Sunday, March 26, 2017

-- Is there no line in the sand where money is to be made in continuing care? Is it all about the dollar, the dollar bill yo? Why do families have to do the job of government? Well I guess because government doesn't want to do the work in continuing care but simply bleat to us that it is doing the work of change. I guess it will be up to families like these ones to do the work that government will never do. I guess the stories will result in some of us at least waking up. I guess even if this class action lawsuit doesn't get change--we will still have the information we never got from the so called public servants in government. Families will have to enter the "rabbit hole" of litigation to get change because sure as rabbits make more rabbits all we will get from government is spin. In our case it is #GOASPIN. What will change this? I guess the facts. ----------------Jones moved into Main Street Terrace in Toronto, a nursing home operated by Revera Inc., a giant Canadian chain which owns 500 senior facilities worldwide, including 76 long term care homes in Canada; 53 of those facilities are in Ontario. Dekervor thought he’d be safe and cared for, but about a year after moving in, her dad began to deteriorate, she recalled. “I noticed a decline in his conversations and he became very unhappy. He said they were hurting him and he wanted to go home. At the time I thought that he was just having hallucinations.” Then in May 2014, Dekervor received a phone call from staff at Main Street Terrace. She remembers being told her 68-year-old father had fallen. What she didn’t know was that he had fallen not once, but twice and injured himself so badly, he was bedridden. According to a report from the Ontario Ministry of Health and Long term care, Ross Jones was left mostly immobile in bed for 11 days. On Day 12, according to Dekervor, her father was found verbally unresponsive, with a rapid heart rate, high respiratory rate and an elevated temperature. He was rushed to emergency at Toronto Western Hospital where Jones was diagnosed with suspected pneumonia. To his daughter’s horror, she discovered a massive open wound on his lower back that was laced with feces. Doctors told her that her father was going to die. “At the base of his spine. That whole part was gone”, said Dekervor, who still cries at the thought of the fetid bedsore. “That body part was gone. And it was like, there was white in there. It was gangrenous.” After Ross Jones died, Lori Dekervor desperate for answers as to how this could have happened to her father, contacted Revera, the Ontario Ministry of Health, Toronto Police and the Ombudsman of Ontario. “I realized I had fallen into a rabbit hole,” she told W5.


Julie Ali and Marguerite Redshaw shared a link.


W5 this week: Sandie Rinaldo tells the story of dozens of families who are going to…
CTVNEWS.CA
  • Entering the "rabbit hole" of litigation to solve the problems in continuing care is what these families are doing. Realizing that government is complicit with the health authorities and the continuing care industry in maintaining a public fiction of good performance in long term care, these families are doing the work government fails to do.
    They are telling us what happened to their loved ones.
    In their case, they have started a class action lawsuit.
    Whether they win or lose does not matter.
    Revera is on the hot seat.
    We are paying attention.
    The government of Ontario is on the hot seat.
    It won't do anything but we note that it won't do anything.
    These families are very brave. Most of the time there is nothing that can be done to solve the problems of accepted neglect, abuse and fatality by the provincial governments. Sure there is plenty of chatter for example in Alberta by successive health ministers-that ABUSE WILL NOT BE TOLERATED, but it sure seems to be tolerated when repeated adverse events occur.
    Since government and health authorities are impotent in these cases, the court system will have to do what it can to mitigate the horrors and provide compensation for families.
    Will this end the problems? Of course not. Families can't get their dead loved ones back and the continuing care system is only sensitive to #MEDIAATTENTION . Due to the lack of continuing care placements as provincial government policy there will always be customers for these private businesses.
    Until of course, the day families stop going to these businesses because we have the choice to take our family members to better businesses. I imagine with the globalization of continuing care in Canada that the Trudeau is flogging--we will soon have a free market system where we will have the choice that will end this junk.
    In a real free market--profits depend on performance and remembering the line in the sand that these families are showing to Revera.

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Just the fact that families are coming out of silenced mode to speak about abuse and fatality in the long term care system means that the stories of harmed family members will be known to the public.
This may not change the apathy in the public about the problems in the continuing care system but eventually as the baby boomer generation realizes that they too-may end up in the long term care places of shame--there will be political action taken

Government doesn't do anything to change the problems in the continuing care system because if they did something-such as shut down a nursing home--where would they put the residents? In fact, the entire mandate of government is to partner with public and private sector continuing care providers so as to ensure that government does not have to do anything for seniors other than act as a bank.

Even as bank managers, government fails because the money that is put to resident care is unknown for the most part but certainly profits for private providers---- in the form of direct cash, subsidies in the form of ASLI grants to provide 50% of infrastructure costs of their properties as well as the assurance of a captive customer pool that is forced to go to wherever government and health authorities decide they will go--well all of these matters--- make for good business returns. Even the non-profits that don't perhaps make cash profits will do well in terms of assets that are subsidised by the public in terms of construction, maintenance and renovations.

It's a win win all around for government, health authorities and the continuing care industry.
In Alberta government makes no pretence at all that it is serving us. There are no required staff:resident ratios, no visitation rights enshrined, no residential tenancy type rights and the oversight in terms of audits and Protection for Persons in Care investigations--well it is abysmal with laughable penalties.

The lack of information in terms of audits is another way the public is kept ignorant of non-compliances and outright failures in care. But of course, government doesn't want these audits in the public realm.  We don't want the business interests of partners to be impacted do we?  Meanwhile we are all innocent as newborn chicks as we take family into these places-we know nothing about the staff ratios, the lack of trained staff; the morphing of one profession into another such as a doctor into a nurse practitioner to save costs--yup it's a very one sided contract for us where we are not knowledgeable for all the spin provided by the folks in government and the health authorities.

When problems arise, there is no one in charge to take immediate action and stop further abuses. Instead we have no clear complaint path, the complaints are ignored, no one takes responsibility for abuses and when abuse is confirmed by the PPIC folks -what solutions are there? We don't know since government does not tell us.

It's pretty neat and government has set it up to be this way. In Ontario, apparently the government may put in fines. So funny. We pay the continuing care system our taxpayer dollars and then when they neglect folks to death-we get our money back in fines. How does this solve the problem? How about pulling the license of these major rich companies? How about putting continuing care entirely in the public realm? How about the politicians doing their fricking jobs and ensuring safety of our families?

Is there no line in the sand where money is to be made in continuing care?


Is it all about the dollar, the dollar bill yo?

Why do families have to do the job of government? Well I guess because government doesn't want to do the work in continuing care but simply bleat to us that it is doing the work of change.

I guess it will be up to families like these ones to do the work that government will  never do.

I guess the stories will result in some of us at least waking up.
I guess even if this class action lawsuit doesn't get change--we will still have the information we never got from the so called public servants in government.

Families will have to enter the "rabbit hole" of litigation to get change because sure as rabbits make more rabbits all we will get from government is spin. In our case it is #GOASPIN.  What will change this?  I guess the facts.  







Families sue nursing home giant for neglected care they claim loved ones suffered

Sandie Rinaldo
Sandie Rinaldo, Anchor, CTV National News Weekend & Reporter, W5


Published Saturday, March 25, 2017 7:00AM EDT
It’s never easy for Lori Dekervor to come back to Pine Hills Cemetery in Toronto where her father lies buried. There are too many memories. Too much hurt.
“My father was precious to me,” she told CTV’s W5 in an interview. “I trusted them to take care of him and they didn’t. And he suffered because of them.”
Dekervor’s dad, Arthur Ross Jones, known as Ross, was diagnosed with Lewy Body Disease when he was 66. It’s a form of dementia that also includes symptoms of Parkinson’s.

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W5: Neglected Care Saturday promo title card
Amani Oakley and Lori Dekervor
Amani Oakley (left) and Lori Dekervor announce the class action during a news conference at Queen’s Park in Toronto on October 20, 2016.
John Beaney, VP of Operations at Revera Inc.
John Beaney, VP of Operations at Revera Inc., says long term-care is safe and that his company is prepared to follow the court process.
Jones moved into Main Street Terrace in Toronto, a nursing home operated by Revera Inc., a giant Canadian chain which owns 500 senior facilities worldwide, including 76 long term care homes in Canada; 53 of those facilities are in Ontario.
Dekervor thought he’d be safe and cared for, but about a year after moving in, her dad began to deteriorate, she recalled.
“I noticed a decline in his conversations and he became very unhappy. He said they were hurting him and he wanted to go home. At the time I thought that he was just having hallucinations.”
Then in May 2014, Dekervor received a phone call from staff at Main Street Terrace. She remembers being told her 68-year-old father had fallen. What she didn’t know was that he had fallen not once, but twice and injured himself so badly, he was bedridden.
According to a report from the Ontario Ministry of Health and Long term care, Ross Jones was left mostly immobile in bed for 11 days.
On Day 12, according to Dekervor, her father was found verbally unresponsive, with a rapid heart rate, high respiratory rate and an elevated temperature.
He was rushed to emergency at Toronto Western Hospital where Jones was diagnosed with suspected pneumonia. To his daughter’s horror, she discovered a massive open wound on his lower back that was laced with feces. Doctors told her that her father was going to die.
“At the base of his spine. That whole part was gone”, said Dekervor, who still cries at the thought of the fetid bedsore. “That body part was gone. And it was like, there was white in there. It was gangrenous.”
After Ross Jones died, Lori Dekervor desperate for answers as to how this could have happened to her father, contacted Revera, the Ontario Ministry of Health, Toronto Police and the Ombudsman of Ontario.
“I realized I had fallen into a rabbit hole,” she told W5.
Revera refused to discuss the specifics of Ross Jones’ case with W5, citing privacy rules. However, John Beaney, Vice-President of Operations for Revera, did express his deepest sympathy for Dekervor’s loss. “We agree that situations like this are very concerning.”
“Long term care is safe and Revera is passionate about what we provide,” Beaney said in an interview, in which he spoke of the challenges facing long-term care providers dealing with an increasingly aging population.
“(Revera) tries to provide the best care we can, within the framework that the government provides us,” said Beany, who also pointed to a an internal survey which showed a 93-percent family satisfaction rating for the care provided.
“We’re always trying to do better and we’re always trying to improve.”
But Lori Dekervor was far from satisfied with the care her father had received, or the responses from Revera. Frustrated, she reached out to lawyer Amani Oakley, who specializes in medical malpractice law.
In October 2016 Oakley launched a civil class action lawsuit against Revera, alleging negligence in providing care. Lori Dekevor was listed as the lead plaintiff.
“The court system that we have in Canada does not award well for what these individuals go through in nursing homes,” said Oakley, who pointed out that most civil actions are settled out of court for undisclosed amounts.
In its investigation, W5 found only a few cases that went to trial, resulting in settlements ranging from $15,000 for pain and suffering, to $180,000 for loss of companionship.
After announcing her suit against Revera, other families began to come forward with their own claims of neglected care. Thirty families have now joined the suit, which has yet to be certified by the court.
“We have all kinds of cases of bed sores, maggots in wounds, repeated falls that aren’t stopped, attacks by one resident on another, attacks by home employees on residents,” recounted Oakley.
The class action, considered ground-breaking, is believed to be the first of its kind in Canada. The plaintiffs are seeking $200-million in damages.
“So instead of dealing with thirty, fifty, one hundred individual claims, the court deals with one class action and it’s better all around,” said Oakley.
“We don’t believe the class action has merit. We are prepared to follow that court process,” said Revera vice-president John Beaney.
“As you will appreciate, to any of the cases that are before the court, they are ongoing legal cases. We don’t discuss any of our residents publically. We don’t do that to respect their privacy, even if their families choose to do so.”
In a later email to W5, Revera noted that it has never been sued successfully by a resident or their family in a civil proceeding. That hasn’t deterred Oakley and Dekervor who know the court process could last years.
“Any litigation that deals with medical matters is generally a five to seven year ordeal,” said Oakley, who won’t draw a cent, until there is a settlement.
“I have seven years where every cost involved in this will come out of my pocket. If I lose at the end of all of this I lose both seven years of time and all the money that I’ve put into the litigation.”
For her part, Dekervor is determined, no matter how long it takes, to get justice for her father.
“It means, they know that there is a line in the sand, that they can’t treat people like this. There’s no more scot free, there’s no more slap on the wrist. It’s a precedent. We will fight back."




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#DeathAndAbuseInContinuingCare---Because government will never do the work of change in the continuing care system (wouldn't want to impact those third party business prospects would we?) -families are going to court to do the work that government will never do.
Will this class action lawsuit bring about change?
It will in the sense that families are coming out of silenced mode to speak about the problems their families have faced without retribution being used to silence them. In Alberta, when families talk about abuse and harm in continuing care we get the cease and desist letters. If that won't silence you, a lawsuit follows.
If the advocates are elderly, poor and fragile-they will be silenced. But what if you decide to become wood for the fire that is now burning in continuing care?
What if you do what these families are doing which are going to court for years so that the stories of their families can be heard?
I'd say that this is change that government cannot prevent.
Because in Alberta government prevents change.
Now these folks in Ontario are doing the work that government there will never do for all their dumb chatter of fines. What the heck? We give our money to these facilities so that when they harm folks, we get it back?
How do fines solve the problems?
Government prevents change.
Citizens make change happen.
When citizens join up like these families have done, change will happen--if only in educating the public about the horrors.

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