Patient dumping leads to firings at state hospital

Two Nevada state employees were fired Monday, and three others will receive lesser discipline, in the investigation of alleged cross-border dumping of mental patients, state officials announced Monday.

Nine employees were involved in improper discharge of patients over the past five years, officials said. In addition to those terminated or disciplined, four no longer are employed at the hospital.

Mary Woods, spokeswoman for the state’s Department of Health and Human Services, said she couldn’t say what positions the employees held, but medical staff include physicians, nurse practitioners and physician assistants.

Gov. Brian Sandoval announced the firings Monday, saying, “All individuals who violated release policies have been or will be disciplined. These disciplinary actions include terminations effective today.”

The action follows a state review of cases involving more than 1,500 patients who were released in the past five years from Rawson-Neal, the state psychiatric hospital run by Southern Nevada Adult Mental Health Services, and bused out of state.

Most of those releases followed the rules, the investigation by the state Department of Health and Human Services found, but “certain individuals” violated policy.

The governor also announced that the state has obtained proposals from national experts in mental health to help the state improve its practices.

According to the Department of Health and Human Services, in 1,473 cases in which patients received an out-of-state bus ticket, 10 were insufficiently documented, making it difficult to know whether staff had confirmed there was support — such as family, friends and housing — waiting at the patient’s destination.

Only one patient’s case can be classified as “patient dumping” because he had no one waiting for him after being discharged and transported out of state.

“This information indicates that more than 99 percent of the time staff followed the discharge policy and documentation was accurate and complete,” Woods said in a statement Monday.

Of the 10 patients, nine were admitted with substance abuse issues as their primary diagnosis and didn’t need inpatient hospital admission after discharge, Woods said.

During a five-year period, 31,043 people were admitted to the Rawson-Neal Psychiatric Observation Unit, according to Woods’ statement. Of those patients, 92 percent were from Nevada.

Of the 31,043, officials initially identified 1,508 patients who had received an out-of-state bus ticket. After reviewing the cases with an out-of-state ticket, officials found some duplicates, and only 1,473 patients had received an out-of-state bus ticket, Woods said.

In each of the 1,473 cases, officials reviewed the patient’s diagnosis at the time of admission and discharge, and whether staff had followed policy for the patient to return to his or her community and whether the patient was released from the Psychiatric Observation Unit or from the hospital’s inpatient services, Woods said.

The hospital received $3.8 million in federal funding during fiscal 2012. During the same year, it received $32.5 million from the state’s general fund.

Late last week, the hospital was given 10 days by the federal Centers for Medicare and Medicaid Services to correct “serious deficiencies” in its mental health discharge policies or face a loss of federal funding.

The warning from the federal centers came days after Sandoval announced a new discharge policy to have a second doctor review a patient’s discharge plan and have a chaperone travel with the patient out of state.

The hospital came under scrutiny after the Sacramento Bee in California reported that James F. Brown, who had been discharged from Rawson-Neal, was bused to Sacramento, where he had no family or support waiting for him.

The issue has become politicized, and on Monday the Nevada State Democratic Party released a statement saying that almost everything Sandoval’s administration has said about the issue has proven to be false, citing new allegations after the governor’s corrective action.

“Gov. Brian Sandoval has proven yet again that he cannot be trusted and Nevadans should be skeptical of anything he says on the scandal,” the statement said.

There are several investigations into the issue, including those launched by the Los Angeles and San Francisco city attorney’s offices.

Contact reporter Yesenia Amaro at yamaro@review
journal.com or 702-383-0440. Contact reporter Richard Lake at rlake@reviewjournal.com or 702-383-0307.

ad-high_impact_4
News
NSPCA Gets Kittens From LA
Man killed during road-rage incident
Las Vegas police are looking for two men involved in the shooting death of a man outside a 7-Eleven story at Bonanza Road and Maryland Parkway on Nov. 12, 2018. (Las Vegas Metropolitan Police Department)
VA Southern Nevada Healthcare System hosts Veterans Day Car Show and BBQ
The 4th Annual Veterans Day Car Show and BBQ is held in celebration of Veterans Day at the VA Southern Nevada Healthcare System Medical Center in North Las Vegas, Saturday, Nov. 10, 2018. (Caroline Brehman/Las Vegas Review-Journal)
Wildfires in Southern California
Wildfires hit Ventura County, Calif., on Nov. 9, 2018. (Richard Brian/Las Vegas Review-Journal)
Dedication of Nevada's Battle Born memorial
The state of Nevada on Friday dedicated its Battle Born memorial honoring 895 state residents who have died in America’s wars.
Las Vegas police and Sunrise Children's Hospital hope to prevent infant deaths
The Metropolitan Police Department and Sunrise Children's Hospital held a press conference to get the message out on preventable infant deaths attributed to "co-sleeping" and other unsafe sleeping habits. (K.M. Cannon/Las Vegas Review-Journal)
No serious injuries after car hits tree in south Las Vegas
One person reported minor injuries but wasn’t hospitalized after a Wednesday morning crash in the south valley.
Nellis Air Force Base keeps airmen fed
Nellis Air Force Bass airmen have delicious and healthy food items, and a variety of dining facilities to choose from. (K.M. Cannon/Las Vegas Review-Journal)
Suspicious package found at central Las Vegas post office
Las Vegas police determined that a suspicious package found Monday morning at a central valley post office was not a threat.
Suspicious package found at central Las Vegas post office
Police evacuated the area around the Garside Station post office early Monday morning near Oakey and Decatur boulevards.
With husband's passing, family in limbo for workers' comp claim
Meredith Tracy's husand, Russell Tracy, died more than a year ago on his first day working for a new company when he fell 22 feet into a manhole that was not properly safeguarded. His employer was fined $82,000 in penalties for unsafe practices, but the company has denied her workers' compensation claim, leaving her with no compensation since the death. Rachel Aston Las Vegas Review-Journal @rookie__rae
With husband's passing, family in limbo for workers' comp claim
Meredith Tracy's husand, Russell Tracy, died more than a year ago on his first day working for a new company when he fell 22 feet into a manhole that was not properly safeguarded. His employer was fined $82,000 in penalties for unsafe practices, but the company has denied her workers' compensation claim, leaving her with no compensation since the death. Rachel Aston Las Vegas Review-Journal @rookie__rae
Las Vegas family shares flu warning
Carlo and Brenda Occhipinti lost their son, Carlo Jr., or “Junior,” to the flu last year.
Author Randall Cannon shares an anecdote about Stadust Raceway
Author Randall Cannon shares an anecdote about Dan Blocker, who played Hoss Cartwright on the TV show "Bonanza," and the actor's passion for auto racing at Stardust International Raceway in Las Vegas during the 1960s. (Ron Kantowski/Las Vegas Review-Journal.)
Project Neon 85 percent complete
On Wednesday morning Oct. 31, Interstate 15 northbound lane restrictions were removed opening up Exit 41 to Charleston Blvd. On Thursday Nov. 1, Interstate 15 southbound lane restrictions were removed. The new southbound off-ramp to Sahara Ave. and Highland Dr. also opened Thursday, November 1. With Project Neon 85% finished the flow of traffic on Interstate 15 has substantially diminished. (Michael Quine/Las Vegas Review-Journal)
Girl killed after jumping from bridge onto 215 Beltway in Henderson
Eastbound lanes of the 215 Beltway are shut down by the Nevada Highway Patrol after a female juvenile jumped from the 215 overpass at Stephanie and was struck by a FedEx tractor trailer. Michael Quine/Las Vegas Review-Journal @Vegas88s
Kristallnacht story
An interview with 94-year-old Holocaust survivor Alexander Kuechel who survived seven concentration camps and didn’t leave Germany until after World War II was over. (Mia Sims/Las Vegas Review-Journal)
1 dead in central Las Vegas crash
An early Wednesday morning crash left at least one person dead and another injured. The crash was reported just around 3 a.m. at the intersection of Flamingo Road and Swenson Street. At least two vehicles were involved in the crash, one of which caught fire. Debris was scattered across the intersection as police combed the area as they investigated the scene. Flamingo is blocked in both directions between Swenson and Cambridge Street. Northbound Swenson is blocked at the intersection.
Richard Knoeppel named the 2018 Nevada Teacher of the Year
Richard Knoeppel, an architecture design instructor at the Advanced technologies Academy, named the 2018 Nevada Teacher of the Year on Monday, Oct. 29, 2018. (Bizuayehu Tesfaye/Las Vegas Review-Journal) @bizutesfaye
Mojave Poppy Bees
(Zach Portman/University of Minnesota Department of Entomology) Male Mojave poppy bees exhibit territorial fighting behavior. The Center for Biological Diversity wants the bee, found only in Clark County, to be added to the endangered species list.
Clark County Schools announce random searches
Clark County School District middle and high school students will be subject to random searches for weapons under a new initiative to combat the wave of guns found on campus. (Amelia Pak-Harvey/Las Vegas Review-Journal)
Ron Jeremy and Heidi Fleiss React to Dennis Hof's Death
Ron Jeremy and Heidi Fleiss speak about their friend and prominent brothel owner Dennis Hof's death at Dennis Hof's Love Ranch. (Benjamin Hager/Las Vegas Review-Journal)
Nevada brothel owner Dennis Hof has died
Nevada brothel owner and Republican candidate for Nevada State Assembly District 36, Dennis Hof has died. He was 72. Nye County Sherriff's office confirmed. Hof owned Love Ranch brothel, located in Crystal, Nevada.
Las Vegas police investigate suspicious package at shopping center
Las Vegas police evacuated a southeast valley shopping center at Flamingo and Sandhill roads early Tuesday morning while they investigated reports of a suspicious package. (Max Michor/Las Vegas Review-Journal)
The Las Vegas Metro hosts the K-9 Trials
The Las Vegas Metro K-9 Trials returns to the Orleans Arena to benefit the Friends For Las Vegas Police K-9 group.
Kingman residents love their little town
Residents of Kingman, Ariz. talk about how they ended up living in the Route 66 town, and what they love about their quiet community. (K.M. Cannon/Las Vegas Review-Journal)
Service at Southern Nevada Veterans Memorial Cemetery
Twelve unclaimed veterans are honored at Southern Nevada Veterans Memorial Cemetery in Boulder City in Oct. 9, 2018. (Briana Erickson/Las Vegas Review-Journal)
Las Vegas house prices reach highest level in 11 years
Las Vegas house prices are rising But so is the amount of available homes on the market Still, properties priced below $300,000 are selling fast And September was the first time since June 2007 that the median house price reached the $300,000 mark Las Vegas home prices have been rising at one of the fastest rates in the country over the past year Recent data show the market is now less affordable than the national average
National Night Out
About 100 Summerlin residents gathered at Park Centre Dr. in Summerlin on Tuesday for National Night Out. Lt. Joshua Bitsko with Las Vegas Metro, played with 3-year-old David who was dressed as a police officer. Face painting, fire truck tours and more kept kids busy as parents roamed behind them. (Mia Sims/Las Vegas Review-Journal)
Rural homeless issue comes to a head in Pahrump
On Sept. 12, Pahrump sheriff deputies told residents of a homeless encampment on private property that they had 15 minutes to vacate and grab their belongings. That decision might face some legal consequences. (Rachel Aston/Las Vegas Review-Journal)
Life
Migratory Bird Day teaches adults and kids to celebrate birds
Different organizations offered activities for kids and adults to learn about birds and celebrate their migration journey at Sunset Park. (Rachel Aston/Las Vegas Review-Journal)
"Jackson: The Red Rock Canyon Burro" is a children's book about Red Rock Canyon
"Jackson: The Red Rock Canyon Burro" is a children's book about Red Rock Canyon (Janna Karel Las Vegas Review-Journal)
Interfaith Amigos speak in Las Vegas
Celebrity photographer dedicates dance book to Las Vegas shooting victims
Behind the scenes with local celebrity photographer Jerry Metellus as he talks about his Dance For Vegas coffee book dedicated to the 58 victims of the October 1 shooting. (Marcus Villagran/Las Vegas Review-Journal) @marcusvillagran
Dreamsickle Kids Foundation founder Gina Glass talks awareness
Gina Glass, 35, founded Dreamsickle Kids Foundation to raise awareness for sickle cell disease in Nevada. (Jessie Bekker/Las Vegas Review-Journal)
TOP NEWS
News Headlines
ad-infeed_1
ads_infeed_2
Local Spotlight
Add Event
Home Front Page Footer Listing
Circular
You May Like

You May Like