First Report of Patient Care Ombudsman
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Case 18-33967-bjh11 Doc 823 Filed 04/01/19 Entered 04/01/19 22:34:24 Page 1 of 309 Frank P. Terzo (admitted pro hac vice) Nelson Mullins Riley and Scarborough LLP 100 S.E. 3rd Avenue, Suite 2700 Ft. Lauderdale, FL 33394 Telephone: (954) 764-7060 Email: [email protected] Counsel for the Patient Care Ombudsman IN THE UNITED STATES BANKRUPTCY COURT FOR THE NORTHERN DISTRICT OF TEXAS DALLAS DIVISION In re: Senior Care Centers, LLC, et al.1, Chapter 11 Case No. 18-33967-BJH-11 Debtor. (Jointly Administered) / FIRST REPORT OF PATIENT CARE OMBUDSMAN 1The Debtors in the Chapter 11 cases, along with the last four digits of each Debtor’s federal tax identification number, are set forth in the Order (I) Directing Joint Administration of Chapter 11 Cases, and (II) Granting Related Relief [Docket No. 569] and may also be found on the Debtors’ claims agent’s website at https://omnimgt.com/SeniorCareCenters. The location of the Debtors’ service address is 600 North Pearl Street, Suite 1100, Dallas, Texas 75201. Case 18-33967-bjh11 Doc 823 Filed 04/01/19 Entered 04/01/19 22:34:24 Page 2 of 309 TABLE OF CONTENTS Page I. INTRODUCTION .............................................................................................................. 6 II. THE PCO TEAM ................................................................................................................ 9 A. Martin I. Kalish, M.D, J.D. ......................................................................................9 B. Gerry Goodman, R.N., M.S.N. ..............................................................................10 C. Amanda Brown, RN, BSN, MSM .........................................................................11 D. Neil Leibowitz, M.D., J.D......................................................................................12 III. METHODOLOGY FOR FACILITY REVIEWS ............................................................. 12 IV. PCO HOTLINE and RESIDENT COUNCIL LETTER ................................................... 21 A. PCO Notice of Appointment and Hotline ..............................................................21 B. Resident Council Letter .........................................................................................22 V. REQUEST FOR MENTAL HEALTH INFORMATION and DOCUMENTS ............... 23 VI. SCC CORPORATE INTERVIEWS ................................................................................. 26 A. Chief Operating Officer .........................................................................................26 B. Chief Clinical Officer ............................................................................................27 C. VP of Procurement .................................................................................................29 D. VP of Human Resources ........................................................................................29 E. Regional VPs .........................................................................................................30 F. Clinical North Divisional VP .................................................................................32 G. Divisional Clinical Officers ...................................................................................33 H. Director of Clinical Education ...............................................................................35 I. Senior Director of Clinical Informatics .................................................................35 J. Quality Monitor .....................................................................................................35 K. Chief Reorganization Officer .................................................................................35 VII. REPORT TO DEBTOR AND COMMITTEE COUNSEL .............................................. 36 VIII. SITE VISIT FINDINGS ................................................................................................... 38 A. Initial Concerns ......................................................................................................38 B. General Observations .............................................................................................42 C. SCC Individual Facility Evaluations .....................................................................45 1. Rockwall Nursing Care Center, Rockwall, Texas .....................................45 Case 18-33967-bjh11 Doc 823 Filed 04/01/19 Entered 04/01/19 22:34:24 Page 3 of 309 FIRST REPORT OF PATIENT CARE OMBUDSMAN 2. Pleasant Manor Health and Rehabilitation, Waxahachie, Texas ..........................................................................................................50 3. Rowlett Health and Rehab Center, Rowlett, Texas ...................................54 4. Senior Care Beltline, Garland, Texas ........................................................56 5. Senior Care of Green Oaks, Arlington, Texas ...........................................59 6. Senior Care at Lake Pointe, Rockwall, Texas ............................................63 7. Winters Park Nursing and Rehabilitation Center, Garland, Texas ..........................................................................................................66 8. Senior Care of Stonegate, Fort Worth, Texas ............................................71 9. Senior Care of Holland Lake, Weatherford, Texas ....................................74 10. Victoria Gardens of Allen, Allen, Texas ...................................................77 11. Victoria Gardens of Frisco, Frisco, Texas. ................................................80 12. Senior Care Health and Rehabilitation Center, Dallas, Texas ....................................................................................................................83 13. Senior Care Onion Creek, Austin, Texas ...................................................88 14. Cottonwood Creek Nursing and Rehab Center, Cedar Park, Texas ..........................................................................................................92 15. Sagebrook Senior Health Center, Cedar Park, Texas ................................95 16. Park Valley Inn Health Center, Round Rock, Texas .................................98 17. Hearthstone Health Center, Round Rock, Texas .....................................102 18. Brodie Ranch Nursing and Rehab Center, Austin, Texas ........................106 19. Trinity Care Center, Round Rock, Texas.................................................112 20. Riverside Nursing and Rehab Center, Austin, Texas ..............................115 21. Senior Care of Windcrest, San Antonio, Texas .......................................122 22. Paramount Senior Care Center at San Antonio, San Antonio, Texas ........................................................................................................128 23. Senior Care Center at Wurzback, San Antonio, Texas ............................134 24. Mystic Park Nursing and Rehab Center, San Antonio, Texas ..................................................................................................................141 25. SCC at Westover Hills Rehab and Healthcare, San Antonio, Texas ........................................................................................................146 26. SCC at Hunters Pond Rehab and Healthcare, San Antonio, Texas ........................................................................................................150 27. SCC at Pecan Valley Rehab and Healthcare, San Antonio, Texas ........................................................................................................155 Page 3 of 309 Case 18-33967-bjh11 Doc 823 Filed 04/01/19 Entered 04/01/19 22:34:24 Page 4 of 309 FIRST REPORT OF PATIENT CARE OMBUDSMAN 28. West Oaks Nursing and Rehab, Houston, Texas .....................................161 29. Senior Care of Westwood, Houston, Texas .............................................167 30. SCC At Cedar Bayou Nursing/Rehab, Baytown, Texas ..........................172 31. Baytown Nursing & Rehab Center, Baytown, Texas ..............................180 32. SCC at Clear Brook Crossing Rehabilitation and Healthcare Center, Houston, TX ................................................................................187 33. La Hacienda Nursing & Rehab Center, Houston, Texas .........................195 34. Senior Care Denton Post-Acute Care, Denton, Texas .............................201 35. Pecan Tree Rehab and Healthcare Center, Gainesville, Texas ..................................................................................................................207 36. Vintage Health Care Center, Denton, Texas ............................................215 37. Red Oak Health & Rehabilitation Center, Red Oak, Texas .....................220 38. Senior Care of Stallings Court, Nacogdoches, Texas ..............................228 39. Summer Place Nursing and Rehabilitation Center, Beaumont, Texas......................................................................................234 40. The Meadows of Orange, Orange, Texas ................................................240 41. Paramount Senior Care Centers at Pasadena, Pasadena, Texas ........................................................................................................249 42. The Pointe Nursing & Rehabilitation Center., Webster, Texas ........................................................................................................258 IX. PCO HOTLINE COMPLAINTS ...................................................................................