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Legislators seem ready to launch probe of care at Yountville facility
Wednesday, August 29, 2007
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7:15 p.m.SACRAMENTO — Former U.S. Marine Ron Muzio served his country in the Korean War, but on Wednesday he had another battle to fight.

The aged, mostly paralyzed Veterans Home of California at Yountville resident rolled his motorized wheelchair in front of a packed meeting of the Joint Legislative Audit Committee at the State Capitol to say he has received substandard care at the Vets Home.
“I lay in my feces in the ward for two hours,” Muzio said.

His story and complaints about care from other members of the Home spurred the legislative audit committee Wednesday to all but vote to launch top-to-bottom probe of health care at the 550-acre home, the state’s largest geriatric facility. California State Auditor Elain Howle said the probe would take five months. One member of the committee was absent Wednesday — so a final vote couldn’t be tallied — but is expected to vote with the rest of the bipartisan committee, who were unanimously in favor of launching the probe.
A crowd of more than 150 residents and union medical staff were on hand to listen to the audit committee, mostly in support of the probe.

The committee heard from seven people, including two vets claiming poor care, two other residents addressing other home issues, and state officials.
State Sen. Patricia Wiggins, D-Santa Rosa, called for an audit of the Veterans Home Monday after some residents and medical staff complained about poor conditions, including poor treatment of visually-impaired residents and allegations that faulty medical equipment contributed to the death of one resident.

“When you enter the grounds of the Yountville Veterans Home they’re beautiful, but when you enter the hospital it’s a different story,” Muzio said, adding floors were usually dirty — unless a team of regulators was scheduled to tour the facility — and staff were so busy at one point they neglected to change his position. Muzio said he developed a large and painful bedsore. “It’ll probably never heal completely.”

Recent surveys of the facility from the California Department of Health Services show only minor concerns by regulators trained to investigate health facilities like hospitals and nursing homes. In March, after a care scandal came to light at Walter Reed Medical Center in the nation’s capitol, Veterans Home officials cited positive reviews of their operation conducted by the U.S. Department of Health and Human Services and the U.S. Department of Veterans Affairs. Both organizations perform independent audits of the facility each year.

This week, a team of a dozen federal officials are reviewing the facility.

No one directly affiliated with the Vets Home testified Wednesday.

J.P. Tremblay, a spokesman for the California Department of Veterans affairs, admitted that in the past the department hadn’t done what it could to provide the best care to veterans, but that recent years had shown — in survey after survey — the Veterans Home had received generally good marks from regulators. In fact, Tremblay said, the home scored at or above the state mandated ratio of 3.4 nursing hours to a patient — a key indicator of quality care that many private nursing homes struggle to reach.

A May 8 report of the California Department of Health Services — the most recent public probe of the facility — cited only “widespread deficiencies that constitute no actual harm.”

Veterans Home residents who have complained about care say they’re being called liars by facility officials. On Monday, Veterans Home Administrator Marcella McCormack said in an interview she believed the complaints were from a vocal minority of residents.

Pat Patterson, a former U.S. Marine who was wounded fighting the Japanese in World War II, told the audit committee Wednesday he was no liar.

“The discouraging thing about all this is Mr. Muzio told me (what happened to him) and I told Mr. Salopek ... then we became liars,” he said, referring to David Salopek, the head of the Allied Council, a residents’ advocacy group at the home. “I don’t lie about it. I told the truth about it.”

Some Veterans Home residents briefly spoke out against performing a probe of the facility — saying those who complained were unreliable — but were frustrated in their efforts by lawmakers, including state Sen. Denise Ducheny, D-San Diego. Ducheny’s district includes the Veterans Home of California at Chula Vista.

Ducheny said she couldn’t understand why anyone would be opposed to the audit, because if nothing was wrong it would show that.

“Doing the audit allows us to determine what’s going on,” she said. “... We’re not here to bash the home.”
7 comment(s)

Amelia wrote on Aug 30, 2007 7:04 AM:

" These people fought our wars for us and this is how they are treated? It's disgusting. All they are asking for is a clean place to live and to get the necessary help that they need. I understand that the nursing staff and doctors may be busy, but without these veterans, our country would not be where it is today. The freedom that they had to go to medical schools is because of those same people whom the are "supposed" to be caring for. "

eyes and ears wrote on Aug 30, 2007 9:01 AM:

" please dont make judgement unless you see for yourself, the majority of employees are here, not for the great pay we get, or crummy retirement, but because we care about those men who fought for us. Were the ones that talk to them, cry with them, listen to their stories and look at their family photos, any facility as large as this is going to have a pocket of troublemakers, be it employees or residents. Dont judge till you know for yourself. "

Nurse at the Vets home wrote on Aug 30, 2007 12:40 PM:

" As a nurse with 25 years plus experience ranging from working at the Queen of the Valley and other nursing homes, I am very impressed with the quality of care, the attention these very loved Veterans receive. We welcome anybody to come and see for themselves before believing vicious rumors that really hurt the ones that give there whole heart and soul in a field where compassion and kindness is at the root of all we do. Ms. Wiggins seems to have more time on her hands then she knows what to do with, I recommed in her extra time to come and volunteer here, and attempt to make a difference in ones lives like we do every day here, happily and willingly. No place is perfect, but we are very close. Nothing but a warm, friendly environment. We welcome any visitors, even the haters and liars. "

Nancy wrote on Aug 30, 2007 3:58 PM:

" I live at the Veterans Home. Senator Wiggins has not visited the hospital. Instead, she has based her accussations on the loud voices of a small, disgruntled group of people who have an entirely different agenda. It is a shame that such falsehoods are flashed across the front page of the newspaper. Our inspections in May produced excellent reports and member satisfaction surveys have also resulted in high marks. I appreciate concern about the conditions here and firmly believe in inspections or audits. However, in this case, the money that will be spent on the audit would be better spent on raising the pay scale of the nurses. The Home cannot attract nurses when the pay is at the "bottom of the barrel." The medical staff is here because of their dedication to the veterans, not because of pay. Sadly, the nurses working at the prisons are paid more. Now, that truly is an insult to the veterans. Don't look to the Veterans Home to solve the problem. Look to the Senators that call for audits rather than pay raises and incentives needed to attract the medical personnel. "

Demo Cracy wrote on Aug 30, 2007 5:43 PM:

" I have many friends who now live at the Vet's home in Yountville. Not a one of them has ever complained about living conditions there. Oh, sure they'd rather dine at the French Laundry once in a while, but they say they have it real good there. As others have said: raise the pay for the nurses there. They are angels! "

John wrote on Aug 31, 2007 2:33 AM:

" Both sides are right....Care is substandard there. But not because the care-providers aren't trying. As a former Nurse there, I felt most care-givers there were truly dedicated. I also felt frustration to the point of resignation over the severe shortage of Nurses there. Take a look at the hours the staff work. Take a look at the Mandatory shifts the staff work. I couldn't believe this could be possible: "forced work". I felt like I was in a country other than America. I was often informed I would be working another 8 hours because there was no one to relieve me. Or worse yet, I wasn't infomed. It was a nightmare. "

BillFish wrote on Aug 31, 2007 9:29 AM:

" On July 5 I received total hip replacement surgery and spent several days at Holderman hospital for recovery. I have never received more caring and competant health care in my entire life. The nursing and doctor staff waa there for me all the way. This audit thing smacks of political ambition and definately the money would be better spent elsewhere. "

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