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Nursing home probe continues

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By Mike Sever

Record-Courier staff writer

Portage County officials will meet Monday in executive session to continue their investigation as to what went wrong at the county's nursing home, The Woodlands at Robinson.

The nursing home has been cited by the Ohio Department of Health for failing to keep a frail woman resident safe and for failing to promptly report an alleged abuse incident as required.

ODH was called Aug. 6 after an aide reported finding evidence the female resident was abused on Aug. 4 in her room. A written report was not filed until Aug. 10, according to ODH.

The board will meet at 3 p.m. Monday at The Woodlands in executive session with representatives of Generations Health Care, a Cleveland-area firm that specializes in nursing home management. The board passed a resolution Thursday to hire Generations.

Commissioners want the firm to review the nursing home's policies and procedures and make sure any problems in procedure are corrected before state inspectors return.

"There's a very serious breakdown in communication that has to change. Emphatically, that has to change," Commissioner Maureen Frederick said Saturday.

Ravenna police also were notified by family and nursing home administrators and have comfirmed they conducted a criminal investigation. No charges have been filed.

ODH's deficiency report described the woman as a "frail, vulnerable resident" who was unable to move her arms or legs. The names of the resident and that of her alleged abuser, who reportedly was the 75-year-old spouse of a Woodlands resident, were blacked out in the report.

Nursing home administrator Gary Borrelli and Director of Nursing Diane Goodwin told investigators they were unaware of three prior abuse allegations the state inspectors said were documented in staff notes.

Last Thursday, commissioners met for about one-and-a-half hours with Borrelli and Goodwin.

Commissioner Chris Smeiles said commissioners have been told inspectors from the Ohio Department of Health may be back as early as Thursday. He also said the county has been notified the fines recommended by ODH have been reduced from $4,250 to $250 a day, and that Medicaid/Medicare payments are no longer in jeopardy.

When it was opened in 2001, Generations Health Care managed the Woodlands for the county for the first year of operation. Commissioners then decided to hire Gary Borrelli away from Generations and have him manage the 99-bed nursing home as a Portage County employee.

Smeiles said the board will wait for the Generations evaluation before deciding on any management changes at The Woodlands.

"We have not discussed retaining (Generations) for management as of yet. Everything's on the table," Smeiles said.

Smeiles said he was unaware of any other abuse concerns at the facility off North Chestnut Street in Ravenna.

"If there are any other concerns that need to be brought up, family or residents should contact the county commissioners," he said.

Frederick said she's received a number of calls from families of other residents concerned about the situation.

"I've been told there's too heavy a reliance on temporary (nursing) services. That's something we need to look at," Frederick said.

At last Thursday's regular session, Frederick told fellow commissioners Smeiles and Chuck Keiper she'd been called by group of concerned Woodlands employees who wanted to meet with commissioners.

Saturday, Frederick said the board was told that, since Woodlands employees are unionized, any meeting with the board would have to be requested by their union.

Smeiles said commissioners are working to quickly resolve safety issues at the nursing home.

"It's very upsetting to have a first-class facility with a stellar reputation for so many years, and this one time period casts a shadow. We are committed to resolving issues and work on restoring public faith in the Woodlands," he said.,




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Previous 10 Comments    of 17 Total Comments
7.
    Posted by s.swenson September 17, 2007
OK, so documentation was filled out regarding "watching this man" at the facility? Then why was it not reported through the proper channels?
So what is the rule out there or at any Ohio nursing home for our dear seniors who are feeling a little physically amorous? Are they allowed to touch one another? Are they allowed to touch and be touched as long as both parties consent? Is there a "private room" they are supposed to go to? I'm sure there are some robust seniors roaming the halls out there who are still feeling physically fit. What about patients on mind altering medications are they allowed to consent? As far as this incident the investigation will bring out the whole, consent non consent issue as well as him roaming the halls but what are the rules in general for rounding the bases out there for our seniors wishing to meet some physical needs, I'm curious if there is something in the master rule book?

6.
    Posted by radiantreba September 16, 2007
OHioGal: The documentation about keeping an eye out on the man was filed after the non-consentual incident occured. And I'm sorry I had to laugh about the swingers comment. Can you imagine if everyone there were swingers??? :) :)

5.
    Posted by radiantreba September 16, 2007
As a matter of fact, up until this last incident, the resident DID consent to these activities. I have been there on a couple occasions when that occured. And she had the RIGHT to do that. The door HAS in fact been ordered closed on occasion, Kamascott is NOT making that up. I don't know kamascott, and I am not the one who told her that information, but I will back it up.
I am NOT saying that this is not a sick situation, because what did happen was entirely uncalled for, but seniors (and she isn't even really a senior yet) do have those urges and they have the right to act on them (as long as both are consenting, of course).
And I don't know why people have to be up on here all rude to each other. Be a little more mature about your comments, this isn't the Yahoo teeny-bopper name calling bulletin board.

4.
    Posted by s.swenson September 16, 2007
In addition to the incident between the roommates husband and the victim there were many other problems detected as I recall multiple violations. I think the issue is more than this although this appears to be a bit over the top. Seniors do have a choice but considering they are in a medical facility I find it hard to believe that one is sitting by allowing her husband to perpetrate this on her roommate. Please don't tell me the home is filled with swingers and husband swappers? It sounds a little too far fetched and reaching to say it was consent. I think it's age discretion in reverse if the patients aren't protected. If this was a situation with consent then why all the docmentation about watching this gentleman? Why I just called him a gentlemen in unknown to me, that whole respect your elders thing. Maybe our elders should respect each other. It will all eventually come out. I will wait on the passing too much judgement and not enough information.

3.
    Posted by noanswer September 16, 2007
Do you proofread?

2.
    Posted by noanswer September 16, 2007
Wow, you know an employee..that's impressive..I know the whole situation first hand, and I take offense to the fact that you think that you know the story...when clearly you don't. The whole situation makes me sick and it's none of yours or anyone else's business....how would you like this to happen to you and then not have the means or ability to respond to this....????? She doesn't even know this stupid forum exists....you don't know crap about this..The victim can't speak...just to let you know, and when she does, you can't hear it so I suggest you find a better source of information or quit cutting up the story and saying stupid lies...Find something better to do with your time than think that someone in a horrible situation already is consenting to this sick crap..
You have a lot of nerve....
Mind your own business....
Why don't you take up a hobby that doesn't involve talking about an already emotional situation that doesn't pertain to you.......

People need to know what's going on in there...It's not muddying any situation

1.
    Posted by KamaScott September 16, 2007
Hmmm. I know an employee and this article certainly leaves out some pertinent facts like "was it abuse or consent". What actually happened. The supposedly vitim herself ordered staff out of the room when her roommate's husband was visiting. Why? And what about the roommate? Why wasn't she screaming bloody hell if this was going on? The alleged victim isn't senile nor is she unable to speak. If she were being abused why didn't she raise a stink before she was caught in the act? I resent the implication of this whole mess that seniors don't have the right to make choices. Even if our kids don't like our choices or find them embarassing. To muddy the name of a good institution and the reputations of hard working staff by assuming facts not in evidence and not digging to find the REAL facts is henious. Yes Virginia seniors DO have sex and yes Virgina seniors do mess around. And that is reality.

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