Californias largest nursing home owner under fire from government regulators.At 7 3.Nov.Friday in Los Angeles, Courtney Cargill signed herself out of a suburban nursing home and took off on foot.The facility, on the western edge of South Pasadenas business district, is just steps way from the L.A.Metro Gold Line and an eclectic stretch of brick storefronts with hunter green awnings and colorful outdoor cafe tables.Cargill scribbled her initials on the sign out sheet at South Pasadena Convalescent Hospital and declared her destination Library etc.Instead, Cargill a 5.A tall, muscular woman with short brown hair, she walked a quarter mile to a second service station where, at 8 0.She calmly walked away, patting her head, then strolled down the sidewalk and into a neighbors driveway.Cargill died at a Los Angeles hospital less than 2.Courtney Cargills suicide proved to be the final straw for government regulators, who decertified South Pasadena Convalescent in January and yanked its Medicare and Medi Cal funding.The move marks one in a series of harsh regulatory actions officials have taken in recent months against a California based nursing home chain that has quickly become the states largest, with facilities stretching from San Diego to Roseville to Eureka.At the top of the chain Shlomo Rechnitz, a 4.Los Angeles entrepreneur and philanthropist.Since 2.Rechnitz and his primary company, Brius Healthcare Services, have acquired 8.His chain has grown so quickly that he now controls about 1 in every 1.California, giving him an outsized influence on quality of care in the state.A bill that cleared the Legislature aims to prevent voter fraud at nursing homes and widen ballot access for elderly Texans.Somehow, politics didnt get in the way.Find the best OBGYN in your area.OBGYN reviews, phone number, address and map.Find the best OBGYN in your area.Parklane-West-San-Antonio-Texas-1.jpg' alt='Directory List Of Nursing Homes In Texas' title='Directory List Of Nursing Homes In Texas' />In the past year, multiple alarms have been raised about this relative newcomer to the industry and the care provided in some of his homes.His facilities have become the target of police scrutiny, lawsuits, stiff regulatory fines and state and federal investigations that have uncovered numerous alleged violations.What were seeing at the Brius locations is quite concerning, said Molly Davies, administrator of Los Angeles long term care ombudsman program, which investigates nursing home complaints.We have seen patterns of poor care, patterns of substandard care in some of these facilities.Davies said her staff has witnessed a flagrant disregard for human life in some Brius owned facilities.Between October and January, three of Rechnitzs facilities, including South Pasadena, were decertified by the federal government, an economic kiss of death that is extremely rare.The punishment strips a nursing home of its crucial Medicare funding until it can demonstrate improvement, or is closed or sold.Since 2.Centers for Medicare and Medicaid Services has decertified only six out of more than 1,2.California. 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Besides South Pasadena Convalescent Hospital, the federal government also decertified his Gridley Healthcare Wellness Centre in Butte County and Wish I Ah Healthcare Wellness Centre in rural Fresno County.A Sacramento Bee investigation published in November found that regulators were not routinely monitoring overall performance or looking for patterns of care in Californias largest nursing home chains.With Brius, though, that appears to be changing.In February, an attorney for the California Department of Public Health said in legal documents that the state was rejecting Rechnitzs attempt to acquire a Chico nursing home because of his compliance history and the number and severity of violations in his other facilities.Rechnitzs troubles were compounded this spring, when the South Pasadena facility was hit with 2.Department of Public Health.Cargills suicide, for instance, resulted in a 2.Class A citation for the facilitys failure to supervise a patient with a history of schizophrenia, anxiety disorder and involuntary psychiatric holds.Rechnitz agrees that his nursing home operation has been under siege, but he offers an alternative viewpoint.He says problems with regulators began after his management company became embroiled in a legal dispute with the state over delinquent paperwork, and the relationship soured.The things that happened are very shocking to me, said Rechnitz, referring to his newly contentious relationship with regulators.All of a sudden, we show up to court one day and there is an emergency motion that refers to us as a quote unquote serial violator of laws.It questions if we would pass the good character requirement It basically makes us look like the Charles Manson of the nursing home business.The state denies it has singled Rechnitz out or has any ulterior motives.Whatever the underlying cause, there is no question that Californias biggest nursing home operator is facing scrutiny and costly sanctions, according to hundreds of pages of government documents reviewed by The Bee.WwSD6ChF58cG2sW1lRfehg/o.jpg' alt='Directory List Of Nursing Homes In Texas' title='Directory List Of Nursing Homes In Texas' />High quality, individual, hand made traditional vases and bowl designs, glass sets, pastry trays, napkin holders, jewelry boxes and ashtrays from high quality crystal.The legal dispute Rechnitz referenced began last August, when the California attorney general unsuccessfully attempted to halt his purchase of 1.The state acted again a month later, refusing to grant Rechnitz the license in Chico.The denial was unusual.The California Department of Public Health has rejected only four change of ownership applications since 2.Chico, according to a department spokesman.Rechnitz is appealing.Elder care advocate Michael Connors, whose office is two blocks from South Pasadena Convalescent Hospital, said the flurry of activity surrounding Rechnitzs homes is unprecedented.Weve never seen anything like it, said Connors, of California Advocates for Nursing Home Reform.Connors said the organization cant speak to the quality of care in all of Rechnitzs nursing homes.But we certainly know that enough of these facilities have had severe problems to question why that operator is being allowed to continue doing business in California, he said.In a lengthy sit down interview with The Bee in March, Rechnitz said he is stunned by the governments treatment of him and his facilities, and portrayed many of the actions as unjustified.He described himself as a conscientious business owner and philanthropist who has gone from being the go to person for the California Department of Public Health whose officials regularly sought his assistance, he said to an operator now under attack from these same officials.Weve always been kind of the golden child of the state, where theyve constantly called us in and asked us to take over troubled facilities, which we did, Rechnitz said during a three hour interview in his Los Angeles home.Rechnitz explained that his business model is to rescue failing facilities and turn them around.Of his 8.Officials in San Mateo County, for instance, credit Rechnitz with preserving nearly 3.Burlingame Long Term Care facility in 2.Formerly operated by the county, the facility had been headed for closure because of financial problems and concerns about the buildings age and safety.I dont have any nursing experience myself, but I kind of know the ins and outs of a nursing home today, Rechnitz said.I can usually look at a nursing home, a distressed facility, and tell pretty quickly what the prior management was doing wrong and assess if its something that we believe that we can rehabilitate.And thats pretty much been our model, he said.Troubled homes close.The road to Rechnitzs trio of decertifications began in Gridley, a town of 6,5.Sacramento.On March 2.Department of Public Health visited the Gridley Healthcare Wellness Centre for a routine recertification survey that stretched into six days.The 8.Butte County, sits off Highway 9.Army green.On one recent afternoon, litter spilled into the nursing home parking area, which backs up against a weedy vacant lot.Rechnitz bought the facility in 2.Emp.Res Healthcare Management then called Evergreen, a Vancouver, Wash.Californias 2.The Bees investigation last year.Under Brius, the Gridley facility initially appeared to improve as Rechnitzs company raised the home from three stars to four stars in the federal governments five star rating system for nursing homes.By the end of 2.Gridley facility was backsliding in the ratings and had fallen to two stars, then, finally, to one star by mid 2.The findings from the MarchApril 2.HUD.U. 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Department of Housing and Urban Development HUDIs Public Housing owned by the Federal Government Properties called public housing, located in different locations around the country, are not owned by the Federal government.They are owned by local public housing agencies PHAs.PHAs are local governmental agencies created by State law.Normally when a locality desires to provide housing for low income persons, they create a PHA, also know or referred to as a housing authority.Typically, State law provides the Chief Executive Officer of the locality with the authority to appoint a Board of Commissioners.The Board then hires an Executive Director, who in turn hires staff for the authority, typically establishing personnel policies and procedures similar to the locality.The authority comes to the Dept.Housing and Urban Development HUD for funds to add units to its inventory, based on appropriations from Congress.Generally, PHAs are limited in how much they can collect to 3.This is usually insufficient to meet operating costs, so Congress appropriates amounts to provide operating subsidies to make up the difference.How To Hack Wep Key Using Mac '>How To Hack Wep Key Using Mac .Congress also appropriates funds to enable PHAs to modernize their developments.Public housing originated with the passage of the U.S.
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