Friday, November 29, 2013

California Armenian Home, Yuba Radojkovich still posing as a Medical Doctor

1 year ago this blog reported on 4 Physician web sites where Yuba Radojkovich (Fondly called Yuba RealDirtyBitch or "The Black Snake) had been posing as a medical doctor.

Several complaints were filed at the state licensure board with local physicians (that are licensed) signing this.  It seems that Yuba covered her tracks and removed some of her FALSE claims, but one remains.

Yuba, we realize they cannot find anyone that wants the Adminstrator's position.  However, you have chased away the Armenian community and there is no more support for this sham of a nursing home money pit.

You are unprofessional, and cannot keep anyone decent there.  Take a look at most of the employees?  They are desperate and mostly immigrants from India, Mexico, Russia, Philipines, etc .,
There are a handful that have been there 20 years and they are just coasting till retirement, great people.

Then there is the tattoo infested single mothers, that break every rule of HIPAA, taking photos, blurting out diagnosis, giving oranges to diabetic patients, creating gossip with the staff, Roaming freely away from her station, etc.,

Here is a warning for you Yuba, CEASE AND DESIST.  Take this down now or you will have another audit shoved up your ass so fast.  What is the fines up to this year?  Over payments?  Step down and let someone with an MBA in Health Care Administration take over before it's too late.

Take it down now, it is a LIE.

We are showing this to the hospitals in Fresno and NONE, WE REPEAT "NONE" are recommending hospital patients be admitted for rehab or anything else.  We know all about the empty bed ratio and what percentage needs to be filled just to pay the bills.  Expect more empty beds.  


Friday, October 25, 2013

California Armenian Home- Congratulations to ex City Councilman Rod Anaforian new Sales Manager of San Joaquin Terraces

Rod Anaforian, ex Fresno City Councilman
New Sales Manager of San Joaquin Terraces Nursing Home and Senior  Community
This place is fantastic, has a classy staff of educated administrators and licensed people.
The Administrator here has an MBA in Health Care Management.  Yuba?  doesn't even have a high school diploma.

FRESNO, Calif. -- Rod Anaforian has joined The Terraces at San Joaquin Gardens as the new director of sales. In his position, Anaforian will oversee marketing and sales operations at the continuing care retirement community (CCRC) located in Fresno.

“Rod is an experienced marketing professional and extremely knowledgeable when it comes to senior living,” said Jessica Lopez, executive director for The Terraces at San Joaquin Gardens. “He’ll be a great resource for area seniors and their families who are interested in moving to a CCRC, and we’re very excited to have him lead our team.”

Anaforian has more than 15 years of sales experience, and previously worked as the director of client services for Qforma, Inc. in Santa Fe, New Mexico, and as the chief operations officer for Lance-Kashian & Company in Fresno. He also served as a territory, district and regional sales manager for Organon Pharmaceuticals in Roseland, New Jersey.

“The Terraces already has a great reputation, and I’m ready to build upon its continued success,” said Anaforian. “I am looking forward to working with potential new residents and their families, and discuss the advantages of residing in a CCRC.”

Anaforian is a graduate of California State University in Long Beach, Calif., where he earned a bachelor of arts degree in social science and a master of arts degree in international relations. He was also elected twice to the Fresno City Council and is co-author of a sales management tip book titled, Rising Above The Crowd.

About The Terraces at San Joaquin Gardens

The Terraces at San Joaquin Gardens is committed to enriching the lives of older adults. For more than 45 years, the community, located at 5555 North Fresno Street, has delivered one of the most engaging lifestyles in the area. In addition to residential living, the community offers residents access to a full continuum of on-site assisted living, memory support and skilled nursing. For more information about The Terraces at San Joaquin Gardens, call 1-800-895-8019 visit

The Terraces at San Joaquin Gardens is owned and managed by ABHOW, a California nonprofit public benefit corporation. ABHOW is a nonsectarian corporation, serving seniors through quality retirement housing since 1949. ABHOW seeks to enhance the well-being and security of seniors through the provision of housing, health care and supportive services, and was a pioneer in the development of CCRCs. For more information about ABHOW, visit

Fresno’s most complete senior living community

Residential living and quality health services.

The Terraces at San Joaquin Gardens is on the leading edge of retirement living in Fresno. We know you want flexibility, options and peace of mind for the future – and that’s exactly what you’ll get here. By transforming and expanding our community, we’re looking ahead to continue to offer area seniors more choices, more opportunities and more from life.

With our residential living lifestyle, you’re free to focus on all the things you love about life, without worrying about daily chores and maintenance. Plus, you’ll have peace of mind knowing your future is secure with guaranteed access to our continuing care services, including assisted living, memory support, nursing care and short-term rehabilitation. Our health services, which recently earned a Five-Star rating – the highest possible – from the U.S. Government Centers for Medicare and Medicaid Services, are also available through direct admission to local residents of Fresno.

Freedom, choices and a firm plan to live happily, healthy and secure? That’s better retirement. Welcome to The Terraces.



Tuesday, October 8, 2013

California Armenian Home, NY Times on the change of demographics for Nursing homes

The shift of long term nursing care to minorities, while the white aging population and government funds shift to encourage home health care.  All the more reason to take the word "Armenian" off the sign as the California Armenian Home has no support from the Armenian community.  There is nothing Armenian about the "California Armenian Home" except the name and the board members and occasional Armenian dinner served.  Take the name "Armenian" off and use the parent name "California Home for the Aged" stop the prejudice toward non-Armenians. 

White Flight From the Nursing Home


The number of older Americans living in nursing homes continues to fall, and the proportion of residents who are black, Hispanic or Asian has climbed sharply. But don’t expect cheers from the Brown University researchers who’ve tracked this major shift in long-term care.

The back story here is that for years advocates have urged the federal government to strengthen alternatives so that fewer old people have to live, and die, in nursing homes. Nobody really wants to be there — seniors historically have said they prefer to remain at home as long as possible. But the system was long out of kilter: Medicaid would pay for nursing home care, but was much stingier about underwriting home care, assisted living and other options.

This led to an extended attempt at “rebalancing” — funneling more Medicaid money into home and community programs and less into institutionalization. And it’s working. Though Medicaid still devoted only 42 percent of its spending on long-term care to home and community programs in 2008, that’s more than double the proportion in 1995.

“It’s been a gradual 20- to 30-year effort, and the pace is getting faster,” said Zhanlian Feng of the Center for Gerontology and Health Care Research at Brown University.

That’s one reason the nation’s nursing home population fell from 1.6 million elderly residents in the 1990 to 1.2 million in 2008.

At the same time, the nursing home population is growing more ethnically and racially diverse. “Thirty years ago, reports from the Institute on Medicine and from civil rights groups raised a lot of concern about lack of access to nursing homes” for minority elders, Dr. Feng said. But over the decade from 1999 to 2008, the number of black residents in nursing homes grew by 10.8 percent, and the Asian and Hispanic populations climbed by more than 50 percent.

Good news, right? Maybe not. “On the surface, it looks like we’ve achieved parity,” Dr. Feng told me in an interview. “But this is disparity in disguise.”

He and his colleagues, analyzing federal data on residents in nursing homes that receive Medicare and Medicaid (virtually all of them), just published their findings in the journal Health Affairs. They’ve turned up some disturbing developments.

“Whites are aging as well, but you’re not seeing more of them in nursing homes,” Dr. Feng said. “Their numbers are declining.” The proportion of white residents fell 10.2 percent over the decade, while the growth in minority nursing home residents outpaced the growth in the nation’s minority population in general.

What’s happening? “Minorities don’t have as many choices as white elders,” said Dr. Feng.

Take assisted living facilities, which have siphoned off more than a million residents who might earlier have entered nursing homes. Assisted living facilities are expensive, generally private-pay and located in affluent communities.

“On average, whites have more income and education and can better afford these options,” Dr. Feng said. “They don’t have to go to nursing homes, or they’re better able to delay going.”

With greater scrutiny, then, this demographic trend represents a less happy reality. Just as minority seniors are pouring into nursing homes, whites are turning to more attractive choices and staying out.

Because there’s much less data on who, exactly, relies on home and community services, compared with who enters nursing homes, Dr. Feng is couching this explanation as a hypothesis.

He notes that the statistics may also reflect cultural changes. Immigrant communities that care for parents in multigenerational households may be less able to maintain that practice as they acculturate. “A lot of things are happening to undermine those traditional family options,” he said. He’s seen a similar shift in his native China, a topic I’ll return to in a subsequent post.

Over all, he sees a good news-bad news story, in which minority seniors get stuck in the institutions that whites have the means to avoid. “I’m struck by this persistent disparity,” Dr. Feng said. “It looks like we’re making some progress, but not really. The disparities are still there and are deeply rooted in history, geography, segregation and socioeconomic differences.”

Wednesday, September 25, 2013

California Armenian Home and the inside past and present board members and employees.

 Yuba Radojkovich dubbed "The Black Snake" by the Residents
Yuba Radajkovich, has been at the California Home for the Aged dba California Armenian Home for over 35 years.  In 2005 the board fed up with Yuba and her demoralizing of the home "retired" her out.  A company was hired to manage the nursing home, and there was a short fall of funds to the tune of over $100,000.   At the end of 2006, board member JS-M called Yuba who was at that time living in San Diego and working at an Emmanuel Nursing Home and panicked-  pleaded with her to come back and straightened out the money situation.   The shortfall, according to their state ombudsman Frank Kormazian was because of mis billings to California State MediCaid.  shame shame.
Yuba had already ran the nursing home down before she left and was making a concerned effort to remove Armenian employees from any places of employment other than cleaning the floors.  Yuba chased out all the good Armenian nurses (there are many Great Armenian Surgical Nurses and Nurse Practioners) that will not work there or are being paid better wages at the Community Hospital of Central California.  Yuba also drove out any Armenian Physicians as Medical Director and decided to only answer to Armenians on the board, who largely leave after serving on the board 2 years because of politics.  2 pharmacists that are very respected were on the board but will not go near the home and cringe when they see Yuba show up at an occasional Armenian funeral.
Yost and Webb, hates going near the place but offers support for the old time Armenian families that might be in the California Armenian Home.  But that is rare now Yuba is racist and turns away Armenians unless they have money.  But prefers the guaranteed billing of MediCAID, that is over $70,000 a year per resident.
There are 150 beds in the Skilled Nursing and Residential section, and approximately 14 are Armenian, 2 Greek and that is it.  Yet Yuba still wants to exploit the Armenian name in hopes of getting more donations $$ from the older Armenians that may have relatives in there.  The Board is comprised of 1 family and a few friends, one that got elected has both his parents in there and JS-M and both her cousins are on the board, as the Bagdasarian clan original donated the land over 50 years and their Aunt C, (and Mother) is still in the home where she has a private room that has been re decorated, as JS-M tries to convince people that "everyone is treated the same"  The other alarming issues besides their Income Tax Returns and the expenditures for the AACL building and upgrades for outer appearances is the numerous nursing home and medical web sites that Yuba refers to herself as a Physician with an M.D. (Medical Doctor) title.  This is being looked at by the State licensing board, but Yuba is shifty and claims she is going to retire and that they "need me"  Well this could be true as none of the board members want to operate the place and work there beyond showing up for board meetings and "if" they know someone in there visiting with them. 
Yuba returned in 2007 after the money shortfall, and made it her first business to oust the person who was acting as an assistant administrator and part of the recreational duties.  She was a very sweet, very well loved by the residents and college graduate in public administration and organization.  Yuba forced PS with so much stress, backstabbing and mean spirited attitude that PS quit, but did have a case in employment abuse, but chose not to persue it because she had made friends with the residents and they loved her and still talk about her to this day.  Yuba made herself a sweet deal of $150,000 salary with a $20,000 bonus for passing audits.  So far they pass the annual audits but have been fined and cited for many violations from excessive UTIs, to malnurishment and also an outbreak of MRSA and Shingles from cross contamination of resident's clothes that they are forever losing and stealing.  Yuba set out to destroy the nursing home, and kicked all the Armenian supporters out that were left as many had left on their own.  Many of us have heard first had Yuba yell at the employees, with her screeching voice and thick Croatian accent.  If you check your history books, the Croatians sided with the Nazi troops, we were told by someone that knows Yuba very well that her father was a Nazi sympathizer, (no surprise here)

As a result the donations are much lower than 10 years ago and will continue to declne, as there is no connection to the Armenian community except for the "Blessing of Grapes" the churches have on the grounds in August.  But we are told the churches grow tired of paying a fee of $4,000 to use the grounds for this and would sooner have it at the Armenian Community Center (where we have moved our other functions)  AACL(Armenian American Citizen League Building)  membership is down and the hospital uses the AACL building for exercise to include the upgrade of the building in the MediCAID/MediCARE budget but in fact the recent facelift of $500,000 should not be any patient funds that are used on the AACL building
Today, Yuba doesn't use any Armenian pharmacists or Rehab, (Rehab L and J Telamansic- her Croatian buddies that are paid $978,000 per year.  No Armenian Attorney wants anything to do with the place (and there is an abundance of them) , so they have an old worn out Attorney that is 76 years old and would never admit himself into the home.  This attorney is so stupid he didn't understand what Hippa violations were. In fact, the nursing facilty was still having visitors illegally sign in with the name of the patient a big "NO NO" and violation of patient privacy that was halted by the federal government.    Yuba is 67 and will be 68 years old in December 2013 she is tired but knows how to milk the system and abuse some of the good workers that have been there 20 years.  They are too afraid to leave and mostly avoid Yuba. 
The newer workers are largely immigrants from India, Mexico and Philippines, 3 are Armenian (1 is from Iran)  and are single mothers....all desperate for money and a job so they suck it up and Yuba hires people that have not had an easy time finding employment and holds their job over their heads in fear, it is a sad place to work.  Now they have added a guard station because there have been so many car break ins, and other thefts.  Quite a few people dump off dogs and cats on the grounds, there have been adorable kitten litters that the residents feed and visit with, but Yuba has the SPCA hall off the kittens (witch)  Some of the workers are very negligent and have openly made what appeared to be drug purchases in the parking lot.  No one wants to get involved or say anything as Yuba wants 100% full control, except the money is running out as far as donations go. 
 Most of the elderly are opting for home health care as it is proven that people are happy and healthier in their own homes.  There are 3 home health care agencies operated by Armenians that have a thriving business.  Additionally, there are more newer state of the art facilities being built or completed on the more desirable north end of Fresno: FairWinds, Carrington Point, San Joaquin Gardens, Willow Creek, Nazerene House all great facilities but not without their share of problems.
As Yuba continues to down grade the place, and not pay the RNAs more than $12.00 an hour (they are the ones doing the large portion of the work) The RNAs are treated unfairly doing the bulk of the work for the LVN/LPN and a few sprinkling of RNs that largely oversee certain duties/proceedures- that LVN/LPNs are uncapable of doing.   Even the RNs are underpaid at Nursing Homes, the head of Nursing barely makes much more than $65,000 a year.  But as the system goes, once you are locked into a nursing home employment it is difficult to leave.  The head of staff development is a slug named Jan Vawter who has also been at CAH for over 30 years with no where to go.  Jan became an RN under the old "bridge" standards from an LVN with an online college course.  She is a graduate of Clovis Adult School and prefers using Clovis Adult School for hiring and for some of the externing work.  There is nursing students in there all the time.  Getting hours required and not paid.  (free labor).  Finding workers for CAH isn't hard, its KEEPING them that is the challenge.  There are a few employees out of the 100 that have been there longer than 15 years that are outstanding, but they are holding on for retirement, then they are GONE.   
Hospitals don't give any more referrals and neither do the churches who largely compete for the Armenian donation money.  Holy Trinity just had a $1 million face lift to the Banquet Hall, there is no way that they will allow CAH to keep that money.  The Der Hayrs (Priests) of the churches make a usual 1 day a week visit, but find there is no Armenians to minister to and feel it is an explotiaton of the word "Armenian" and should be renamed the parent name which is "California Home for the Aged" and take any reference to ethnic background off.  Since the nursing home largely exists on government funding via Health and Human Services, they should take off all references to "Armenian" because of accepting tax supported funds. 
This downslide of the facilty donations / funds started seriously when Yuba came back in the picture but is declining every year.  There are sadly people in there that don't want to be there and are terribly depressed and on anti-psychotic drugs (nursing homes are notorous for drugging up elderly patients)  many have no family or if they have family one is visiting them.  Most of the staff become their family.  There was over 4 falls last year that were serious enough that the ambulance came out. 

St. Mary's Home Health Care is one of the best we recommend you get estimates and meet their staff, that might be in your home.  You can always adjust who it is or increase / decrease hours.  There is also a program via the County that will pay a family member to watch over you.  If you must put a family member in one of these Human Warehouses, watch everything they do, arrive at different times and different shifts, observe any marks on the body, weight change, fever, non compliance with putting hearing aides in, cleanliness of the staff, theft of items.  Know good attorneys and physicians.

This is Jan Vawter, who has been groveling around the California Armenian Home for some 35 years and in 2006 finally became an RN via Excellisor College online.  Woo Hoo.  Jan would leave in a heartbeat if she could find another job, she is eligible for retirement in 20 months. 

Wednesday, August 28, 2013

California Armenian Home, and the reason why groups pull support away $$

Triple X Fraternity use to meet at the old age home
They are a group of Armenian businessmen: Bankers, lawyers, farmers

Here is a background on the Triple X Fraternity:

TRIPLE X FRATERNITY was founded by eight young men of Armenian parentage in the year 1918 in Fresno, California.

The name "TRIPLE X" was adopted for the organization and was to represent three times the Roman numeral ten, added up, summed thirty which was the total number of members they hoped to acquire and limit the group's size.

The purpose and objectives of this Fraternity is to promote charity, benevolence, mental improvement, social culture, and strengthening of the bonds of friendship among its members; to observe and adhere to the principles of truth, justice and loyalty.

In the year 1928 the Los Angeles and Golden Gate Chapters were founded. This created the need for a Grand Chapter, which was founded in April of 1928. Selma Chapter was formed in 1933. In the years to follow the Oakland, Peninsula, Capitol, Sequoia, San Diego, Mt. Diablo, Orange County, Las Vegas, and Palm Desert Chapters were also formed.

As the story is told to us, the local Triple X Fraternity had been meeting at the California Armenian Home for over 25 years.  They also were a major supporter.  "were" as in past tense.  When Yuba arrived back in Fresno from San Diego, she asked them for full rent on the building to hold meetings.  They reminded Yuba of the millions they have donated to the California Armenian Home over the last 50 years. 

End of story.....No more money or support from the Triple X to the California Armenian Home.  Their money now goes to support education and scholarships a much better cause.

Let the California Armenian Home rot with money from California MediCAID.    Bravo Triple X, you did the right thing.  To you Yuba, keep up the great work with getting support from the Armenian Community and exploiting the word "Armenian" on the front sign. 

Saturday, August 3, 2013

California Armenian Home, is it a good place to work?

Sure it is if you want to work around this.


or the Activities Director Senora Rodriguez, there are no Armenian Staff members besides a janitor, grounds keeper and cook all of which can barely speak English......the way Yuba likes it so they don't report what is going on to the rest of the community.

This is what Yuba would rather have as the Activities Director.  45 years ago this was a great place, Armenians taking care of Armenians and plenty of donations.  Now they are caving into government money/support and hiring unprofessional losers. 

So if you think you fit into this category with these dregs of society by all means go apply, they have a constant turnover despite the bad economy.  

California Armenian Home, Employment opportunites for LVN/LPN.

Professional Registered Nurses (RNs) graduating from the Nursing College in New Jersey.  If given the opportunity would you hire this or .....................



· Louise Gardner says......

What will happen to the future of the California Armenian Home, she no longer talks to her niece Loraine Quinn (Bristol) but has some predictions:
Future of LPN / LVN and the bridge to RN (or bridge to no where)
First of all the Nursing Home industry is here to make money and will not pay large salaries, that is reserved for the Administration.  The future will be no more LPN/LVNs because of the fact that MA (Medical Assistants are now registered) MA can do essentially the same as an LVN/LPN except for the IV, but they can just have the Nurse supervisors do the IVs. 
LVN/LPNs are a cheap labor force and very few are continuing on to an RN because they have flooded the market.  Most are too lazy to head back to school or do online with Excelsior College like Jan Vawter did at the age of 52.  But the push is for cheap labor to do these tasks and more profit for the Nursing Home. 
Unfortunately, when you get locked into a nursing home it is impossible to switch to anything but another LTC facility.  The LVN/LPNs you are lifers like Jan, Diane, Nellie and the rest that have been there for over 10 years.  Lor Quinn (Bristol) will just have to stay put for another 20 years.
In 50 more years (2063) it won’t matter because the next generation of Armenian Business people in Fresno County will not be bothered with keeping the place alive and upkeeping.  The Home Guild and Ani Guild cannot get new members.  The new generation prefers home health care without the politics of Yuba.  In 2063 there will be no California Armenian Home because there is no interest in maintaining this money pit.  Donations shrink year after year and the home survives on Medicaid of California.   No one cares anymore.  


Some Facilities Phasing Out Licensed Practical Nurses, Licensed Vocational Nurses

If you are a current or future licensed practical nurse, or licensed vocational nurse, will you be able to have a career as such in a few years? While some facilities, particularly acute care, are cutting back on LPNs (Licensed Practical Nurse, also known as Licensed Vocational Nurse), LPNs and LVNs are projected to experience significant growth in demand, according to the Bureau of Labor Statistics.

HealthLeaders Media reports that some state regulations limit the practices of LPNs, such as not allowing them to dispense medications. However, many areas of the country have such a great need for healthcare professionals, LPNs and LVNs will still be very much needed in those areas.

One myth busted in the HealthLeaders article is regarding the Magnet program: there is a common misconception that a facility must do away with LPNs in order to become a Magnet program, but that is not true, says a source quoted in the report.

With the BLS projecting 21 percent growth for the LPN/LVN profession through 2018, the outlook is still good for prospective licensed practical nurses, unless you want to work in acute care. Additionally, you will probably have more job options if you live in one of the states that allows LPN/LVNs to dispense medications to patients.

Some hospital systems in certain states are phasing out the role of LPN/LVN, which is putting some people out of jobs, or forcing them to take a demotion, or to go back to school. Therefore, as you plan your career, be sure to check out the situation in your state or intended state of employment to confirm if this career will be a good option for you based on your location, trends in nearby facilities, state regulations, and level of income you're seeking.


New RNs find job market tight
From USA Today!!!!
·         Share
·         By Alison Young, USA TODAY
Even as a national nursing shortage looms, many newly graduated registered nurses can't find jobs because the recession has delayed retirement of experienced nurses,
regulators and health care associations say.  Those who find work often can't get the better-paying hospital positions they'd hoped for and instead are turning to nursing homes,
 home health care or other settings, says Carylin Holsey, president of the National Student Nurses' Association. An advisory for new grads published by the association warns that the
 market is "flooded" with experienced RNs who have come out of retirement, delayed retirement or gone from part-time to full-time employment because of the recession.


Watch as she slips into booze and pills, as her dreams of being an RN fade away.  We will make sure she stays right there with no future in the health care industry in Fresno.  Forever and ever, with a .20 cent an hour raise .  Cha Ching              Cha Ching
Working poor of America.  Poor little thing.  She should have thought about that before she invaded the privacy of a patient's family.   Poor poor thing.  
The only other option is Golden Living Center.  YUK, it must suck to be poor Lori.

It's all who you know Lori and you just don't have the connections like we do.  

Saturday, July 20, 2013

California Armenian Home and dwindling Armenian support $$, also no interest in the AACL

Here are some photos of the July 4th, "Sounds of Freedom" celebration at the AACL (Armenian American Citizens League) Building on the grounds of the California Armenian Home.  Over 35 years ago, when it was built, the keys were handed over to the Nursing Home, to collect rent. This was when the Nursing Home was Armenian operated and inhabited (majority) this was to help financially with the operations of the home to care for our elderly.  Then an ugly monster started to happen...called Yuba and Medicaid.  Yuba hates Armenians, and only wants 1 thing from them MONEY, and now the Nursing Home operates 85% on Medicaid, it's not necessary to take our building and charge for rental.  Not many groups use the building anymore because of this, except for the Churches that use if for their picnics, the AACL will have events there.

The word is the AACL would like to sever ties with Yuba and the Nursing Home as they know they cannot survive under the grips of Yuba.  We want our club back and seperate from the home.

As you can see from the photos not many people attended this event.  It is sad.  Most of the people we talked to are aware of Yuba's reputation and the California Armenian Home not being "Armenian"  Yuba will never hire an Armenian higher up than cleaning to work there, conversely- Educated Armenians wouldn't work for that idiot.  Take off the word "Armenian" and SELL the home.  Some of the older people that showed up are disappointed in the home, one is a very wealthy man has in home services for him and his wife and said "I will never put my wife or myself in there"

Good for you!!!, Now lets take back our building away from that lying Armenian hater Yuba.

Their vision destroyed by Yuba

California Armenian Home, Fraud, Neglect, Problem Employees, common among nursing homes

Just a few weeks worth of news on Medicaid fraud and elder abuses associated with Nursing Homes

Attorney General to focus on Nursing Home crimes

It is difficult enough for most people to send aged or infirm relatives to nursing homes when they believe good care will be provided. But the thought that frail elderly parents or incapacitated younger patients may be victims of neglect or active abuse is intolerable.

In Ohio, concern about that may be increasing — with good reason.

Attorney General Mike DeWine reports complaints about nursing home abuse and neglect have nearly doubled this year. His office’s Medicaid Fraud Control Unit is investigating 131 cases, compared to 74 for the same period in 2012.

About half this year’s complaints have been received last month, after DeWine announced his office will be aggressive in pursuing complaints of substandard nursing home care or abuse of patients.

DeWine — and those who place relatives or friends in nursing homes — have a new weapon to ensure quality care is provided. It was used earlier this year in Zanesville.

There, investigators placed surveillance cameras in the rooms of some patients, with their knowledge and that of families. Nursing home personnel were unaware they were being watched, however.

Videotape from some of the rooms revealed “absolutely shocking and disturbing” treatment of patients, DeWine said.

Most nursing homes and the dedicated personnel who staff them provide good care for patients. In many cases, it is not too much to say residents of nursing homes are treated lovingly.

That makes it especially upsetting that a few people in a handful of facilities are neglecting and/or abusing patients. DeWine should make it a top priority to find and punish those criminals.

The (Tiffin) Advertiser-Tribune

Senate should act quickly

Nurse  guilty of diverting medications at Nursing Home

A prescription drug fraud charge has been filed against an Abbotsford nurse accused of diverting medications from the nursing home where she worked.

Patricia Pokallus, 51, of Spencer, was charged with one felony count of obtaining controlled substances by fraud and her nursing license was suspended after she told staff members at Golden LivingCenter - Continental Manor, 600 E. Elm St., Abbotsford, she took lorazepam, an anti-anxiety drug, from the facility for personal use Feb. 3.

A nurse manager at Continental Manor noted Pokallus administered lorazepam on Feb. 3 to two residents who did not normally receive the medication, according to an incident report filed with the Wisconsin Department of Health Services.

The nurse manager questioned the residents, who said they had not been feeling anxious and did not receive lorazepam that day, according to the report.

Pokallus told Continental Manor staff members that she used the medication herself and said she took lorazepam from the facility on four or five other occasions.

A drug test administered Feb. 3 came back positive for lorazepam, clonazepam, oxazepam, morphine and marijuana.

Pokallus was fired after the incident.

“It was a regretful experience,” Pokallus said.

The Wisconsin Board of Nursing found Pokallus demonstrated negligence and engaged in unprofessional conduct, and her nursing license was suspended indefinitely in an order issued May 9.

Pokallus was ordered to enter a treatment program, abstain from controlled substances other than those prescribed for a medical condition and submit to periodic drug screenings.

She may apply for a stay of suspension Aug. 9. If a stay is granted, Pokallus may practice nursing under the direct supervision of a fully licensed nurse in a setting pre-approved by the Board of Nursing, and she may not have access to controlled substances.

Pokallus may petition for reinstatement of her nursing license after five years of compliance with the order.

The Wisconsin Board of Nursing has issued disciplinary orders against 23 nurses for drug-related violations so far in 2013, according to the agency’s website.

Continental Manor has implemented a new system for storing and counting controlled substances, according to the incident report.

Representatives from Continental Manor declined to comment regarding the case.


Nursing Home finances not as much problem as neglect

A few weeks back, you published a letter about financial challenges facing nursing homes. The real problem at nursing homes is the poor quality of care that families have to deal with in this state.

I gave the only 24/7 care both of my parents received for five-plus years. My dad died in 2010 and I then continued to care for my mother until April of 2012, when she finally went into a local nursing home. It was something that I would never do again considering the poor care and outright neglect she received there.

I lost count of the times they allowed her to fall. Once they actually abandoned her in the bathroom. Call buttons were thrown on the floor where she couldn’t get to them. She got no help for the whole first month regarding what on the menu she wanted to eat. They lost her hearing aid twice and dentures once, and would do nothing about a roommate who stole her belongings, and countless other matters I could list.

Then they not only have the nerve to charge almost $9,000 a month for this, they also over-bill patients and refuse to supply the family with an itemized billing so that you can see what you are paying for. (This week I filed over-billing fraud charges with the state Attorney General's office and the Postal Inspector's office for mail fraud.)

The earlier letter said the nursing homes are in financial trouble. Well they’d be in a lot more trouble if they only got paid for the actual quality of the care they gave. So, readers with a family in a nursing home – check your bill and demand it be itemized every month.

PAUL W. FAUST, Susquehanna Twp.

New York State Gets $2.5 Million in Medicaid Fraud Case


In life, Helen Sieger was the embattled owner of a Bronx nursing home.

Her employees at the Kingsbridge Heights Rehabilitation and Care Center went on strike in 2008 after she stopped paying their health insurance premiums, drawing attention from state lawmakers, labor leaders and even Barack Obama, then a senator from Illinois.

Ms. Sieger was arrested a year later on charges of bribing a hospital social worker to steer patients to her nursing home, and of improperly collecting payments from the state’s Medicaid program. She jumped bail, only to be caught in a Miami hotel and returned to New York, where she died in custody in 2011.

But now Ms. Sieger is making amends in death.

The state attorney general, Eric T. Schneiderman, said on Tuesday that his office had reached a settlement with the estate of Ms. Sieger to pay a total of $2.5 million to the state’s Medicaid program, which includes $1.2 million in reimbursements, and $1.3 million for damages.

“There are few programs as sacred and important to our most vulnerable citizens as Medicaid,” Mr. Schneiderman said in a statement. “So, when we have a case involving a criminal scheme that robs Medicaid, our prosecutors will do whatever it takes to restore those stolen funds — whether that criminal is alive or we’re forced to settle with their estate.”

Nicholas Gravante, Jr., a lawyer at Boies, Schiller & Flexner who represented Ms. Sieger’s estate, said that her family was “pleased to have this matter behind it.”

Ms. Sieger, who took over the nursing home in the mid-1990s, was removed in 2009 by the State Health Department because of an issue over the nursing home’s lease. The operation of the 400-bed nursing home, one of the largest in the Bronx, was eventually transferred to a state receiver, which still runs it today.

Also in 2009, Ms. Sieger was indicted, accused of paying Frank Rivera, a former social worker at NewYork-Presbyterian Hospital/Columbia University Medical Center, $300 for every patient that he referred who was subsequently admitted to her nursing home, plus a bonus of $1,000 for every 10 patients, according to the attorney general’s office. Beginning in 2005, he received more than $19,750 from Ms. Sieger.

Mr. Rivera pleaded guilty to felony and misdemeanor violations under a state law, and is awaiting sentencing, according to the attorney general’s office.

The attorney general’s office also said that the investigation had found that Ms. Sieger, who lived in Borough Park, Brooklyn, held several bank accounts, including one in Montana with $2 million.

Michael Benjamin, a former Bronx assemblyman, praised the settlement, calling it an appropriate way for “the state to recoup her ill-gotten gains.”

“It sends a signal that the state will not be cheated,” he said. “And that people who steal from the poor and from the elderly will be pursued whether they’re dead or alive.”

For-Profit Nursing Home Accused of Medicare Fraud

Posted in Nursing Home Violations on June 4, 2013

Yet another national, for-profit nursing home chain, Life Care, is being sued by the Justice Department over allegations of overbilling Medicare. Life Care is accused of billing nearly 68 percent of its Medicare rehabilitation days at the highest level, nearly twice the national average of 35 percent. CBS This Morning has spent months examining Life Care’s rehabilitation services and claims. It recently presented a scathing report, based in part on statements by at least a half dozen former Life Care employees.

A former assistant manager speech therapist at multiple Life Care locations told CBS This Morning that she eventually quit the facility because she felt that its insistence on unnecessary rehabilitation services was detrimental to the health of the nursing home residents. By the time she left, she said, nearly 40 percent of her work was neither reasonable nor necessary. In addition, she said, in many cases the nursing home would simply refuse to let patients leave, because they wanted to continue to bill Medicare for services!

In another piece of evidence, the entire rehab staff at the Life Care Center of Estero in Florida signed a letter to the boss which read, in part, “we have been encouraged to maximize reimbursement even when clinically inappropriate…”

There are six Life Care Centers in Kentucky: Laurel Creek Health Care Center, in Manchester; Life Care Center of Bardstown, in Bardstown; Life Care Center of La Center, in La Center; Life Care Center of Morehead, in Morehead; Mountain View Health Care Center in Elkhorn City and Parkview Nursing and Rehabilitation Center in Paducah. According to the CMS website, Life Care Center of Bardstown and Parkview Nursing and Rehabilitation each had three stars on their latest inspection report – that’s average. Life Care Center of La Center and Life Care Center of Moreshead both had two stars – below average. And Laurel Creek Health Care Center and Mountain View Health Care Center both received only a single star and are rated as much below average.

In general, studies show that for-profit nursing homes provide fewer staffing hours and a lower quality of care than nonprofit or government-run nursing homes.

Unfortunately, Life Care Centers is not the only nursing home chain being suspected of overbilling Medicare. The most recent report from the U.S. Department of Health and Human Services inspector general found that industry-wide, a quarter of all Medicare payments to nursing homes are made in error. When nursing homes charge for services they don’t provide, they increase the cost of Medicare and Medicaid to the taxpayer. These programs are already overextended. Fraud puts them in even more jeopardy. Equally seriously, if nursing home residents are given services they don’t need, it can make them uncomfortable, confused or disoriented. It can even endanger their health. The patients’ records are also likely to be inaccurate, which may cause doctors to misdiagnose them later.

Nursing homes have an obligation to provide responsible care to patients who need it – and not offer unnecessary services to patients simply so that they can charge more money. Keeping seniors in a nursing home when they are ready to be discharged simply to get more funds out of Medicare is unconscionable.

Winter Haven Nursing Home Aide Is Charged in Tax Return Fraud Case

Portia Charlton.

By Matthew Pleasant

Published: Sunday, May 26, 2013 at 11:28 p.m.

Last Modified: Sunday, May 26, 2013 at 11:28 p.m.

WINTER HAVEN | Deputies jailed a 23-year-old woman Friday who is accused of using the personal information of 13 nursing home residents to file fraudulent income tax returns.

Portia Charlton, a nursing assistant, was arrested during a traffic stop in Bartow. She remained jailed Sunday without bond.

Charlton formerly worked for Palm Garden of Winter Haven, where the victims lived, her arrest report says. She stopped coming to work in March 2012, two days after deputies searched her home at 3870 Horizon View Loop in Lakeland and found a notebook listing the names, birth dates and Social Security numbers of more than 100 people.

Dollar figures were written next to each name, indicating how much was obtained using the person's information, an arrest report said.

The arrest report said Charl­ton led the Internal Revenue Service to lose about $69,000.

Charlton became a suspect in the crime following a larger Sheriff's Office investigation into tax fraud in 2012. Her charges include scheming to defraud, aggravated white-collar crime and grand theft.

Deputies are still searching for her father, Norman Vince Charlton, 49.

He is wanted on federal charges of aggravated identity theft, theft of government property and conspiracy. Deputies believe he's in the South Florida area.

[ Matthew Pleasant can be reached at 863-802-7590. ]

Two Nursing Home Executives Charged With Medicaid Fraud

(Your time is coming Yuba, be prepared for the next audit)


GAINESVILLE - An 80-year-old woman and her daughter face charges of defrauding Medicaid of more than $2 million. Prosecutors say the two nursing home executives used Medicaid checks to pay off personal expenses.

Maxcine Darville and her daughter, Joanne Carter, were arrested Monday, after the state attorney general issued a warrant for their arrest. Darville is currently the CEO of a nursing home company called "Council on Aging of Florida," which manages four facilities across the state, including one in Gainesville. We're told Carter served as the non-profit's "assistant-CEO".

According to the state attorney general's office, both Darville and Carter used their positions to defraud the Medicaid system out of $2.75 million over a period of six years. They then used that money to pay off personal expenses, including a cable and internet bill at a home Darville claims was used for employees.

Both Darville and Carter were released from jail on a $50,000 bond. Darville's attorney says his client and her daughter deny any wrongdoing, and both intend to fight the charges until their names are cleared.