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Trends in Long-Term Care Hearings

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Trends in Long-Term Care Hearings TRENDS IN LONG-TERM CARE HEARINGS BEFORE THID SUBCOMMITTEE ON LONG-TERM CARE OF THE SPECIAL COMMITTEE ON AGING UNITED STATES SENATE NINET Y-SECOND CONGRESS FIRST SESSION PART 15-CHICAGO, ILL. SEPTEMBER 14, 1971 Printed for the use of the Special Committee on Aging U.S. GOVERNMENT PRINTING OFFICE 62-264 WASHINGTON: 1972 For sale by the Superintendent of Documents, U.S. Government Printing Office Washington, D.C. 20402 - Price 75 cents SPECIAL COMIMIITTEE ON AGING FRANK CHURCH, Idaho, Chairman HARRISON A. WILLIAMS, JR., New Jersey HIRAM L. FONG, Hawaii ALAN BIBLE, Nevada JACK MILLER, Iowa JENNINGS RANDOLPH. West Virginia CLIFFORD P. HANSEN, Wyoming EDMUND S. MUSKIE, Maine PAUL J. FANNIN, Arizona FRANK E. MOSS, Utah EDWARD J. GURNEY, Florida EDWARD M. KENNEDY, Massachusetts WILLIAM B. SAXBE, Ohio WALTER F. MONDALE, Minnesota EDWARD W. BROOKE, Massachusetts VANCE HARTKE, Indiana CHARLES H. PERCY, Illinois CLAIBORNE PELL, Rhode Island ROBERT T. STAFFORD, Vermont' THOMAS F. EAGLETON, Missouri WrILLIAxm E. ORIOL, Staff Director DAVID A. AFFELDT, Counsel JOHN GUY MILLER, Minority Staff Director SUBCOMMITTEE ON LONG-TERM CARE FRANK E. MOSS, Utah, Chairman HARRISON A. WILLIAMS, JR., New Jersey JACK MILLER, Iowa FRANK CHURCH, Idaho HIRAM L. FONG, Hawaii EDMUND S. MUSKIE, Maine CLIFFORD P. HANSEN, Wyoming EDWARD M. KENNEDY, Massachusetts PAUL J. FANNIN, Arizona CLAIBORNE PELL, Rhode Island WILLIAM B. SAXBE, Ohio THOMAS F. EAGLETON, Missouri EDWARD W. BROOKE, Massachusetts Part 1. Trends in Long-Term Ca-re, Washington, D.C., July 30,1969 Part 2. Trends in Long-Term Care, St. Petersburg, Fla., January 9, 1970 Part 3. Trends in Long-Term Care, Hartford, Conn., January 15, 1970 Fire) Part 4. Trends in Long-Term Care, Washington, D.C., February 9, 1970 (Marietta Fire) Part 5. Trends in Long-Term Care, Washington, D.C., February 10, 1970 (Marietta Part 6. Trends in Long-Term Care, San Francisco, Calif., February 12, 1970 Part 7. Trends in Long-Term Care, Salt Lake City, Utah, February 13, 1970 Part S. Trends in Long-Term Care, Washington, D.C., May 7, 1970 Part 9. Trends in Long-Term Care, Washington, D.C., August 19, 1970 (Salmonella) Part 10. Trends in Long-Term Care, Washington, D.C., December 14,1970 (Salmonella) Part 11. Trends in Long-Term Care, Washington, D.C., December 17, 1970 Part 12. Trends in Long-Term Care, Chicago, Ill., April 2, 1971 Part 13. Trends In Long-Term Care, Chicago, Ill., April 3,1971 Part 14, Trends in Long-Term Care, Washington, D.C., June 15,1971 Part 15. Trends in Long Term Care, Chicago, Ill., September 14, 1971 1 6 Part . Trends in Long-Term Care, Washington, D.C., September 29, 1971 Part 17. Trends in Long-Term Care, Washington, D.C., October 14, 1971 Part 18. Trends in Long-Term Care, Washington, D.C., October 28, 1971. Part 19. Trends in Long-Term Care, Minneapolis-St. Paul, Minn., November 29, 1071 Vermont, served as ranking minority member of the 1 Senator Winston Pronty, Robert T. committee from September 1969, until his death September 10, 1971. Senator Stafford, Vermont, was appointed to fill the vacancy on September 17, 1971. (II) CONTENTS Opening statement by Senator Percy, presiding -1421 CHRONOLOGICAL LIST OF WITNESSES Hutton, William R., executive director of The National Council of Senior Citizens -1424 Gordon, Dr. Paul, associate professor, Chicago Medical School, University of Health Sciences -1438 Kramer, Dr. Charles It., president, Kramer Foundation, assistant professor of psychiatry, University of Illinois College of Medicine -1443 Morans, Mirs. Jiim, citizen, Chicago, III-1450 -- 1454 Snoke, Dr. Albert W., coordinator of health.services, State of Illinois Flashner, Dr. Bruce, deputy director, Illinois Department of Public Health 1455 McEnerney, John J., president of the hoard of directors of the Better Gov- Association and president of Pioneer Electric & Research Corp 1469 einment 1472 Recktenwald, William; Better Government Associstion investigator -- 1474 Hood, Bill, Better Government Association investigator --------- Troy, Richard J., representing Joseph Eisenstein, vice-president and secre- tary, Pedraza Nursing Home; president, Park House -1483 Fox, Marvin, representing Mitchell Macks, president, Midwest Rest Haven; president, St. Michael's Rest Haven; vice-president, Kenmore House; president, North Shore Rest Haven -1487 Brandwein, David, representing Meyer Liberman, president, The West- wood Manor; partnership, Sunnyside Nursing Home -1494 Lowitz,IMr. Donald, and Goodsite, Mr. Arthur, representing David I. Spark, secretary, Beverly Hills Convalescent Center; secretary, Davis Nursing Home; secretary, Commodore Inn; secretary, M&M Homes; treasurer, Hamlin House; chairman of the board of directors, Winston Manor Convalescent & Nursing Home -1498 Angell, Harvey J., president, Hyde Park Nursing Center; president, Martha Washington Manor; president, Michigan .Terrace Nursing Center; direc- tor and stockholder, Sandra Memorial Nursing & Convalescent Home; and stockholder, Skokie Valley Manor and Dearborn House -1503 officer 1508 Pure, Julius and Louis, operators of Pure Hotel, Inc Yampol, Hillel, executive director of the Metropolitan Chicago Nursing Home Association -1510 Menninger, Dr. Karl, chairman, board of trustees, Menninger Foundation, Kans -1513 Topeka, 1517 Yampol, Hillel, resumed statement APPENDIXES Appendix 1. Additional material from witnesses: Item 1. Letter from Dr. Paul Gordon, the Chicago Medical School, University of Health Services, to Senator Frank E. Moss, June 5, 1970 -1527 Item 2. A report to Governor Richard B. Ogilvie from the Inter- Agency Task Force on Long-term Care Facilities, State of Illinois 1529 Item 3. Newsrelease by Hillel H. Yampol, director, Metropolitan Chicago Nursing Home Association, March 2, 1971 -1543 Nursing Home Groups object to self-policing-reprint from Chi- cago Sun-Times, Tuesday; March 16, 1971 -1544 Item 4. Pedraza Nursing Home 1970 Income Tax Return -1545 Item 5. Midwest Rest Haven, Inc., 1970 Income Tax Return -1552 (III) IV Appendix 1. Additional material from witnesses-Continued Page Item 6. Westwood Manor, Inc., 1970 Income Tax Return -1558 Item 7. Westwood Manor, Inc.-Hearing Board of Revocation or Denial of License for Nursing Homes, Sheltered Care Homes and Homes for the Aged -1564 Item S. Letter from David I. Spark, Winston Manor Convalescent & Nursing, Inc., to Senator Charles Percy, September 13, 1971--- 1565 Item 9. Winston Manor Convalescent and Nursing Home 1970 In- come Tax Return -1566 Item 10. Letter from Irwin E. Kipnis, president, Hamlin House, Inc., to Senator Charles Percy, September 14, 1971 -1573 Item 11. Hamlin House, Inc., 1970 Income Tax Return -1576 Item 12. Letter from Donald S. Lowitz, Hamlin House and Winston Manor Convalescent & Nursing Home Mortgages -1583 Item 13. Financial statements from Harvey Angell, president Hyde Park Nursing Center, Inc., and Nancy Ann Nursing Homes - 1606 Item 14. Financial statement, Pure Hotel, Inc., Julius and Louis Pure, Operators -1612 Item 15. Chart showing interlocking ownership and directors of nursing homes -1614 Appendix 2. Comparative report on discharged and mental health pa- tients-Response by Chicago Board of Health to State allegations - 1619 TRENDS IN LONG TERM CARE TUESDAY, SEPTEMBER 14, 1971 U.S. SENATE, SSUBCOMMrrEE ON LONG-TERM CARE OF THE SENATE SPECIAL COMMrITEE ON AGING, Chicago, Ill. The subcommittee met, pursuant to notice, at 9 a.m., Cook County Building, 118 North Clark Street, Chicago, Ill., Senator Charles H. Percy, presiding. Present: Senator Percy. Also present: Val HaTamandaris, professional staff member; Con- stmane Beaurmnont, research assistant for Senator Percy; Pamela Phil- lips, clerk; Janet Neigh, clerk; and Jerry Strickler, printing assistant. OPENING STATEMENT BY SENATOR PERCY, PRESIDING Senator PERCY. The hearing will be in order. This is a public hearing conducted by the Subcommittee on Long- Term Care of the Senate Special Committee on Aging. The committee's purpose in coming here today is to follow up on the inquiry it began last April into nursing home conditions in the Chicago area. To place today's hearing in perspective, I would like to retrace very briefly the events which have led up to it. Early this year, a task force, composed of members of the Better Government Association and reporters of the Chicago Tribune, car- ried out an in-depth, on-the-spot investigation of nursing homes in the Chicago area. While the task force found that a few homes are very good and that many are adequate, it also found an inordinately large number of homes unfit for anyone-let alone helpless and chronically ill elderly people. The subsequent revelations by the Chicago Tribune on nursing home conditions were serious and shocking enough to stimulate numerous actions on the part of government officials as well as others involved. The mayor of Chicago ordered city building, fire, and health in- spectors to increase their surveillance of nursing homes. The State department of public aid withheld public aid payments to nursing homes suspected of being substandard. The Metropolitan Chicago Nursing Home Association said its ethics committee would investigate the charges made by the Tribune, and if (1421) 1422 found to be accurate, the association would consider suspending those homes in violation of the law. The Governor increased the number of State inspectors of nursing homes, and appointed a special deputy to crack down on substandard facilities. Because Federal funds and laws were involved, the Senate Special Committee on Aging held hearings to determine
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