Christine Mitchell, 70, was a resident of Grace Healthcare of Tucker where she required assistance with all activities of daily living.

One morning, a nursing home assistant attempted to change Mitchell’s bed linens while she remained in the bed.

While the bed linen change was ongoing, the nursing assistant rolled Mitchell off the bed. She suffered a large bruise on the right side of her forehead and was later diagnosed as having a subdural hematoma — bleeding within the brain.

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A watchdog report released recently called for new focus on protecting nursing home patients. The report shows that nursing home facilities have regularly chosen not to report thousands of serious cases of potential neglect and abuse of seniors who receive their health care through Medicare even though it is a federal requirement for them to report.

Auditors with the U.S. Health and Human Services Inspector’s General Office drilled down on episodes that were serious enough that the patient was taken straight from the nursing home to a hospital emergency room.

The data that revealed this alarming reality was done by scouring Medicare billing records. It was estimated that in 2016, about 6,600 cases of potential neglect or abuse were not reported as required. Nearly 6,200 patients were affected.

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Countryside Care Centre was a nursing home in Aurora, Ill., a suburb west of Chicago. On Dec. 31, 2011, Countryside Care, LLC transferred the nursing home and the operation of it to Symphony Countryside, LLC. All employees were terminated with Symphony, which then had sole discretion on rehiring.

The sale agreement stated that “[n]othing contained herein shall be construed as forming a joint venture or partnership between the parties hereto.” Symphony was authorized and licensed to run the nursing home starting in January 2012.

On April 16, 2014, Lillie Michelet was admitted to Presence Mercy Medical Center with shortness of breath and chest pains. She was diagnosed with congestive heart failure.

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The plaintiff, Godfrey Healthcare and Rehabilitation Center, a nursing home, filed a complaint for services that was given to the defendant, John Toigo. At the time of the complaint, Toigo was a resident in this nursing home care facility. Through his son, Michael Toigo, he filed an answer and included affirmative defenses as to the nursing home’s lack of standing.

The court in Madison County, Ill., erred in entering a default judgment against Toigo on the nursing home’s oral motion for default. The court ruled that as the defendant was denied the opportunity to defend on the merits of his responsive pleadings and denied the opportunity to challenge the nursing home’s affidavit as to damages, the appellate court found that the trial court erred in denying Toigo’s pro se motion to vacate the default judgment.

Godfrey Healthcare served its motion to reconsider, a notice of hearing on Toigo’s former lawyer rather than on Toigo as required by the court order.

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Lillie Michelet was admitted to the Countryside Care Centre Nursing Home on April 21, 2014. She was discharged on June 21, 2014 with bed sores on various parts of her body. The bed sores allegedly caused sepsis, which was a cause of her death on June 29, 2014.

Michelet’s son, William Harris, as special administrator of her estate, brought a lawsuit against the various nursing home entities, including Countryside Care Centre Inc. and Countryside Care LLC (collectively, Countryside defendants), claiming negligence and violations of the Illinois Nursing Home Care Act (210 ILCS 45/1-101 et seq.).

The trial judge granted summary judgment to the Countryside defendants because they sold Countryside Care Centre to Symphony Countryside LLC on Dec. 31, 2011 and thus had no ownership, operational interest, or financial interest of the facility during the time Michelet was a resident.

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A pediatric home health services provider was sued by an employee who alleged that it ignored the employee’s complaints about the lack of assistance in terms of physically lifting patients.

The lawsuit was filed against Epic Health Services Inc. d/b/a Aveanna Healthcare. It was filed on March 4, 2019 in Harris County, Texas District Court.

In the complaint, it was stated that the employee was injured on May 14, 2017 while turning a semi-comatose patient for incontinence care.

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Minnie Pearson was admitted to Carrington Place of St. Charles after she suffered a stroke. She was in her mid-70s at the time. About a month after her admission, nursing aide Heather Clark administered hydralazine to Pearson although it was another patient’s medication. She then became unresponsive and hypotensive.

The nursing home staff responded by attempting resuscitation and later called 911. However, Pearson died several months later. She was survived by four adult children.

The Pearson estate and family sued the nursing home, Heather Clark and her employer, Accountable Healthcare Staffing, alleging negligent administration of the hydralazine and choosing not to timely summon emergency medical assistance.

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Tho Nguyen, 43, suffered from a traumatic brain injury and quadriplegia. He lived in a private home and received services from a non-profit corporation that provided community-based care to persons with disabilities.

Nguyen’s sister, who was his guardian, learned that he suffered a bruise on his left side, allegedly coming from an incident in which a caregiver pulled him from his wheelchair and kicked him while he was lying on the ground. Nguyen’s sister, on his behalf, sued the community-based care center alleging negligent hiring, supervision and retention of the aide who, plaintiff asserted, was previously named in a domestic dispute.

The defendant denied the incident ever took place but still settled the case.

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The names of the individuals in this nursing home lawsuit were made confidential. Mr. Roe, a nursing home resident with a history of criminal sexual violence, became friendly with a fellow resident, an 82-year-old woman, Ms. Doe, who suffered from dementia. The staff at the nursing home, Maple Farm Nursing Home, were concerned about Doe and Roe being together. The situation was discussed with the County Office of Aging, which agreed to keep Doe and Roe separated.

Nevertheless, the nursing home chose not to do so. Early one morning, Mr. Roe went to Ms. Doe’s room and sexually assaulted her. The police were summoned to the nursing home and Roe admitted to the assault.

Ms. Doe, through a representative, sued the nursing home, its parent company and Mr. Doe ,alleging liability for the sexual assault.

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Minnie Pearson was admitted to Carrington Place of St. Charles, a nursing home, after she suffered a stroke. She was in her mid to late 70s when she was admitted. About a month after her admission, a nursing aide, Heather Clark, administered another patient’s hydralazine medicine to Pearson and Pearson became unresponsive and hypotensive.

The nursing home staff tried resuscitation and then called 911. However, Pearson died several months later. She was survived by her four adult children. Hydralazine is known as a vasodilator that works by relaxing the muscles in the patient’s blood vessels to help dilate or widen them. Administration of this drug lowers blood pressure and allows the blood to flow more freely through the patient’s veins and arteries. Hydralazine is used to treat high blood pressure or hypertension.

Pearson did not need this medication.

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