Riverside California Nursing Home Abuse Attorneys

Riverside Elder Abuse LawyersNothing is more frightening and disconcerting than suspecting a loved one is being neglected or abused in a nursing facility. Many of society’s most vulnerable must reside in nursing homes to receive professional nursing care to ensure that their health and hygiene requirements are met. Unfortunately, the Riverside nursing home neglect attorneys at Rosenfeld Injury Lawyers LLC have represented many nursing home victims who have been neglected or mistreated by well-meaning staff. Unfortunately, overcrowded conditions and lack of adequate staffing in nursing facilities all throughout California have resulted in an increase in the amount of cases involving harm and injury.

As a part of the Inland Empire Metropolitan Area, Riverside is home to more than 310,000 residents, of which approximately 35,000 are senior citizens. The number of elderly increases substantially when accounting for all of the retirees living in Riverside County, many of whom reside in nursing facilities. In fact, the increasing number of the aging population is a result of many more baby boomers than ever before entering their retirement years. This increase has developed a significant problem for nursing facilities throughout Southern California were nursing homes of become overcrowded and lack adequate staff.

Riverside Nursing Home Resident Health Concerns

There is a dark side to the nursing home industry that rarely sees the light of day. Many facilities are operated by large corporations that place profits for their stockholders ahead of safety and quality care for their residents. In many incidences, senior citizens are not provided adequate care and as a result suffer physical, emotional and mental harm, all the while the shareholders are reaping profits at the expense of their residents.

If your spouse, parent or grandparent resides in a nursing facility, you likely remain concerned about their health, safety and well-being. Our Riverside elder abuse attorneys have served as legal advocates for nursing home residents all throughout the state. We take a methodical approach to reviewing, investigating and assessing opened investigations, filed complaints, safety concerns and health violations against nursing facilities throughout California. Many families use the results of our findings as an effective process to determine where to place a loved one who requires the finest quality care.

Comparing Riverside Area Nursing Facilities

The list below was compiled by our Inland Empire nursing home abuse lawyers to shed light on Riverside area facilities that currently maintain below standard ratings. These ratings are compared to other facilities nationwide. In addition, our law firm has outlined our primary concerns by showing detailed information on specific cases involving abuse, neglect and mistreatment that resulted in the harm or injury of the resident.

Information on California Nursing Home Abuse & Negligence Lawsuits

Our attorneys have compiled data from settlements and jury verdicts across California to give you an idea as to how cases are valued. Learn more about the cases below:

COMMUNITY CARE AND REHABILITATION CENTER
4070 Jurupa Avenue
Riverside, California 92506
(951) 680-6500

A “For-Profit” 162-certified bed Medicaid/Medicare-participating facility

Overall Rating – 2 out of 5 possible stars

2 star rating

Primary Concerns –

Failure to Provide Necessary Services and Care to Ensure the Resident Maintains Her Highest Well-Being

In a summary statement of deficiencies dated 07/09/2015, a notation was made during an annual licensure and certification survey by a state investigator concerning the facility’s failure to “provide necessary care and services for [a resident at the facility] when the resident had a significant change of condition.”

The deficient practice was noted when a state surveyor investigated multiple failures at the facility including:

  • “A failure to assess the resident’s respiratory status [by] listening to lung sounds, breathing rate and pattern, oxygen saturation levels […and] level of consciousness (alertness), and provide immediate nursing interventions when [the resident’s] condition began to deteriorate as exhibited by diaphoresis (sweating) , having pale skin color, rapid and shallow respiration, high fever of 101.2 degrees Fahrenheit […and] fluctuating blood pressure […and] low pulse rate.”
  • “A failure to notify an available alternate physician promptly of the resident’s change of condition when the attending physician or on-call physician was not immediately available.”
  • “A failure to call emergency services promptly when the resident’s change of condition was discovered and a physician could not be reached.”
  • The failure to call 911 for emergency services “resulted in a rapid decline of [the resident’s] medical condition and cause an unnecessary delay in transporting the resident to the hospital for emergency medical treatment and a higher level of care.”

As a result of the deficient practices by the nursing staff at Community Care and Rehabilitation Center “the resident expired while at the hospital.”

As a part of the complaint investigation, the state surveyor reviewed the resident’s medical records noting that the resident “also had a gastronomy to (GT-flexible tube surgically placed into the abdomen to deliver liquid nutrition and medications). The resident’s records also indicated he was a “Full Resuscitation,” which meant the resident wanted to be transferred to the acute hospital for higher level of care in the event his condition begins to decline and he wanted life sustaining measures to be initiated.”

The investigator reviewed the facility’s nurse’s notes documented by a LVN Licensed Vocational Nurse that revealed “the following sequence of events for [the resident]” that reads in part “at 8 AM, indicated [the resident] was noted by the nurse as, warm, moist and pale. No signs of respiratory distress. The resident was receiving tube feeding via GT, and was on antibiotic (medicine that fights infection) administered through GT for urinary tract infection.”

The Nurse’s Notes further revealed “at 9:30 AM, the resident’s pulse rate was 80 (normal) beats per minute […and] at 10:05 AM, [the Licensed Vocational Nurse entered the resident’s] room and documented the following: respirations increased to 22 per minute. Diaphoretically sweating. Obtained temperature via auxiliary right arm. Temperature 102.2 (very high), blood pressure low and pulse 55 (low) Medical Doctor exchange called and awaiting response. Will continue to monitor and report as needed.”

The Licensed Vocational Nurse providing care to the resident call the physician exchange and “waited for the attending physician to return the call.” Documentation by the Licensed Vocational Nurse indicated that “neither the attending physician nor any available physician had return the call, and the staff had not tried to call other alternate physician.”

The state investigator noted that there is “no documentation in the resident’s records that the staff notified any other available physician [such as the Medical Director working for Community Care and Rehabilitation Center] or notified the facility’s Registered Nurse or Director of Nursing to assess the resident’s condition.

Nursing documents note that at 10:30 AM “emergency response called and requested assist. Resident is Full Code [meaning life-saving measures are provided including chest compressions and artificial respirations]. Breathing shallow and rapid. Resident pale and diaphoretic (sweating). Resident warm and wet to touch. Will continue to monitor until emergency response team arrives.” The documentation shows that resident still had a 102 degrees Fahrenheit temperature and an elevated blood pressure rate along with respirations of 25 times per minute. The nursing staff provided the resident oxygen inhalation through the nose.

Fifteen minutes later 10:45 AM, documents maintained by the nurse indicate the arrival of the emergency response team who performed an assessment on the resident and transported the resident to the hospital. The Licensed Vocational Nurse received a call from the hospital later that afternoon at 3:30 PM revealing that the resident “was not able to be resuscitated and had expired.”

The state investigator reviewed the resident’s January care plan that revealed no specific Plan of Care “had been developed [addressing] the resident’s potential respiratory problems and respiratory diagnoses.”

The state investigator conducted a review at the facility’s Director of Nursing in regards to “notifying the physician of [the resident’s] significant change of condition.” The Director of Nursing indicated that the “when the attending physician could not be reached or was not available other available physicians or the Medical Director are to be called by the Registered Nurse Supervisor or the Director of Nursing immediately.” However, reviewing the resident’s medical records, the Director of Nursing “acknowledged there was no documentation of the physician being notified or where the resident significant change in condition during and prior to the residents transferred to the hospital.”

The Director of Nursing also stated that “the RN Supervisor should have assessed the resident and notify the resident’s physician promptly or the Medical Director if the attending physician could not be reached.” The state investigator asked the Director of Nursing about the resident’s “specific Plan of Care for potential respiratory problems and the facilities policy or guidance for medical emergencies involving a resident.” The Director of Nursing responded, “we do not have an emergency policy.” In addition, the Director of Nursing “reviewed the resident’s records and was unable to find any documentation of a specific Plan of Care for the resident’s respiratory problem.”

Our Riverside nursing home neglect attorneys recognize the failing to follow procedures and protocols when providing care and services to a resident in Full Code, meaning all emergency measures must be provided, might be a possible cause of a resident’s death. The deficient practice by the nursing staff at Community Care and Rehabilitation Center might be considered negligence or mistreatment of the resident who could not be resuscitated after being transferred to the hospital.

COMMUNITY CARE ON PALM
4768 Palm Avenue
Riverside, California 92501
(951) 686-9001

A “For-Profit” 51-certified bed Medicaid/Medicare-participating facility

Overall Rating – 2 out of 5 possible stars

2 star rating

Primary Concerns –

Failure to Provide Adequate Protection to Ensure That Every Resident Is Free from Abuse, Physical Punishment or Being Separated from Others

In a summary statement of deficiencies dated 03/26/2015, a complaint investigation was opened against the facility for its failure to “ensure [a resident at the facility] was free from verbal abuse by one staff member.”

The complaint investigation involved in an incident where the facility’s “hairdresser verbally abuse [the resident] by speaking to her in a threatening manner.” This deficient practice by the employees at Community Care on Palm “had the potential of resulting in emotional distress for the resident.”

The state surveyor conducting the complaint investigation interview the Director of Nursing on 03/25/2015 who “had identified and reported an incident for [the resident].” The Director stated “she received notification of verbal abuse reported by the Social Services Director (SSD), who had heard [the resident] calling out for help on 03/25/2015 at 9:00 AM. When the [Social Services Director] went to the resident’s room, the SSD heard the [hairdresser] speaking to the resident in a harsh tone of voice with threatening placement of her hands on her hips.” The Director of Nursing then stated that the resident “was just asking for help to obtain additional sugar to be placed on her oatmeal.”

State investigator conducted a 03/26/2015 7:28 AM interview with the facility’s RNA (Restorative Nurse Assistant) who stated that the resident “was independent, emulates with a cane, and confirmed [the resident] did her own hair.” The Restorative Nurse Assistant stated that the hairdresser “attempted to color the resident’s hair, but the resident wanted to continue to wear her wig instead of having her hair colored.” The RNA stated “he heard the verbal altercation by [the hairdresser] with the resident, and confirmed the SSD was present.”

In less than an hour at 8:15 AM, the state investigator interviewed the Social Services Director who stated that the previous day “at approximately 9:09 AM, the resident was calling out for sugar to be added to her oatmeal from her room. When the SSD entered [the resident’s] room, she witnessed the [hairdresser] speaking to [the resident] in a harsh tone of voice at the foot of [the resident’s] bed and stating, ‘what do you need now? I can’t work with you consistently yelling for help, I can’t get my work done so what do you want now?’ The [Social Services Director] stated the [hairdresser] was standing in a threatening manner over [the resident’s] foot of the bed, with her hands on her hips, and speaking in a threatening manner.”

In response to the incident, the Social Services Director stated “she told the [hairdresser] she cannot speak to any residents in that manner” and immediately notified the facility’s Administrator and Director of Nursing to report her observations.

Our Riverside nursing home neglect lawyers recognize the failing to ensure that every resident is protected from verbal, physical or emotional abuse could cause significant harm to the resident. The deficient practice of the nursing staff at Community Care of Palm might be considered additional abuse because the failure did not follow the facility’s January 2014 policy and procedure title: Abuse Investigations that reads in part:

“Residents were to be free of abuse… Employees of this facility that have been accused of resident abuse may be suspended from duty until the results of the investigation have been reviewed by the Administrator.”

MAGNOLIA REHABILITATION And NURSING CENTER
8133 Magnolia Avenue
Riverside, California 92504
(951) 688-4321

A “For-Profit” 120-certified bed Medicaid/Medicare-participating facility

Overall Rating – 2 out of 5 possible stars

2 star rating

Primary Concerns –

Failure to Ensure That Residents Remain Safe from Serious Medication Errors

In a summary statement of deficiencies dated 06/18/2015, a notation was made during an annual licensure and certification survey by a state investigator concerning the facility’s failure to “ensure a blood pressure (BP) was taken prior to administration of (BP) medication for high blood pressure.” This deficient practice affected one resident at the facility who “had the potential to experience low blood pressure episode if the medication was administered when blood pressure was too low for the [resident].” This failure by the nursing staff at Magnolia Rehabilitation and Nursing Center “placed a resident at risk for weakness, dizziness, falls and injuries.”

The deficient practice was noted after the state investigator reviewed the resident’s physician’s orders dated 04/15/2015 prescribing medication to treat the resident’s blood pressure noting a specific “**RISK FOR FALL**” and instructing the nursing staff to hold medication “if SBP (systolic blood pressure [fell below] 100.” The investigator noted there was a change in the physician’s orders on 06/10/2015 indicating that medication was to be discontinued and another medication started.

An interview was conducted on 06/15/2015 at 4 PM by the state investigator with the facility’s Licensed Vocational Nurse providing the resident care. The interview was “in regards to blood pressure not being taken prior to administration of [the resident’s medication].” The Licensed Vocational Nurse stated, “I cannot answer for it. I’m not the Charge Nurse.”

The state investigator then conducted a 06/16/2015 10:50 AM interview with the facility’s Director of Nurses “in regards the blood pressure for the medication not being taken, prior to the administration of [the resident posse is medication].” The Director of Nursing stated, “I interviewed the morning charge nurse in regards to blood pressure not taken. The nurse unable to give an answer.” The Director of Nursing further stated that “medication nurses should check the blood pressure prior to administration of the medication, when parameters are ordered by the physician.”

Our Riverside nursing home neglect attorneys recognize the failing to follow protocols when providing care and treatment to residents with blood pressure problems has the potential of causing serious issues the resident. The deficient practice of the nursing staff at Magnolia Rehabilitation and Nursing Center might be considered negligence or mistreatment because it failed to follow the facility’s December 2012 policy and procedure title: Administering Medication that reads in part:

“Medications must be administered in accordance with the orders, including the required [time] frame.”

ALTA VISTA HEALTH CARE AND WELLNESS CENTER
9020 Garfield Street
Riverside, California 92503
(951) 688-8200

A “For-Profit” 99-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Follow Procedures and Protocols to Investigate, Control and Keep Infection from Spreading

In a summary statement of deficiencies dated 11/23/2015, a complaint investigation against the facility was opened for its failure to “follow their policy and procedure for isolation of [a resident at the facility] who had Clostridium difficile (C. diff) – a contagious infection in the intestinal tract manifested by severe diarrhea.” In addition, the state investigator noted the facility’s failure “to ensure [the resident] followed isolation orders.” This deficient practice by the nursing staff at Alta Vista Healthcare and Wellness Center “had the potential to spread an infection disease throughout the facility to an already fragile and vulnerable population.”

State investigators made an unannounced unscheduled visit to AltaVista Health Care and Wellness Center on 09/15/2015 to investigate a complaint regarding an incident where a resident “was ambulating in the hallways, and to the dining room while under contact isolation precautions.”

A review of the resident’s admittance records revealed that the resident “was admitted from an acute hospital for continuation of antibiotic therapy to treat [Clostridium difficile (C. diff)].” Upon admission, the resident “was placed on contact isolation precautions.” However, 08/31/2015 2:00 AM Nurses Notes indicate that the resident was “up at this time walking around hallways.”

Monitoring records indicate that the resident had severe diarrhea and states “I lost count how many times I had diarrhea.” The resident’s 08/31/2015 11:30 AM Nurses Notes document that the resident “had diarrhea two times this morning. Good handwashing and contact isolation precautions. Patient walking around with unsteady gait.”

The resident was interviewed at 11:30 AM on 09/15/2015 stating that the resident “was out of his room a lot, ambulating in the hallways and in the dining room, and [the resident] was supposed to be in isolation.”

The state investigator conducted at 11:15 AM 09/15/2015 interview with the facility’s Director of Nurses who stated “the Director of Staff Development (DSD) has educated him. He [the resident] still leaves his room.”

Our Riverside nursing home neglect attorneys recognize the failing to follow procedures and protocols to maintain infection has the potential of spreading infection to every resident in the facility. The deficient practice by the nursing staff at AltaVista Health Care and Wellness Center failed to follow the established procedures and protocols adopted by the facility including the facility’s policy and procedure title: Infection Control Clostridium Difficile that reads in part:

“Contact Isolation: Residents with active diarrhea diagnosed as having CDI (Clostridium difficile) should be placed in contact isolation. They should remain in the room until the diarrhea resolves or the resident returns to their normal toileting habits.”

CYPRESS GARDENS CARE CENTER
9025 Colorado Avenue
Riverside, California 92503
(951) 688-3643

A “For-Profit” 120-certified bed Medicaid/Medicare-participating facility

Overall Rating – 2 out of 5 possible stars

2 star rating

Primary Concerns –

Failure to Follow Procedures and Protocol When Monitoring and Managing a Resident’s Blood Sugar Levels

In a summary statement of deficiencies dated 09/08/2015, a complaint investigation against the facility was opened for its failure to “provide the necessary care to maintain the highest practical physical well-being, when [the resident’s] blood sugar level is not routinely assessed as ordered by the physician.” This deficient practice by the nursing staff at Cypress Gardens Care Center “had the potential to result in delayed provision of treatment which can eventually cause an acute condition.

The complaint investigation involved a review of the resident’s 08/27/2015 physician admitting orders indicating the resident required fast acting insulin to treat high blood sugar using subcutaneous delivery and using a Sliding Scale Insulin and Blood Glucose Record to be taken at specified times each day. However, a review of the August sliding scale insulin and blood glucose record indicated on numerous occasions, the blood sugar level, insulin dose, nurse signature and site were all left unfilled. These dates occurred between 08/27/2015 and 08/31/2015.

At no time between 08/27/2015 and 08/30/2015 was there evidence that the resident’s blood sugar was completely assessed.

The state investigator noted that the facility failed to follow their own August 24 policy and procedure title: Admission of the Resident that reads in part “it is the policy of this facility to admit residents in an organized manner and gather appropriate assessment data. Forms to be completed on admission: Medication treatment is needed.”

Our Riverside nursing home neglect attorneys recognize the failing to follow protocols and procedures when monitoring and managing a resident’s blood sugar levels as a potential of causing the resident significant harm. Deficient practice of the nursing staff at Cypress Gardens Care Center might be considered negligence or mistreatment because it fails to follow the facilities 08/24/2014 policy titled: 24 Hour Chart Check that reads in part:

It is the policy of this facility to review charts daily for order to provide for timely implementation of orders received.”

Nursing Facility Neglect and Corporate Interests

Making the decision to place a parent, grandparent or spouse under the care of skilled nurses is one of life’s more challenging events. Often times, families have no other option than to entrust the health and well-being of their loved one in the hands of professional nursing staff in the hopes that they receive the highest level of care in a safe and friendly environment under the skilled compassionate care of others.

Unfortunately, many nursing homes throughout Southern California are owned by national corporations in charge of the operation and management of multiple facilities. As a result, many of these corporations lose sight of the compassionate objective of providing the highest level of care and instead focus on obtaining and protecting profits to the sole benefit of their shareholders.

Why Accidents, Abuse and Neglect Occur

Staffing issues are leading factors in most cases involving neglect, abuse or accidents in nursing facilities. Inadequate staffing resulting in an extremely low resident to staff ratio can have drastic and dire consequences to the resident’s health and well-being. Simply put, a lack of adequate staffing can jeopardize the health and well-being of every resident because the nurses do not have the physical capacity to provide adequate service to everyone during their shift.

Additionally, a lack of quality training provided by management and supervisors can quickly lead to pervasive patterns of abuse, neglect, mistreatment or accidents. If the manager of the facility has not been properly trained, they do not have the capacity to train the staff in the nursing facility to follow procedures, protocols and policies. Any failure to report negligence, mistreatment, accidents or abuse in a timely manner can result in life-threatening consequences of any or all residents.

Most problems at the nursing facility occur from the top down because the administrator, nurse supervisor or Director of Nursing failed to provide the staff adequate training on procedures and policies. From a legal standpoint, the facility, management and others can be held legally liable and financially accountable to the victim suffering harm or to surviving family members whose loved one suffered a wrongful death.

When Legal Action is Necessary

Our team of Riverside County elder abuse lawyers recognize that many of the failures occurring in nursing home result in severe physical injury or emotional harm that contributes to the undignified existence of the resident.

In the event that a spouse, grandparent, parent or loved one has suffered neglect, mistreatment or abuse while residing in a California nursing facility, your family may be entitled to receive financial recompense to pay for damages. This includes obtaining compensation to cover medical expenses, pain and suffering. The Santa Ana nursing home abuse attorneys at Rosenfeld Injury Lawyers LLC can ensure your loved one’s rights are protected and assist in returning the dignity and respect every human is due.

We take every step possible to gather evidence, investigate the claim and build a case to hold every party legally at fault both financially and lawfully liable. To successfully resolve the case requires time and dedication, especially if the nursing home victim has challenges in articulating or remembering what happened. Through our comprehension of complex California tort laws, we compassionately guide our clients and family members through the legal process all while serving as aggressive advocates during a challenging and painful time.

We encourage you to contact our Southern California elder abuse law offices by calling (800) 926-7565 today to schedule your free, full case evaluation. No upfront fees are required, and the private information you share with our law firm always remains confidential.

For additional information on California laws and information on nursing homes look here.

If you are looking for information on a specific facility or an attorney, please see links below to respective locality pages.

Client Reviews
★★★★★
Jonathan did a great job helping my family navigate through a lengthy lawsuit involving my grandmother's death in a nursing home. Through every step of the case, Jonathan kept my family informed of the progression of the case. Although our case eventually settled at a mediation, I really was impressed at how well prepared Jonathan was to take the case to trial. Lisa
★★★★★
After I read Jonathan’s Nursing Home Blog, I decided to hire him to look into my wife’s treatment at a local nursing home. Jonathan did a great job explaining the process and the laws that apply to nursing homes. I immediately felt at ease and was glad to have him on my side. Though the lawsuit process was at times frustrating, Jonathan reassured me, particularly at my deposition. I really felt like Jonathan cared about my wife’s best interests, and I think that came across to the lawyers for the nursing home. Eric