at SanStone. No longer at HHR.

There are more key players yet to be mentioned. More to come.