Case Study: AMA V.

The event that essentially precipitated the criminal charges against Ann Mitchell and Vicki Galle was when they reported the unsafe medical practices of Dr. Ronaldo Arafiles. They stood up for many of Dr. Rolando Arafiles patients and their rights. They felt as if Dr. Arafiles was not providing standard care for his patients. After they filed an anonymous complaint to the Texas Medical Board (TMB), Winkler County Sherrif Robert Roberts requested copies of the confidential complaints and notified Dr. Arafiles. Following this action, the sheriff and Dr. Arafiles a attempted to retaliate against the two nurses (Sack, K). After reviewing the outcome of the case, the nurses were both impacted negatively. They will probably never be hired into the

Mark Skornia filed a complaint against Dr Kenneth Smith alleging mismanagement and misdiagnosis of the complications after his mother Arlene Skornia was admitted to Mercy Hospital in Washington, MO on August 13, 2013. Mr Skornia’s primary concerns are his mother did not receive nourishment for 7 days, Dr Smith lacked the ability to appropriately titrate pain medications, and Mrs Skornia was released from the hospital with no plan in place or consultation with the family.

Mr. Overman is a 30 year old male who presented to the ED with a possible overdose. Per documentation he was found in a Walmart walking around taking multiple pills while walking around. Mr. Overman has a prior history of substance abuse which includes abusing pain pills. Mr. Overman wife was contacted and spoke to before the assessment. She reports in October 2016, Mr. Overman was in a hit and run accident while riding his bike with their son. Mrs. Overman reports yesterday he found out he would not be able to continue the type of work he has been doing for the past 6-8 year. Mrs. Overman reports he has been depressed due to becoming aware of this information. Also, She reports since he had been prescribed a large amount of pain medication from his providers, a solution for one provider to aid in medication management was organized because with the 30 day prescriptions were out his detox from the medication was overwhelming to him.

R/s Isaac Harris (69) has dementia, hypertension, coronary, and heart failure problems. R/s Mr. Harris is not oriented to place the date, time, or people. R/s Mrs. Harris is staying with his friend Carolyn, she can no longer care for him. R/s on 8/25/2015, Carolyn filed a missing person for Mr. Harris, 3 days later he showed up at Province Hospital. R/s Mr. Harris is known for wandering. R/s on 08/15/2015 he was at the ER, there were concerns about his failing mental status. R/s Mr. Harris leaves home without clothes. R/s Mr. Harris cuts his clothes and cuts were on his legs. R/s Mr. Harris has two bottles of Digitalis medicine that were fill on the same date, and there is a concern about him taking double dosage of the medications. R/s Mr.

REPORTER: The reporter/ Care Manager (Linda) called with concerns for the victim, Gary. Gary utilizes a wheelchair and he can not walk a long distance; Gary can perform his daily ADL’s. Lisa lives in the household with Gary, and she is his caretaker. The reporter went to visit the home today (03/09/2016) and noticed that the victim was outside in the road sitting in a chair with a shoes or a shirt on. Gary reported that Lisa (medical POA/daughter) put him out of the home. Gary and Lisa got into an argument because Gary accused Lisa of taking his 1600 dollars. Gary reported that Lisa didn’t purchase him any diapers or any other necessities; Lisa didn’t buy him anything. Gary said Lisa got into his face and he pulled her hair. The reporter spoke

Ashley had a diabetic episode during a class where a substitute was teaching. She needed her glucose medication and the substitute would not allow Ashley to get the medication from her bag. The substitute also denied Ashley’s request to go to the nurse. Ashley took it upon herself to go to the nurse anyway. Ashley did not make it to the nurse since her blood sugar was so low. She was found after the class very ill and disoriented and she had to be taken to the hospital in an ambulance. The family was told by a doctor that this could have been a potentially fatal situation for Ashley.

R/s Audra has a mental disability, she suffers from bipolar and anxiety (GAD). R/s Audra is being physically abused by her boyfriend, Peter. R/s Audra is in denial of the danger she is in. R/s the physical abuse could cause internal bleeding due to her factor 5 Leiden disorder. R/s Peter is the payee of Audra’s social security disability check. R/s Peter takes the money to buy crack. R/s Audra lost her car because Peter was spending the money. R/s Peter stopped Audra from going to therapy. R/s Peter attends the methadone clinic and he is giving Audra the methadone. R/s LE was called on Tuesday due to a domestic dispute, but they were unable to do anything because Audra stated she hurt herself. R/s Audra was all bruised up with two black eyes.

It was reported that on 10/10/16, by resident Darcia Getty (age 53, DOB 07/08/63) and resident's sister Donna Cowell that the facility has not provided the resident with her medication. Per ED physician note dated 10/10/16: "Woman" at the the board and care would not give the resident her medication until she ate her oatmeal. It was also mentioned that the resident has wondering thoughts and hysterical at times. EMS reports chaos at the scene, the resident was throwing things and screaming. LPA contacted RP to verify the name of the resident and original reporting party, as the name on the narritive did not match (Ms. Reed was a misprint).

D-The patient was placed on HOLD and this writer cleared the HOLD. This writer addressed with the patient about her recent AWOL, referring to yesterday. According to the patient, she missed her medcab and did not have any other form of transportation. The patient was in tears as she also reported that she used crack cocaine (smoking) from 8/1/2016-08/4/2016. When asked as to how much she used, she says, " I spent $300 worth......I was doing so good, so good. I didn't want to use. It's too much." This writer asked the patient to what happen recently because during the last individual counseling session, the patient was clean from illicit drugs for a week and 3 days. According to the patient, her son had turned against and lied to her sister

REPORTER: The reporter/ anonymous called with concerns for the victims, James and Ida. Ida is bed bound, and she’s suffered from a stroke (needs assistance with her ADL’s). James utilizes a cane (walks slowly), and he can feed himself, but he cannot bathe himself. The reporter said the victim’s live alone, and their children (Gloria and Orlando) have been trying to have them placed in a facility where they can receive the proper care. The reporter said James doesn’t want to go to a facility. There is no caretaker for Ida and No POA for the victims. Ida is bedridden (cannot get up), and she wears a diaper. The reporter said she’s normally in the diaper from 12 pm until the next day because there is no one coming to the home to care for her throughout

On 10/10/17 the case coordinator, Rodriguez Addy, contacted to the aide, Limonta Natania, and she stated that on 10/09/17 she was accompanied Mrs. Divers to MD office for appointment, they were living the office at about 1pm. At the pedestrian crossing, the crossing guard indicated for them it was safe to cross the street. About half way across, they were struck by a car with elderly woman driving, the aide stated

PER REPORTER: The mother and children live with the grandmother. The reporter reaches the mother on the grandmother's phone. There are concerns about Jenson not being enrolled in school. The left TN on November 10th and came to MS. The child has been in MS since then and hasn't been enrolled in school. TN gives 10 dayus to enroll in school and it's past that mark. TN Children Services has had an open case on the family since August. There were concerns alleging drug use. Mom admitted to taking Adipex that's not prescribed to her. It's a diet pill that can make you test positive for amphetamine. Mom was accused of using methamphetamine. Mom hasn't been able to submit to a drug screen. Mom would say that she's not able to urinate. She would be

On Friday, June 10, 2016 at about 2332 hours, FHEO Security was dispatched for a (51D) Disorderly Patient at the Special Care Unit (SCU) room #37. All Security staff responded to the call and met with RN Francesca Plaza who stated that the patient, James Patrick Hogg (FIN: #85758458) was agitated and would not listen to medical staff. Mr. Hogg had come in by EMS with Altered Mental Status (AMS) and was uncooperative with medical staff. Nurse Francesca Plaza had requested Security staff to stand by while the patient get medicated. Security Officers Omar Alonso, Michael Chin along with Supervisor Steven Evans went in the patient’s room while Patient Tech Alex Almanza and Nurse Plaza administered the medication by injection without incident. No

The reporting party (RP) disclosed her brother Richard Brantner DOB: 7/23/47 was transferred to the facility from Kaiser Medical on 7/21/16 and passed away at facility on 8/7/16. According to the RP her brother had a stroke in early July affecting his frontal lobe. The resident required Hospice monitoring and care (comfort care) due to his medical conditions. The resident was admitted requiring total care. He was unable to feed, dress, bathe, groom, and toilet himself. Additionally the resident was prescribed medications such as Haldol, Ativan, Morphine, and diabetic medication. The RP stated during visits she would observe the caregiver forcing "Ensure" in the brother's mouth using a syringe which caused him to choke. The RP believes her brother

At 6:40am during my routine med pass on Al, I was notified via walk by Romona another staff who was on shift on LG at the time of the incident. I was told to come to LG as it regard a resident. Upon arriving to Theresa Russo's room i was informed by Romona that she made several attempts to get Mrs. Russo up and dress but she refused due to the pain she was experiencing in both arms. I question Mrs. Russo myself to get a more in depth understanding to how she was feeling and her replies was the same as Romona mentioned. Mrs. Russo did mentioned she has a history of arthritis, with that information given i then went to check her mars to see if there is any Tylenol or other medication in that nature that is normally dispense at the beginning of