In DeSimone v. Springpoint Senior Living, the son of a deceased CCRC resident sued the owner/operator and CEO of five continuing care retirement communities (“CCRCs”) in New Jersey. The suit, which was brought individually and as a class action, alleged violations of the CCRC Act and the Consumer Fraud Act (“CFA”), in addition to common.. read more →

Plaintiff, D.W., is a 48 year-old woman with Down’s Syndrome and the mental capacity of a 4-year-old. She requires care 24 hours per day, 7 days per week. She resides with her sister who works full-time. D.W. participates in the Personal Preference Program (PPP) administered by the Division of Medical Assistance and Health Services (DMAHS)… read more →

Decision-making capacity involves four (4) key abilities: the ability to understand information relevant to a decision, to retain the information relevant to the decision, to use the information relevant to the decision as part of the decision-making process and to communicate the decision once it is made. But since decision-making capacity involves mental abilities, how.. read more →

All New Jersey guardians are appointed by the Superior Court of New Jersey. A “guardian” is a person appointed by a court to make decisions regarding the person or property of an incapacitated adult. A person is “incapacitated” under the law if he or she “is impaired by reason of mental illness or mental deficiency.. read more →

An “advance medical directive” (also known as a “health care advance directive” or “instruction directive”) is a written statement made by the patient concerning future health care wishes. Advance directives consist of two parts: a “living will” and a “health care proxy” (a “health care power of attorney”). A living will is a document in.. read more →

Reversing state agency and appeals court rulings, the highest court of the State of Washington ruled that a guardian cannot be charged with neglect based on the guardian’s good-faith decision to provide care for the ward in her home rather than place her in a nursing home against the ward’s wishes. Raven v. Department of Social and.. read more →

Continuing Care Retirement Communities (“CCRCs”) are considered “a viable choice for relatively healthy seniors with upper-middle-class or upper-class incomes.” Begley, T. and Barrett, C., Representing the Elderly or Disabled Client, ¶9.03 at 9-10 (Thomson Reuters 2013). As described in a GAO report entitled “Older Americans: Continuing Care Retirement Communities Can Provide Benefits, but Not Without.. read more →

The settlement of Jimmo v. Sebelius, Docket No. 11-cv-17 (D.Vt., January 18, 2011), a nationwide class-action lawsuit, has resulted in a significant change in Medicare coverage rules. Under the settlement, Medicare will scrap a decades-old practice that required beneficiaries to show medical or functional improvement before Medicare would pay for skilled nursing and therapy services… read more →

Today, most states authorize the use of some form of psychiatric advance directive (PAD). PADs are similar to the more familiar “advance medical directive,” typically used in connection with end-of-life medical decision-making. An “advance medical directive” (also known as a “health care advance directive” or “instruction directive”) is a written statement made by a patient.. read more →

In a landmark ruling released on Thursday, June 28, 2012, the United States Supreme Court upheld the constitutionality of the Patient Protection and Affordable Care Act (“Affordable Care Act”), President Obama’s health care overhaul passed in 2010.  National Federation of Independent Business v. Sebelius, 567 U.S.___ (2012). Congress enacted the Affordable Care Act in order to.. read more →

The cost for care in an assisted living facility (ALF) varies widely throughout the United States. You may have expected some states listed below to be expensive, but there are others with high costs which may surprise you. Is your state on the top 10  list for the most expensive yearly cost? 10. New Hampshire.. read more →

  Several weeks ago, on Sunday, November 20th, I was a guest on The Caring Generation, a radio show airing on 630 KHOW-AM, a Talk Radio Station broadcasting from Denver, Colorado, and on the internet. The show is hosted by Pamela D. Wilson, who identified herself as the “Care Navigator.” The Caring Generation is about.. read more →

An aged, low-income tenant with disabilities recently prevailed in a lawsuit filed against the Santa Monica Housing Authority, which had incorrectly increased her monthly rent by counting as income money received in a settlement and deposited into a Special Needs Trust. Sheila Finley v. City of Santa Monica, Case No. BS – 127077 (Superior Court.. read more →

At the time of the Court’s decision, Marie Fecoskay was an 87 year old woman who had been admitted to the hospital because of an infection. A few days after admission, Mrs. Fecoskay went into cardiac arrest, became comatose as a result of oxygen deprivation and was placed on a ventilator with feeding tube. The.. read more →

Rita Stein, on behalf of herself and as executrix of the estate of her deceased husband Milton Stein, filed a lawsuit in federal court against the County of Nassau, the Nassau County Police Department, and four emergency responders. Rita claimed that the emergency responders violated her and her husband’s rights under the Fourth, Fifth, and Fourteenth.. read more →

[I received the following email from the National Senior Citizens Law Center and affiliated groups concerning a survey being conducted in order to “raise awareness of the issues facing older adults who are lesbian, gay, bisexual and transgender (“LGBT”) and live in nursing homes, assisted living facilities and other long-term care facilities.” Because I believe.. read more →

Each of us who have been forced to admit a loved one into a nursing home or care facility due to chronic long-term illness hopes and expects that he or she will receive good care there. But what does good long-term care look like? Would we recognize good care if we saw it? An interesting.. read more →

The September 25th edition of the New York Times contained an informative article on how geriatric care managers can help adult children face a challenge which often seems overwhelming, both emotionally and mentally, and is always stressful: the job of caring for an elderly parent. The Times article described the caring challenge as follows: There.. read more →

The September 21, 2009 edition of amednews.com, the internet version of American Medical News, published by the American Medical Association, reported that the number of uninsured Americans increased by about 600,000 in 2008, despite government health programs such as Medicare and Medicaid enrolling about 1 million more people than they did the year before. Although.. read more →

According to a recent study published in the June 22, 2009 edition of the Archives of Internal Medicine , less frequent participation in social activity among older adults is associated with a more rapid rate of motor function decline. Although the loss of motor function is a common consequence of aging, with older persons displaying.. read more →

With more Americans living well beyond their 70s, more adult children are now left in a position where they have to be caregivers for their aging parents. “There’s a greater likelihood today that, as a 55-year-old, you will have surviving parents, than there was say in the 1920s when both parents passed away before you.. read more →

Linda H. Davis wrote an April 4th column in the Washington Post that a tidal wave of autistic children will be entering adulthood over the next 15 years, numbering more than 380,000 people.  They will need extensive adult services, including housing, day programs, transportation to and from social programs and jobs, more-than-average medical care, supervision.. read more →

An advance directive for mental health care (ADMHC) is a legal document similar to an advance medical directive which governs end-of-life decision-making. However, an ADMHC is used to express preferences and give instructions in advance to family members and medical providers for future mental health treatment, including medications, voluntary admission to inpatient treatment, electroconvulsive therapy.. read more →

A special court recently ruled against three families who claimed that childhood vaccinations contributed to their children’s autism. The families had requested compensation from the federal vaccine injury fund, which was established to compensate injuries incurred through mandatory vaccinations, after their children developed autism following routine measles, mumps and rubella (MMR) vaccinations. However, the court,.. read more →

Sunday, February 8th, has been designated as Autism Sunday, an international day of prayer for those with autism spectrum disorders. Autism Sunday was first held in 2002 during Autism Awareness Year in the United Kingdom. This event is a new way to raise autism awareness around the world: World Church Leaders have sent messages of.. read more →