A central part of the philosophy of Marks Balette and Giessel derives from our concern for improving the quality of care for nursing home residents. Our commitment, to that end, is manifested in four ways:

  1. Requiring nursing home defendants, as a condition of settlement, to institute remedial measures that would effectively prevent the re-occurrence of similar injuries.
  2. Active participation in the legislative process as it relates to nursing home laws, regulations, and enforcement issues.
  3. Continuing education efforts for the purpose of teaching nurses, physicians and other health care professionals about the importance of regulatory standards and the legal implications for violating the same.
  4. Involvement with national citizens advocacy groups whose express purpose is to promote better care in nursing homes.

 

Case Resolution

Dorothy Cooper v. Texas Health Enterprises involved a 62 year old nursing home resident who was repeatedly sexually assaulted by a nursing home employee.  Ms. Cooper resided at Terrace West nursing home in Midland, Texas.  She had suffered a stroke and had left side paralysis making her wheelchair bound and dependent upon staff for almost all her care needs. 

Texas Health Enterprises, one of the largest operators of nursing homes in Texas, operated Terrace West nursing home.  The employee, Johnny Gordon, was a powerful, 6'2", 200 lb male nurse aide with an extensive criminal history, having served time in the penitentiary for burglary and forgery.  Mr. Gordon also had a history of physically abusing helpless nursing home residents.  Approximately one year before being hired at Terrace West nursing home, Mr. Gordon had been terminated from New Horizons nursing home for repeatedly hitting and abusing a helpless wheelchair bound resident.  Terrace West and New Horizons were both owned by the same entity, Texas Health Enterprises. 

Texas Health Enterprises kept no central registry or listing of former employees who were ineligible for rehire due to termination for abuse of a resident.  The corporate personnel director for Texas Health Enterprises, however, had repeatedly recommended that an abuse registry be implemented to prevent the rehiring of unsuitable employees who moved from one Texas Health Enterprises facility to the next.  He estimated that approximately three times each month, residents in Texas Health Enterprises' facilities were harmed by an employee rehired after previously being fired by the company for abuse and neglect a of resident.  Despite the known danger this practice created, the company refused to implement a registry system, citing expense as the reason.  Interestingly, it was not expensive for Texas Health Enterprises to maintain a "workers compensation abuse registry" at their corporate office.  Before extending any offer of employment to any employee at a company facility, this central registry had to be checked to determine if the job applicant had filed any medical claims for on the job injuries. 

As a consequence of Texas Health Enterprises' refusal to implement a system to screen from the employment ranks of the company, job applicants who were previously fired by Texas Health Enterprises for abuse, Johnny Gordon was rehired at Terrace West. He was given carte blanche access to female residents including Dorothy Cooper. As a nurse aide, Gordon's job duties included cleaning and bathing female residents usually without the presence of a female employee. It was during these times for a three month period that Dorothy Cooper was repeatedly sexually assaulted and violated. In order to hide his predatory conduct, Gordon threatened to kill Ms. Cooper if she ever revealed his ongoing assaults to anyone. 

Unfortunately, the rape that occurred in this case is not the only incident of sexual abuse to have occurred in nursing homes in this country. Aggravated sexual assault in a nursing home happens more often than most people care to know. The emotional scars that Dorothy Cooper carried with her up until her death eight months later are testament to the need for more aggressive and stringent hiring practices by the nursing home industry. Her story signifies the complacency of the nursing home industry in refusing to bear any added responsibility in their hiring practices besides the bare minimum requirements of the state of Texas. In an industry where employee turnover rates far exceed that of the fast-food industry, Dorothy Cooper and other nursing home residents like her need to be protected from predators who seek out defenseless and vulnerable victims like her.

As part of the resolution of the lawsuit, The Marks Firm required Defendant Texas Health Enterprises to implement a system to ensure that unfit and dangerous individuals are prevented access to vulnerable nursing home residents like Dorothy Cooper. The system was appropriately named the "Dorothy System". Under the Dorothy System, defendant Texas Health Enterprises was, and is, required to create and maintain a registry of any person who, within the past five years (1993-1998), has been terminated for abuse or neglect of a resident in any Texas Health Enterprise facility.  In order to create the database for the registry, Texas Health Enterprises was required to audit all personnel files at approximately 120 nursing homes for the period of 1993-1998.  Any individual who was determined to have abused or neglected a resident was required to be entered into the registry. Further, on an ongoing basis, any employee determined to have abused or neglected a resident must be immediately added to the registry. No Texas Health Enterprises facility may offer employment or continued employment of any person listed in the registry. Prior to extending an offer of employment to any person in a Texas Health Enterprises' facility, the registry, maintained at central headquarters, must be checked.

Dorothy Cooper was a victim of the man who violated her and a victim of an industry that failed to protect her. We hope that through the required implementation of the "Dorothy System", the outrageous tragedy that occurred in Midland Texas never occurs again.

Legislative Process

Dating back to 1983, David Marks has been involved in legislative efforts to correct inadequate enforcement of nursing home standards by federal and state regulators. In February 1983, he first appeared before the Senate Special Committee on Aging to testify about widespread neglect, abuse and preventable deaths in nursing homes. 

During the 75th  Legislative session, the Firm was actively involved in the passage of House Bill 413 and Senate Bill 190. The bills were sponsored by State Representative Harvey Hilderbran, District 53, during the 75th Legislative session.  Prior to the passage of these bills there was much controversy in the judiciary as to the admissibility of surveys and investigations of nursing homes by the Texas Department of Human Services as evidence of the nursing home's knowledge and notice of care deficiencies. These bills not only clarified the legislative intent to allow the surveys and investigations into evidence in cases against nursing homes but also validated the compliance requirement of nursing home operators with state regulations.

Recently, Marks Balette and Giessel worked closely with the  Human Services Committee of the Texas House of Representatives, 76th Legislative Session in helping author House Bill 3386.  This bill derived from the Cooper v. Texas Health Enterprises case litigated by Marks Balette and Giessel.  In that case, the absence of a working system designed to prevent the employment in nursing homes of illegal and unfit persons, resulted in the rape of a helpless resident.  The firm served as a resource and assisted in drafting legislation to correct the problem in the current regulatory system. Under House Bill 3386, the Department of Human Services will be required to not only check criminal histories by name but also by social security number.  In addition, the Department of Human Services will maintain a registry of all known abusers of nursing home residents, irrespective of their certification status. Accordingly, a separate registry of patient abusers has been proposed which maintains abuse and neglect histories for all health providers, including non-certified nurse aides. Finally, House Bill 3386 requires that all criminal history checks must be submitted in type written form to avoid any legibility questions and typographical errors.

At Marks Balette and Giessel, our concern for the health and welfare of nursing residents means being actively involved in the legislative process that effects the care that nursing home residents receive.   

Continuing Education

Regarded as an authority on the regulated duties and obligations imposed upon nursing homes, David Marks has served as an expert witness before the United States Senate, Special Committee on Aging, 98th Congress and on the National Academy of Science Subcommittee on Nursing Home Regulation and Enforcement Institute Report. Moreover, he frequently serves as a faculty member for continuing medical and nursing education programs across the country. The firm is frequently invited to teach nurses, physicians and other health professionals who specialize in nursing home care, the importance of regulatory standards and the legal implications for violating such standards. We believe it is important to share our litigation experiences with the types of health providers who are often involved in our lawsuits in an attempt to curb future neglect and abuse of nursing home residents.

The below selections are indicative of our efforts in the area of health care provider education.

Advocacy

The Marks Firm is a proud supporter of The National Citizen's Coalition for Nursing Home Reform, a non-profit advocacy dedicated to improving the care and quality of life of all nursing home residents.  Since its inception in 1973, the National Citizen's Coalition for Nursing Home Reform has provided information and analysis on complex legal, legislative and regulatory issues surrounding long-term care issues.  They have been and continue to actively monitor state and federal regulatory developments by intervening on behalf of consumers, whenever necessary. The National Citizen's Coalition for Nursing Home Reform publishes the "Quality Care Advocate", a bi-monthly newsletter with special reports. 

Elma Holder, the founding director of The National Citizen's Coalition for Nursing Home Reform, has been distinguished for her work as an advocate for nursing home residents. It has been her motto that "protecting and empowering consumers who need long-term care not only saves the ones we love, but eventually...ourselves".  Ms. Holder's role has been instrumental in effectuating more stringent standards for the past three decades.

For more information on The National Citizen's Coalition for Nursing Home Reform, please click the icon below.

DISCLAIMER
The Marks Firm 10000 Memorial Drive, Suite 760, Houston, TX 77024 . (713) 681-3070
* Not certified by the Texas Board of Legal Specialization.

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