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Disabilities

Feds slam care at Augusta facility for disabled

A federal agency has warned Georgia officials that it will end Medicaid payments to an Augusta facility for the developmentally disabled unless the state improves conditions there.

The Centers for Medicare and Medicaid Services (CMS), in an August report, said the state-run Gracewood Developmental Center has repeatedly failed to ensure the safety of patients, who have been subjected to physical and verbal abuse.

dbhdd-logo-blueGracewood patients “sustained physical injuries of unknown origin and/or verbal abuse that were not thoroughly investigated,” the inspection report stated. “The facility continues to not have a system in place to ensure that the clients were not subjected to physical, verbal, and/or psychological abuse.”

The feds also described inadequate employee training and frequent failure to investigate possible instances of abuse.

The head of the facility has resigned, said Frank Berry, commissioner of the state Department of Behavioral Health and Developmental Disabilities (DBHDD), at an agency board meeting Aug. 28.

DBHDD, meanwhile, is overhauling its processes regarding people with developmental disabilities whom it serves.

The Aug. 26 letter from CMS comes as the state agency is under pressure over its care of these people, including moving patients out of state hospitals. full story

Nightmare for vulnerable: Unlicensed care homes

The investigation of a South Georgia unlicensed personal care home began with the report of a resident of the facility breaking into a nearby home to get food.

Law enforcement officials later raided the care facility, called Uplift, which housed people with mental illness and disabilities.

Sen. Renee Unterman

Sen. Renee Unterman

Conditions were horrifying.

“All these people were hungry,’’ said Morven Police Lt. Terry Griffin, according to a Valdosta Daily Times article. The facility was infested with insects, and there was no air conditioning.

State and local agencies helped transfer Uplift residents to other facilities. “People started clapping in the breezeway, even crying. They were so happy to leave,” Griffin said.

These relocations are becoming commonplace in Georgia. Since June, law enforcement and state officials have transferred a total of 55 people from 10 unlicensed personal care homes, including Uplift, members of a legislative committee were told Tuesday.

The state has seen an increase in complaints about alleged abuse of adults at such unlicensed facilities, state officials told the legislative Joint Study Committee on Emergency Relocation of Abused Adults, meeting in Lawrenceville.

“This issue we have to address,’’ said state Sen. Renee Unterman (R-Buford), chair of the Senate Health and Human Services Committee, citing “unbelievable conditions’’ in some of the residences. full story

Medicaid change on long-term care delayed

A state health agency Thursday delayed approval of a change in the Medicaid eligibility system for people in long-term care whose incomes are above the government program’s thresholds.

The Department of Community Health’s board had been set to approve a switch for some lower-income Georgians — who now use “Qualified Income Trusts” (QITs) to qualify for Medicaid — to a “medically needy” eligibility program.

These people make too much money to qualify for regular Medicaid, but not enough money to pay for their health care needs.

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But consumer advocates have expressed concerns that the change in eligibility methods would help only people in nursing homes and institutional hospice programs — and not those with Medicaid “waivers’’ who live in community settings. The new policy could also limit people’s choices in long-term care arrangements, the advocacy groups say.

Department of Community Health (DCH) officials said Thursday that in delaying the board vote, they sought additional time before implementation. “We want to make sure it’s done right rather than fast,’’ said Jerry Dubberly, the Georgia Medicaid director. full story

Transfers of disabled patients still a problem

Almost 10 percent of the 480 people with developmental disabilities who have moved out of state hospitals since July 2010 have died after their placement in community residences.

Chris Bailey, a spokesman with the Georgia Department of Behavioral Health and Developmental Disabilities, when asked about deaths after hospital transfers, told GHN that 44 occurred from mid-2010 to early May of this year.

dbhdd-logo-blueOn Sunday, Alan Judd, in an AJC article, described horrific incidents of abuse or neglect following the transfer of these patients into group homes. Forty patients placed in group homes have died, Judd reported, with 30 of those deaths classified as unexpected.

Many of the deaths appeared to be from natural causes, Judd reported.

The article also said that officials documented 76 reports of physical or psychological abuse; 48 of neglect; and 60 accidental injuries.

In March, an independent reviewer reported that Georgia was failing to provide adequate supervision of individuals with developmental disabilities who had been moved from state hospitals to community group homes. full story

Agencies unite in crackdown on illegal care homes

The state’s main health agency said Thursday that it has formed a partnership with the GBI to crack down on unlicensed personal care homes.

Clyde Reese, the commissioner of the Department of Community Health, told the agency’s board that the partnership, which includes Adult Protective Services from the Department of Human Services, will mount “an aggressive effort to put [unlicensed homes] out of business.”

DCH Commissioner Clyde Reese

Clyde Reese

These facilities deliver “substandard care to the elderly and disabled,’’ Reese said.

The problems of unlicensed facilities and elder abuse are growing in the state, he told GHN. These unlicensed homes exist all across the state, with many in the metro Atlanta and southwest Georgia areas, he added.

Reese also said Thursday that Community Health will rebid the contract for care coordination of the elderly and people with disabilities in the Medicaid program.

The current contracting process was shelved last week because bids came in “over budget,” according to state officials. (Here’s a GHN article about the bid.) The rebidding of the contract to serve “the aged, blind and disabled’’ category will begin next month, and Community Health will give more details about the savings goals it seeks, Reese said.

And the agency said it will announce by July 1 the winners of a new round of bidding to deliver medical services to the State Health Benefit Plan next year. The benefits plan for state employees, teachers, other school personnel, retirees and dependents has been the target of widespread criticism since changes were instituted Jan. 1. full story

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