Abused Adults

By Attorney David Engler

Adult Protective Services (APS) is responsible for investigating reports of suspected abuse, neglect, or exploitation of Ohioans aged 60 and older. Similar agencies exist in every state. APS is part of each Ohio County Department of Job & Family Services (CDJFS). The Ohio Revised Code defines “abuse” as infliction upon an adult by self or others of injury, unreasonable confinement, intimidation or cruel punishment with resulting physical harm, pain, or mental anguish. “Neglect” is defined as the failure of an adult to provide for self the goods or services necessary to avoid physical harm, mental anguish, or mental illness or the failure of a caretaker to provide such goods or services. “Exploitation” means the unlawful or improper act of a caretaker using an adult or an adult’s resources for their monetary or personal benefit, profit or gain.

APS can petition Probate Court for a temporary restraining order to prevent interference or obstruction of its investigation by any person, including the abused adult. The court must find (a) that there is reasonable cause to believe the adult is being or has been abused, neglected, or exploited, and (b) that access to the adult’s residence has been obstructed. APS can also petition the court to approve a service plan providing involuntary services. The adult must receive a notice describing his or her rights and the consequences of a court order at least five working days before a hearing on the petition. An indigent adult has the right to a court-appointed attorney. Notice of the hearing must also be sent to the adult’s guardian, attorney, caretaker and spouse.
The court must find by clear and convincing evidence that (a) the adult has been abused, neglected, or exploited; (b) the adult is in need of protective services; (c) the adult is incapacitated; and (d) no other person authorized by law is available to give consent. If the court so finds, it must issue an order requiring protective services for up to six months, but can be re-authorized for up to a year.

But like with any governmental organization, APS can be too intrusive. Before they act there needs to be clear authority that an adult can be removed.

Recently, I met a distressed couple who had their Mother literally yanked from their home in the final months of her life. An anonymous tip was given by the Mother’s long time “friend” that she wanted to go back to the care-takers residence. The mother was in full scale dementia and would answer a few questions correctly and if asked would parrot the name of the “friend.” In horror the family of the elderly woman watched as APS took the mother from their home and moved her back to the friend’s house. After the Mother was there the friend arranged for her entire estate to pass to him. An attorney helped in the sham transfer.

In a matter of months the family desperate for help asks the Probate Judge to order an evaluation of the Mother. She had dementia for at least a year and was unable to make any decisions on her own. Be careful when a governmental agency says that it knows best. Hold on to your liberty because they are about to snatch it from you.

Probate Court acted quickly but it was too late. The Mother died a few days after the mental health assessment. Her possessions real and personal would have passed to the children, but for the friend getting everything transferred.

More than the money the family loss the beauty of being with their parent as she lived her final months. All they are left with is bitterness towards a government going too far and a scrapbook of memories.

Attorney David Engler
Phone: 330-729-9777
http://www.DavidEngler.com Attorney Engler’s website

Areas of Practice: Family Law, Elder Law, Domestic Relations, Bankruptcy, Criminal Law

Also published on eGuardianship.com on April 3, 2012 http://eguardianship.wordpress.com// and Family Fault Lines Blog http://familyfaultlines.com//

Rest In Peace Mom

Austintown, Ohio and Orono, Maine- Wanda Jane Engler, 84, died February 2nd, 2012, at the Maine Veterans’ Home after battling Parkinson Disease. She was born February 27th, 1927 in Bellwood, PA, daughter of Samuel and Emma (Hostler) Hildebrand. She graduated in 1948 from the Clearfield School of Nursing at Indiana State College with a degree in Nursing. Wanda was proud of her service as Nurse Cadet during WWII and working with veterans at the Cleveland VA Hospital, where she participated in some of the very first open heart surgery as Operating Room Nurse. On January 20th,1951,she married William L. Engler, the father of her four children. She worked as a homemaker and nurse throughout Ohio, finally settling in Youngstown, OH, where she worked as an office nurse for Dr. Tochtenhagen in Girard and as a nanny for her grandchildren until her retirement. She loved working around her home and reading. She loved her grandchildren immensely and was known to everyone as “Nana”. She enjoyed her neighbors and lived next door to the best neighbors ever, Carl and Mary Gump. She moved to Maine in August 2009, to be closer to her youngest daughter and granddaughter who cared for her during her hardest months.

Wanda was predeceased by her loving husband of 39 years, Bill; sisters, Lorraine Fair and Grace Large and brother Eugene “Red” Hildebrand. She is survived by her four children: Patricia Engler of Conifer, CO; William Engler (Wendy)of Minneapolis, MN; David Engler of Canfield, OH; and Amy Engler Booth,(John) of Orono; grandchildren: Mallory Engler of Houston, TX; Elizabeth Engler, of Chicago, IL; Taylor Engler, of San Diego, CA; Emma Engler, of Canton, OH; William Engler, of Pittsburgh, PA; and Molly Booth, of Orono. She is also survived by: sister Thelma McWilliams of Bluffton SC; and brother Ralph Hildebrand of Altoona, PA; and nieces and nephews.

The family would like to express sincere thanks to the staff at Maine Veterans’ Home. Interment and a memorial service will be held in Austintown, OH in the late spring. In lieu of flowers, those who wish to remember Wanda in a special way may make gifts in her memory to the Clearfield Hospital Nursing Alumni Association’s Nursing Scholarship, c/o Rita Thomson, 612 Arnold Ave., Clearfield, PA 16830.

It’s Never Too Late To Make a New Friend

By Attorney David Engler

Wanda and Stella

Wanda is my Mom. Parkinson’s disease has slowly but assuredly taken her strength and her voice. The stroke on the Royal Wedding Day this spring did not help matters either. But as the New Year approaches she is in the Maine Veterans Home. She does not want to see her 86th year. She has prayed to her husband and my father, Bill who passed 21 years ago, that she wanted nothing more to do with her worn body. They met 59 years ago. She was a nurse at the VA hospital in Cleveland and he was a disabled vet getting a degree at Kent State.

Stella is 93 and cancer is fighting her will and she knows the battle is nearly over. The last great battle she saw was working as an Army nurse in England helping to heal GI’s as they returned from Normandy. Not coincidentally she married a soldier whom she met a few years later and he took her to Maine. Over time she would have two children and help turn a family owned bar and grill into a large seafood wholesaler specializing in selling Lobsters, of course. The great irony Stella explained was that she could never taste what her family sold because she was allergic to shell fish which should not be confused with seafood.

About 15 months ago we moved Mom from her home in Ohio to live on the first floor of my sister’s home in Maine. She was falling and insisted that she could care for herself; the reality was she could not make the one step from the living room to the kitchen.

So off to Maine she went. The state motto is “Life As It Ought To Be”. My sister is busy with an 8 year old adopted Chinese whirlwind named Molly and a professorship at the U of Maine. Three 911 calls in 6 months and it was clear that Mom needed nursing home care. So in May of this last year she gets put in a room with Stella. Stella’s hair is wispy from the many chemo treatments she received to slow down cancer’s assault. Long before the cancer her hearing went. She seems to fill in the words if you can talk loud enough. Mom had one good eye before the stroke and Parkinson’s and now that one went bad. Reading and watching the news was a daily companion, now she can just listen to Ann Curry.

The room looks like any other nursing home. Cards crowd the bulletin boards and the closet door is a backdrop of art work created by grandchildren. What makes the room a home is each other. The nurses and aides see the two holding hands trying to make sense of a death that is unscheduled but waiting. It was Stella who told the staff that she and Wanda have a pact that they would like to hold hands and race into heaven together. The spunky nurse from Portugal attracted to Maine by her country’s fishing heritage, said “It was more like a turtle race to Heaven”, since neither seemed closer to the end despite their bodies having months ago failed.

So it was on Christmas Day this year that I traveled to surprise my Mom. At first she did not recognize me. I have heard how hard that is to hear. But after a few minutes she asked about each of the kids that she raised when they were small and that I feed her a favorite dark chocolate mint from Philadelphia Chocolates. It was my favorite Christmas memory. And what I took home was this picture I snapped with my iPhone that neither old nurse could have imagined. A new friend was made in what will surely be their last year on this Earth. It is the power of a touch of a hand and someone that cares when you least expect it.

Attorney David Engler
Phone: 330-729-9777
http://www.DavidEngler.com Attorney Engler’s website
Areas of Practice: Family Law, Elder Law, Domestic Relations, Bankruptcy, Criminal

Philadelphia Abuser shows need for more investigation and recordkeeping

By Attorney David Engler

The Philadelphia Enquirer reported December 9, 2011 on one of the nation’s most horrific example of abusing a ward or in Linda Weston’s case a “payee”. Weston is accused of imprisoning intellectually challenged adults in a Tacony cellar and stealing their federal benefits. Weston was the official recipient of Social Security benefits for 10 men and women from 1995 to 2011, according to a source familiar with the ongoing investigation.

“She had applied to be the “representative payee” for an 11th beneficiary, her biological daughter, the source said.

In an ongoing investigation, the Social Security Administration has found that Weston was getting the checks for four relatives, including children; five individuals who were not related; and one person who had the same last name but whose relationship to Weston has not been firmly established.

As of October, Weston was terminated as the payee for seven of the beneficiaries, the source said.

Of those beneficiaries, three were with Weston at the time of her arrest; two are dead; one no longer needed a representative payee; and one was switched to a more suitable payee.

Payments for the three others were suspended, pending the results of an investigation by the administration’s Office of Inspector General, the source said.

Police continue to probe the 2005 death of Donna Spadea, 59, while in Weston’s care in Philadelphia.

Another person who died under Weston’s care was Maxine Lee, 39, of Philadelphia. In November 2008, she was found dead in a house that Weston was renting in Norfolk, Va. Norfolk police said Lee died of natural causes. A medical examiner attributed Lee’s death to meningitis, with severe malnutrition as a contributing factor.

Weston had served less than four years in prison for a 1984 conviction for starving to death a man, 25, she kept trapped in her Philadelphia apartment. She was arrested in October with her daughter and husband after the landlord of a Tacony apartment house found four intellectually handicapped people locked in the building’s cellar.

A sweep of the apartment where Weston was staying turned up identification records for as many as 50 people, including power-of-attorney paperwork, forms of identification, and Social Security numbers. Police said it suggested a vast fraud operation.

People who are convicted of crimes are banned by law from accepting government checks on behalf of others, but it is a self-reporting system.

The social security administration is very lax on who is appointed as a representative payee and should be encouraging more professional organizations or registered guardians to act as payees. Each year billions are stolen in benefits from the poor by those who are claiming to help.

The answer is not only better background checks but accurate record keeping that can be reviewed by other family members, a court or agency at any time. Our company, eGuardianship.com www.eGuardianship.com has pioneered the nation’s first online real-time reporting system for wards. Such systems ensure proper recordkeeping and help to minimize if not eliminate fraud.

U.S. Sen. Bob Casey (D., Pa.) is proposing a bill that would give the Social Security Administration access to FBI databases in order for caseworkers to conduct criminal background checks. It’s a start.

Attorney David Engler
Phone: 330-729-9777
http://www.DavidEngler.com Attorney Engler’s website
Areas of Practice: Family Law, Elder Law, Domestic Relations, Bankruptcy, Criminal

Brains Shrink, Heads Grow!

By Attorney David Engler

The terrible irony of getting older is that the physical size of our head gets bigger as the size of our brain decreases. I have seen pictures taken 20 years ago and I can hardly recognize myself. The hair has fallen out, grayed and my eyelids droop. I have not invested in plastic surgery but will do so as soon as it is offered inside a Wal-Mart store, like it’s eyeglass center or banking services.

A new study in the Proceedings of the National Academy of Sciences states that human brains are unique in that they can shrink up to 15% in a lifetime. Before this study it was assumed that all primate brains had shrinkage. Turns out it is only us.

By 2030 about 1 in every 5 people in the United States will be over the age of 65. This is twice the number of elderly than just a decade ago according to the U.S. Administration on Aging.

The brain shrinking conditions that affect the elderly can be depression and Alzheimer’s disease. These diseases of course can be a by-product of the shrinking brain. In a terrible commentary on most of us over 50; poor memory may stem from a fractional shrinkage in the hippocampus. This is when you forget a friend’s name or forget an appointment. My brother believes he has CRS. When I asked him what that diagnosis was he said, “Can’t Remember Shit.”. My mother firmly believes that it might have had something to do with pot smoking during the seventies. I knew nothing about these claims and the statutes have long passed.

So we live twice as long as chimps and this might explain why our brains start to shrivel. They only live into their 40’s. A shrinking brain is the neural equivalent of sore knees and stiff fingers. Perhaps we need to forward this blog post to our children so they can be patient with us. (if you can remember)

Attorney David Engler
Phone: 330-729-9777
http://www.DavidEngler.com Attorney Engler’s website
Areas of Practice: Family Law, Elder Law, Domestic Relations, Bankruptcy, Criminal

Standing in the Nursing Home Doorway: Do you sign?

By Attorney David Engler

You are at the nursing home. It was a terrible decision you had been forced to make because your Mom had told you years before that she never wanted to go to a nursing home. She said she would rather die.

As if that weren’t bad enough, the nursing home now is asking you to sign something as you and your mother are standing in the doorway!

If you are standing in the doorway and you are asked to sign a contract, understand your rights.

Your Rights
Under federal law, no one is liable for the cost of care in a nursing home except the resident, no matter if the relative signs the contract or puts a Power of Attorney (POA) next to the name.

The nursing home cannot ask for a deposit upfront as a requirement for admittance. They cannot ask for a ‘gift’, to expedite admittance.

The nursing home cannot deny admission just because the resident is going to pay with Medicaid benefits.

The nursing home cannot require that the resident be on private pay for so many months before Medicaid is applied for.

The nursing home may not charge a resident for failure to notify them in advance that he or she is going to leave.

The bottom line is to know what you are doing at this very stressful time.

I would suggest not signing any contract.

The only recourse a nursing home would have against a relative is if they believe and could prove that the relative depleted assets belonging to the resident that could have been used to pay for care.

If you have a question email me at davidengler@eguardianship.com or call my office at 330.729.9777.

Attorney David Engler
Phone: 330-729-9777
http://www.DavidEngler.com Attorney Engler’s website
Areas of Practice: Family Law, Elder Law, Domestic Relations, Bankruptcy, Criminal

Two Stories of Abused Adults – Women and Sex & Disabled Adults, both exploited in the City of Brotherly Love

By Attorney David Engler

Two stories from this week’s pages of The Philadelphia Inquirer:

13 arrested in prostitution raid at Philly Mummers club

One night a month, police say, the inside of the modest Mummers’ Downtowners Fancy Brigade clubhouse in South Philadelphia transformed into a bacchanalian free-for-all where dozens of men ate, drank, and had sex with prostitutes in full view of each other.

For a $30 cover charge, attendees got one free beer from the cash bar, food, and access to the women at the party. The women, police said, walked around scantily clad or naked, charging from $30 to $100 for sex.
This past week, the festivities came to an abrupt end when police officers swarmed the two-story building near Second Street and Snyder Avenue.

About 50 men and 10 ‘working’ women were inside……

Police find four adults chained in Northeast Philadelphia apartment

Three people were arrested and charged with kidnapping, assault and other crimes after Philadelphia police found four mentally handicapped adults shackled in “deplorable conditions” in a basement storage closet of a Northeast apartment building Saturday.

The three men and a woman were found by a janitor chained to a water heater, in a 15-by-15-foot room, locked behind a steel door. All were malnourished, said a police spokeswoman.

The female victim is 29, the men 31, 35 and 41; each has the mental capacity of a 10-year-old, police said.

Police said the room included buckets for urine and feces……

Here in the “City of Brotherly Love”, not twenty minutes from each other, in tough pockets of Philadelphia, four mentally disabled forty-something adults were being held in a chained room as a paid sex party was happening not too many blocks away at a Mummers Club.

The Mummers Club puts on an annual New Year’s Parade each year and dates back to the days of Benjamin Franklin’s Philadelphia. The MUMMERS Club said they did not know about a sex party and were only renting it out once per month to help the not-for-profit.

The four disabled adults were found alone in an apartment building nearby. It was in the basement of a building in a semi-industrial section of town. You would drive by and wonder if anybody actually lives there. They were wards of someone. Their social security money funded this “care”. It was a group home of sorts. Each of the four was malnourished and taken to a hospital. No one took responsibility.

The fifty men present paid $30 to get into the party which included a free beer ticket and access to the women. It was a wide open sex party. The women would then negotiate an extra charge for sex with men at the party. The women were busted for prostitution and the two bartenders who were club officials as well, and managed the monthly brothel were charged with criminal conspiracy. The Johns were let go since the police did not know if compensation was exchanged before the sex. The women apparently approached the undercover cops to negotiate.

The disabled adults were used for their benefit money. They will be on record with some court or social security as being wards of someone or some agency. The conduct was criminal. But there is also criminal conduct in the gross negligence of a guardian or agency charged with making sure disabled adults are not abused. They all had the mentality of 10 year olds. No one has yet to be charged.

Same night and it was the same story. Men are pimping out vulnerable addicted women for quick cash. A sleazy “group home” is pimping out the weakest among us for some quick cash. Both of these dirty secrets were taking place at the same time, in the same City. The celebrated Mummers Club claimed not to know anything about a group that had monthly pay-for-sex orgies at their building. The local government and courts knew nothing about tax dollars supposedly used for the humane care of people being misspent and the people becoming prisoners in filth.

We have a special responsibility to protect these wards, if we are in a position to know. It goes beyond the bewilderment we all sense when driving though a bad section of town and worrying if anyone cares. It is not enough to claim ignorance of what happens in a building you own when you are collecting rent as a social hall. It is also wrong to ignore where your ward is living if you are the guardian. We all rely in good faith that others feel a sense of accountability for the way they make money. It did not happen that way on an early fall day in Philly. If a social club looks the other way while sex is sold or a court or government responsible for paying benefits to a “caretaker” turned torturer never asks questions, then the bond between us in society is broken.

The whole idea of this City was one of ‘brotherly love’. There is no greater love than treating a stranger as your brother. It is the Golden Rule. Those in a position to know, allowed gold to rule them and allowed the weakest of our brothers and sisters to be exploited and abused. That’s a criminal shame.

Attorney David Engler
Phone: 330-729-9777
http://www.DavidEngler.com Attorney Engler’s website
Areas of Practice: Family Law, Elder Law, Domestic Relations, Bankruptcy, Criminal

Take the Oral Histories Now of Your Ward…

By Attorney David Engler

There is nothing more lasting than memories. It is one of the cruel ironies that the diseases of the elderly like Alzheimer’s and dementia often rob our loved ones or wards of the past. I have advocated in the blog post: “Let Grandma Facebook” that we should try to teach seniors how to get on Facebook as an incredible tool for socializing. Without socialization, we start to diminish.

I have included the photo of my friend Ray who is blessed. He is 85; plays golf three times a week, travel the world with his wife and can tell a story. I was lucky enough this past weekend to learn how he spent the last months of World War II.

It was easy enough to get in to the Army. No one really checked birth certificates, so being 16 or 17 was no problem. Ray enlisted and soon found out that his $30 dollar a month would be bumped up with a bonus of $50 if he agreed to jump from a plane and become an Army Ranger 11th Airborne Division. It was the end of 1944 and the war was going full-scale. Growing up in Brier Hill on the Northside of Youngstown and being one of 8 children during the depression meant that patriotism came easy. You grew up on a street where every kid was poor and didn’t know it. Every family on Sunday went to their respective ethnic church. Ray’s family was Polish so St. Kashmir was the place to pray. It also had a ping-pong table. He had played his cousins and every other kid on the Northside for years. He had a quick defense and could play from 8 feet off the table. No nickels or pennies wasted in a pinball machine, when 6 hours of fun was available at the Church.

By the time he finished basic training in Alabama and jump school at Fort Benning, he was deployed to Okinawa. He was one of the elite but by the time his company arrived the Emperor had surrendered after the Atomic Bomb was exploded and the Russians had invaded. It was September of 1945. The Japanese were completely compliant. They did as the Emperor directed. Sure there were holdouts on islands that did not get the message and one fought all the way until 1970(true!).

Ray was stationed in Sendai where the tsunami recently killed thousands. There was not a great deal of danger and the troops needed entertained, so there were Ping Pong tournaments. Ray took on all comers, even the Japanese. The picture I have attached is Ray holding the 1946 Pacific Rim Championship Ping Pong Paddle. He is like a real life Forest Gump, except Forest was shot at. The winner got a trip to stay at the Emperor’s Palace for two weeks. Imagine being 20 years old and living in a palace. There was no shortage of anything. America had won and Ray was the greatest Ping Pong player on this vanquished island-nation.

Ray is lucky because he has shared these stories with his children and grandchildren, but there is no reason they should not be captured with our camera phones, blogs and HD recorders. On the net, the memories can live forever on sites like Facebook, Tumblr and WordPress. Take the extra few minutes at your next visit and capture the video memories of these American treasures, our seniors.

Attorney David Engler
Phone: 330-729-9777
http://www.DavidEngler.com Attorney Engler’s website
Areas of Practice: Family Law, Elder Law, Domestic Relations, Bankruptcy, Criminal

When will skilled care be paid for by Medicare?

By Attorney David Engler

Skilled nursing facility care will be paid by Medicare when your ward or parent needs daily skilled care that cannot be provided in the community or on an outpatient basis. The benefits are the cost or partial cost of rehab in a nursing home facility. Medicare part A will pay for the first 20 days at the full patient cost, and up to 80 more days with a co-pay. The issue that a guardian is often confronted with is whether the patient is benefitting from the care being received. There are horror stories of older patients receiving care that could not possibly benefit them. With the federal government focused on saving money in the entitlement areas like Medicare, be sure that there will be increased scrutiny on the payment for skilled care and whether it is needed.

That is where the guardian has to become the advocate for the patient. You need to observe the changing condition of the patient and ideally the improvement. There will be an ongoing assessment of rehabilitation goals. One of the manners in which this is determined is improvement in gait. The patient does not have to be considered curable for Medicare to pay.

Services can be provided at home through a Medicare certified home health agency. The patient will need to have the doctor write a plan of care. This plan of care should be discussed by the guardian with the doctor and make sure that it is updated every two months.

Attorney David Engler
Phone: 330-729-9777
http://www.DavidEngler.com Attorney Engler’s website
Areas of Practice: Family Law, Elder Law, Domestic Relations, Bankruptcy, Criminal

The Power of Attorney Abused

By Attorney David Engler

Aside from flat-out driving an incompetent victim to their bank and taking their money, the first choice of the thief is the power of attorney.

A Power of attorneys is recognized in every state and there is little to no regulation of its use. In most states the only time it is recorded is when real estate is being transferred. There should be extreme caution given by any professional who drafts a power of attorney. Care should be taken to truly understand not only if the signer is competent, but is the person being coerced even if subtly.

As a lawyer I have seen power of attorneys given to care givers who might have come into the elderly person’s life because they were hired. The constant contact with the person presents an opportunity for the caretaker to overstep their role. This is yet another good reason why family members should choose a person who is a registered guardian. It is a far better course of action to choose a stranger who is trained and bonded than checking the inventory at death to find out all the assets were depleted.

The power of attorney most often survives incompetency if it was drafted within the last 20 years. It is true that there is plenty of case-law indicating that a person cannot use a power of attorney for their own benefit, but self-dealing is usually not detected or discovered too late. By then assets are gone and usually unrecoverable.

As part of planning for the care of your mother or father or other person who seems unable to handle their own finances because of mental or physical reasons, a good start is to ask if there are any power of attorneys out there and better yet send a notice of revocation to all the banks with which the person might be doing business.

Attorney David Engler
Phone: 330-729-9777
http://www.DavidEngler.com Attorney Engler’s website
Areas of Practice: Family Law, Elder Law, Domestic Relations, Bankruptcy, Criminal