State Senate Introduces Legislation for Stronger Guidelines for Nursing Home Operations Reform

WPCNR ALBANY ROUNDS. From the office of State Senate Majority Leader Andrea Stewart Cousins. February 22, 2021:

The Senate Democratic Majority today will advance legislation to better support and protect nursing home residents.

This legislative package will establish a direct patient care spending ratio for nursing homes, create a taskforce to reimagine the delivery of long-term care, allow personal and compassionate care visitors, mandate disclosure of nursing home ratings, and require more infection control policies by nursing homes and require state health officials to conduct more thorough inspections. 

“The tragic situation in our nursing homes remains a heartbreaking reminder of the toll this pandemic has taken and has made it clear that real reforms are needed,” Senate Majority Leader Andrea Stewart-Cousins said. “The Senate Majority is taking action to deliver meaningful results by increasing transparency and raising the standard of care provided at these facilities. I commend the bill sponsors for their work, and I am proud that we are passing these reforms.”

The legislation being passed by the Senate Majority includes: 

  • Patient Care Ratio Reporting: This bill, S.4336A sponsored by Senator Gusatvo Rivera, directs the Commissioner of Health to establish a “Direct Patient Care Ratio” that would require all nursing homes to spend at least 70% of a facility’s revenue on direct patient care.
  • Publication of Nursing Home Ratings: This bill, S.553 sponsored by Senator James Sanders Jr., requires that the most recent Center for Medicare and Medicaid Services (CMS) rating of every nursing home be prominently displayed on the home page of the Department of Health’s website and at each nursing home facility’s website and displayed at the facility for view by the general public.
  • Reimagining Long-Term Care Task Force: This bill, S.598B sponsored by Senator Rachel May, enacts the “Reimagining Long-Term Care Task Force” to create a task force studying the state of both home-based and facility-based long-term care services in the state, and to make recommendations on potential models of improvement to long-term care services for older New Yorkers. 
  • Long-Term Care Ombudsman Program Reform Act: This bill, S.612A sponsored by Senator Rachel May, creates “The Long-term Care Ombudsman Program Reform Act” by expanding the current program to be more accessible and available to seniors and their families, while promoting the volunteer advocate program, and improve interactions between DOH and the Ombudsman program regarding complaints. 
  • Allowing Compassionate Care-Giving Visitors: This bill, S.614B sponsored by Senator Rachel May, creates a standardized program to allow personal care and compassionate care visitors at nursing homes. 
  • Infection Inspection Audit: This bill, S.1783 sponsored by Senator James Skoufis, directs the Department of Health to establish and implement an infection control inspection audit and checklist for residential care facilities. 
  • Quality Assurance Committees: This bill, S.1784A sponsored by Senator James Skoufis, requires adult care facilities to include “quality assurance committees” in their quality assurance plans
  • Requirements for Transfer, Discharge and Voluntary Discharge: This bill, S.3058 sponsored by Senator Gustavo Rivera, creates requirements for the transfer, discharge and voluntary discharge of residents from residential healthcare facilities
  • Standards for Ownership of Nursing Homes: This bill, S.4893 sponsored by Senator Gustavo Rivera, requires more review of ownership of nursing homes through the certificate of need process – including consideration of past violations at other facilities by owners – and requires more notice to the public during the CON process.
  • Department of Health Death Records: This bill, S.3061A sponsored by Senator Gustavo Rivera, requires the Department of Health to record COVID-19 deaths of nursing home residents that died in hospitals to be recorded as a “nursing home” death and require the Department of Health to update and share data it receives with hospitals and nursing homes on communicable diseases.
  • Transparency of Violations: This bill, S.3185 sponsored by Senator James Skoufis, requires residential health care facilities to disclose in writing to potential residents and their family members the website where a list of violations and other actions taken against the facility can be found.
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Police Reform Discussion to Begin. Public Invited to Comment.

WPCNR COUNTY CLARION-LEDGER. From Benjamin Boykin, Feb 22, 2021:

The Westchester County Board of Legislators has begun its formal review of the the County’s Police Reform and Reimagining Task Force report, with plans to
adopt a police reinvention document by March 22.The review is being led
by the Board’s Committee on Public Safety, which met Wednesday,
February 17, to hear from Task Force Co-Chairs Mayo Bartlett and Leroy
Frazer.

The review will include weekly Public Safety Committee meetings as well ass a chance for the public to comment on the report by mail and email as well as during a Webex teleconference public input session on Wednesday, March 10 at 7 p.m.

Here’s how to participate in the Public Safety Committee’s Public Comment Session:Online: Members of the public who would like to speak via Webex
may go to the Event Information page to register: https://westchestergov.webex.com/westchestergov/onstage/g.php?MTID=effe129e657086c8a1af951a58dbf3df7
 By phone: Participants may dial-in, toll-free, when the session starts at
1-844-621-3956. Enter the meeting access code: 185 569 8776
 In writing: Comments can be submitted in writing, beginning immediately, by emailing [email protected] or mailing
physical copies to the Clerk of the Board of Legislators, 148 Martine Ave., 8th Floor, White Plains, NY 1060.

Written comments must be received by March 10 at 5 p.m.
 To watch: The meeting will stream live on Current Meetings section of the
BOL website at www.westchesterlegislators.com
Read the Westchester County Police Reform and Reimagining Task Force
report at: https://www.westchestergov.com/images/stories/pdfs/policereformreport.pdfWatch archived video of Wednesday’s Public Safety Committee meeting at: http://westchestercountyny.granicus.com/MediaPlayer.php?view_id=1&clip_id=571

Check our meeting calendar for the upcoming meetings of the Public Safety Committee as they are scheduled — https://westchestercountyny.legistar.com/Calendar.aspx
 
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Time for Filing for on-going Children’s Village Alleged Residents’ Abuse Suit Extended to August 14, 2021. 10 More Victims File. 21 in All

WPCNR WESTCHESTER LAW JOURNAL. From Greenstein & Milbauer, New York. February 22, 2021:

The number of former residents of The Children’s Village who have filed lawsuits accusing the Dobbs Ferry, NY, residential treatment center of physical and mental abuse has doubled.

Greenstein & Milbauer, the New York City law firm representing the men who now range in age from their 30s to their 70s, has filed an additional 10 abuse lawsuits against the residential treatment center bringing the number to 21 since the first case was filed in 2019. The window to file an expired or time-barred case was set to close August 14, 2020, but due to the disruption of the legal system by the pandemic the deadline has been extended until August 14, 2021.

The victims were all young boys when they were placed at the Children’s Village by courts or child welfare agencies. They recount how they were physically brutalized, raped, and humiliated by older residents. Similar sexual abuse was perpetrated by staff, including teacher aides, counsellors, and a former executive director. When the boys complained to social workers or other staff about the physical and sexual abuse, they were either ignored or threatened with violence.

“As our cases make their way through the courts, more men are stepping forward to share their painful histories,” said Robert Greenstein. “It has taken decades for some of our clients to open up about the abuse they suffered at the most vulnerable points in their lives. With the window of opportunity to obtain justice closing in August, we strongly encourage other victims to come forward and raise their voices now while they have this unique opportunity.”

He added: “Even after so many years have passed, these men still carry the burden of the horrendous emotional scars and pain they were so cruelly subjected to as children. Their stories of the culture of abuse that persisted for decades at The Children’s Village not only deserve to be heard, but by bringing them to light, it will hopefully spare future generations of children from being subjected to similar abuses. These courageous men truly deserve to be heard.”

The Children’s Village is a not-for-profit residential treatment center created in 1851 to provide a safe and nurturing shelter for children who are experiencing hardships at their homes. The abuse cases in the lawsuit occurred over a 25-year period from about 1970 to 1995.

The lawsuits accuse The Children’s Village of negligence in its hiring, training, and supervision, among other failures. Among the recent plaintiffs are:

  • S.D., whose complaint was filed on Feb. 2, said that from 1992 to 1995 he was raped and beaten by older residents.
  • J.P., a minor whose complaint was filed on Feb. 1, was placed at The Children’s Village in 2013 at the age of 8. During his stay he was beaten and sexually abused by older residents in his room and in the shared bathrooms.
  • John Doe, whose complaint was filed on Feb. 1, was placed at The Children’s Village at the age of 12 from 1996 to 2001. He was sexually abused by residents and a staffer. During a psychiatric evaluation he told the doctor about the abuse and the doctor interpreted it as a “verbal slip.” Other staff dismissed or ignored his complaints about abuse.
  • John Doe, whose complaint was filed on Feb. 3, was placed at The Children’s Village from 2002 to 2006 at the age of 12. He was sexually assaulted by older residents in his cottage, the shower and a van when the children were unsupervised. Some of the abuse occurred as night watchmen were asleep on the job. Two female staffers also sexually abused him.

The cases are being heard by Justice Steven M. Jaeger at the Nassau County Supreme Court in Mineola. The cases were filed under the provision of the Child Victims Act.

In 2019, Governor Cuomo signed the Child Victims Act to ensure survivors of childhood sexual abuse have a path to justice, including the ability to file a case which had already been time-barred or expired for a one-year period.

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George Washington. The First and the Best

WPCNR MILESTONES. Reprinted from the WPCNR ARCHIVES. February 22, 2021:

Today is George Washington’s Birthday.

The time when we remember the first leader and the best. It is instructive to look at our first leader, George Washington, the father of our nation — America — that used to be.

One cannot help be reminded of the snowy winter at Valley Forge, when the bedraggled, poorly equipped rebel army suffered but held together, and attacked the Hessians in Trenton on Christmas Eve, 1776, crossing the Delaware River at night. What kind of man was he that George Washington could inspire his troops against all odds?

Washington was a man of tremendous character. Of principle.

Where did he get this character?

He specialized in self-control at an early age. That congressmen, lobbyists, and pundits and yes, Presidents,  means mind-control, reason and responsibility, and humanity.

According to  the book, The American President, Washington, at sixteen, had formed a code of conduct. He had written a book of etiquette with 110 “maxims” to guide his conduct in matters. In this etiquette book he had written:

Every action done in company ought to be done with a sign of respect to those who are not present. Sleep not when others speak; sit not when others stand; speak not when you should hold your peace; walk not when others stop;…Let your countenance be pleasant but in serious matters somewhat grave…Undertake not what you cannot perform but be careful to keep your promise.

The character sketch provided by the authors of The American President, indicates this personal “rulebook” was a book that Washington wrote over the years and referred to it often, for, they write, for the following reasons:

“for self-control, to avoid temptation, to elude greed, to control his temper. Reputation was everything to him. It had to do with his strength, his size, his courage, his horsemanship, his precise dress, his thorough mind, his manners, his compassion. He protected that reputation at any cost.”

Earning respect by example. Quelling rebellion with a few words.

He sets an example today for those who would take advantage of America’s weakness and seize power by opportunism.

Washington inspired by example.

John Vorperian with “George Washington” at Purdy House where General Washington stayed during the Battle of White Plains.

He lived with his troops. He shared hardships with them, and there was so much respect for him that he was able to talk them out of armed rebellion at the end of the American Revolution.

Washington had been asked by the army to join them to overthrow the Continental Congress, and make himself King.

Washington had been asked by one of the officers of the rebels to join them, and he wrote them,

You could not have found a person to whom your schemes are more disagreeable. Banish these thoughts from your mind.

Hearing that the rebels who were planning insurrection against the new country due to not having been paid by the Continental Congress, Washington rode to Newburgh, New York, (not far from White Plains,NY,USA) on March 15, 1783, to meet with the dissident insurgents. Washington spoke to the rebellious group, saying,

“Gentlemen, as I was among the first who embarked in the cause of our common Country; as I never left your side one moment, but when called from you on public duty; as I have been the constant companion and witness of your Distresses…it can scarcely be supposed …that I am indifferent to your interests. But…this dreadful alternative, of either deserting our Country in the extremest hour of her distress, or turning our Arms against it…has something so shocking in it that humanity revolts from the idea…I spurn it, as every Man who regards liberty…undoubtedly must.”

The would-be rebels fell silent, digesting what he had said. Then Washington withdrew a letter from Congress, but could not read the text, withdrawing some eyeglasses from his tunic, remarking,

“Gentlemen, you will permit me to put on my spectacles for I have not only grown gray but almost blind in the service of my country.”

The men present were reported to have tears in their eyes at this gesture of Washington’s and abandoned their plot out of respect for their leader.

Washington retired from the military, surprising the entire new country.

His action surprised King George III of England, who was astonished that Washington had refused to hold on to his military authority and use it for political or financial gain.

The defeated King of England, remarked, “If true, then he is the greatest man in the world.”

Seeker of Diverse Views. How to pick a cabinet.

As President, George Washington invented the Presidential Cabinet, whom he referred to as “the first Characters,” persons who possessed the best reputations in fields and areas of the jobs he was filling.

Washington said on political appointments:

“My political conduct and nominations must be exceedingly circumspect. No slip into partiality will pass unnoticed…”

Washington tolerated the relentless clashes between Thomas Jefferson, Secretary of State, and Alexander Hamilton, Secretary of the Treasury, but lectured them on the necessity for tolerance and moving beyond partisanship:

“I believe the view of both of you are pure, and well meant. Why then, when some of the best Citizens in the United States, Men…who have no sinister view to promote, are to be found, some on one side, some on the other…should either of you be so tenacious of your opinions as to make no allowances for those of the other? I have great esteem for you both, and ardently wish that some line could be marked out by which both of you could walk.”

The Constitution Should be Protected

When George Washington left office after two terms, he made a farewell address which warned future generations of Americans about foreign entanglements and partisanship in the republic:

I shall carry to my grave the hope that your Union and brotherly affection may be perpetual; that the Constitution may be sacredly maintained; and that free government…the ever favorite object of my heart…will be the happy reward of our mutual cares, labors and dangers.”

Washington died in 1800, three years after leaving office in 1797. He was saluted on the floor of congress as being

“First in war, first in peace, first in the hearts of his countrymen.”

He was the first and best. The ultimate role model for any leader.

Today, February 22, 2021 is a day that tries Americans’ souls.

It is hoped that some of our “leaders” in Westchester, in Albany, in Washington might read the words I have quoted above and take them to heart in future deliberations.

George Washington’s vision of his country is being challenged by those who know not what they do.

But we who remember, and read these words must refocus.

I hear you, Mr. Washington, and we heed.

Note: The American President By Philip B. Kunhardt, Jr., Philip B. Kunhardt III, and Peter W. Kunhardt (Riverhead Books. Penguin-Putnam, Inc.,1999) is the source for this information and quotes on George Washington.

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