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Kenneth LaBore is a nursing home neglect attorney with decades of experience handling claims against nursing homes, group homes, assisted living and memory care facilities, and other care providers. We represent client throughout the state of Minnesota. Nursing home neglect injuries include: fractures, skull injuries, subdural hematomas, broken hips and bones, medication errors, wound care neglect, failure to notice a change in a resident's condition and others. Kenneth LaBore is a nursing home neglect attorney in Minnesota. He has handled wrongful death and elder abuse cases for decades. He represents clients against nursing homes, assisted living facilities, memory care facilities, group homes, home health and other negligent care providers. If your family has a concern about care in a facility call a nursing home wrongful death attorney who knows how to get results for your case. We handle wrongful death cases, memory care neglect, assisted living neglect, nursing home neglect and abuse and other cases against healthcare providers in the Twin Cities and throughout the state of Minnesota.

Home Care Provider Law

Home Care Regulations

Minnesota Nursing Home Administrator Regulations Minnesota Home Care Statutes The following are home care rules set forth in Minnesota Statute 144A: 144A.43 DEFINITIONS. 144A.44 HOME CARE BILL OF RIGHTS. 144A.45 REGULATION OF HOME CARE SERVICES. 144A.47 INFORMATION AND REFERRAL SERVICES Home Care Information FREQUENTLY ASKED QUESTIONS – ANSWERED BY STATE OF MINNESOTA HOME CARE BILL OF RIGHTS HOME CARE PROVIDER STATE SUVEY RESULTS OFFICE OF FACILITY COMPLAINTS – HOME CARE RESOURCES FOR HOME CARE PROVIDERS FROM STATE OF MINNESOTA FIND A HOME CARE PROVIDER REPORTING OF MALTREATMENT OF VULNERABLE ADULTS VULNERABLE ADULT ABUSE DEFINITIONS We are: Home Care Neglect Attorneys Home Health Care Group Home Neglect Attorneys With decades of experience handling cases on behalf of vulnerable adults throughout the state of Minnesota. Call 612-743-9048 now for a free consultation. Home Care Questions and Answers What are the costs if we do not obtain a recovery or settlement against a home care provider? Answer: We only charge fees and the related costs of recovery when our client receives a verdict or settlement in their favor. What are my rights as a home care client in Minnesota? Answer: Minnesota sets forth a home care bill of rights in Minnesota Statute 144A.44, which includes, in part: the right to receive written information, in plain language, about rights before receiving services, including what to do if rights are violated; the right to (2) receive care and services according to a suitable and up-to-date plan, and subject to accepted health care, medical or nursing standards and person-centered care, to take an active part in developing, modifying, and evaluating the plan and services; the right to be told before receiving services the type and disciplines of staff who will be providing the services, the frequency of visits proposed to be furnished, other choices that are available for addressing home care needs, and the potential consequences of refusing these services; the right to be told in advance of any recommended changes by the provider in the service plan and to take an active part in any decisions about changes to the service plan; the right to refuse services or treatment; the right to access the client’s own records and written information from those records in accordance with sections 144.291 to 144.298; the right to be served by people who are properly trained and competent to perform their duties; the right to be treated with courtesy and respect, and to have the client’s property treated with respect; and the right to be free from physical and verbal abuse, neglect, financial exploitation, and all forms of maltreatment covered under the Vulnerable Adults Act. Does Minnesota allow for “pain and suffering claims” in vulnerable adult abuse wrongful death case? Answer: There has historically not always been a claim for “pain and suffering” for the victim of neglect where the injuries result in their death. It was not until 2023 when Minn. Stat. § 573.02 was amended to add the claim “the recovery in the action is the amount the jury deems fair and just for all damages suffered by the decedent resulting from the injury prior to the decedent’s death”, which includes pain and suffering. How can I learn if a home care provider has a past history of abuse or neglect to clients? Answer: The Minnesota Department of Health maintains a site to search for Health Care Provider Complaints. The site includes information about the complaints if they were substantiated as well as what measures were taken to improve the facility afterwards. How do I report suspected abuse or neglect against a home care provider? Answer: There is a Minnesota Adult Abuse Reporting Hotline Center (MAARC), which intakes elder abuse and neglect concerns and is answered 24 hours a day at 1-844-880-1574.

Assisted Living Facilities Law

Assisted Living Laws

Minnesota Assisted Living Laws Minnesota Assisted Living Rules and Regulations Minnesota assisted living laws. The following is set forth in Minnesota Statute 144G, attached are the regulations for staffing requirements, services, resident rights and protections: STAFFING REQUIREMENTS 144G.60 STAFFING REQUIREMENTS. 144G.61 STAFF COMPETENCY EVALUATIONS. 144G.62 DELEGATION AND SUPERVISION. 144G.63 ORIENTATION AND ANNUAL TRAINING REQUIREMENTS. 144G.64 TRAINING IN DEMENTIA, MENTAL ILLNESS, AND DE-ESCALATION REQUIRED. SERVICES 144G.70 SERVICES. 144G.71 MEDICATION MANAGEMENT. 144G.72 TREATMENT AND THERAPY MANAGEMENT SERVICES. RESIDENT RIGHTS AND PROTECTIONS 144G.90 REQUIRED NOTICES. 144G.91 ASSISTED LIVING BILL OF RIGHTS. 144G.911 RESTRICTIONS UNDER HOME AND COMMUNITY-BASED WAIVERS. 144G.92 RETALIATION PROHIBITED. 144G.93 CONSUMER ADVOCACY AND LEGAL SERVICES. 144G.95 OFFICE OF OMBUDSMAN FOR LONG-TERM CARE AND OFFICE OF OMBUDSMAN FOR MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES. 144G.9999 RESIDENT QUALITY OF CARE AND OUTCOMES IMPROVEMENT TASK FORCE. Minnesota Assisted Living Rules – Minnesota Administrative Rules Minnesota assisted living rules are set for in Chapter 4659 which includes, definitions, the responsibility to meet standards, staffing levels, and training requirements for staff: 4659.0010 APPLICABILITY AND PURPOSE. 4659.0020 DEFINITIONS. 4659.0030 RESPONSIBILITY TO MEET STANDARDS. 4659.0040 LICENSING IN GENERAL. 4659.0050 FINES FOR NONCOMPLIANCE. 4659.0060 ASSISTED LIVING LICENSURE; CONVERSION OF EXISTING ASSISTED LIVING PROVIDERS. 4659.0080 VARIANCE. 4659.0090 UNIFORM CHECKLIST DISCLOSURE OF SERVICES. 4659.0100 EMERGENCY DISASTER AND PREPAREDNESS PLAN; INCORPORATION BY REFERENCE. 4659.0110 MISSING RESIDENT PLAN. 4659.0120 PROCEDURES FOR RESIDENT TERMINATION AND DISCHARGE PLANNING. 4659.0130 CONDITIONS FOR PLANNED CLOSURES. 4659.0140 INITIAL ASSESSMENTS AND CONTINUING ASSESSMENTS. 4659.0150 UNIFORM ASSESSMENT TOOL. 4659.0160 RELINQUISHING AN ASSISTED LIVING FACILITY WITH DEMENTIA CARE LICENSE. 4659.0180 STAFFING. 4659.0190 TRAINING REQUIREMENTS. 4659.0200 NONRENEWAL OF HOUSING, REDUCTION IN SERVICES; REQUIRED NOTICES. 4659.0210 TERMINATION APPEALS; PROCEDURES AND TIMELINES FOR APPEALS.   We are: Assisted Living Neglect Attorneys Memory Care Neglect Attorneys With decades of experience handling cases on behalf of vulnerable adults throughout the state of Minnesota. Call 612-743-9048 now for free consultation. What costs are there if we do not obtain a recovery or settlement against an assisted living facility? Answer: We only charge fees and the related costs of recovery when our client receives a verdict or settlement in their favor. Are injuries claims suffered in assisted living facilities considered medical malpractice? Answer: Depending on the type of facility and care they are providing to residents. According to Minn. Stat. § 145.682 a “health care provider” includes all persons or entities providing health care, such as hospitals and nursing homes. Often experts are retained in assisted living abuse and neglect cases to explain the standard of care and breaches that lead to the injury or death. How can I learn if an assisted living facility has prior care issues and complaints? Answer: The Minnesota Department of Health maintains a site to search for Health Care Provider Complaints. The site includes information about the complaints if they were substantiated as well as what measures were taken to improve the facility afterwards. How do I report suspected abuse against an assisted living facility or health care provider? Answer: There is a Minnesota Adult Abuse Reporting Hotline Center (MAARC), which intakes elder abuse and neglect concerns and is answered 24 hours a day at 1-844-880-1574. What staffing level is required in an assisted living facility? Answer: Minn. Rule 4659.0180, Subp. 3., requires that the assisted living facility must have a direct-care staffing plan which A clinical nurse supervisor must develop and implement a written staffing plan that provides an adequate number of qualified direct-care staff to meet the residents’ needs 24 hours a day, seven days a week.

Assisted Living Facilities Law

Memory Care Laws

Assisted Living Treatment and Therapy Services Memory Care Regulations Minnesota Memory Care laws and rules. These facilities are usually part of an assisted living facility which may offer a variety of level of services, including specialized assisted for those with cognitive issues including Alzheimer’s and dementia. The memory care facility usually a part of the assist living facility must comply with the broad assisted living laws and regulations as well as the ones specific for persons with dementia or cognitive decline. Assisted Living Facilities with Memory Care – Dementia Care Services Memory care facilities are also called assisted living facilities with dementia care in most cases. Here are specific rules designed to protect residents in these facilities including, additional licensing requirements for facilities, requirements for facilities with secured dementia units, additional training requirements for assisted living facilities with dementia care, and services for residents with dementia: ASSISTED LIVING FACILITIES WITH DEMENTIA CARE 144G.80 ADDITIONAL LICENSING REQUIREMENTS FOR ASSISTED LIVING FACILITIES WITH DEMENTIA CARE. 144G.81 ADDITIONAL REQUIREMENTS FOR ASSISTED LIVING FACILITIES WITH SECURED DEMENTIA CARE UNITS. 144G.82 ADDITIONAL RESPONSIBILITIES OF ADMINISTRATION FOR ASSISTED LIVING FACILITIES WITH DEMENTIA CARE. 144G.83 ADDITIONAL TRAINING REQUIREMENTS FOR ASSISTED LIVING FACILITIES WITH DEMENTIA CARE. 144G.84 SERVICES FOR RESIDENTS WITH DEMENTIA. RESIDENT RIGHTS AND PROTECTIONS 144G.90 REQUIRED NOTICES. 144G.91 ASSISTED LIVING BILL OF RIGHTS. 144G.911 RESTRICTIONS UNDER HOME AND COMMUNITY-BASED WAIVERS. 144G.92 RETALIATION PROHIBITED. 144G.93 CONSUMER ADVOCACY AND LEGAL SERVICES. 144G.95 OFFICE OF OMBUDSMAN FOR LONG-TERM CARE AND OFFICE OF OMBUDSMAN FOR MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES. 144G.9999 RESIDENT QUALITY OF CARE AND OUTCOMES IMPROVEMENT TASK FORCE. We are: Assisted Living Neglect Attorneys Memory Care Neglect Attorneys With decades of experience handling cases on behalf of vulnerable adults throughout the state of Minnesota. Call 612-743-9048 now for free consultation. Memory Care Questions and Answers What costs are there from your firm if we do not obtain a recovery from an assited living abuse case? Answer: We only charge fees and the related costs of recovery when our client receives a verdict or settlement in their favor. Are injuries claims suffered in a memory care facility considered medical malpractice? Answer: Depending on the type of facility and care they are providing to residents. According to Minn. Stat. § 145.682 a “health care provider” includes all persons or entities providing health care, such as hospitals and nursing homes. Whether the claim is one for malpractice would depend on the needs of the resident, the contract with the facility and other facts. Often experts are hired in memory care facility neglect and abuse cases to explain the standards and injury. What is the minimum staffing level for a memory care facility in Minnesota? Answer: Minn. Rule 4659.0180, Subp. 3., requires that the assisted living facility must have a direct-care staffing plan which A clinical nurse supervisor must develop and implement a written staffing plan that provides an adequate number of qualified direct-care staff to meet the residents’ needs 24 hours a day, seven days a week. Since most memory care facilities are part of an assisted living facility these regulations would apply to the dementia care units. How do I learn if a memory care facility has a past history of abuse or neglect to residents? Answer: The Minnesota Department of Health maintains a site to search for Health Care Provider Complaints. The site includes information about the complaints if they were substantiated as well as what measures were taken to improve the facility afterwards. How do I report suspected abuse in a memory care facility?? Answer: There is a Minnesota Adult Abuse Reporting Hotline Center (MAARC), which intakes elder abuse and neglect concerns and is answered 24 hours a day at 1-844-880-1574.

Nursing Home Law

Nursing Home Regulations

Nursing Home Regulations Minnesota Nursing Home Rules – Minnesota Administrative Rule 4658 Minn. Rule 4658. The State of Minnesota has nursing home regulations including: licensing, administration of operations, penalties, resident rights, resident personal funds account, restraints, resident assessment and plan of care, clinical records, nursing services, dietary service, medical and dental services, infection control, recreational program, spiritual needs, social services, barber and beauty shop services, rehabilitation services, medications, environmental services, specialized units as well as regulations pertaining to the requirements for the building and physical plant. Here are additional Minnesota Nursing Home Rules and Regulations: Chapter 144A  Nursing Homes and Home Care  Chapter 6400, Licensing of Nursing Home Administrators 6400.5000 to 6400.6900 (BELTSS) Contact Attorney Kenneth LaBore with questions, call 612-743-9048 Federal Nursing Home Minimum Standards Regulations, 42 CFR 483 Federal Code 42 CFR 483. The federal regulations for nursing homes accepting government payments sets forth the minimum standards of care to be provided to residents of nursing homes. Part 483 Requirements for States and Long Term Care Facilities   Subpart B Requirements for Long Term Care Facilities   § 483.1 Basis and scope. § 483.5 Definitions. § 483.10 Resident rights. § 483.12 Freedom from abuse, neglect, and exploitation. § 483.15 Admission, transfer, and discharge rights. § 483.20 Resident Assessment § 483.21 Comprehensive person-centered care planning. § 483.24 Quality of life. § 483.25 Quality of care. § 483.30 Physician services. § 483.35 Nursing services. § 483.40 Behavioral health services. § 483.45 Pharmacy services. § 483.50 Laboratory, radiology, and other diagnostic services. § 483.55 Dental services. § 483.60 Food and nutrition services. § 483.65 Specialized rehabilitative services. § 483.70 Administration. § 483.71 Facility assessment. § 483.73 Emergency preparedness. § 483.75 Quality assurance and performance improvement. § 483.80 Infection control. § 483.85 Compliance and ethics program. § 483.90 Physical environment. § 483.95 Training requirements. Common Nursing Home Law Questions and Answers What are the clinical records regulations in nursing homes? Answer: The following regulations pertain to clinical records kept in nursing homes: 4658.0430 HEALTH INFORMATION MANAGEMENT SERVICE. 4658.0435 CONFIDENTIALITY OF CLINICAL RECORDS AND INFORMATION. 4658.0440 ABBREVIATIONS. 4658.0445 CLINICAL RECORD. 4658.0450 CLINICAL RECORD CONTENTS. 4658.0455 TELEPHONE AND ELECTRONIC ORDERS. 4658.0460 MASTER RESIDENT RECORD. 4658.0465 TRANSFER, DISCHARGE, AND DEATH. 4658.0470 RETENTION, STORAGE, AND RETRIEVAL. 4658.0475 COMPUTERIZATION. 4658.0490 PENALTIES FOR CLINICAL RECORDS RULE VIOLATIONS. Which regulations pertain nursing home medications? Answer: These are the nursing home medication regulations: MEDICATIONS 4658.1300 MEDICATIONS AND PHARMACY SERVICES; DEFINITIONS. 4658.1305 PHARMACIST SERVICE CONSULTATION. 4658.1310 DRUG REGIMEN REVIEW. 4658.1315 UNNECESSARY DRUG USAGE. 4658.1320 MEDICATION ERRORS. 4658.1325 ADMINISTRATION OF MEDICATIONS. 4658.1330 WRITTEN AUTHORIZATION FOR ADMINISTERING DRUGS. 4658.1335 STOCK MEDICATIONS. 4658.1340 MEDICINE CABINET AND PREPARATION AREA. 4658.1345 LABELING OF DRUGS. 4658.1350 DISPOSITION OF MEDICATIONS. 4658.1355 MEDICATION REFERENCE BOOK. 4658.1360 ADMINISTRATION OF MEDICATIONS BY UNLICENSED PERSONNEL. 4658.1365 PENALTIES FOR MEDICATIONS AND PHARMACY SERVICES RULE VIOLATIONS. What are nursing home rehabilitation rules? Answer: The following are the nursing home rehabilitative services:  4658.1200 SPECIALIZED REHABILITATIVE SERVICES. 4658.1290 PENALTIES FOR SPECIALIZED REHABILITATIVE SERVICES RULE VIOLATIONS. What are nursing services rules in nursing homes? Answer: The following regulations pertain to nursing services in Minnesota nursing homes: 4658.0500 DIRECTOR OF NURSING SERVICES. 4658.0505 RESPONSIBILITIES; DIRECTOR OF NURSING SERVICES. 4658.0510 NURSING PERSONNEL. 4658.0515 [Repealed, L 2000 c 312 s 7] 4658.0520 ADEQUATE AND PROPER NURSING CARE. 4658.0525 REHABILITATION NURSING CARE. 4658.0530 ASSISTANCE WITH EATING. 4658.0580 PENALTIES FOR NURSING SERVICES RULE VIOLATIONS. Are there resident rights contained in nursing home regulations? Answer: These are the resident rights nursing home regulations: 4658.0200 POLICIES CONCERNING RESIDENTS. 4658.0205 PROCEDURE AT DEATH. 4658.0210 ROOM ASSIGNMENTS. 4658.0215 ADMINISTRATION OF MEDICATIONS. 4658.0220 FREEDOM FROM CORPORAL PUNISHMENT AND INVOLUNTARY SECLUSION. What are the regulations pertaining to restraints in nursing homes? Answer: the following regulations pertain to the use of resident restraints in nursing homes: 4658.0300 USE OF RESTRAINTS. 4658.0350 PENALTIES FOR RESTRAINTS RULE VIOLATIONS. Are there regulations pertaining to nursing home resident assessment and plan of care? Answer: the following regulations pertain to required resident assessments and plans of care:  4658.0400 COMPREHENSIVE RESIDENT ASSESSMENT. 4658.0405 COMPREHENSIVE PLAN OF CARE. 4658.0420 PENALTIES FOR COMPREHENSIVE ASSESSMENT AND PLAN OF CARE RULE VIOLATIONS. We are: Nursing Home Neglect Attorney Assisted Living Neglect Attorney Memory Care Neglect Attorney Group Home Neglect Attorney With decades of experience handling cases on behalf of vulnerable adults throughout the state of Minnesota. Call 612-743-9048 now for free consultation. Nursing Home Neglect Practice Areas Wrongful Death Wound Care Neglect Falls & Fractures Sexual Assault  Bed Sores / Pressure Ulcers Hoyer Lift Accident Injuries Medication Mistakes  Physical Assault Obstructed Bowel Wandering & Elopement Oxygen Explosion & Fire Burn Injuries Choking & Asphyxiation Change in Condition Urinary Infections & Sepsis Scalding Showers & Liquids

Home Health Care Neglect Attorney
Home Care Provider Law

Home Health Care Neglect Attorney

Experienced Elder Abuse Attorney Home Health Care Neglect Attorney Kenneth LaBore has over three decades experience handling nursing home health care, memory care, assisted living, group home, nursing home and other care provider claims on behalf of the elderly and vulnerable. Elder care cases are complex, and we only handle elder abuse and neglect cases and know how to how providers accountable. The goal is to improve the quality of care, so others do not need to suffer preventable harm or wrongful death. Home health care providers provide a wide range of care services and assistance. Some offer assistance with dressing, grooming and bathing, medication management, help with toileting, catheters, and some medical cares under the supervision of a nurse. Ken proudly works with co-counsel Suzanne Scheller from Scheller Legal Solutions, LLC on his elder abuse case. Ms. Scheller is also an experienced litigator and zealous elder advocate. Ms. Scheller has been instrumental in the creation of the elder advocacy organization elder voice and has worked tirelessly to increase the rights and protections for vulnerable adults living at home or in elder care facilities. Home Health Care Neglect Attorney Nursing Home Neglect Cases – Services Wrongful Death Wound Care Neglect Falls & Fractures Sexual Assault  Bed Sores / Pressure Ulcers Hoyer Lift Accident Injuries Medication Mistakes  Physical Assault Bowel Obstruction Wandering & Elopement Oxygen Explosion & Fire Burn Injuries Choking & Asphyxiation Change in Condition Urinary Infections & Sepsis Scalding Showers & Liquids We are: Home Health Care Abuse Lawyers Home Care Neglect Attorneys Home Health Care Neglect Attorneys Group Home Neglect Attorneys With decades of experience handling cases on behalf of vulnerable adults throughout the state of Minnesota. Call 612-743-9048 now for free consultation. Get Free Consultation

Home Care Provider Law

Minnesota Home Care Services Regulations

Home Care Services Standards for Minnesota Pursuant to Minnesota Statute 144A.471 HOME CARE PROVIDER AND HOME CARE SERVICES, Subdivision 1. license required, a home care provider may not open, operate, manage, conduct, maintain, or advertise itself as a home care provider or provide home care services in Minnesota without a temporary or current home care provider license issued by the commissioner of health. Subd. 2. Determination of direct home care service. (a) “Direct home care service” means a home care service provided to a client by the home care provider or its employees, and not by contract. Factors that must be considered in determining whether an individual or a business entity provides at least one home care service directly include, but are not limited to, whether the individual or business entity: (1) has the right to control, and does control, the types of services provided; (2) has the right to control, and does control, when and how the services are provided; (3) establishes the charges; (4) collects fees from the clients or receives payment from third-party payers on the clients’ behalf; (5) pays individuals providing services compensation on an hourly, weekly, or similar basis; (6) treats the individuals providing services as employees for the purposes of payroll taxes and workers’ compensation insurance; and (7) holds itself out as a provider of home care services or acts in a manner that leads clients or potential clients to believe that it is a home care provider providing services. (b) None of the factors listed in this subdivision is solely determinative. Subd. 3. Determination of regularly engaged. (a) “Regularly engaged” means providing, or offering to provide, home care services as a regular part of a business. The following factors must be considered by the commissioner in determining whether an individual or a business entity is regularly engaged in providing home care services: (1) whether the individual or business entity states or otherwise promotes that the individual or business entity provides home care services; (2) whether persons receiving home care services constitute a substantial part of the individual’s or the business entity’s clientele; and (3) whether the home care services provided are other than occasional or incidental …. (b) None of the factors listed in this subdivision is solely determinative.. Subd. 4. Penalties for operating without license. A person involved in the management, operation, or control of a home care provider that operates without an appropriate license is guilty of a misdemeanor. This section does not apply to a person who has no legal authority to affect or change decisions related to the management, operation, or control of a home care provider. It is important that residents in any kind of care facility or setting are treated with dignity and respect. That their basic needs are met. When there is a change in the medical condition the provider assists in having the resident assessed. Perhaps also, determine if they are still an appropriate fit for that type of facility. There is a spectrum of care providers and as people age and their needs increase it’s important, they are properly placed to remain safe. Oftentimes injuries occur when activities of daily living are being performed such as eating, dressing, bathing and toileting. It is critical that all staff is properly trained on the correct way to perform transfers and assist individuals. Neglect is when a vulnerable persons and needs are not met oftentimes it’s quite obvious. An act against a vulnerable adult that constitutes a violation, an attempt to violate, or aiding and abetting a violation of laws. These laws are open against assault in the first degree, the use of drugs, criminal sexual conduct, conduct which is not accident or therapeutic. Abuse is also hitting, slapping, kicking, pinching, biting or corporal punishment of a vulnerable adult. Attorney Kenneth LaBore has over three decades of experience and handles the following types of elder abuse claims and others: For a Free Consultation to obtain information on how to hold negligent wrongdoers accountable from an experienced attorney contact Attorney Kenneth LaBore at 612-743-9048,  email: KLaBore@MNnursinghomeneglect.com. We Practice in the Following Areas Wrongful Death Wound Care Neglect Fall injury / Injuries Fractures Sexual Assault  Bed Sores / Pressure Ulcers Mechanical Patient Lift Injuries Medication Errors Physical Abuse Bowel Obstruction Wandering & Elopement Infectious Diseases (MRSA, C-Diff) Elder Burn Injuries Choking & Asphyxiation Clogged Trach & Breathing Tubes Urinary Infections & Sepsis Nursing Home Abuse  Suspicions

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