Articles Posted in Elder Abuse

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this medical negligence case and its proceedings.)

It is also worth noting that situations similar to those described in this elder abuse case could just as easily occur at any of the healthcare facilities in the area, such as Kaiser Permanente, U.C. Davis Medical Center, Mercy, Sutter, or any skilled nursing facility.

(2) Defendants’ Nurses Notes were charted inaccurately or the nurse completely failed to perform any charting whatsoever (both serious breaches of the applicable regulations since the absence of any charting is absolute and unequivocal evidence of neglect) (FAC, para. 29);

(3) Defendants’ failed to order a speech therapist or speech language pathologist evaluation (an intentional violation of the regulations) for Abbey on or about April 8, 2008, when they knew that she was not swallowing and had lost considerable weight (inability to swallow and substantial weight loss are both changes of condition, both of which required notification to Abbey’s family and physician so that these issues could be addressed) (FAC, para. 31); also, a nursing facility must ensure that a resident receives prescribed therapies, including physical therapy, occupational therapy, and speech therapy. 42 CFR § 483.45; For more information you are welcome to contact Sacramento personal injury lawyer, Moseley Collins.

(4) Abbey’s inability to swallow and/or her delayed swallowing should have been critically important warning signs of dehydration, which Defendants recklessly ignored causing her swallowing problems to worsen (FAC, para. 32);

Continue Reading ›

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this elder abuse case and its proceedings.)

It is also worth noting that situations similar to those described in this medical negligence case could just as easily occur at any of the healthcare facilities in the area, such as Kaiser Permanente, U.C. Davis Medical Center, Mercy, Sutter, or any skilled nursing facility.

Civil Code §3294(b) provides:

(b) An employer shall not be liable for damages pursuant to subdivision (a), based upon acts of an employee of the employer, unless the employer had advance knowledge of the unfitness of the employee and employed him or her with a conscious disregard of the rights or safety of others or authorized or ratified the wrongful conduct for which the damages are awarded or was personally guilty of oppression, fraud, or malice. With respect to a corporate employer, the advance knowledge and conscious disregard, authorization, ratification or act of oppression, fraud, or malice must be on the part of an officer, director, or managing agent of the corporation. For more information you are welcome to contact Sacramento personal injury lawyer, Moseley Collins.

Therefore, to establish a violation of the Elder Abuse Act by a corporate employer, the plaintiff must plead and prove at only one of the following:

1. Defendant’s officer, director, or managing agent recklessly neglected plaintiff; or,
2. Defendant’s officer, director, or managing agent had advance knowledge of the unfitness of individual employees and employed him/her with a knowing disregard of the rights or safety of others; or
3. Defendant’s officer, director, or managing agent authorized the conduct of defendant’s employee(s); or
4. Defendant’s officer, director, or managing agent knew of the defendant’s employee(s)’s wrongful conduct and adopted or approved the conduct after it occurred. (CACI3105, W&I §15657(c) and Civil Code §3294(b)).

Continue Reading ›

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this medical negligence case and its proceedings.)

It is also worth noting that situations similar to those described in this elder abuse case could just as easily occur at any of the healthcare facilities in the area, such as Kaiser Permanente, U.C. Davis Medical Center, Mercy, Sutter, or any skilled nursing facility.

The Elder Abuse Cause of Action in Plaintiffs’ FAC is Well Pled

In their Demurrer, Defendants haphazardly assert that Plaintiffs claim for elder abuse simply fails to plead facts sufficient to constitute a viable claim. However, in asserting this baseless accusation, Defendants ignore the 30-plus paragraphs of detailed factual allegations which make up the factual basis for Plaintiffs’ elder abuse cause of action. In fact, Plaintiffs’ FAC provides Defendants with more detail than is required by the code. For more information you are welcome to contact Sacramento personal injury lawyer, Moseley Collins.

The issue here is whether or not Plaintiffs have provided Defendants with sufficient facts such that Defendants are apprised of the basis upon which Plaintiff are seeking recovery. Clearly, Plaintiffs have provided Defendants with more than a sufficient factual basis of the claims against them, including a clear picture of the multiple acts and omissions by Defendants constituting elder abuse. Specifically, Plaintiffs have alleged copious facts in their FAC that clearly elucidate specifically how Defendants’ recklessly neglected Abbey and how they caused her senseless death, including but not limited to all of the following:

Continue Reading ›

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this medical negligence case and its proceedings.)

It is also worth noting that situations similar to those described in this elder abuse case could just as easily occur at any of the healthcare facilities in the area, such as Kaiser Permanente, U.C. Davis Medical Center, Mercy, Sutter, or any skilled nursing facility.

“Recklessness” Under the Elder Abuse Act

Once neglect is satisfactorily pled, the next question become whether Plaintiff has pled factual allegations that support a claim that the alleged neglect amounted to recklessness (i.e., a conscious disregard of rights or safety), oppression, fraud, or malice, which would then entitle Plaintiffs to the heightened remedies available under the Elder Abuse Act. Defendants claim that Plaintiffs have not pled sufficient facts showing intentional conduct. (Demurrer, 6:24 – 26.) However, a showing of intentional conduct is not required to state a claim for elder abuse. The term recklessness, which can be a species or quality of negligence, is not an intentional tort. California Elder Law Litigation: An Advocate’s Guide, § 2.44. For more information you are welcome to contact Sacramento personal injury lawyer, Moseley Collins.

In Delaney v Baker (1999) 20 Cal.4th 23, 31, the California Supreme Court explained that recklessness under the Elder Abuse Act refers to a subjective state of culpability greater than simple negligence, which has been described as deliberate disregard of the high degree of probability that an injury will occur [citing BAJI 12.77 (defining recklessness in the context of an intentional infliction of emotional distress action)]. (See California Elder Law Litigation: An Advocate’s Guide, § 2.44.) For purposes of the Elder Abuse Act, California Civil Jury Instruction ( CACI ) 3113 has adopted that standard, stating that a defendant acts with recklessness if he or she knew it was highly probable that [his or her] conduct would cause harm and [he or she] knowingly disregarded this risk, and that recklessness is more than just the failure to use reasonable care. Id.

Continue Reading ›

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this personal injury case and its proceedings.)

It is also worth noting that situations similar to those described in this elder abuse case could just as easily occur at any of the healthcare facilities in the area, such as Kaiser Permanente, U.C. Davis Medical Center, Mercy, Sutter, or any skilled nursing facility.

Plaintiff’s Opposition to Defendant, National Hospital’s Demurrer to First Cause of Action of First Amended Complaint and Motion to Strike Punitive Damages
INTRODUCTION

On defendant’s demurrer of the first cause of action in the complaint for elder abuse, the Court ruled that plaintiff pled recklessness with sufficient particularity to support a claim for violation of the Elder Abuse and Dependent Adult Civil Protection Act, Welfare & Institutions Code §15657 (“Elder Abuse Act”). The Court granted plaintiff leave to amend the Elder Abuse cause of action and punitive damage allegations to plead facts to meet the standards of employer ratification and the other standards of Civil Code §3294(b).

In his First Amended Complaint, Plaintiff has pled sufficient facts to meet the standards of Civil Code §3294(b) and sufficient facts of defendant’s conscious disregard of Mr. White’s health, safety and rights. Defendant’s demurrer to the first cause of action and motion to strike punitive damages, therefore, must be denied. For more information you are welcome to contact Sacramento personal injury lawyer, Moseley Collins.

PLAINTIFF HAS PLED RATIFICATION WITH SUFFICIENT PARTICULARITY

As set forth at Welfare & Institutions Code § 15657(c), in order to recover the enhanced remedies under the Elder Abuse Act against a corporate employer, plaintiff must plead and prove:

Continue Reading ›

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this medical negligence case and its proceedings.)

It is also worth noting that situations similar to those described in this elder abuse case could just as easily occur at any of the healthcare facilities in the area, such as Kaiser Permanente, U.C. Davis Medical Center, Mercy, Sutter, or any skilled nursing facility.

Under the Elder Abuse Act, “Neglect” Constitutes Abuse of an Elder

The purpose Welfare and Institutions Code Section 15610.07 (which is part of the broader legislation commonly referred to as “the Elder Abuse Act” aka “EADACPA”) is essentially to protect the elderly, a particularly vulnerable portion of our society, from gross mistreatment in the form of abuse and custodial neglect. Delaney v. Baker (1999) 20 Cal.4th 23, 33. The Elder Abuse Act provides that “[a]buse of an elder” means either: (a) Physical abuse, neglect, … abandonment, … or other treatment with resulting physical harm or pain or mental suffering; or (b) the deprivation by a care custodian of goods or services that are necessary to avoid physical harm or mental suffering. For more information you are welcome to contact Sacramento personal injury lawyer, Moseley Collins.

“Neglect” is Broadly Defined in the Elder Abuse Act

The statutory definition of neglect is set forth in Section 15610.57(b) of the Elder Abuse Act, which provides that [n]eglect includes, but is not limited to, all the following: (1) failure to assist in personal hygiene or in the provision of food, clothing, or shelter; (2) failure to provide medical care for physical and mental health needs; failure to protect from health and safety hazards; or (3) failure to prevent malnutrition or dehydration, (Emphasis added.)

Continue Reading ›

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this medical negligence case and its proceedings.)

It is also worth noting that situations similar to those described in this elder abuse case could just as easily occur at any of the healthcare facilities in the area, such as Kaiser Permanente, U.C. Davis Medical Center, Mercy, Sutter, or any skilled nursing facility.

The pleading requirements for elder abuse actions was addressed in the leading treatise on elder abuse, California Elder Law Litigation: An Advocate’s Guide, § 6.40:

[t]o survive a challenge by a defendant, the plaintiff’s complaint must be pleaded with sufficient clarity to provide the defendant with clear notice of the plaintiff’s claim. The facts of the defendant’s conduct as pleaded must meet the requirements in CC § 3294.

To determine whether the facts as pleaded in an elder abuse complaint describing the defendant’s conduct satisfy the minimum statutory requirements of malice, oppression, or fraud, a Court must read the challenged allegations within the context of other facts alleged in the complaint. Even when a complaint pleads ultimate facts or conclusions of law, if it also contains specific allegations of acts attributed to the defendant showing the requisite evil motive, the complaint may survive a demurrer or motion to strike. For more information you are welcome to contact Sacramento personal injury lawyer, Moseley Collins.

Accordingly, what is required by California law for a civil complaint is a statement of the facts pled with sufficient clarity so as to provide Defendant with clear notice of Plaintiffs’ elder abuse/neglect cause of action, in ordinary and concise language. Plaintiffs’ FAC clearly satisfies the above-mentioned requirements.

Continue Reading ›

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this medical negligence case and its proceedings.)

It is also worth noting that situations similar to those described in this elder abuse case could just as easily occur at any of the healthcare facilities in the area, such as Kaiser Permanente, U.C. Davis Medical Center, Mercy, Sutter, or any skilled nursing facility.

DISCUSSION
The Legal Standard on Demurrer

A demurrer tests the sufficiency of the pleadings, the allegations of which must be accepted as true by the court for purposes of review. Cellular Plus, Inc. v. Superior Court (1993) 14 Cal.App.4th 1224, 1231. [I]t is error for a court to sustain a demurrer where the allegations adequately state a cause of action under any legal theory. (Ibid.) The complaint in a civil action serves a variety of purposes, including to frame and limit the issues and to apprise the defendant of the basis upon which the plaintiff is seeking recovery. Perkins v. Superior Court (1981) 117 Cal.App.3d 1, 6. For more information you are welcome to contact Sacramento personal injury lawyer, Moseley Collins.

In ruling on a demurrer, the trial court is required to construe the complaint liberally with a view to substantial justice between the parties. Code of Civil Procedure § 452; Cameron v. Wernick (1967) 251 Cal.App.2d 890. A demurrer will not be sustained unless the complaint, liberally construed, fails to state a claim on any theory. Brousseau v. Jarrett (1977) 73 Cal.App.3d 864.

The Legal Standard for Pleadings in Elder Abuse/Neglect Cases

The applicable code section pertaining to the pleading requirements for civil actions is Section 425.10, which provides:

Continue Reading ›

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this medical negligence case and its proceedings.)

It is also worth noting that situations similar to those described in this elder abuse case could just as easily occur at any of the healthcare facilities in the area, such as Kaiser Permanente, U.C. Davis Medical Center, Mercy, Sutter, or any skilled nursing facility.

Plaintiffs’ Abbey White, Olivia Lee, and Owen White’s Opposition to Universal Care of Sacramento and Aging Care’s Demurrer to Plaintiffs’ First Amended Complaint

Plaintiffs Abbey White (“Decedent” or “Abbey”), by and through her successor-in-interest Olivia Lee, Decedent’s daughter Olivia Lee, and Decedent’s son Owen White (collectively “Plaintiffs”), respectfully submit the following opposition to defendants Universal Care and Aging Care’s (collectively “Defendants”) Demurrer to Plaintiffs’ First Amended Complaint (“FAC”).

INTRODUCTION

Defendants’ contend in their demurrer that the first four causes of action of Plaintiffs’ FAC [i.e., Elder Abuse; Violation of Patients Bill of Rights; Concealment; and Negligent Infliction of Emotional Distress (“NIED”)] fail to state sufficient facts and/or is otherwise uncertain. However, Defendants’ contention is entirely without merit as the FAC contains some 27 paragraphs of detailed factual allegations which clearly apprise Defendants of the claims against them, as required by the Code of Civil Procedure. In fact, the factual allegations contained in the FAC go much further than simply appraising defendants of the claims against them, they actually set forth in detail the multiple acts and omissions which comprise the reckless neglect. For more information you are welcome to contact Sacramento personal injury lawyer, Moseley Collins.

In fact, in paragraphs 24 through 50, Plaintiffs alleged, in considerable detail, the key factual allegations that clearly demonstrate that Defendants’ reckless neglect of Abbey resulted in her senseless death.

.

Continue Reading ›

(Please note: the names and locations of all parties have been changed to protect the confidentiality of the participants in this elder abuse/personal injury case and its proceedings.)

It is worth noting that situations similar to those described in this case could just as easily occur at any of the healthcare facilities in the area, such as Kaiser, U.C. Davis Medical Center, Mercy, or Sutter.

As set forth below, the development of pressure ulcers in this paraplegic patient was not the result of an isolated episode of inadvertence by a Nationwide Hospital employee. Rather, this entirely preventable injury was caused by repeated episodes of neglect over a period of days by multiple employees of Nationwide Hospital.

In order to be entitled to enhanced remedies, plaintiff must prove that the defendant acted with recklessness, i.e. engaging in conduct while appreciating the probability that the conduct would cause harm. The First Amended Complaint sets forth facts alleging such conduct on the part of managing agents of its acute care hospital. They describe a systemic breakdown in the carrying out of well-established pressure ulcer prevention protocols by multiple caregivers over multiple days. That breakdown is alleged to have been caused by improper training, improper supervision, improper chart review, improper competency assessment and/or improper staffing levels, or a combination of these factors.

The fact that an extremely vulnerable and virtually helpless patient was permitted to develop pressure ulcers is all the more culpable because pressure ulcers are preventable without extraordinary effort on the part of an acute care hospital The development of Stage 3 or 4 pressure ulcers at an acute care hospital has been categorized by the Centers for Medicare and Medicaid Services (CMS) as a Never Even because they are reasonably preventable through application of evidence based guidelines. Centers for Medicare & Medicaid Services Program, Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates; Final Rule ; Federal Register (2007) 72(162); 47130-48175.

Continue Reading ›