By Laurie Kash, Commentary
Published in the Albany Times Union Op-Ed section, February 29, 2016
Laurie Kash (in red) at Comptroller DiNapoli’s press conference
Here is how bad it has gotten: New York state nursing homes cause pervasive harm. And the state Department of Health‘s lack of oversight is a major part of the problem.
My late mother was a poster child for the horrors that occur daily in these facilities. The catastrophic breakdowns in her care did not happen in a vacuum. Horribly, hers is one of many flesh-and-blood examples of systems that are in utter failure and must be held to account.
I learned all of this only after my mother walked on her own two legs into a nursing home for temporary care, physically intact, and three weeks into her stay became a paraplegic, paralyzed from the chest down. She was injured in repeated episodes of neglect and medical malpractice at the institution entrusted with her care.
The background: One night my mother fell after a nurse failed to follow a physician’s order detailed in her care plan. Her subsequent 13 days of progressive neurological deterioration and severe pain were ignored or dismissed as exaggerated. Instead of receiving the critical treatment, she was referred to a psychiatrist.
It took a brief neurological examination by my brother-in-law, a heart surgeon who came from out of town, to diagnose her paralysis. But by then it was too late to reverse her spinal cord injury. My mother spent the remaining three years of her life confined to the nursing home, in a wheelchair, without autonomy or independence.
We filed a complaint with the Department of Health, which, after six investigations, dismissed most concerns. Despite clear evidence of neglect, DOH found only one deficiency and rated it as “causing no actual harm.” Meanwhile, outside expert physicians saw clear violations of the state’s standards of care, and the record shows that nursing home staff repeatedly violated their own care plans.
Our family filed a lawsuit against the nursing home and repeatedly asked the state to act. DOH stonewalled us. I prepared a “Contrast Study” in 2013, comparing my mother’s case to one in which the state shut down a nursing home, and submitted it to the state health commissioner. Even after seeing these documented disparities in applying federal and New York law, DOH took no meaningful action.
Finally, two years ago, I approached the state comptroller’s office with my study, along with fellow advocates at New Yorkers for Patient and Family Empowerment, the Gray Panthers, and other organizations. We asked for an Audit and Policy Analysis of DOH’s Nursing Home Oversight agency, which was last done 16 years ago in 1999. Thankfully, the comptroller agreed to conduct this long-overdue audit. It is what I hope will be the beginning of the resuscitation of our state’s lapsed nursing home oversight.
In my nine-year pursuit of nursing home reform, I have encountered countless family members experiencing agony and incredulity at the harm done to their loved ones by the state’s systemic dysfunction. New York nursing homes now operate with practical impunity.
This is intolerable. There are solutions. The oversight agencies and the nursing homes they oversee must be held accountable to standards that assure care with dignity for our most vulnerable citizens. This is not a privilege. It is a right.
I appeal to Gov. Andrew Cuomo and the Legislature to stiffen enforcement with significant and consistent fines against nursing homes when they violate legal standards of care, and to preserve the right to sue — which has been opposed by the industry — to help ensure accountability.
And I implore every concerned citizen to act — on behalf of our shared futures and those of our loved ones — by contacting the governor’s office and their state Legislators to press for these reforms.
Our failure to act will literally be the death of us.
Laurie Kash lives in Rochester. The nursing home reform website is http://laststopmovie.com
