Leg­is­la­tors fo­cus on cli­mate, im­mi­gra­tion, roads

Imperial Valley Press - - FRONT PAGE - BY TERRY SPENCER, JEN­NIFER KAY AND TIM REYNOLDS

HOL­LY­WOOD, Fla. (AP) — The first 911 call from the Re­ha­bil­i­ta­tion Cen­ter at Hol­ly­wood Hills didn’t sound omi­nous: A nurs­ing home pa­tient had an ab­nor­mal heart­beat.

An hour later, came a sec­ond call: a pa­tient had trou­ble breath­ing. Then came the third call. A pa­tient had gone into car­diac ar­rest — and died.

Over the next few hours of Wed­nes­day morn­ing, the dire sit­u­a­tion at the Re­ha­bil­i­ta­tion Cen­ter for frag­ile, el­derly people would come into clearer view. Three days after Hur­ri­cane Irma hit Florida, the cen­ter still didn’t have air con­di­tion­ing, and it ul­ti­mately be­came the grimmest tragedy in a state al­ready full of them. Eight people died and 145 pa­tients had to be moved out of the sti­fling-hot fa­cil­ity, many of them on stretch­ers or in wheel­chairs.

Au­thor­i­ties launched a crim­i­nal in­ves­ti­ga­tion to fig­ure out what went wrong and who, if any­one, was to blame. Within hours of the tragedy, Gov. Rick Scott and U.S. Sen. Bill Nel­son made no ef­fort to hide their anger and frus­tra­tion that some­thing like this could hap­pen.

On Satur­day, Scott or­dered the direc­tors of the Agency for Health Care Ad­min­is­tra­tion and the De­part­ment of Elder Af­fairs to is­sue emer­gency rules to keep res­i­dents safe in health care fa­cil­i­ties dur­ing emer­gen­cies.

This re­quires all as­sisted liv­ing fa­cil­i­ties and nurs­ing homes to ob­tain am­ple re­sources, in­clud­ing gen­er­a­tors and the ap­pro­pri­ate amount of fuel to main­tain com­fort­able tem­per­a­tures for at least 96-hours fol­low­ing a power out­age.

In Hol­ly­wood on Wed­nes­day morn­ing, Judy Frum, the chief nurs­ing of­fi­cer at the air con­di­tioned hospi­tal just across the street from the re­ha­bil­i­ta­tion cen­ter, was work­ing in the Irma com­mand cen­ter when the emer­gency room no­ti­fied her that three pa­tients had been brought in from the nurs­ing home.

“It set off a red flag that some­thing might be go­ing on,” said Frum, who grabbed a col­league and hur­ried across the street.

When they ar­rived, paramedics were treat­ing a crit­i­cally ill pa­tient near the en­trance. She saw har­ried staff mem­bers try­ing to get pa­tients into a room where fans were blow­ing.

The cen­ter had some elec­tric­ity, but not enough to power the air con­di­tion­ing.

Frum called her fa­cil­ity, Memorial Re­gional Hospi­tal, to is­sue a mass ca­su­alty alert. As many as 100 hospi­tal em­ploy­ees rushed over to help.

“The scene on site when I got there was chaotic,” said Randy Katz, Memorial’s emer­gency ser­vices di­rec­tor.

Word of the cri­sis soon reached rel­a­tives. Ven­detta Craig searched fran­ti­cally for her 87-year-old mother for 25 min­utes. She fi­nally found her mother, with doc­tors from Memorial al­ready ap­ply­ing ice and giv­ing her in­tra­venous flu­ids.

“She opened her eyes — she looked in my eyes— oh my God, that was the best thing that ever came into my soul,” Craig said.

The Re­ha­bil­i­ta­tion Cen­ter said the hur­ri­cane knocked out a trans­former that pow­ered the air con­di­tion­ing. The cen­ter said in a de­tailed time­line of events re­leased Fri­day that it re­peat­edly was told by Florida Power and Light that it would fix the trans­former, but the util­ity did not show up un­til Wed­nes­day morn­ing, hours after the first pa­tients be­gan hav­ing emer­gen­cies.

The util­ity re­fused to an­swer any spe­cific ques­tions about the nurs­ing home case.

State and lo­cal of­fi­cials said the nurs­ing home had con­tacted them, but did not re­quest any help for med­i­cal needs or emer­gen­cies.

Paulburn Bogle, a mem­ber of the house­keep­ing staff, said em­ploy­ees fought the lack of air con­di­tion­ing with fans, cold tow­els, ice and cold drinks for pa­tients.

Rose­mary Cooper, a li­censed prac­ti­cal nurse at the re­ha­bil­i­ta­tion cen­ter, de­fended the staff’s work but de­clined to dis­cuss specifics.

“The people who were work­ing there worked hard to make a good out­come for our pa­tients,” she said in a brief in­ter­view be­fore hang­ing up on a re­porter. “We cared for them like fam­ily.”

Cer­ti­fied nurs­ing as­sis­tant Natasha John­son, who left the fa­cil­ity weeks ago for an­other job, said she didn’t un­der­stand why the cen­ter didn’t trans­fer pa­tients to the hospi­tal sooner. “I’m as shocked as you. I just don’t un­der­stand it,” she said.

Craig, whose mother was sick­ened at the nurs­ing home, said the cen­ter’s ad­min­is­tra­tors should “be pros­e­cuted to the full ex­tent that the law al­lows and then some.”

Owner Jack Michel’s at­tor­ney didn’t im­me­di­ately re­spond to a re­quest for com­ment.

State records showed prob­lems with fire and safety stan­dards, as well as more se­ri­ous is­sues with gen­er­a­tor main­te­nance and test­ing, ac­cord­ing to Fe­bru­ary 2016 reports by Florida Agency for Health Care Ad­min­is­tra­tion in­spec­tors.

In­spec­tors also said they didn’t see a clean, well-sup­plied fa­cil­ity, not­ing peel­ing paint, chipped and scratched doors and floors and fur­ni­ture in dis­re­pair. There were over­flow­ing trash bins, rusty air con­di­tion­ing vents, soiled bath­tubs and cracked or miss­ing bath­room floor tiles.

The fa­cil­ity’s direc­tors told in­spec­tors that staff needed a re­fresher course on re­port­ing main­te­nance and house­keep­ing is­sues.

Evan­gelina Moul­der hired an at­tor­ney after her 93-year-old mother be­came se­verely de­hy­drated on Wed­nes­day. Moul­der’s mother was re­leased from the hospi­tal to a new nurs­ing home.

Moul­der’s at­tor­ney, Bill Dean, said Moul­der vis­ited her mother on Mon­day and wor­ried about the heat.

“She said, ‘It’s very hot in here,’ and the staff said, ‘Yes, it is,’” Dean said. “She opened her mom’s win­dows, and she said, ‘Mom, it’s go­ing to be OK.’”

Jan­ice Con­nelly of Hol­ly­wood, sets up a makeshift memorial Thursday in mem­ory of the se­nior cit­i­zens who died in the heat at The Re­ha­bil­i­ta­tion Cen­ter at Hol­ly­wood Hills, Fla. Mul­ti­ple people died and pa­tients had to be moved out of the fa­cil­ity, many of them on stretch­ers or in wheel­chairs. Au­thor­i­ties have launched a crim­i­nal in­ves­ti­ga­tion to fig­ure out what went wrong and who, if any­one, was to blame. CARLINE JEAN /SOUTH FLORIDA SUN-SEN­TINEL VIA AP, FILE

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