This article explains clearly how nursing home residents rarely see a doctor but are billed for thousands of dollars in prescription drugs–many of which may no longer be needed, or different drugs may be needed, but all Omnicare/CVS wants to do is make money. The nursing homes want to bill for doctors that are never seen and drugs illegally dispensed and used. How does this go on when the courts force our elderly and disabled into nursing homes when they can be cared for at home by family? (Sykes, Gore, Hopkins, etc.?)
From Kenneth Ditkowsky:
Omnicare and the Esformes group have been accused before of Pharmaceutical Frauds. The Company is now owned by CVS Health – and it makes a ton of money. I ran across the following article quite by accident, to wit:
DEC 27, 2019 MORE ON COMPLIANCE & LEGAL
Omnicare and parent company CVS Health accused of prescription drug fraud
Lawsuit alleges Omnicare pushed invalid drugs out the door as quickly as possible to make more money. Susan Morse, Managing Editor
A lawsuit has been filed against Omnicare and parent company CVS Health alleging prescription drug fraud in the dispensing of drugs to senior citizens in assisted living and other facilities.
The Department of Health and Human Services – Office of the Inspector General filed the civil healthcare fraud lawsuit on December 17.
CVS acquired Omnicare in May 2015, and shortly thereafter assumed an active role in overseeing its operations, including pharmacy dispensing practices and systems, according to the AG’s office.
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Omnicare allegedly fraudulently billed federal healthcare programs for hundreds of thousands of non-controlled prescription drugs dispensed based on stale, invalid prescriptions to elderly and disabled individuals in assisted living facilities, group homes, independent living communities and other non-skilled residential long-term care facilities, according to the Government’s Complaint that seeks damages and civil penalties under the False Claims Act.
Senior Omnicare and CVS management allegedly knew that pharmacies were routinely dispensing drugs without valid prescriptions, but they failed to begin to address the problem until after they found out about the investigation, according to Geoffrey S. Berman, the United States Attorney for the Southern District of New York, and Scott J. Lampert, Special Agent in Charge of the New York Regional Office of the HHS-OIG.
In addition, Omnicare knowingly transmitted false information to Medicare, Medicaid and TRICARE that made it appear that drug dispensations were supported by current, valid prescriptions from physicians when in fact they were not, the complaint said.
WHY THIS MATTERS
Omnicare’s practice exposed vulnerable individuals to a significant risk of harm, the complaint said.
Many of the drugs treat serious, chronic conditions, such as dementia, depression, and heart disease. They include antipsychotics, anticonvulsants, cardiovascular medications, and antidepressants.
Omnicare jeopardized the health of thousands of individuals who continued to take the same drugs for months, and sometimes years, without consulting their doctors to determine whether the medications were still clinically appropriate, the complaint said.
In contrast to traditional skilled nursing homes, where residents have access to 24-hour medical care supervised by doctors, assisted living and other non-skilled residential facilities generally do not have doctors on staff to oversee and monitor residents’ drug therapy.
The lawsuit alleges that Omnicare failed to obtain new prescriptions from patients’ doctors after the old ones had expired or run out of refills. Instead, Omnicare assigned a new number to the old prescription. Omnicare internally referred to these as “rollover” prescriptions. The company sometimes allegedly assigned a fake number of authorized refills to a prescription – usually 99 allowable refills for Medicare patients – to allow for continuous refilling. Many pharmacies had to process and dispense thousands of orders each day.
THE LARGER TREND
Omnicare is the country’s largest provider of pharmacy services to long-term care facilities, operating approximately 160 pharmacies in 47 states across the country, according to the complaint.
Every year, Omnicare dispenses tens of millions of prescription drugs to long-term care and other facilities.
The government intervened in two private whistleblower lawsuits that had previously been filed under seal pursuant to the False Claims Act.
ON THE RECORD
Manhattan U.S. Attorney Geoffrey S. Berman said: “A pharmacy’s fundamental obligation is to ensure that drugs are dispensed only under the supervision of treating doctors who monitor patients’ drug therapies. Omnicare blatantly ignored this obligation in favor of pushing drugs out the door as quickly as possible to make more money.”
Twitter: @SusanJMorse
Email the writer: susan.morse@himssmedia.com
· This lawsuit against Omnicare is part of a series of charges by the Federal Government of criminal conduct by the supplier of Pharmaceuticals. Everyone has heard of the Opioid crisis in the ‘sheltered care homes.’ The media beats its head in pretended rage and covers up the cause. The political elite and Law Enforcement cry loudly that they are frustrated and are in tears over their alleged inability to address the problem. The Medical profession et al similarly cry out in horror and demand a solution, and the public buys into the one act play and it also dons sack cloth and ashes.
In Truth everyone is laughing at the ‘great unwashed.’ The laugh all the way to the Bank at how gullible we are in the same manner they laugh at us as we allow the HUMAN TRAFFICKING IN THE ELDERLY (ELDER CLEANSING) crimes to continue unabated. We buy into the whole scenario! All we have to do is search on the net for the Words “Esformes” and Omnicare and our vulnerability is exposed. For example:
Omnicare Agrees To Settle Suit Over Reimbursement Claims
August 28th, 2012 by Qui Tam
Omnicare, Inc., based in Covington, Kentucky, agreed to settle a lawsuit alleging it submitted false claims for reimbursement to government health insurers and paid a “kickback” when it bought the pharmacy company, Total Pharmacy Services, LLC. Omnicare is a company that supplies drugs to nursing homes. The 2007 lawsuit was filed by whistleblower, Maureen Nehls. A hearing is set on September 25, 2012 by U.S. District Judge John J. Tharp, Jr. A complaint was initially filed in 2006 by Nehls and an additional whistleblower, Adam Resnick. Resnick plead guilty and was sentenced in 2007 to 42 months in prison for “siphoning $10.2 million from Universal Federal Savings Bank in 2001 and 2002.” As a result, Universal had to fold and Resnick was eventually paid a settlement of 19.9 million for this suit.
Omnicare, Nehls claimed, purchased Total Pharmacy Services LLC in 2004 for $25 million which included a kickback to Philip Esformes, one of the owners, and Morris Esformes, Philip’s father. According to the complaint, the payment provided Omnicare with thousands of elderly and disabled clients through successful contracts with nursing homes controlled by Morris Esformes. Omnicare was also accused of supplying nursing home residents medicine without prescriptions or with missing prescription documentation. On May 11, the case was settled with the Justice Department for $50 million. The DOJ stated it was the “largest controlled substance settlement in history.” Furthermore, Omnicare agreed to pay $98 million, in November 2009, to settle the civil claims by the U.S. government and assorted states that it received kickbacks from Johnson and Johnson.
For more information, please see:
http://www.businessweek.com/news/2012-08-24/omnicare-agrees-to-settle-suit-over-reimbursement-claims
This entry was posted on Tuesday, August 28th, 2012 at 3:09 pm and is filed under Federal False Claims Act, Healthcare. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.
Omnicare Agrees To Settle Suit Over Reimbursement Claims – False Claims …Omnicare, Inc., based in Covington, Kentucky, agreed to settle a lawsuit alleging it submitted false claims for …
For the record, last December (2019) Philip Esformes was found guilty of stealing 1.3 billion dollars from Medicare.
Where is Law Enforcement? Where is the public outrage? Why are our elected officials – including Judges et al ignoring this scandal and its profound and outrageous toll on the ELDERLY? This ELDER CLEANSING COTTAGE INDUSTRY is not a fly by night operation – it is a major financial operation even though its illegality is legendary.
Each of the Enron style operation is integrated into the HUMAN TRAFFICKING OF THE ELDERLY (Elder cleansing). The human flotsam (i.e., you and me) who pass through the Elder Cleansing Cottage Industry perpetuate the “tax free” (because no one demands that the INCOME TAXES be paid) bilking of the United States Treasury. This criminal activity is slated to bankrupt Medicare, the Social Security system and maybe our children in a few years. Yet we are lulled by the propaganda and the censorship imposed by the American ‘ruling class!’
Amelia Sallas (07 P 5360) being one of the victims means that as you read this e-mail Dean Sallas, naked, sans his life savings, sans a lawyer, **** is all that prevents you and me from being kidnapped, appointed a guardian, incarcerated in a ‘sheltered care facility,’ placed on a feeding tube, and reduced to a zombie by opioids and other chemicals supplied by Omnicare. There is at this point in time no-one interested in Grandma, you, or me.
Ken Ditkowsky
On Friday, December 11, 2020, 04:54:43 PM CST, kenneth ditkowsky <kenditkowsky@yahoo.com> wrote:
When a guardian places an elder charge in a sheltered care facility, the monthly cost always appears to equal the pension payment, minus a few dollars for the guardian’s fee – unless there are other funds to access. It has always amazed me how the cost of the ‘sheltered care’ seemed to correspond to the net cash flow[1].
During one of the ‘accounting suits’ I filed for certain unhappy nursing home investors I was granted access to the actual books and records of one of these facilities. I appeared with a forensic accountant who had knowledge as to how to address financial data that is prepared by experts to address uncomfortable situations. The financials were enlightening and very revealing. An inspection of a facility managed by the same management revealed even more interesting revelations. Any doubts I had as to the actual state of affairs was dissipated. If I were naïve such a state of mind no longer existed, and I could recognize a spade from a club.
Viewing individual accounts was quite revealing and a bit scary. I would have to be deaf, blind, and very disabled not to observe what was actually occurring. The Enron style labyrinth of corporations was also revealing. It presented a serious question as to what, if anything, State and Federal regulation actually accomplished and/or was intending to accomplish. My own opinion, while not relevant or having meaning, was ‘cover up!’ Indeed, the Philip Esformes criminal trial for stealing 1.3 billion dollars of Medicare money verified my suppositions and opinions. Watching the ‘residents’ in their filthy garments slouching in their wheelchairs (this is Physical therapy in many facilities) in the hallways and imbibing the smell of urine did not make me warm and fuzzy.
When Covid 19 struck the death toll in these ‘sheltered care facilities’ was only a surprise to certain high raking political types, the media, and the promulgators of the NARRATIVE! Emboldened by the retention in places like Illinois of the status quo it appears that the miscreants have gotten bolder. They will need more money because of the Pandemic. Indeed, the following article appeared, to wit:
December 3, 2020
COVID-19 linked to ‘substantial cost increases’ in assisted living: survey
The COVID-19 pandemic contributed to substantial eldercare cost hikes, especially for assisted living and in-home care. That is according to the results of Genworth’s 2020 Cost of Care Survey, announced Wednesday.
Over the course of a single year, assisted living community rates increased by 6.15% to an annual national median cost of $51,600 annually. From 2004 to 2020, assisted living costs have increased an average of 3.8% annually, or 79.17% over time. This compares with a 62.38% increase for a private nursing home room and a 30.22% increase for home health aides in that time period.
Annual assisted living costs ranged from a low of $36,000 in Missouri to a high of $80,280 in Delaware.
Supplemental study
In a supplemental study on why costs are increasing, owners and senior administrators of 79 long-term care providers cited a workforce shortage (54%), personal protective equipment costs, wage pressures, higher recruiting, and retention costs, and regulatory, licensing and employee certification costs are forcing them to increase the cost of care they are providing under “extraordinary circumstances.”
“Providers have been competing with higher-paying, less-demanding jobs for years, but with COVID-19, they told us it has become much more difficult to recruit and retain care professionals because of factors such as concerns about exposure to COVID-19 and parents needing to stay home with school-aged children,” said Gordon Saunders, Genworth senior brand marketing manager. For consumers, he said, “COVID-19 has underscored the need to plan ahead for long-term care, considering both where we want to receive care, as well as how we will pay for it.”
Study participants said they had to increase wages — in some cases offering hazard pay up to 50% more for workers in COVID-19 units — and increase spending for training on new safety procedures, testing, PPE and cleaning supplies, and benefits. Many operators (84%) said they were trying to absorb these new costs, but 62% predicted they would need to raise rates in the next six months, and 43% said those increases would top 5% or more. About 25% said their companies offered options to residents to reduce costs, including reduced flat rates, reduced care levels and rate discounts.
Less than half of facility care providers said the demand for their care setting had increased, with more than a fourth saying that demand decreased. This compares with 78% of home care providers indicating that demand for their services had increased. And although a preference for home care is expected to continue among consumers, 67% of survey respondents said they see the demand increasing for assisted living.
Operators also said they anticipate that future residents will have high standards.
“Future residents will continue to look at the same things when choosing a facility — reputation quality of care, access to care, and proximity to their current living situation,” one respondent said. “What will change is how the pandemic affects a facility’s ability to provide those things. The financial constraints providers are going through is going to make it difficult to maintain a higher quality of care.”
The 2020 study results came from about 15,000 surveys completed by key decision makers in assisted living communities, nursing homes, adult day health facilities and home care providers contacted by CareScout, a Genworth Financial company.
I have pointed out previously that diversion is the MO of the miscreants and it is gobbled up with gusto by many of the advocates fighting against ‘ELDER CLEANSING’ and the HUMAN TRAFFICKING IN THE ELDERLY cottage industry. We are essentially “babes in the woods!” We are mollified when we are offered meaningless legislation that goes unenforced as it is duplicitous of other statutes and the Uniform Legislation enacted by 41 states and has jurisdictional mandates such as 755 ILCS 5/11a – 3. The straightforward words and phrases are ignored. Simple requirements are tortured with deceptive orders and actions designed to deceive. The Sallas is a prime example. The statute states in simple words and phrases, to wit:
Sec. 11a-3. Adjudication of disability; Power to appoint guardian. (a) Upon the filing of a petition by a reputable person or by the alleged person with a disability himself or on its own motion, the court may adjudge a person to be a person with a disability, but only if it has been demonstrated by clear and convincing evidence that the person is a person with a disability as defined in Section 11a-2. If the court adjudges a person to be a person with a disability, the court may appoint (1) a guardian of his person, if it has been demonstrated by clear and convincing evidence that because of his disability he lacks sufficient understanding or capacity to make or communicate responsible decisions concerning the care of his person, or (2) a guardian of his estate, if it has been demonstrated by clear and convincing evidence that because of his disability he is unable to manage his estate or financial affairs, or (3) a guardian of his person and of his estate. (b) Guardianship shall be utilized only as is necessary to promote the well-being of the person with a disability, to protect him from neglect, exploitation, or abuse, and to encourage development of his maximum self-reliance and independence. Guardianship shall be ordered only to the extent necessitated by the individual's actual mental, physical, and adaptive limitations.(Source: P.A. 99-143, eff. 7-27-15.)
In the aforesaid SALLAS case any due diligence by the Guardian ad Litem, the Court, the Petitioner, the attorney for the Petition, or any other living person in the Courtroom would have revealed that Amelia Sallas was currently married to Dean Sallas and had been for almost ½ a Century at that time. Observing Amelia Sallas would have negated any ability of any competent trier of fact to find by a scintilla of the evidence, much less by CLEAR AND CONVINCING EVIDENCE that Amelia was even remotely eligible for the appointment of a guardian.
Nevertheless, over the objections of all who were not intimidated, misled, or worse a guardian of Amelia’s person was appointed. This guardian attempted a diversion to obviate the misuse of the Court but he continued to not interfere with the then living arrangements of Amelia and Dean, her husband. This arrangement continued until Amelia felt sick and exercised openly and notoriously her right and signed herself into a hospital. She did not seek the non-functioning guardian’s permission. (It also appears that Dean himself had started to raise the issue of the fact that the plenary guardian’s interference and domination of the family savings was not only Unconstitutional but a felony! Almost a decade after the guardian was appointed by the Court, he actually took control of Amelia – BUT HE COULD NOT SILENCE DEAN.
Dean has not been silenced but he has been harassed. He has even received DEATH THREATS! At this point in time Dean should be suspicious of everything and anything that might smack of one of miscreants doing something that could be believed to be appropriate.
Let me explain. The guardian of Amelia’s person over-reacted to Amelia’s quest at independence and Dean’s recognition of the overt violation of his personal Civil Rights created a major attack on America’s core values.
1) Everyone knew on day one that the marriage relationship (at that point 40 years in duration) created a MARITAL PROPERTY INTEREST in every dollar of savings independently for Dean and independently for Amelia. This interest was vested indefeasibly! No cause or basis of any kind existed or could exist for the devastation or forfeiture of this vested interest[2].
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2) As the savings could not be partitioned any action by the guardian authorized by 755 ILCS 5/11a – 3b would have a material effect on the interests of Dean and would qualify as a ‘taking’ under the 5th and 14th Amendment. No court could without obtaining jurisdiction and providing Dean with all the clothing of due process have SUBJECT MATTER jurisdiction to execute such an order. This lack of SUBJECT MATTER jurisdiction (and personal jurisdiction) is the basis for Dean’s motions to vacate the guardianships nunc pro tunc.
3) The Guardian’s unauthorized but effective by force domination of the Sallas family savings was made clear when the guardian prevented Dean from refinancing during the ‘great recession!’ This domination (theft) cost the ‘marital estate’ over 8 million dollars. The guardian is still engaged in this clearly criminal conduct as illustrated by the case of ByLine Bank vs. Amelia Sallas 2019 CH 13960.
The cry for the need for more money for the ‘death camp’ ‘sheltered care facilities is a diversion. The weak sister facilities will close their doors forever or be gobbled up by more proficient facilities. There might even be another crisis – their just will not be enough nursing homes UNLESS government subsidies them. Horror of horrors will scream the media. By the time they are done with disseminating the “word” as decreed by the HUMAN TRAFFICKERS in the elderly tears will be shed by every knee jerk bleeding heart including but not limited to many who are appalled by the felonies committed against the elderly and the disabled by public officials such as disclosed herein.
You, I , Dean Sallas and everyone reading this e-mail can be deceived by the very clever scenarios that the miscreants can devise. For instance, on the table – after the guardian of the person quit in terror that he might have to face up to Sallas’ awakening that every court proceeding was designed to deny him his Civil and Human Rights and cover-up the fact that without either the consent of he or his wife an ex-parte, involuntary, and de facto dissolution of his marriage of 50 years had secretly been consummated. Of course, no actual order had been entered – the guardian of the person illegally had accomplished that fact. By placing Amelia Sallas in a ‘nursing home’ she was exposed to Covid 19 and more importantly she was averred to have become infected with it. Dean’s inquiries as to the health of his wife were met with “HIPPA!” As the GAL pointed out Dean did not have standing in his wife’s ‘elder cleansing’ proceeding. He was an outsider.
With the resignation the Guardianship of the person was laid bare on the table for the taking. With Dean’s Motions to Dismiss the guardianships for violation of 755 ILCS 5/11a – 3 criteria and jurisdictional requirements if Dean could be induced to apply for the guardianship of the person of his wife he could be totally compromised. A hearing was scheduled for December 1, 2020. Dean smelled the ‘rat’ and telegraphed that he was not walking into the trap. He wanted the case dismissed for the total lack of the “Court” to comply with the Constitution and 755 ILCS 5/11a – 3.
At the time of the hearing, Dean could not connect with the Zoom proceeding. Maybe this was a co=incidence, but he was shut out entirely. He recognized that mischief was afoot. He called one of the Cook County Public Guardian’s attorneys and made contact with her. In his contact with her he tried to get her to convey to the Court his predicament and the fact that under no circumstances did he want anything to be addressed other than the JURISDICTIONAL question. He was not present at the Zoom hearing, but he would have been if he had not been locked out!
Nevertheless, the order states:
“ this matter coming to be heard before this Honorable Court via Zoom video and telephone conference, Dawn Lawkowsky-Keller and Lisa Casanova appearing for the public guardian, Eve Epstein, Guardian ad litem, appearing, Dimitros Trivizas appearing for Tom Sallas (son), Dean Sallas (husband) present, the Court having jurisdiction and being fully advised in the premises: *** “If the Court were indeed fully advised in the premises or even was concerned as to appropriateness of the proceedings the Court would have noted that Dean not only was not “present”, but he was attempting to let the Court know that he was locked out of the Zoom proceeding. The Guardian’s attorney did take his telephone call and did allow him minimum contact – but it is another material misrepresentation of fact to say he was “present.” No matter how it is sliced he (Dean Sallas) was not present. The Court could not have jurisdiction unless the Illinois and the Federal Constitution were abrogated! In case 07 P 5360 integrity and honor are absent in too many of the Court orders entered!
As reiterated in Dean’s pending Motions before the Court detailing some extremely serious law violations on behalf of the Guardian and the Presiding Judge it is not surprising that another order would be entered that is materially misleading in this guardianship proceeding. Of course, I am referring to the proceedings of July 28, 2020.[3]Included in the package that Dean after the fact received was a 2nd order. This was a form order appointing the very same Public Guardian who has been exposed by Court filings in the case of ByLine Bank vs. Amelia Sallas 2019 CH 13960 – Circuit Court of Cook County, to have engaged in a criminal conspiracy with the ByLIne Bank to violate 755 ILCS 5/11a – 22 and in my opinion the Federal Mail and Wire Fraud statutes. The facts are laid out in Dean’s pending Motions. NB Use of a form order that is not based upon substance does nto cure Constitutional violations. It just envokes the need for Grand Jury investigations.
What is significant concerning the Court orders dated December 1, 2020 is that fact that once again the Judge is unconcerned with the obvious and prior overt breaches of Fiduciary Relationship by the Guardian she appointed and who she now appoints as Guardian of person of Amelia Sallas. This Guardian flaunts the RULE OF LAW and any semblance of priority as the Public Guardian of Cook County certainly is aware of the remedial criminal prohibition of 755 ILCS 5/11a – 22 and the jurisdictional limits of 755 ILCS 5/11a – 3b. Ditto for the Presiding Judge who signed the orders. The Court acknowledging that she was “fully advised in the premises” acknowledges her disrespect for the Rule of Law and the limitations of the 1st, 4th, 5th, and 14th Amendments to the UNITED STATES CONSTITUTION
Diversion is the not a rare occasion it is the rule. If it were not, Criminal proceedings would be pending in State and Federal Court concerning this overt flaunting of the basic and core principles of American Law. There is absolutely no excuse that the Judges in the Sallas’ cases can put forth for allowing the travesty that has been recorded. Every judge involved sua sponde is aware that:
1) The Guardianship act is by definition a serious invasion of basic Human and Civil Rights.
2) Because of the interference with CONSTITUTIONAL RIGHTS the uniform act (which is enacted in Illinois) limits very strictly the authority of the Court to invade the 1st, 4th , 5th, and 14th Amendment of the United States Constitution and in particular requires the Court
“(b) Guardianship shall be utilized only as is necessary to promote the well-being of the person with a disability, to protect him from neglect, exploitation, or abuse, and to encourage development of his maximum self-reliance and independence. Guardianship shall be ordered only to the extent necessitated by the individual's actual mental, physical, and adaptive limitations.(Source: P.A. 99-143, eff. 7-27-15.
This section obviates the gambit of a judge just signing a form order handed to him/her by a miscreant/corrupt party and aiding and abetting the kidnapping of a disabled person such as Amelia Sallas.
3) The First responsibility of a Judge is to determine what, if any jurisdiction he/she might have and to protect not only the litigants but the public. Allow the Public Guardian of Cook County, Illinois to run roughshod over the lives of Dean and Amelia Sallas is clearly wrongful. The exercise of wrongful dominion over the MARITAL ESTATE ½ of which is vested in Dean Sallas is Felony Theft.
The long and short is we as citizens have a responsibility by 18 USCA 4 to report criminal conduct to law enforcement so that they can immediately act to thwart the same. The even longer fact is that we have been doing so and NOTHING occurs. The RULE OF LAW is ignored, and the government makes certain that the miscreants are well funded so as to prey on the elderly and disabled. Indeed – ELDER CLEANSING is the “TESLA” of public officials lacking integrity and respect for the RULE OF LAW and the Public trust.
[1] Net cash flow usually consists of social security, pension, savings income, Medicare, savings, long term care etc.
[2] A guardian can within the authorization of 755 ILCS 5/11a – 3b spend the assets of his ward – but he cannot interfere with the rights, privileges, and immunities of 3rd party interests.
[3] The proceedings of July 28, 2020 were replete with statements of the Court and the Guardian’s attorney that clearly shed light on the intentional violation of the 5th and 14th Amendment rights by Court, counsel, and the guardian in these proceedings, and the total breach of Fiduciary responsibility by the guardian. It is my understanding that no order of Court was entered as to the July 28, 2020 proceeding. It is further my understanding that subsequent an ordered was entered and stamped July 29, 2020 and that order made no reference to the July 28, 2020 proceeding.
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Ken Ditkowsky
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Reblogged this on Justice for Everyone Blog.
No wonder so many people are dying in care homes. Cuomo didn’t help but he didn’t have to push very hard to kill off so many of our seniors. Thank you for whistle-blowing on this grave matter. Fight on for the rights of those who need protection the most.
Personally I’m glad the governors put adult covid patients in nursing homes. 1) nursing homes are supposed to be trained in infectious disease control, but they don’t have the staff; 2) nursing homes are a scam in and of themselves with multiple corp layers to hide assets and profits; 3) it exposed once again, the dirty, filthy ghetto we call nursing homes; 4) courts force the elderly and disabled into nursing homes all the time when they can be cared for by relatives at home. it’s all an evil scheme. but it has been exposed for what it is, now who will clean this mess up?