*A good piece, which further fleshes out that evil than Gov. Cuomo did. *
*(It doesn't so far as to suggest that elderly residents were deliberately*
*allowed to die, to make way for more, and therefore more federal funds; *
*but it's a **solid and important piece of real reporting.)*


*MCM*

[Letter from Washington]
<https://harpers.org/sections/letter-from-washington/>Elder Abuse
By Andrew Cockburn <https://harpers.org/author/andrewcockburn/>
Nursing homes, the coronavirus, and the bottom line

https://harpers.org/archive/2020/09/elder-abuse-nursing-homes-covid-19/

<https://harpers.org/archive/2020/09/>
>From the
September 2020 issue <https://harpers.org/archive/2020/09/>Download PD
<https://harpers.org/archive/2020/09/elder-abuse-nursing-homes-covid-19/#>

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At the beginning of this year, Canterbury Rehabilitation and Healthcare
Center, a nursing home in Richmond, Virginia, housed 160 elderly residents,
roughly half of whom were African-American. Most of them were there
courtesy of Medicaid, the government program that finances health care for
those with little or no money. By mid-May, 80 percent of Canterbury’s
residents had been infected with the novel coronavirus. A third of them
were dead.

Sharon Mitchell, a sixty-two-year-old former dental receptionist, was one
of the casualties. She had been at Canterbury for two years, following a
stroke brought on by the shock of losing her longtime receptionist job, her
son Ronald told me. She had been healthy enough to have poststroke
rehabilitation therapy at home, but therapists refused to travel to the
public housing project where she lived, deeming it too dangerous. So, after
much discussion, the family elected to send her to Canterbury (then known
as Lexington Court), where Medicaid would cover poststroke treatment.

Even before the pandemic, the facility had a poor reputation. In 2018, a
staff nurse was convicted of attempting to rape a seventy-two-year-old
Alzheimer’s patient. In October 2019, a report from the Centers for
Medicare and Medicaid Services (CMS) cited major staffing shortages and
almost three times the number of “health deficiencies” as the national
average. By Ronald’s account, Canterbury was “a bad place, a very bad
place.” On his weekly visits, his mother told him of “people going to the
bathroom on the floor in the hallways” and described Alzheimer’s patients
wandering into her room at night. “Her clothes were stolen; her jewelry was
stolen,” he told me. The therapy, it turned out, consisted of biweekly
sessions in which she was asked to spin a wheel with her hand for fifteen
minutes. He was shocked when his mother told him she was given a shower
just once a week: “ ‘Thursday’s my shower day,’ she told me. Otherwise they
gave her a wipe-down with a baby wipe every two days.”

Unsurprisingly, Sharon routinely contracted hygiene-related urinary tract
infections, which led to seizures that sent her to nearby St. Mary’s
Hospital. During one of these hospitalizations, a year into his mother’s
stay, Ronald spotted blood on one of her socks. Pulling it off, he found
that her big toe was infected—it had been neglected by the staff for so
long that “the flesh was all eaten away; I could see the bone.” Gangrene
had invaded her leg, which eventually had to be amputated above the knee.
Immobilized thereafter, Sharon spent most of her time in bed. She was often
dehydrated because she could not hold a cup, Ronald said, “but they
wouldn’t help her drink, or put her on an IV.”

Ronald saw his mother for the last time in February, before visitors were
barred as a precaution against the coronavirus, which had already attacked
a nursing home outside Seattle. Two months earlier, Canterbury had been
acquired by Tryko Partners, a fast-growing private equity concern, which
operated it through an affiliate, Marquis Health Services. A Marquis
spokesperson told me that by the time of the COVID-19 outbreak, “in-house
staffing was at its highest point in years,” and that wages had been
temporarily doubled. But so far as Ronald was concerned, “Nothing had
changed. Nothing.” On March 18, a Canterbury patient was diagnosed with the
virus. Sharon also tested positive soon after, and was moved into a
quarantine unit the center had set up. When Ronald called her after the
move, she told him she needed a drink of water. “I stayed on the line for
an hour and a half while she pressed the bell for a nurse, but no one ever
came,” he said. When he complained, Canterbury staff told him they had just
two nurses looking after forty patients. (A Canterbury spokesperson excused
the inadequate staffing on grounds that it met CMS guidelines.) Three weeks
later, Sharon was dead. “My mom died all alone,” Ronald told me, bitter at
the neglect—the dehydration, the pro forma therapy, the gangrene—that he is
convinced led to her death. “She was only sixty-two. She was capable of
getting better. She didn’t deserve to die like that.”

*Click on the link for the rest.*
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<https://litbreaker.nui.media/pipeline/606693/0/cj/V12E721D856J-573J8100L50934614A6C36D6L644332L644331QL514840QQP0G00G0Q17BA0A27000001010000G0PG30H36W8f4b64ab12DW48f672DW44f1f2DW491e62DX125061ea0e1a6bG0G004/>
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