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"content": "\u003cp>San Francisco \u003ca href=\"https://sfgov.legistar.com/LegislationDetail.aspx?ID=7858210&GUID=73DF6CC5-C865-4168-B284-4E9B0B35C1AA\">has agreed to pay $500,000\u003c/a> to a family that sued for wrongful death and elder abuse after their relative died following his transfer out of Laguna Honda Hospital and Rehabilitation Center.\u003c/p>\n\u003cp>The settlement was approved by the Board of Supervisors on Tuesday and comes after an overhaul of Laguna Honda, a safety net hospital for low-income patients with complex medical needs, which lost its certification in 2022 after failing a series of safety inspections.\u003c/p>\n\u003cp>While working to regain good standing, state and federal regulators \u003ca href=\"https://www.kqed.org/news/11939793/were-down-to-the-wire-again-feds-to-decide-this-week-if-laguna-honda-must-resume-patient-transfers\">forced the hospital to prepare for potential closure\u003c/a> and some residents were discharged or transferred to other skilled nursing facilities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Several people died shortly after moving, which some nursing home watchdogs have attributed to a detrimental disruption in care during the relocation process, known as transfer trauma.\u003c/p>\n\u003cp>“They thought it was necessary to keep Laguna Honda from being shut down by the state. But in fact, what they were doing was more harmful,” said Teresa Palmer, an advocate with the social justice organization Gray Panthers who worked as a physician at Laguna Honda from 1989 to 2004. “They were violating patients’ rights and safety and discharging them illegally to nursing homes where they wouldn’t get as good care.”\u003c/p>\n\u003cfigure id=\"attachment_11940770\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11940770\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1.jpg\" alt=\"Three women with banners stand outside the Laguna Honda hospital entrance with protest signs in their hands.\" width=\"1920\" height=\"1277\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-1020x678.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-1536x1022.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Cristina Gutierrez, 74, speaks out during a protest against the discharge and transfer of patients from the Laguna Honda Hospital and Rehabilitation Center, in San Francisco, on Feb. 2, 2023. \u003ccite>(Kori Suzuki/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Pham family sued the city and county of San Francisco in 2023, alleging elder abuse and neglect, violation of patients’ rights and wrongful death for their father, Quy Pham, who had moved into Laguna Honda in 2021 and lived with Alzheimer’s disease.\u003c/p>\n\u003cp>As Laguna Honda worked toward recertification, which it \u003ca href=\"https://www.kqed.org/news/11958392/medi-cal-reinstates-laguna-honda-in-major-win-for-the-states-largest-public-nursing-home\">achieved in 2023\u003c/a>, state and federal regulators urged the hospital to discharge and transfer patients. According to the complaint, the Pham family was contacted during that time and told that a bed would be available for their father at Seton Hospital in Daly City.\u003c/p>\n\u003cp>“They didn’t want him to go there, but they reluctantly agreed because they felt pressured,” said Kathryn Stebner, the attorney representing the Pham family.[aside postID=news_12064768 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/11/008_KQED_LagunaHondaHospital_01312023_qed.jpg']Their father left Laguna Honda on July 8 and died on July 25 at Seton, the complaint states. He was 80 years old.\u003c/p>\n\u003cp>“They noticed a quick decline, and he died really quickly after,” Stebner said, adding that Pham required assistance for just about every aspect of daily living. “There are laws and regulations that say what exactly is to be done if someone is transferred and we alleged they did not prepare him for this. If people with dementia are moved, even to a different building, they can go downhill immediately.”\u003c/p>\n\u003cp>Stebner’s firm initially filed three lawsuits alleging that transfer trauma led to wrongful death after the hospital began transferring patients. Two of those cases were dismissed, and Pham’s case ended with a settlement.\u003c/p>\n\u003cp>“Although defendants knew of conditions that made [Pham] unable to provide for his own basic needs as described herein, defendants recklessly and egregiously denied and withheld goods or services necessary to meet [Pham]’s basic needs,” the complaint reads.\u003c/p>\n\u003cp>In November 2025, San Francisco agreed to pay \u003ca href=\"https://www.kqed.org/news/12064768/sf-to-pay-5-8-million-in-class-action-settlement-over-elder-abuse-at-laguna-honda\">$5.8 million in a class action settlement\u003c/a> over elder abuse claims at Laguna Honda between 2016 and 2019.\u003c/p>\n\u003cfigure id=\"attachment_11958178\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11958178\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg\" alt='The entryway to a hospital driveway with a sign that reads, \"Main Hospital Entrance and Residences.\"' width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A sign points to the main entrance to the Laguna Honda Hospital in San Francisco on Jan. 31, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Department of Public Health, which runs Laguna Honda, declined to comment and referred KQED to the city attorney’s office.\u003c/p>\n\u003cp>“We believe the proposed settlement is an appropriate resolution given the inherent costs of continued litigation,” said Jen Kwart, a spokesperson for the San Francisco City Attorney’s Office.\u003c/p>\n\u003cp>Stebner said the settlement with the Pham family is the last remaining lawsuit her firm has closed stemming from the turmoil at Laguna Honda while it faced potential closure.\u003c/p>\n\u003cp>“I’m hoping that by filing all these lawsuits that the families can hold the city and county accountable and I hope we did do that,” Stebner said. “And hopefully this journey is over.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Several people died shortly after moving, which some nursing home watchdogs have attributed to a detrimental disruption in care during the relocation process, known as transfer trauma.\u003c/p>\n\u003cp>“They thought it was necessary to keep Laguna Honda from being shut down by the state. But in fact, what they were doing was more harmful,” said Teresa Palmer, an advocate with the social justice organization Gray Panthers who worked as a physician at Laguna Honda from 1989 to 2004. “They were violating patients’ rights and safety and discharging them illegally to nursing homes where they wouldn’t get as good care.”\u003c/p>\n\u003cfigure id=\"attachment_11940770\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11940770\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1.jpg\" alt=\"Three women with banners stand outside the Laguna Honda hospital entrance with protest signs in their hands.\" width=\"1920\" height=\"1277\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-1020x678.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/RS62526_02022023_lagunahondapresser-308-qut-1-1536x1022.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Cristina Gutierrez, 74, speaks out during a protest against the discharge and transfer of patients from the Laguna Honda Hospital and Rehabilitation Center, in San Francisco, on Feb. 2, 2023. \u003ccite>(Kori Suzuki/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Pham family sued the city and county of San Francisco in 2023, alleging elder abuse and neglect, violation of patients’ rights and wrongful death for their father, Quy Pham, who had moved into Laguna Honda in 2021 and lived with Alzheimer’s disease.\u003c/p>\n\u003cp>As Laguna Honda worked toward recertification, which it \u003ca href=\"https://www.kqed.org/news/11958392/medi-cal-reinstates-laguna-honda-in-major-win-for-the-states-largest-public-nursing-home\">achieved in 2023\u003c/a>, state and federal regulators urged the hospital to discharge and transfer patients. According to the complaint, the Pham family was contacted during that time and told that a bed would be available for their father at Seton Hospital in Daly City.\u003c/p>\n\u003cp>“They didn’t want him to go there, but they reluctantly agreed because they felt pressured,” said Kathryn Stebner, the attorney representing the Pham family.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Their father left Laguna Honda on July 8 and died on July 25 at Seton, the complaint states. He was 80 years old.\u003c/p>\n\u003cp>“They noticed a quick decline, and he died really quickly after,” Stebner said, adding that Pham required assistance for just about every aspect of daily living. “There are laws and regulations that say what exactly is to be done if someone is transferred and we alleged they did not prepare him for this. If people with dementia are moved, even to a different building, they can go downhill immediately.”\u003c/p>\n\u003cp>Stebner’s firm initially filed three lawsuits alleging that transfer trauma led to wrongful death after the hospital began transferring patients. Two of those cases were dismissed, and Pham’s case ended with a settlement.\u003c/p>\n\u003cp>“Although defendants knew of conditions that made [Pham] unable to provide for his own basic needs as described herein, defendants recklessly and egregiously denied and withheld goods or services necessary to meet [Pham]’s basic needs,” the complaint reads.\u003c/p>\n\u003cp>In November 2025, San Francisco agreed to pay \u003ca href=\"https://www.kqed.org/news/12064768/sf-to-pay-5-8-million-in-class-action-settlement-over-elder-abuse-at-laguna-honda\">$5.8 million in a class action settlement\u003c/a> over elder abuse claims at Laguna Honda between 2016 and 2019.\u003c/p>\n\u003cfigure id=\"attachment_11958178\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11958178\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg\" alt='The entryway to a hospital driveway with a sign that reads, \"Main Hospital Entrance and Residences.\"' width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A sign points to the main entrance to the Laguna Honda Hospital in San Francisco on Jan. 31, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Department of Public Health, which runs Laguna Honda, declined to comment and referred KQED to the city attorney’s office.\u003c/p>\n\u003cp>“We believe the proposed settlement is an appropriate resolution given the inherent costs of continued litigation,” said Jen Kwart, a spokesperson for the San Francisco City Attorney’s Office.\u003c/p>\n\u003cp>Stebner said the settlement with the Pham family is the last remaining lawsuit her firm has closed stemming from the turmoil at Laguna Honda while it faced potential closure.\u003c/p>\n\u003cp>“I’m hoping that by filing all these lawsuits that the families can hold the city and county accountable and I hope we did do that,” Stebner said. “And hopefully this journey is over.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "SF to Pay $5.8 Million in Class Action Settlement Over Elder Abuse at Laguna Honda",
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"headTitle": "SF to Pay $5.8 Million in Class Action Settlement Over Elder Abuse at Laguna Honda | KQED",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> is poised to pay out $5.8 million after reaching a settlement in a lawsuit claiming staff at \u003ca href=\"https://www.kqed.org/news/tag/laguna-honda-hospital\">Laguna Honda Hospital\u003c/a> and Rehabilitation Center took explicit photos of patients and disseminated them for non-medical purposes, along with other abuse and privacy violations.\u003c/p>\n\u003cp>The settlement is the latest rectification and first class action for the patient abuse scandal at Laguna Honda Hospital, one of the nation’s largest public nursing homes, following reports between 2016 and 2019 that thrust the facility into turmoil. Both parties have agreed to the payment, which will go before the city’s Government Audit and Oversight Committee on Thursday for approval.\u003c/p>\n\u003cp>The $5.8 million settlement will be distributed among 735 current and former Laguna Honda patients.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This on its face says, ‘Look, you had a systemic problem. This was going on and this was hurting everybody,’” said Kathryn Stebner, who represented plaintiffs in the case. “We bring class actions to make a political statement, to try to make social change. And I think this does send that message.”\u003c/p>\n\u003cp>The 159-year-old hospital has long served as a safety net for some of the city’s poorest and most vulnerable residents, with some living at Laguna Honda for years.\u003c/p>\n\u003cp>The lawsuit was initially filed in 2020 on behalf of a Laguna Honda resident, claiming staff took photos of his genital area during an enema procedure and that staff circulated the image for non-medical purposes. Another named plaintiff, Tommy O. Johnson, alleged his health information was also wrongly used.\u003c/p>\n\u003cfigure id=\"attachment_11958178\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11958178\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg\" alt='The entryway to a hospital driveway with a sign that reads, \"Main Hospital Entrance and Residences.\"' width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A sign points to the main entrance to the Laguna Honda Hospital in San Francisco on Jan. 31, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Attorneys later filed a class action motion in 2024 alleging that all patients at the hospital between 2022 and 2023 were subject to compromised care. The period of time was while the hospital was uncertified and undergoing major changes, after regulators with the Centers for Medicare & Medicaid Services found several health and safety issues across multiple inspection surveys.\u003c/p>\n\u003cp>“Laguna Honda is unwavering in our commitment to resident safety and wellbeing,” a spokesperson for the city’s Department of Public Health, which oversees the massive facility, said in an email. “The 2019 patient mistreatment incidents were antithetical to what Laguna Honda stands for as the safety-net healthcare facility caring for San Franciscans most in need.”\u003c/p>\n\u003cp>The class action is one of three recent lawsuits over the abuse scandal that broke out just before the pandemic. Another lawsuit was filed on behalf of individual residents who had fallen and suffered injuries such as broken hips, Stebner said. The third lawsuit, \u003ca href=\"https://www.kqed.org/news/11952012/san-francisco-to-pay-2-2-million-settlement-to-victims-in-laguna-honda-patient-abuse-scandal\">settled in 2023 for $2.2 million\u003c/a>, focused on 11 individual patients at Laguna Honda after a group of nurses were found to have taken nude photos of some patients and drugged and abused others.[aside postID=news_12026662 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/014_KQED_LagunaHondaHospital_01312023_qed-1020x680.jpg']Nursing home reform supporters with the Gray Panthers, a group of advocates focused on long-term care and other issues facing older San Franciscans, estimate that the city has had to pay nearly $12 million in fines and lawsuit settlements relating to the sexual abuse scandal.\u003c/p>\n\u003cp>A spokesperson for the San Francisco City Attorney said the class action settlement is an “appropriate response.”\u003c/p>\n\u003cp>The facility took several steps after uncovering evidence of patient mistreatment and privacy violations between 2016 and 2019, including firing staff who took part in abuse and reorganizing the hospital’s leadership.\u003c/p>\n\u003cp>But problems for Laguna Honda didn’t end there.\u003c/p>\n\u003cp>In 2021, two non-fatal overdoses occurred on-site involving methamphetamine and fentanyl, triggering a series of inspections. Federal regulators then decertified Laguna Honda in April 2022 after finding issues with staff hygiene and other problems, such as smoking and drug use on site.\u003c/p>\n\u003cp>The hospital was forced to pause admissions while it worked to regain certification with Medicare and Medi-Cal, which covers the vast majority of the elderly and low-income residents at Laguna Honda.\u003c/p>\n\u003cp>Meanwhile, federal regulators had the hospital begin discharging patients in anticipation of a possible shutdown. More than 50 people were discharged or transferred to other skilled nursing facilities, and some ended up in homeless shelters. Twelve frail and elderly patients died shortly after their transfer out of the facility to other nursing homes.”State and federal regulators agreed to pause the mandated discharges in 2022, after an outcry from San Francisco officials and advocates.\u003c/p>\n\u003cp>The facility achieved recertification again in 2024 after undergoing rigorous inspections and retraining for staff.\u003c/p>\n\u003cfigure id=\"attachment_11757927\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11757927\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/Laguna_Honda_Hospital_and_Rehabilitation_Center_-_San_Francisco_CA_-_DSC03931-e1561745657127.jpg\" alt=\"Laguna Honda Hospital and Rehabilitation Center in San Francisco, where a group of former staff members allegedly abused nearly two dozen patients for years.\" width=\"1920\" height=\"1324\">\u003cfigcaption class=\"wp-caption-text\">Laguna Honda Hospital and Rehabilitation Center in San Francisco, where a group of former staff members allegedly abused nearly two dozen patients for years. \u003ccite>(\u003ca href=\"https://commons.wikimedia.org/wiki/File:Laguna_Honda_Hospital_and_Rehabilitation_Center_-_San_Francisco,_CA_-_DSC03931.jpg#/media/File:Laguna_Honda_Hospital_and_Rehabilitation_Center_-_San_Francisco,_CA_-_DSC03931.jpg\">Daderot/Wikipedia\u003c/a>)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Laguna Honda has undergone significant restructuring and has been the focus of extensive improvements facility-wide, including new policies, enhanced quality management protocols, and new programs that align with national best practices,” the Public Health Department spokesperson said. “This is all with the goal of creating a lasting culture of safety, transparency, and continuous improvement.”\u003c/p>\n\u003cp>The population at Laguna Honda has dropped from more than 700 residents in November 2020 to 541 as of September 2025, according to city data.\u003c/p>\n\u003cp>Teresa Palmer, a physician who worked at Laguna Honda for nearly three decades, said the class action settlement underscores the need for more staffing at the facility.\u003c/p>\n\u003cp>“All kinds of abuse and neglect are expressions of understaffing of both supervisory staff and direct care staff,” Palmer said. “People are so overworked and fear retaliation, and things are covered up because staff are just trying to get through the day.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> is poised to pay out $5.8 million after reaching a settlement in a lawsuit claiming staff at \u003ca href=\"https://www.kqed.org/news/tag/laguna-honda-hospital\">Laguna Honda Hospital\u003c/a> and Rehabilitation Center took explicit photos of patients and disseminated them for non-medical purposes, along with other abuse and privacy violations.\u003c/p>\n\u003cp>The settlement is the latest rectification and first class action for the patient abuse scandal at Laguna Honda Hospital, one of the nation’s largest public nursing homes, following reports between 2016 and 2019 that thrust the facility into turmoil. Both parties have agreed to the payment, which will go before the city’s Government Audit and Oversight Committee on Thursday for approval.\u003c/p>\n\u003cp>The $5.8 million settlement will be distributed among 735 current and former Laguna Honda patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This on its face says, ‘Look, you had a systemic problem. This was going on and this was hurting everybody,’” said Kathryn Stebner, who represented plaintiffs in the case. “We bring class actions to make a political statement, to try to make social change. And I think this does send that message.”\u003c/p>\n\u003cp>The 159-year-old hospital has long served as a safety net for some of the city’s poorest and most vulnerable residents, with some living at Laguna Honda for years.\u003c/p>\n\u003cp>The lawsuit was initially filed in 2020 on behalf of a Laguna Honda resident, claiming staff took photos of his genital area during an enema procedure and that staff circulated the image for non-medical purposes. Another named plaintiff, Tommy O. Johnson, alleged his health information was also wrongly used.\u003c/p>\n\u003cfigure id=\"attachment_11958178\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11958178\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg\" alt='The entryway to a hospital driveway with a sign that reads, \"Main Hospital Entrance and Residences.\"' width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A sign points to the main entrance to the Laguna Honda Hospital in San Francisco on Jan. 31, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Attorneys later filed a class action motion in 2024 alleging that all patients at the hospital between 2022 and 2023 were subject to compromised care. The period of time was while the hospital was uncertified and undergoing major changes, after regulators with the Centers for Medicare & Medicaid Services found several health and safety issues across multiple inspection surveys.\u003c/p>\n\u003cp>“Laguna Honda is unwavering in our commitment to resident safety and wellbeing,” a spokesperson for the city’s Department of Public Health, which oversees the massive facility, said in an email. “The 2019 patient mistreatment incidents were antithetical to what Laguna Honda stands for as the safety-net healthcare facility caring for San Franciscans most in need.”\u003c/p>\n\u003cp>The class action is one of three recent lawsuits over the abuse scandal that broke out just before the pandemic. Another lawsuit was filed on behalf of individual residents who had fallen and suffered injuries such as broken hips, Stebner said. The third lawsuit, \u003ca href=\"https://www.kqed.org/news/11952012/san-francisco-to-pay-2-2-million-settlement-to-victims-in-laguna-honda-patient-abuse-scandal\">settled in 2023 for $2.2 million\u003c/a>, focused on 11 individual patients at Laguna Honda after a group of nurses were found to have taken nude photos of some patients and drugged and abused others.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Nursing home reform supporters with the Gray Panthers, a group of advocates focused on long-term care and other issues facing older San Franciscans, estimate that the city has had to pay nearly $12 million in fines and lawsuit settlements relating to the sexual abuse scandal.\u003c/p>\n\u003cp>A spokesperson for the San Francisco City Attorney said the class action settlement is an “appropriate response.”\u003c/p>\n\u003cp>The facility took several steps after uncovering evidence of patient mistreatment and privacy violations between 2016 and 2019, including firing staff who took part in abuse and reorganizing the hospital’s leadership.\u003c/p>\n\u003cp>But problems for Laguna Honda didn’t end there.\u003c/p>\n\u003cp>In 2021, two non-fatal overdoses occurred on-site involving methamphetamine and fentanyl, triggering a series of inspections. Federal regulators then decertified Laguna Honda in April 2022 after finding issues with staff hygiene and other problems, such as smoking and drug use on site.\u003c/p>\n\u003cp>The hospital was forced to pause admissions while it worked to regain certification with Medicare and Medi-Cal, which covers the vast majority of the elderly and low-income residents at Laguna Honda.\u003c/p>\n\u003cp>Meanwhile, federal regulators had the hospital begin discharging patients in anticipation of a possible shutdown. More than 50 people were discharged or transferred to other skilled nursing facilities, and some ended up in homeless shelters. Twelve frail and elderly patients died shortly after their transfer out of the facility to other nursing homes.”State and federal regulators agreed to pause the mandated discharges in 2022, after an outcry from San Francisco officials and advocates.\u003c/p>\n\u003cp>The facility achieved recertification again in 2024 after undergoing rigorous inspections and retraining for staff.\u003c/p>\n\u003cfigure id=\"attachment_11757927\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11757927\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/Laguna_Honda_Hospital_and_Rehabilitation_Center_-_San_Francisco_CA_-_DSC03931-e1561745657127.jpg\" alt=\"Laguna Honda Hospital and Rehabilitation Center in San Francisco, where a group of former staff members allegedly abused nearly two dozen patients for years.\" width=\"1920\" height=\"1324\">\u003cfigcaption class=\"wp-caption-text\">Laguna Honda Hospital and Rehabilitation Center in San Francisco, where a group of former staff members allegedly abused nearly two dozen patients for years. \u003ccite>(\u003ca href=\"https://commons.wikimedia.org/wiki/File:Laguna_Honda_Hospital_and_Rehabilitation_Center_-_San_Francisco,_CA_-_DSC03931.jpg#/media/File:Laguna_Honda_Hospital_and_Rehabilitation_Center_-_San_Francisco,_CA_-_DSC03931.jpg\">Daderot/Wikipedia\u003c/a>)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Laguna Honda has undergone significant restructuring and has been the focus of extensive improvements facility-wide, including new policies, enhanced quality management protocols, and new programs that align with national best practices,” the Public Health Department spokesperson said. “This is all with the goal of creating a lasting culture of safety, transparency, and continuous improvement.”\u003c/p>\n\u003cp>The population at Laguna Honda has dropped from more than 700 residents in November 2020 to 541 as of September 2025, according to city data.\u003c/p>\n\u003cp>Teresa Palmer, a physician who worked at Laguna Honda for nearly three decades, said the class action settlement underscores the need for more staffing at the facility.\u003c/p>\n\u003cp>“All kinds of abuse and neglect are expressions of understaffing of both supervisory staff and direct care staff,” Palmer said. “People are so overworked and fear retaliation, and things are covered up because staff are just trying to get through the day.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>As one of the city’s remaining nursing homes prepares to close in April, nearly 250 beds are currently sitting empty in San Francisco’s largest public skilled nursing facility.\u003c/p>\n\u003cp>Following a multi-year scandal that \u003ca href=\"https://www.kqed.org/forum/2010101889843/laguna-honda-hospital-has-60-days-to-move-over-600-patients-before-it-shuts-down-its-only-placed-58-so-far\">nearly shuttered the more than 150-year-old facility\u003c/a>, Laguna Honda Hospital and Rehabilitation Center resumed admitting new patients last July after two years of internal reforms and working with federal officials to make good on past infractions.\u003c/p>\n\u003cp>Now, the \u003ca href=\"https://www.kqed.org/news/11952012/san-francisco-to-pay-2-2-million-settlement-to-victims-in-laguna-honda-patient-abuse-scandal\">beleaguered\u003c/a> nursing home \u003ca href=\"https://www.kqed.org/news/11991292/laguna-honda-recertified-by-medicare-in-major-milestone-for-san-francisco-hospital\">is back open for new residents\u003c/a>. However, admissions are off to a slow pace as Laguna Honda remains under the microscope of state and federal regulators despite a growing need for skilled nursing care in San Francisco and across the region.\u003c/p>\n\u003cp>“It is a well-known fact that there is a dearth of nursing home beds in San Francisco,” said Tony Chicotel, an attorney with California Advocates for Nursing Home Reform. “It’s jarring that the facility is allowed to admit residents now and still has so many open beds when we hear from people all the time in the Bay Area that there is no nursing home space for people to go to.”\u003c/p>\n\u003cp>Nursing home experts say San Francisco has a large population of low-income seniors who need round-the-clock care in their community, and \u003ca href=\"https://www.sf.gov/sites/default/files/2024-06/Skilled%20Nursing%20Transfer%20Ordinance%20-%202023%20-%20HC%20Presentation.pdf\">many people have to move out of the county\u003c/a> away from loved ones due to the region’s scant affordable nursing home options.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The need is about to get compounded as dozens of elderly residents at St. Anne’s Home on Lake Street near the Presidio \u003ca href=\"https://sfstandard.com/2025/01/09/st-annes-home-little-sisters-poor-to-close-sf/\">will need to find new housing before the facility closes on April 8\u003c/a> due to staffing shortages.\u003c/p>\n\u003cp>Laguna Honda is working with St. Anne’s to bring over residents who are about to lose their homes and has offered beds to past residents who were discharged during Laguna Honda’s recertification process.\u003c/p>\n\u003cp>“I know this is a challenging time, and you have my commitment that the city will support you in this transition,” Mayor Daniel Lurie said at a recent Board of Supervisors meeting, addressing the closure of St. Anne’s. “We must have a broader strategy for seniors to live safely and actively engaged in their community.”\u003c/p>\n\u003cp>There are currently 435 residents at Laguna Honda, compared with the hospital’s licensed bed capacity of 649. The hospital previously had a capacity for nearly 800 residents. However, federal regulation changes after the pandemic required rooms to have no more than three residents, stripping the hospital of 120 beds. Officials at Laguna Honda said they are trying to recertify the 120 beds to bring capacity back up.\u003c/p>\n\u003cp>Laguna Honda has welcomed a total of 78 new residents out of 179 referrals since resuming admissions on July 31, 2024, according to San Francisco’s Department of Public Health.\u003c/p>\n\u003cp>The majority of denials were due to patients deemed to have “behavioral health needs too complex” for a nursing home, including substance use or mental disorders. Others were due to being “too medically complex” and for needing lower levels of care than residential skilled nursing, according to a \u003ca href=\"https://media.api.sf.gov/documents/02032025_LHH_JCC_Exec_Report_Presentation.pdf\">report\u003c/a> shared at the Health Commission meeting on February 3.\u003c/p>\n\u003cp>However, Laguna Honda officials say they are actively welcoming new residents and that there is no waitlist for those who meet its criteria, with a goal to fill the remaining beds by December 2025.\u003c/p>\n\u003cp>“We are admitting anybody who meets the criteria to be in a skilled nursing facility, and we are ramping up admissions,” Laguna Honda CEO Diltar Sidhu told KQED. “Laguna Honda is back.”\u003c/p>\n\u003cp>[aside postID=news_11991292]\u003c/p>\n\u003cp>New patients at Laguna Honda must meet industry-standard nursing home criteria, including being a resident of San Francisco whose primary diagnosis is a medical condition — not psychiatric — who requires nursing facility care, physical or cognitive impairment requiring higher attention than a lower-level board and care facility, or daily rehabilitation.\u003c/p>\n\u003cp>However, after several years of intense oversight, Laguna Honda is taking caution as it moves forward. Officials must walk a fine line to remain in good standing with regulators while responding to the community’s needs in a timely manner. Bringing on new patients is also necessary to receive federal dollars for patients, especially as the city faces a nearly $800 million budget shortfall.\u003c/p>\n\u003cp>“With every bed that sits empty, that’s also reimbursement we aren’t getting, so it’s also a financial issue during a tough budget season,” said Supervisor Myrna Melgar, whose district encompasses Laguna Honda. “I’m hoping the pace of admissions is at least maintained.”\u003c/p>\n\u003cp>Laguna Honda was already under intense scrutiny following a \u003ca href=\"https://www.kqed.org/news/11782161/newly-uncovered-cases-of-patient-abuse-at-laguna-honda-bring-incident-count-to-130\">massive abuse case\u003c/a> affecting nearly 130 patients from 2016 to 2019. Then, in 2022, after two nonfatal overdoses took place at Laguna Honda, the hospital failed to pass a series of inspections and \u003ca href=\"https://www.kqed.org/news/11958392/medi-cal-reinstates-laguna-honda-in-major-win-for-the-states-largest-public-nursing-home\">lost its standing with Medicare and Medi-Cal\u003c/a>, which covers the vast majority of patients at Laguna Honda.\u003c/p>\n\u003cp>“They have to be very careful about people who have behavioral problems,” said Teresa Palmer, a retired physician at Laguna Honda and nursing home advocate. “In a traditional nursing home with frail elders, you need to protect them.”\u003c/p>\n\u003cp>[aside postID=news_11952012]\u003c/p>\n\u003cp>A lawsuit against the hospital \u003ca href=\"https://www.kqed.org/news/11920121/sf-officials-outraged-over-laguna-honda-patient-deaths-following-federally-mandated-transfers\">over deaths and poorly managed discharges\u003c/a> during the recertification process is still active.\u003c/p>\n\u003cp>“The number one issue was that we were admitting dual-diagnosed patients and running Laguna Honda like a hospital instead of a nursing home, which is the license we have,” Melgar said. “So that got us into trouble in the first place. They dinged us.”\u003c/p>\n\u003cp>The empty beds sit at Laguna Honda as Lurie has vowed to open up more treatment facilities and various types of behavioral health and emergency shelter beds. But those efforts are separate from the skilled nursing beds available at Laguna Honda specifically for “traditional” nursing home patients — such as elderly people with chronic illness, dementia and other acute medical or rehabilitation needs.\u003c/p>\n\u003cp>Still, these are not mutually exclusive populations in need of round-the-clock care. Seniors make up the fastest-growing portion of the homeless population, and substance use disorder exists across age groups and other demographics.\u003c/p>\n\u003cp>People who primarily need medical skilled nursing care but also have behavioral or mental health challenges can be admitted, officials said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“From the perspective of maintaining the federal certification and not creating any waves that could cause more regulatory scrutiny, it would be smart to admit a more traditional nursing home resident,” Chicotel said. “But from the perspective of an institution that is set up to care for the vulnerable residents of the community, I would think they would welcome residents who have skilled nursing needs and other needs as well.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As one of the city’s remaining nursing homes prepares to close in April, nearly 250 beds are currently sitting empty in San Francisco’s largest public skilled nursing facility.\u003c/p>\n\u003cp>Following a multi-year scandal that \u003ca href=\"https://www.kqed.org/forum/2010101889843/laguna-honda-hospital-has-60-days-to-move-over-600-patients-before-it-shuts-down-its-only-placed-58-so-far\">nearly shuttered the more than 150-year-old facility\u003c/a>, Laguna Honda Hospital and Rehabilitation Center resumed admitting new patients last July after two years of internal reforms and working with federal officials to make good on past infractions.\u003c/p>\n\u003cp>Now, the \u003ca href=\"https://www.kqed.org/news/11952012/san-francisco-to-pay-2-2-million-settlement-to-victims-in-laguna-honda-patient-abuse-scandal\">beleaguered\u003c/a> nursing home \u003ca href=\"https://www.kqed.org/news/11991292/laguna-honda-recertified-by-medicare-in-major-milestone-for-san-francisco-hospital\">is back open for new residents\u003c/a>. However, admissions are off to a slow pace as Laguna Honda remains under the microscope of state and federal regulators despite a growing need for skilled nursing care in San Francisco and across the region.\u003c/p>\n\u003cp>“It is a well-known fact that there is a dearth of nursing home beds in San Francisco,” said Tony Chicotel, an attorney with California Advocates for Nursing Home Reform. “It’s jarring that the facility is allowed to admit residents now and still has so many open beds when we hear from people all the time in the Bay Area that there is no nursing home space for people to go to.”\u003c/p>\n\u003cp>Nursing home experts say San Francisco has a large population of low-income seniors who need round-the-clock care in their community, and \u003ca href=\"https://www.sf.gov/sites/default/files/2024-06/Skilled%20Nursing%20Transfer%20Ordinance%20-%202023%20-%20HC%20Presentation.pdf\">many people have to move out of the county\u003c/a> away from loved ones due to the region’s scant affordable nursing home options.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The need is about to get compounded as dozens of elderly residents at St. Anne’s Home on Lake Street near the Presidio \u003ca href=\"https://sfstandard.com/2025/01/09/st-annes-home-little-sisters-poor-to-close-sf/\">will need to find new housing before the facility closes on April 8\u003c/a> due to staffing shortages.\u003c/p>\n\u003cp>Laguna Honda is working with St. Anne’s to bring over residents who are about to lose their homes and has offered beds to past residents who were discharged during Laguna Honda’s recertification process.\u003c/p>\n\u003cp>“I know this is a challenging time, and you have my commitment that the city will support you in this transition,” Mayor Daniel Lurie said at a recent Board of Supervisors meeting, addressing the closure of St. Anne’s. “We must have a broader strategy for seniors to live safely and actively engaged in their community.”\u003c/p>\n\u003cp>There are currently 435 residents at Laguna Honda, compared with the hospital’s licensed bed capacity of 649. The hospital previously had a capacity for nearly 800 residents. However, federal regulation changes after the pandemic required rooms to have no more than three residents, stripping the hospital of 120 beds. Officials at Laguna Honda said they are trying to recertify the 120 beds to bring capacity back up.\u003c/p>\n\u003cp>Laguna Honda has welcomed a total of 78 new residents out of 179 referrals since resuming admissions on July 31, 2024, according to San Francisco’s Department of Public Health.\u003c/p>\n\u003cp>The majority of denials were due to patients deemed to have “behavioral health needs too complex” for a nursing home, including substance use or mental disorders. Others were due to being “too medically complex” and for needing lower levels of care than residential skilled nursing, according to a \u003ca href=\"https://media.api.sf.gov/documents/02032025_LHH_JCC_Exec_Report_Presentation.pdf\">report\u003c/a> shared at the Health Commission meeting on February 3.\u003c/p>\n\u003cp>However, Laguna Honda officials say they are actively welcoming new residents and that there is no waitlist for those who meet its criteria, with a goal to fill the remaining beds by December 2025.\u003c/p>\n\u003cp>“We are admitting anybody who meets the criteria to be in a skilled nursing facility, and we are ramping up admissions,” Laguna Honda CEO Diltar Sidhu told KQED. “Laguna Honda is back.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>New patients at Laguna Honda must meet industry-standard nursing home criteria, including being a resident of San Francisco whose primary diagnosis is a medical condition — not psychiatric — who requires nursing facility care, physical or cognitive impairment requiring higher attention than a lower-level board and care facility, or daily rehabilitation.\u003c/p>\n\u003cp>However, after several years of intense oversight, Laguna Honda is taking caution as it moves forward. Officials must walk a fine line to remain in good standing with regulators while responding to the community’s needs in a timely manner. Bringing on new patients is also necessary to receive federal dollars for patients, especially as the city faces a nearly $800 million budget shortfall.\u003c/p>\n\u003cp>“With every bed that sits empty, that’s also reimbursement we aren’t getting, so it’s also a financial issue during a tough budget season,” said Supervisor Myrna Melgar, whose district encompasses Laguna Honda. “I’m hoping the pace of admissions is at least maintained.”\u003c/p>\n\u003cp>Laguna Honda was already under intense scrutiny following a \u003ca href=\"https://www.kqed.org/news/11782161/newly-uncovered-cases-of-patient-abuse-at-laguna-honda-bring-incident-count-to-130\">massive abuse case\u003c/a> affecting nearly 130 patients from 2016 to 2019. Then, in 2022, after two nonfatal overdoses took place at Laguna Honda, the hospital failed to pass a series of inspections and \u003ca href=\"https://www.kqed.org/news/11958392/medi-cal-reinstates-laguna-honda-in-major-win-for-the-states-largest-public-nursing-home\">lost its standing with Medicare and Medi-Cal\u003c/a>, which covers the vast majority of patients at Laguna Honda.\u003c/p>\n\u003cp>“They have to be very careful about people who have behavioral problems,” said Teresa Palmer, a retired physician at Laguna Honda and nursing home advocate. “In a traditional nursing home with frail elders, you need to protect them.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A lawsuit against the hospital \u003ca href=\"https://www.kqed.org/news/11920121/sf-officials-outraged-over-laguna-honda-patient-deaths-following-federally-mandated-transfers\">over deaths and poorly managed discharges\u003c/a> during the recertification process is still active.\u003c/p>\n\u003cp>“The number one issue was that we were admitting dual-diagnosed patients and running Laguna Honda like a hospital instead of a nursing home, which is the license we have,” Melgar said. “So that got us into trouble in the first place. They dinged us.”\u003c/p>\n\u003cp>The empty beds sit at Laguna Honda as Lurie has vowed to open up more treatment facilities and various types of behavioral health and emergency shelter beds. But those efforts are separate from the skilled nursing beds available at Laguna Honda specifically for “traditional” nursing home patients — such as elderly people with chronic illness, dementia and other acute medical or rehabilitation needs.\u003c/p>\n\u003cp>Still, these are not mutually exclusive populations in need of round-the-clock care. Seniors make up the fastest-growing portion of the homeless population, and substance use disorder exists across age groups and other demographics.\u003c/p>\n\u003cp>People who primarily need medical skilled nursing care but also have behavioral or mental health challenges can be admitted, officials said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“From the perspective of maintaining the federal certification and not creating any waves that could cause more regulatory scrutiny, it would be smart to admit a more traditional nursing home resident,” Chicotel said. “But from the perspective of an institution that is set up to care for the vulnerable residents of the community, I would think they would welcome residents who have skilled nursing needs and other needs as well.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Laguna Honda Recertified by Medicare in Major Milestone for San Francisco Hospital",
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"content": "\u003cp>More than two years after it was threatened with closure, San Francisco’s storied Laguna Honda Hospital has achieved the last step needed toward securing its future, city officials announced Thursday. Federal officials have approved the 156-year-old public nursing facility for Medicare recertification, the San Francisco Department of Public Health said in a statement.\u003c/p>\n\u003cp>Laguna Honda, the largest public nursing facility in the state, is home to nearly 500 medically fragile residents with needs ranging from stroke rehabilitation to dementia treatment and mental health care.\u003c/p>\n\u003cp>The hospital’s Medicare recertification represents full restoration of funding for the facility, which relies on California’s Medi-Cal program for 95% of its funding and on Medicare for the remainder. Medi-Cal \u003ca href=\"https://www.kqed.org/news/11958392/medi-cal-reinstates-laguna-honda-in-major-win-for-the-states-largest-public-nursing-home\">fully restored its funding for the facility last August\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I am grateful for the relief this brings to our current residents and their families, who have made clear that Laguna Honda is where they want to receive care,” Mayor London Breed said in a statement. “Laguna Honda embodies our city’s values and what makes San Francisco special.”\u003c/p>\n\u003cp>In April of 2022, federal regulators at the Centers for Medicare & Medicaid Services (CMS) decertified Laguna Honda after finding numerous health and safety issues across multiple inspection surveys, which were triggered after the hospital self-reported two nonfatal overdoses on-site.\u003c/p>\n\u003cp>Federal officials gave Laguna Honda just four months to close down, which triggered \u003ca href=\"https://www.kqed.org/news/11920121/sf-officials-outraged-over-laguna-honda-patient-deaths-following-federally-mandated-transfers\">chaotic discharges and transfers of medically fragile patients, some of whom died shortly after transfer\u003c/a>. The transfers were paused after outcry from city officials. Over the next year, Laguna Honda took steps to rectify deficiencies related to medication storage, hygiene control and other issues — a recertification plan with nearly 1,000 action items, according to city health officials. The hospital \u003ca href=\"https://www.kqed.org/news/11958159/sfs-laguna-honda-hospital-reapplies-for-medicaid-amid-closure-crisis\">applied to be recertified in August 2023\u003c/a>.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11958392,news_11960974,news_11958159\"]“I could not be prouder of Laguna Honda staff,” SFDPH Director Grant Colfax said in the statement. “For more than 24 months, they have worked under immense pressure to transform Laguna Honda into a top skilled nursing facility, making clear to our regulators that we can meet and will continue to meet high standards of care.”\u003c/p>\n\u003cp>Laguna Honda’s Medicare recertification was also celebrated by Speaker Emerita Nancy Pelosi, who pointed to the hospital’s long history of providing care to the city’s vulnerable lower-income residents.\u003c/p>\n\u003cp>“Laguna Honda has long been a pillar of the health and well-being for generations of San Francisco families,” Pelosi said in a statement. “The full recertification by the Centers for Medicare and Medicaid Services will ensure Laguna Honda continues to provide life-saving care for patients with critical and complex medical and behavioral health conditions, regardless of their financial means.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>More than two years after it was threatened with closure, San Francisco’s storied Laguna Honda Hospital has achieved the last step needed toward securing its future, city officials announced Thursday. Federal officials have approved the 156-year-old public nursing facility for Medicare recertification, the San Francisco Department of Public Health said in a statement.\u003c/p>\n\u003cp>Laguna Honda, the largest public nursing facility in the state, is home to nearly 500 medically fragile residents with needs ranging from stroke rehabilitation to dementia treatment and mental health care.\u003c/p>\n\u003cp>The hospital’s Medicare recertification represents full restoration of funding for the facility, which relies on California’s Medi-Cal program for 95% of its funding and on Medicare for the remainder. Medi-Cal \u003ca href=\"https://www.kqed.org/news/11958392/medi-cal-reinstates-laguna-honda-in-major-win-for-the-states-largest-public-nursing-home\">fully restored its funding for the facility last August\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I am grateful for the relief this brings to our current residents and their families, who have made clear that Laguna Honda is where they want to receive care,” Mayor London Breed said in a statement. “Laguna Honda embodies our city’s values and what makes San Francisco special.”\u003c/p>\n\u003cp>In April of 2022, federal regulators at the Centers for Medicare & Medicaid Services (CMS) decertified Laguna Honda after finding numerous health and safety issues across multiple inspection surveys, which were triggered after the hospital self-reported two nonfatal overdoses on-site.\u003c/p>\n\u003cp>Federal officials gave Laguna Honda just four months to close down, which triggered \u003ca href=\"https://www.kqed.org/news/11920121/sf-officials-outraged-over-laguna-honda-patient-deaths-following-federally-mandated-transfers\">chaotic discharges and transfers of medically fragile patients, some of whom died shortly after transfer\u003c/a>. The transfers were paused after outcry from city officials. Over the next year, Laguna Honda took steps to rectify deficiencies related to medication storage, hygiene control and other issues — a recertification plan with nearly 1,000 action items, according to city health officials. The hospital \u003ca href=\"https://www.kqed.org/news/11958159/sfs-laguna-honda-hospital-reapplies-for-medicaid-amid-closure-crisis\">applied to be recertified in August 2023\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I could not be prouder of Laguna Honda staff,” SFDPH Director Grant Colfax said in the statement. “For more than 24 months, they have worked under immense pressure to transform Laguna Honda into a top skilled nursing facility, making clear to our regulators that we can meet and will continue to meet high standards of care.”\u003c/p>\n\u003cp>Laguna Honda’s Medicare recertification was also celebrated by Speaker Emerita Nancy Pelosi, who pointed to the hospital’s long history of providing care to the city’s vulnerable lower-income residents.\u003c/p>\n\u003cp>“Laguna Honda has long been a pillar of the health and well-being for generations of San Francisco families,” Pelosi said in a statement. “The full recertification by the Centers for Medicare and Medicaid Services will ensure Laguna Honda continues to provide life-saving care for patients with critical and complex medical and behavioral health conditions, regardless of their financial means.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "SF Close to Reaching Goal of 400 New Residential Treatment Beds, but Major Obstacles to Care Remain",
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"headTitle": "SF Close to Reaching Goal of 400 New Residential Treatment Beds, but Major Obstacles to Care Remain | KQED",
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"content": "\u003cp>San Francisco is closing in on its goal to add 400 new residential treatment beds for people suffering from mental illness and substance-use disorders.\u003c/p>\n\u003cp>Despite ongoing staffing issues at many care facilities, the city is just 44 beds shy of reaching the\u003ca href=\"https://www.sfdph.org/dph/files/MHR/SFDPH_Behavioral_Health_Bed_Optimization_Report_FINAL.pdf\"> expansion goal that its Department of Public Health set in 2021\u003c/a>, and now has a total of nearly 2,600 beds, health officials told members of the Board of Supervisors Budget and Finance Committee on Wednesday.\u003c/p>\n\u003cp>“While there are gaps depending on staffing, overall, there is an increase in residential care,” said Hillary Kunins, San Francisco’s director of behavioral health services.\u003c/p>\n\u003cp>But some supervisors said they were fed up with what they called uneven progress in meeting the city’s dire need for more affordable live-in treatment programs, and argued the city still lacked a comprehensive data collection system for tracking how many people actually use the beds.\u003c/p>\n\u003cp>“Are we making progress? Are we falling behind? Are we running in place?” Supervisor Rafael Mandelman said at the hearing. “Based on the way we are tracking these numbers, I don’t know whether we have more San Franciscans getting that level of care today than we did five years ago.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The city has new tools, \u003ca href=\"https://www.kqed.org/news/11963122/californias-care-court-program-starts-amid-concerns-over-effectiveness\">like Care Court\u003c/a>, to place people under mandated treatment, he added, but “we have that basic problem of not having places for people to get care.”\u003c/p>\n\u003cp>The majority of the city’s treatment beds (1,861) are used in programs focused on mental health, with roughly 700 other beds reserved for substance-use disorder treatment, \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12694517&GUID=5CFC2D44-69D9-4F39-AC19-823BF447515F\">according to the city’s Department of Public Health\u003c/a>. Those entering and exiting residential care programs can now also receive support from the department’s \u003ca href=\"https://www.sfchronicle.com/sf/article/Will-new-S-F-program-catch-people-with-addiction-17154742.php\">Office of Coordinated Care\u003c/a>, which opened its doors in 2022.\u003c/p>\n\u003cp>That current total number of beds marks a 20% increase from the city’s baseline bed count in 2020. And more treatment programs are slated to come online this year, including an 18-bed facility for people with co-occurring mental health and substance-use disorders and a 10-bed center for younger adults, health officials said.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"mental-health-treatment\"]But a significant number of those beds often remain unfilled, despite high demand, due in large part to ongoing citywide staffing shortages. In the first half of the current fiscal year, staffing challenges reduced the behavioral health system’s capacity by up to 20%, said Kunins, the behavioral health services director.\u003c/p>\n\u003cp>“Behavioral health workforce retention and recruitment are significant challenges,” she told supervisors at Wednesday’s hearing.\u003c/p>\n\u003cp>The hearing comes as San Francisco continues to face a converging crisis around overdose deaths, mental illness and homelessness. At the same time, many of the city’s private home board-and-care facilities have closed down in recent years, putting more pressure on the public system to provide residential care, particularly for seniors and adults with disabilities.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11939793/were-down-to-the-wire-again-feds-to-decide-this-week-if-laguna-honda-must-resume-patient-transfers\">Laguna Honda Hospital\u003c/a>, one of the city’s largest skilled nursing facilities, has also not admitted a new patient for nearly two years after federal regulators decertified the facility in 2022. The hospital typically serves lower-income, older residents but also provides various mental and behavioral health services.\u003c/p>\n\u003cp>Supervisor Myrna Melgar, whose district includes Laguna Honda, said there needs to be greater statewide investment into residential treatment.\u003c/p>\n\u003cp>“There is a need for beds in California, not just San Francisco. Why don’t we treat this like infrastructure?” she said. “The way we are counting the need is wack.”\u003c/p>\n\u003cp>Barriers to treatment also go beyond just the number of beds available, said Tanya Mara, who works with the city’s jail health services. She told supervisors it took three weeks to get one client into treatment because of a legal backlog.\u003c/p>\n\u003cp>“She had failed to appear in court in Alameda, but because of our close relationships with county behavioral health, we got them on the phone and got that warrant lifted so we could place her,” Mara said. “It’s frustrating and requires skilled, fiery social workers who will keep pushing all of these systems.”\u003c/p>\n\u003cp>Adam Francis, senior director for policy and advocacy at San Francisco Marin Medical Society, noted that while the bed data is imperfect, it helps get the city closer to addressing its mental health and addiction crisis.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“These are real human lives we are talking about. Not just beds,” he said during public comment. “These are mothers and sons and brothers. When they fall through the cracks, it’s devastating.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco is closing in on its goal to add 400 new residential treatment beds for people suffering from mental illness and substance-use disorders.\u003c/p>\n\u003cp>Despite ongoing staffing issues at many care facilities, the city is just 44 beds shy of reaching the\u003ca href=\"https://www.sfdph.org/dph/files/MHR/SFDPH_Behavioral_Health_Bed_Optimization_Report_FINAL.pdf\"> expansion goal that its Department of Public Health set in 2021\u003c/a>, and now has a total of nearly 2,600 beds, health officials told members of the Board of Supervisors Budget and Finance Committee on Wednesday.\u003c/p>\n\u003cp>“While there are gaps depending on staffing, overall, there is an increase in residential care,” said Hillary Kunins, San Francisco’s director of behavioral health services.\u003c/p>\n\u003cp>But some supervisors said they were fed up with what they called uneven progress in meeting the city’s dire need for more affordable live-in treatment programs, and argued the city still lacked a comprehensive data collection system for tracking how many people actually use the beds.\u003c/p>\n\u003cp>“Are we making progress? Are we falling behind? Are we running in place?” Supervisor Rafael Mandelman said at the hearing. “Based on the way we are tracking these numbers, I don’t know whether we have more San Franciscans getting that level of care today than we did five years ago.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The city has new tools, \u003ca href=\"https://www.kqed.org/news/11963122/californias-care-court-program-starts-amid-concerns-over-effectiveness\">like Care Court\u003c/a>, to place people under mandated treatment, he added, but “we have that basic problem of not having places for people to get care.”\u003c/p>\n\u003cp>The majority of the city’s treatment beds (1,861) are used in programs focused on mental health, with roughly 700 other beds reserved for substance-use disorder treatment, \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12694517&GUID=5CFC2D44-69D9-4F39-AC19-823BF447515F\">according to the city’s Department of Public Health\u003c/a>. Those entering and exiting residential care programs can now also receive support from the department’s \u003ca href=\"https://www.sfchronicle.com/sf/article/Will-new-S-F-program-catch-people-with-addiction-17154742.php\">Office of Coordinated Care\u003c/a>, which opened its doors in 2022.\u003c/p>\n\u003cp>That current total number of beds marks a 20% increase from the city’s baseline bed count in 2020. And more treatment programs are slated to come online this year, including an 18-bed facility for people with co-occurring mental health and substance-use disorders and a 10-bed center for younger adults, health officials said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But a significant number of those beds often remain unfilled, despite high demand, due in large part to ongoing citywide staffing shortages. In the first half of the current fiscal year, staffing challenges reduced the behavioral health system’s capacity by up to 20%, said Kunins, the behavioral health services director.\u003c/p>\n\u003cp>“Behavioral health workforce retention and recruitment are significant challenges,” she told supervisors at Wednesday’s hearing.\u003c/p>\n\u003cp>The hearing comes as San Francisco continues to face a converging crisis around overdose deaths, mental illness and homelessness. At the same time, many of the city’s private home board-and-care facilities have closed down in recent years, putting more pressure on the public system to provide residential care, particularly for seniors and adults with disabilities.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11939793/were-down-to-the-wire-again-feds-to-decide-this-week-if-laguna-honda-must-resume-patient-transfers\">Laguna Honda Hospital\u003c/a>, one of the city’s largest skilled nursing facilities, has also not admitted a new patient for nearly two years after federal regulators decertified the facility in 2022. The hospital typically serves lower-income, older residents but also provides various mental and behavioral health services.\u003c/p>\n\u003cp>Supervisor Myrna Melgar, whose district includes Laguna Honda, said there needs to be greater statewide investment into residential treatment.\u003c/p>\n\u003cp>“There is a need for beds in California, not just San Francisco. Why don’t we treat this like infrastructure?” she said. “The way we are counting the need is wack.”\u003c/p>\n\u003cp>Barriers to treatment also go beyond just the number of beds available, said Tanya Mara, who works with the city’s jail health services. She told supervisors it took three weeks to get one client into treatment because of a legal backlog.\u003c/p>\n\u003cp>“She had failed to appear in court in Alameda, but because of our close relationships with county behavioral health, we got them on the phone and got that warrant lifted so we could place her,” Mara said. “It’s frustrating and requires skilled, fiery social workers who will keep pushing all of these systems.”\u003c/p>\n\u003cp>Adam Francis, senior director for policy and advocacy at San Francisco Marin Medical Society, noted that while the bed data is imperfect, it helps get the city closer to addressing its mental health and addiction crisis.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“These are real human lives we are talking about. Not just beds,” he said during public comment. “These are mothers and sons and brothers. When they fall through the cracks, it’s devastating.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Laguna Honda Hospital Needs $28.4 Million in Emergency Repairs",
"headTitle": "Laguna Honda Hospital Needs $28.4 Million in Emergency Repairs | KQED",
"content": "\u003cp>Laguna Honda Hospital and Rehabilitation Center needs millions of dollars in \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12265858&GUID=8E551256-66BD-4EAA-B413-BEF705C4E91F\">repair work\u003c/a> as the nearly 187-year-old public nursing facility continues to seek good standing with federal regulators.\u003c/p>\n\u003cp>The San Francisco Board of Supervisors on Tuesday \u003ca href=\"https://sfgov.legistar.com/LegislationDetail.aspx?ID=6289513&GUID=436B0AF8-B6FC-4ABE-9F75-5079A8253F50\">voted to authorize\u003c/a> the city to spend up to $28.4 million on emergency renovations that officials say are integral to coming into compliance with Medicare.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Roland Pickens, director and chief executive, San Francisco Health Network\"]‘As we did with the Medicaid survey, our goal is to demonstrate that we meet their high standards of resident care and safety and should be allowed reentry into the Medicare program.’[/pullquote]The request for the emergency repairs funds comes about a month after \u003ca href=\"https://www.kqed.org/news/11958392/medi-cal-reinstates-laguna-honda-in-major-win-for-the-states-largest-public-nursing-home\">California’s Medi-Cal program fully restored funding to Laguna Honda Hospital\u003c/a>, and nearly two years since federal regulators decertified the hospital for multiple safety violations in 2022.\u003c/p>\n\u003cp>“The great progress we made and the Medicaid certification gave us a boost of confidence that we will be successful for the Medicare survey,” said Roland Pickens, director and chief executive of the San Francisco Health Network at a Health Commission hearing on Tuesday.\u003c/p>\n\u003cp>The vast majority of residents, many of whom are on extremely low and fixed incomes, rely on subsidized health care plans like Medi-Cal, which provides about $200 million in annual funding to Laguna Honda.\u003c/p>\n\u003cp>On Aug. 23, Laguna Honda officials submitted the hospital’s application to rejoin Medicare, Pickens said. Approval from Medicare is crucial to resuming admissions to the hospital, which have been on hold since regulators decertified it two years ago. That’s because most patients are enrolled in Medicare upon admission to the facility, Pickens said, and they later transition to the state-subsidized Medi-Cal program. If the hospital can’t accept Medicare patients, Pickens said, many people that the hospital seeks to serve would no longer meet admissions criteria.[aside postID=\"news_11958159,news_11958392,news_11952012\" label=\"Related Stories\"]Next, federal regulators with the Centers for Medicare & Medicaid Services will inspect the hospital, which could come at any time and without notice.\u003c/p>\n\u003cp>As part of that inspection, regulators will be looking for potential hazards and improvements to previously identified areas of concern, like medication storage and basic hygiene.\u003c/p>\n\u003cp>Several other repairs and renovations are in order, according to funding requests made and approved at the Board of Supervisors on Tuesday. The list of projects includes fixing HVAC system deficiencies and leaky fuel lines, and replacing items like an old X-Ray, kitchen freezer, water tank, kitchen floors and a backup power generator.\u003c/p>\n\u003cp>Several of the deficient conditions were identified before the recertification process began, city documents show. However, the Department of Public Health \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12267304&GUID=9C8EE5BB-0A88-4A43-8DEE-E11E7C40FD8B\">noted in a report to the city’s Budget and Finance Committee\u003c/a> that they considered “their completion to be an emergency because they are critical to receiving and maintaining Medicaid & Medicare certification and funding.”\u003c/p>\n\u003cp>The Department of Public Health outlined some of the repair needs in \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12250384&GUID=BA7F60D9-17D0-4F83-AF29-9E2BE6C767C8\">a letter to Public Works back in May\u003c/a>.\u003c/p>\n\u003cp>“As we did with the Medicaid survey, our goal is to demonstrate that we meet their high standards of resident care and safety and should be allowed reentry into the Medicare program,” Pickens said.\u003c/p>\n\u003cp>In 2022, the Centers for Medicare & Medicaid services ordered the hospital to move patients out. Out of 57 people who were transferred or discharged during that process, 12 died shortly after their relocations. City Attorney David Chiu then led \u003ca href=\"https://www.kqed.org/news/11921717/san-francisco-sues-feds-over-forced-closure-of-laguna-honda-hospital\">a lawsuit against the federal government\u003c/a>, and \u003ca href=\"https://www.kqed.org/news/11920121/sf-officials-outraged-over-laguna-honda-patient-deaths-following-federally-mandated-transfers\">the relocation program was paused\u003c/a> as part of their settlement agreement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Hospital officials said they are no longer preparing for forced transfers to resume on Sept. 19, now that Laguna Honda is certified with Medi-Cal.\u003c/p>\n\u003cp>“We have no indication that anyone is expecting us to resume transfers on the 19th, nor are we making preparations,” Pickens said.\u003c/p>\n\u003cp>Only after Laguna Honda is readmitted back into Medicare will it resume admissions for new residents again, hospital officials said Tuesday. Laguna Honda is licensed for more than 700 residents but the total number of patients living there has dropped to nearly 500 while admissions have been frozen.\u003c/p>\n\u003cp>The hospital is rapidly trying to hire up in a few key areas before it can welcome new patients, too. Roles that need to be filled include nurses, food service workers and activity therapists.\u003c/p>\n\u003cp>Patients who were transferred after the hospital was decertified will receive preference to come back, if they still require skilled nursing and wish to return, Pickens said Tuesday.\u003c/p>\n\u003cp>At the meeting on Tuesday, several community members expressed concern and frustration with the slow process and how many San Francisco residents have had to go out of county for skilled nursing in the meantime.\u003c/p>\n\u003cp>“People are suffering having to go out of the county for hospitals,” said Teresa Palmer, a former physician at Laguna Honda Hospital and organizer with the advocacy group the Gray Panthers. “This is really a dangerous situation.”\u003c/p>\n\u003cp>It’s also unclear if the hospital will reopen all of its 700-plus beds after it does regain certification with Medicare.\u003c/p>\n\u003cp>Due to a change in federal regulations around room and board at nursing facilities meant to improve personal space and safety, Laguna Honda had to take about 120 of its beds that were in triple rooms offline.\u003c/p>\n\u003cp>The hospital must apply for a waiver in order to retain those beds, but Pickens said they won’t apply for that waiver until after the hospital meets Medicare standards.\u003c/p>\n\u003cp>“We recognize the importance of Laguna Honda in San Francisco,” Pickens said. “We take our responsibility to be open to admissions very seriously and are committed to doing so as soon as possible.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Laguna Honda Hospital and Rehabilitation Center needs millions of dollars in \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12265858&GUID=8E551256-66BD-4EAA-B413-BEF705C4E91F\">repair work\u003c/a> as the nearly 187-year-old public nursing facility continues to seek good standing with federal regulators.\u003c/p>\n\u003cp>The San Francisco Board of Supervisors on Tuesday \u003ca href=\"https://sfgov.legistar.com/LegislationDetail.aspx?ID=6289513&GUID=436B0AF8-B6FC-4ABE-9F75-5079A8253F50\">voted to authorize\u003c/a> the city to spend up to $28.4 million on emergency renovations that officials say are integral to coming into compliance with Medicare.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘As we did with the Medicaid survey, our goal is to demonstrate that we meet their high standards of resident care and safety and should be allowed reentry into the Medicare program.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The request for the emergency repairs funds comes about a month after \u003ca href=\"https://www.kqed.org/news/11958392/medi-cal-reinstates-laguna-honda-in-major-win-for-the-states-largest-public-nursing-home\">California’s Medi-Cal program fully restored funding to Laguna Honda Hospital\u003c/a>, and nearly two years since federal regulators decertified the hospital for multiple safety violations in 2022.\u003c/p>\n\u003cp>“The great progress we made and the Medicaid certification gave us a boost of confidence that we will be successful for the Medicare survey,” said Roland Pickens, director and chief executive of the San Francisco Health Network at a Health Commission hearing on Tuesday.\u003c/p>\n\u003cp>The vast majority of residents, many of whom are on extremely low and fixed incomes, rely on subsidized health care plans like Medi-Cal, which provides about $200 million in annual funding to Laguna Honda.\u003c/p>\n\u003cp>On Aug. 23, Laguna Honda officials submitted the hospital’s application to rejoin Medicare, Pickens said. Approval from Medicare is crucial to resuming admissions to the hospital, which have been on hold since regulators decertified it two years ago. That’s because most patients are enrolled in Medicare upon admission to the facility, Pickens said, and they later transition to the state-subsidized Medi-Cal program. If the hospital can’t accept Medicare patients, Pickens said, many people that the hospital seeks to serve would no longer meet admissions criteria.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Next, federal regulators with the Centers for Medicare & Medicaid Services will inspect the hospital, which could come at any time and without notice.\u003c/p>\n\u003cp>As part of that inspection, regulators will be looking for potential hazards and improvements to previously identified areas of concern, like medication storage and basic hygiene.\u003c/p>\n\u003cp>Several other repairs and renovations are in order, according to funding requests made and approved at the Board of Supervisors on Tuesday. The list of projects includes fixing HVAC system deficiencies and leaky fuel lines, and replacing items like an old X-Ray, kitchen freezer, water tank, kitchen floors and a backup power generator.\u003c/p>\n\u003cp>Several of the deficient conditions were identified before the recertification process began, city documents show. However, the Department of Public Health \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12267304&GUID=9C8EE5BB-0A88-4A43-8DEE-E11E7C40FD8B\">noted in a report to the city’s Budget and Finance Committee\u003c/a> that they considered “their completion to be an emergency because they are critical to receiving and maintaining Medicaid & Medicare certification and funding.”\u003c/p>\n\u003cp>The Department of Public Health outlined some of the repair needs in \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12250384&GUID=BA7F60D9-17D0-4F83-AF29-9E2BE6C767C8\">a letter to Public Works back in May\u003c/a>.\u003c/p>\n\u003cp>“As we did with the Medicaid survey, our goal is to demonstrate that we meet their high standards of resident care and safety and should be allowed reentry into the Medicare program,” Pickens said.\u003c/p>\n\u003cp>In 2022, the Centers for Medicare & Medicaid services ordered the hospital to move patients out. Out of 57 people who were transferred or discharged during that process, 12 died shortly after their relocations. City Attorney David Chiu then led \u003ca href=\"https://www.kqed.org/news/11921717/san-francisco-sues-feds-over-forced-closure-of-laguna-honda-hospital\">a lawsuit against the federal government\u003c/a>, and \u003ca href=\"https://www.kqed.org/news/11920121/sf-officials-outraged-over-laguna-honda-patient-deaths-following-federally-mandated-transfers\">the relocation program was paused\u003c/a> as part of their settlement agreement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Hospital officials said they are no longer preparing for forced transfers to resume on Sept. 19, now that Laguna Honda is certified with Medi-Cal.\u003c/p>\n\u003cp>“We have no indication that anyone is expecting us to resume transfers on the 19th, nor are we making preparations,” Pickens said.\u003c/p>\n\u003cp>Only after Laguna Honda is readmitted back into Medicare will it resume admissions for new residents again, hospital officials said Tuesday. Laguna Honda is licensed for more than 700 residents but the total number of patients living there has dropped to nearly 500 while admissions have been frozen.\u003c/p>\n\u003cp>The hospital is rapidly trying to hire up in a few key areas before it can welcome new patients, too. Roles that need to be filled include nurses, food service workers and activity therapists.\u003c/p>\n\u003cp>Patients who were transferred after the hospital was decertified will receive preference to come back, if they still require skilled nursing and wish to return, Pickens said Tuesday.\u003c/p>\n\u003cp>At the meeting on Tuesday, several community members expressed concern and frustration with the slow process and how many San Francisco residents have had to go out of county for skilled nursing in the meantime.\u003c/p>\n\u003cp>“People are suffering having to go out of the county for hospitals,” said Teresa Palmer, a former physician at Laguna Honda Hospital and organizer with the advocacy group the Gray Panthers. “This is really a dangerous situation.”\u003c/p>\n\u003cp>It’s also unclear if the hospital will reopen all of its 700-plus beds after it does regain certification with Medicare.\u003c/p>\n\u003cp>Due to a change in federal regulations around room and board at nursing facilities meant to improve personal space and safety, Laguna Honda had to take about 120 of its beds that were in triple rooms offline.\u003c/p>\n\u003cp>The hospital must apply for a waiver in order to retain those beds, but Pickens said they won’t apply for that waiver until after the hospital meets Medicare standards.\u003c/p>\n\u003cp>“We recognize the importance of Laguna Honda in San Francisco,” Pickens said. “We take our responsibility to be open to admissions very seriously and are committed to doing so as soon as possible.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>California’s Medi-Cal program has \u003ca href=\"https://www.kqed.org/news/11958159/sfs-laguna-honda-hospital-reapplies-for-medicaid-amid-closure-crisis\">fully restored funding to San Francisco’s Laguna Honda Hospital\u003c/a> more than a year after the public nursing facility was threatened with closure, a major reprieve and victory for the 156-year-old nursing home.\u003c/p>\n\u003cp>The state approved the hospital’s application to rejoin Medi-Cal just five days after it was submitted, giving residents and officials a sigh of relief after nearly two years of uncertainty. Federal and state regulators decertified Laguna Honda from Medi-Cal and Medicare in 2022.[aside label=\"Related Stories\" tag=\"laguna-honda-hospital\"]“With this funding secure, Laguna Honda is here to stay,” San Francisco Director of Public Health Grant Colfax said at a press announcement Wednesday. “This represents a new beginning for Laguna Honda. Going forward, Laguna Honda will be the exemplary model of the new, modern skilled nursing facility.”\u003c/p>\n\u003cp>Laguna Honda is the largest public nursing facility in the state and is home to nearly 500 medically fragile residents with needs ranging from stroke rehabilitation to dementia treatment and mental health care. In 2022, federal regulators at the Centers for Medicare & Medicaid Services decertified Laguna Honda after finding numerous health and safety shortcomings across multiple inspection surveys, which were triggered after the hospital self-reported two non-fatal overdoses on-site.\u003c/p>\n\u003cp>Medi-Cal covers about 95% of residents at the facility, making the state’s health-care program a crucial financial lifeline.\u003c/p>\n\u003cp>Acceptance back into Medi-Cal means that the $200 million the hospital relies on annually to cover its majority lower-income residents will continue to flow, soothing fears of a shutdown. A legal settlement in 2022, in the meantime, extended the funding while the hospital worked to address deficiencies cited by regulators.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Reinstatement also clears the hospital from having to relocate patients because of its decertified status. The Centers for Medicare & Medicaid services ordered the hospital to move patients out, but out of 57 people who were transferred or discharged during that process, 12 died shortly after their relocations. City Attorney David Chiu then led a \u003ca href=\"https://www.kqed.org/news/11921717/san-francisco-sues-feds-over-forced-closure-of-laguna-honda-hospital\">lawsuit against the federal government\u003c/a>, and \u003ca href=\"https://www.kqed.org/news/11920121/sf-officials-outraged-over-laguna-honda-patient-deaths-following-federally-mandated-transfers\">the relocation program was paused\u003c/a> as part of their settlement agreement.\u003c/p>\n\u003cp>The hospital previously had until Sept. 19 to resume transfers. Laguna Honda still needs to apply to be reinstated into the federal Medicare program.[pullquote size='medium' align='right' citation=\"San Francisco Mayor London Breed\"]‘When the decertification threats came to us, we knew we had no other choice than to come together and make hard choices and fight for Laguna Honda. And fight we did.’[/pullquote]“For the people who work at Laguna Honda, this is not just about their jobs, this is about their patients,” said Mayor London Breed, whose grandmother lived at Laguna Honda. “When the decertification threats came to us, we knew we had no other choice than to come together and make hard choices and fight for Laguna Honda. And fight we did. And no one worked harder than the people who work here.”\u003c/p>\n\u003cp>Breed acknowledged a number of public officials who had worked to keep funding flowing and the hospital open, including former Rep. Jackie Spear, Rep. Nancy Pelosi, Supervisor Myrna Melgar and state Sen. Scott Wiener.\u003c/p>\n\u003cp>Roland Pickens, director and chief executive of the San Francisco Health Network, said that residents who were relocated and still meet the needs for skilled nursing will receive priority for returning to Laguna Honda, where some residents have lived for decades.\u003c/p>\n\u003cp>It’s not clear exactly when the hospital will begin to readmit new patients. Admissions have been paused since the facility lost its certification in 2022.\u003c/p>\n\u003cp>“It has really been a challenging time for so many people, so this is a joyous occasion,” Breed said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s Medi-Cal program has \u003ca href=\"https://www.kqed.org/news/11958159/sfs-laguna-honda-hospital-reapplies-for-medicaid-amid-closure-crisis\">fully restored funding to San Francisco’s Laguna Honda Hospital\u003c/a> more than a year after the public nursing facility was threatened with closure, a major reprieve and victory for the 156-year-old nursing home.\u003c/p>\n\u003cp>The state approved the hospital’s application to rejoin Medi-Cal just five days after it was submitted, giving residents and officials a sigh of relief after nearly two years of uncertainty. Federal and state regulators decertified Laguna Honda from Medi-Cal and Medicare in 2022.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“With this funding secure, Laguna Honda is here to stay,” San Francisco Director of Public Health Grant Colfax said at a press announcement Wednesday. “This represents a new beginning for Laguna Honda. Going forward, Laguna Honda will be the exemplary model of the new, modern skilled nursing facility.”\u003c/p>\n\u003cp>Laguna Honda is the largest public nursing facility in the state and is home to nearly 500 medically fragile residents with needs ranging from stroke rehabilitation to dementia treatment and mental health care. In 2022, federal regulators at the Centers for Medicare & Medicaid Services decertified Laguna Honda after finding numerous health and safety shortcomings across multiple inspection surveys, which were triggered after the hospital self-reported two non-fatal overdoses on-site.\u003c/p>\n\u003cp>Medi-Cal covers about 95% of residents at the facility, making the state’s health-care program a crucial financial lifeline.\u003c/p>\n\u003cp>Acceptance back into Medi-Cal means that the $200 million the hospital relies on annually to cover its majority lower-income residents will continue to flow, soothing fears of a shutdown. A legal settlement in 2022, in the meantime, extended the funding while the hospital worked to address deficiencies cited by regulators.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Reinstatement also clears the hospital from having to relocate patients because of its decertified status. The Centers for Medicare & Medicaid services ordered the hospital to move patients out, but out of 57 people who were transferred or discharged during that process, 12 died shortly after their relocations. City Attorney David Chiu then led a \u003ca href=\"https://www.kqed.org/news/11921717/san-francisco-sues-feds-over-forced-closure-of-laguna-honda-hospital\">lawsuit against the federal government\u003c/a>, and \u003ca href=\"https://www.kqed.org/news/11920121/sf-officials-outraged-over-laguna-honda-patient-deaths-following-federally-mandated-transfers\">the relocation program was paused\u003c/a> as part of their settlement agreement.\u003c/p>\n\u003cp>The hospital previously had until Sept. 19 to resume transfers. Laguna Honda still needs to apply to be reinstated into the federal Medicare program.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“For the people who work at Laguna Honda, this is not just about their jobs, this is about their patients,” said Mayor London Breed, whose grandmother lived at Laguna Honda. “When the decertification threats came to us, we knew we had no other choice than to come together and make hard choices and fight for Laguna Honda. And fight we did. And no one worked harder than the people who work here.”\u003c/p>\n\u003cp>Breed acknowledged a number of public officials who had worked to keep funding flowing and the hospital open, including former Rep. Jackie Spear, Rep. Nancy Pelosi, Supervisor Myrna Melgar and state Sen. Scott Wiener.\u003c/p>\n\u003cp>Roland Pickens, director and chief executive of the San Francisco Health Network, said that residents who were relocated and still meet the needs for skilled nursing will receive priority for returning to Laguna Honda, where some residents have lived for decades.\u003c/p>\n\u003cp>It’s not clear exactly when the hospital will begin to readmit new patients. Admissions have been paused since the facility lost its certification in 2022.\u003c/p>\n\u003cp>“It has really been a challenging time for so many people, so this is a joyous occasion,” Breed said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Laguna Honda Hospital and Rehabilitation Center has submitted its application to \u003ca href=\"https://www.kqed.org/news/11941887/health-secretary-xavier-becerra-visits-san-francisco-hospital-fighting-off-closure\">regain participation in Medicaid\u003c/a>. The government-subsidized health care plan supports 95% of patients at the hospital, but that funding was only temporarily granted while the hospital worked toward recertification with federal regulators.[pullquote size=\"medium\" align=\"right\" citation=\"Roland Pickens, interim CEO, Laguna Honda Hospital and Rehabilitation Center\"]‘This is really the culmination of all of the improvement work we have been doing over the last 18 months since the decertification happened.’[/pullquote] The move marks a turning point in the almost two-year regulatory crisis that threatened to shutter Laguna Honda, the state’s largest public nursing facility and home to nearly 500 medically fragile residents with needs ranging from stroke rehabilitation to dementia and mental health care.\u003c/p>\n\u003cp>“This is really the culmination of all of the improvement work we have been doing over the last 18 months since the decertification happened,” the hospital’s interim CEO Roland Pickens told KQED. “The most recent monitoring surveys went fairly well and gave us the confidence that we have made significant enough improvements and that we would be successful in attaining a recertification.”\u003c/p>\n\u003cp>In 2022, Laguna Honda was found out of compliance on several safety issues across multiple regulatory surveys that federal regulators administered after the hospital self-reported two nonfatal overdoses that occurred on-site.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As a result of the findings, federal regulators stripped Laguna Honda from Medicare and Medi-Cal, subsidized health care plans that cover the vast majority of residents at the facility, most of whom have extremely low or fixed incomes.\u003c/p>\n\u003cp>Centers for Medicare and Medicaid Services required the hospital to craft and implement a plan to prepare for closure, and in return, the agency would temporarily sustain funding to the hospital. That plan involved assessing and relocating as many patients as possible in 2022.\u003c/p>\n\u003cp>Of the 57 residents who were transferred or discharged during that process, 12 died shortly after their relocations. Community members and government officials, including Mayor London Breed, Rep. Nancy Pelosi, and others, publicly decried the regulators’ decision and advocated for a different response. \u003ca href=\"https://www.kqed.org/news/11921717/san-francisco-sues-feds-over-forced-closure-of-laguna-honda-hospital\">The city sued the federal government\u003c/a> following the relocation deaths, and \u003ca href=\"https://www.kqed.org/news/11920121/sf-officials-outraged-over-laguna-honda-patient-deaths-following-federally-mandated-transfers\">the transfer process was paused\u003c/a> as part of a settlement agreement.\u003c/p>\n\u003cp>Since then, Laguna Honda has taken steps to address deficiencies in areas such as medication storage and hygiene control. Regulators marked just 33 areas for improvement in a June 2023 monitoring survey to check progress, compared to the first survey that had 124 findings, according to the San Francisco Department of Public Health.\u003c/p>\n\u003cp>The California Departments of Public Health and Health Care Services will review the application next to determine what is to follow.\u003c/p>\n\u003cfigure id=\"attachment_11958178\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11958178\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg\" alt='The entryway to a hospital driveway with a sign that reads, \"Main Hospital Entrance and Residences.\"' width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A sign points to the main entrance to the Laguna Honda Hospital in San Francisco on Jan. 31, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Time is of the essence. The hospital is currently facing a deadline of Sept. 19 before the current temporary pause on involuntary transfers could resume. If relocations do resume, residents will have the right to appeal their transfer and must first be assessed for appropriate options.\u003c/p>\n\u003cp>It’s not clear exactly how long the process could take or whether the federal and state regulators could again delay the deadline. Pickens, however, said he hopes the regulatory process will be completed in time to prevent any additional involuntary transfers.\u003c/p>\n\u003cp>“I want to emphasize that applying for recertification is not the end of our work to improve our facility, but rather the beginning of a new era of excellence for Laguna Honda Hospital,” Pickens said in a letter to residents sent on Aug. 14.\u003c/p>\n\u003cp>Nursing home reform advocates and members of the Laguna Honda community welcomed the news of the reapplication. [pullquote size=\"medium\" align=\"right\" citation=\"Teresa Palmer, former physician, Laguna Honda Hospital and Rehabilitation Center\"]‘I’m thrilled they have applied. There is a lot of discipline involved and a lot of culture change involved, so this is a real relief to hear.’[/pullquote] “I’m thrilled they have applied. There is a lot of discipline involved and a lot of culture change involved, so this is a real relief to hear,” said Teresa Palmer, a former physician at Laguna Honda and organizer for the advocacy group the Gray Panthers.\u003c/p>\n\u003cp>Palmer is timid about the next steps for the hospital, which has had a troubled past, including a major abuse scandal in 2019 that was separate from the ongoing regulatory crisis.\u003c/p>\n\u003cp>“There really has been a good faith effort there [to address problems], but there has been so many years of mismanagement and a culture of retaliation of whistleblowing there for years, which was a problem and they really need to turn that around,” Palmer said.[aside label='More on California Health Care' tag='health-care'] San Francisco and many other parts of California lack enough skilled nursing beds to meet the current demand and need, and residents are often required to move out of the county to receive necessary care. The issue is even more pronounced for low-income elderly residents who rely on Medicare and Medi-Cal, typically those who can’t afford private nursing homes.\u003c/p>\n\u003cp>Pickens said that residents who were transferred to other facilities during the 2022 relocation process will receive priority to come back once the hospital can resume admitting new patients again.\u003c/p>\n\u003cp>New admissions have been on hold since the hospital was decertified. The hospital is currently licensed for over 780 beds but its current census is around 500, according to Pickens. \u003ca href=\"https://www.sfexaminer.com/lifestyles/health/laguna-honda-plans-to-cut-120-beds-amid-regulatory-turmoil/article_fa8cacd4-0229-11ed-bf2b-77b38812d44f.html#:~:text=As%20a%20regulatory%20crisis%20engulfs,and%20obtained%20by%20The%20Examiner.\">The hospital also stands to lose 120\u003c/a> of its 780 beds due to a new federal regulation that requires nursing homes like Laguna Honda to have no more than two beds per room.\u003c/p>\n\u003cp>“We want to officially be recertified into the federal programs, and once we have that recertification, we will then be pursuing getting those 120 beds back into our system,” Pickens told KQED. “We know that’s a big priority. First priority: get certified. Second priority is to get 120 beds back.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The San Francisco hospital and rehabilitation center applied to regain access to government-subsidized health care, which covers more than 95% of its residents.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Laguna Honda Hospital and Rehabilitation Center has submitted its application to \u003ca href=\"https://www.kqed.org/news/11941887/health-secretary-xavier-becerra-visits-san-francisco-hospital-fighting-off-closure\">regain participation in Medicaid\u003c/a>. The government-subsidized health care plan supports 95% of patients at the hospital, but that funding was only temporarily granted while the hospital worked toward recertification with federal regulators.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> The move marks a turning point in the almost two-year regulatory crisis that threatened to shutter Laguna Honda, the state’s largest public nursing facility and home to nearly 500 medically fragile residents with needs ranging from stroke rehabilitation to dementia and mental health care.\u003c/p>\n\u003cp>“This is really the culmination of all of the improvement work we have been doing over the last 18 months since the decertification happened,” the hospital’s interim CEO Roland Pickens told KQED. “The most recent monitoring surveys went fairly well and gave us the confidence that we have made significant enough improvements and that we would be successful in attaining a recertification.”\u003c/p>\n\u003cp>In 2022, Laguna Honda was found out of compliance on several safety issues across multiple regulatory surveys that federal regulators administered after the hospital self-reported two nonfatal overdoses that occurred on-site.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As a result of the findings, federal regulators stripped Laguna Honda from Medicare and Medi-Cal, subsidized health care plans that cover the vast majority of residents at the facility, most of whom have extremely low or fixed incomes.\u003c/p>\n\u003cp>Centers for Medicare and Medicaid Services required the hospital to craft and implement a plan to prepare for closure, and in return, the agency would temporarily sustain funding to the hospital. That plan involved assessing and relocating as many patients as possible in 2022.\u003c/p>\n\u003cp>Of the 57 residents who were transferred or discharged during that process, 12 died shortly after their relocations. Community members and government officials, including Mayor London Breed, Rep. Nancy Pelosi, and others, publicly decried the regulators’ decision and advocated for a different response. \u003ca href=\"https://www.kqed.org/news/11921717/san-francisco-sues-feds-over-forced-closure-of-laguna-honda-hospital\">The city sued the federal government\u003c/a> following the relocation deaths, and \u003ca href=\"https://www.kqed.org/news/11920121/sf-officials-outraged-over-laguna-honda-patient-deaths-following-federally-mandated-transfers\">the transfer process was paused\u003c/a> as part of a settlement agreement.\u003c/p>\n\u003cp>Since then, Laguna Honda has taken steps to address deficiencies in areas such as medication storage and hygiene control. Regulators marked just 33 areas for improvement in a June 2023 monitoring survey to check progress, compared to the first survey that had 124 findings, according to the San Francisco Department of Public Health.\u003c/p>\n\u003cp>The California Departments of Public Health and Health Care Services will review the application next to determine what is to follow.\u003c/p>\n\u003cfigure id=\"attachment_11958178\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11958178\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg\" alt='The entryway to a hospital driveway with a sign that reads, \"Main Hospital Entrance and Residences.\"' width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/08/RS62466_012_KQED_LagunaHondaHospital_01312023-qut-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">A sign points to the main entrance to the Laguna Honda Hospital in San Francisco on Jan. 31, 2023. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Time is of the essence. The hospital is currently facing a deadline of Sept. 19 before the current temporary pause on involuntary transfers could resume. If relocations do resume, residents will have the right to appeal their transfer and must first be assessed for appropriate options.\u003c/p>\n\u003cp>It’s not clear exactly how long the process could take or whether the federal and state regulators could again delay the deadline. Pickens, however, said he hopes the regulatory process will be completed in time to prevent any additional involuntary transfers.\u003c/p>\n\u003cp>“I want to emphasize that applying for recertification is not the end of our work to improve our facility, but rather the beginning of a new era of excellence for Laguna Honda Hospital,” Pickens said in a letter to residents sent on Aug. 14.\u003c/p>\n\u003cp>Nursing home reform advocates and members of the Laguna Honda community welcomed the news of the reapplication. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “I’m thrilled they have applied. There is a lot of discipline involved and a lot of culture change involved, so this is a real relief to hear,” said Teresa Palmer, a former physician at Laguna Honda and organizer for the advocacy group the Gray Panthers.\u003c/p>\n\u003cp>Palmer is timid about the next steps for the hospital, which has had a troubled past, including a major abuse scandal in 2019 that was separate from the ongoing regulatory crisis.\u003c/p>\n\u003cp>“There really has been a good faith effort there [to address problems], but there has been so many years of mismanagement and a culture of retaliation of whistleblowing there for years, which was a problem and they really need to turn that around,” Palmer said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> San Francisco and many other parts of California lack enough skilled nursing beds to meet the current demand and need, and residents are often required to move out of the county to receive necessary care. The issue is even more pronounced for low-income elderly residents who rely on Medicare and Medi-Cal, typically those who can’t afford private nursing homes.\u003c/p>\n\u003cp>Pickens said that residents who were transferred to other facilities during the 2022 relocation process will receive priority to come back once the hospital can resume admitting new patients again.\u003c/p>\n\u003cp>New admissions have been on hold since the hospital was decertified. The hospital is currently licensed for over 780 beds but its current census is around 500, according to Pickens. \u003ca href=\"https://www.sfexaminer.com/lifestyles/health/laguna-honda-plans-to-cut-120-beds-amid-regulatory-turmoil/article_fa8cacd4-0229-11ed-bf2b-77b38812d44f.html#:~:text=As%20a%20regulatory%20crisis%20engulfs,and%20obtained%20by%20The%20Examiner.\">The hospital also stands to lose 120\u003c/a> of its 780 beds due to a new federal regulation that requires nursing homes like Laguna Honda to have no more than two beds per room.\u003c/p>\n\u003cp>“We want to officially be recertified into the federal programs, and once we have that recertification, we will then be pursuing getting those 120 beds back into our system,” Pickens told KQED. “We know that’s a big priority. First priority: get certified. Second priority is to get 120 beds back.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "san-francisco-to-pay-2-2-million-settlement-to-victims-in-laguna-honda-patient-abuse-scandal",
"title": "San Francisco to Pay $2.2 Million Settlement to Victims in Laguna Honda Patient Abuse Scandal",
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"content": "\u003cp>San Francisco is poised to pay $2.2 million to settle a lawsuit over a \u003ca href=\"https://www.kqed.org/news/11782161/newly-uncovered-cases-of-patient-abuse-at-laguna-honda-bring-incident-count-to-130\">patient abuse scandal at Laguna Honda Hospital and Rehabilitation Center\u003c/a>, where a group of nurses were found to have taken nude photos of some patients and drugged and abused others between 2016 and 2019.\u003c/p>\n\u003cp>The lawsuit involved 11 older residents at the city-run hospital who were under conservatorship, in which a court-appointed family member or other individual was charged with overseeing their finances and medical care. Each of the victims will be compensated based on the extent of abuses they suffered.\u003c/p>\n\u003cp>The settlement amount was agreed to Thursday by the Board of Supervisors’ Government Audit and Oversight Committee and now heads to the full board and mayor for final approval.\u003c/p>\n\u003cp>“We believe this is an appropriate resolution given all of the circumstances,” said Jen Kwart, spokesperson for the City Attorney’s Office. “Laguna Honda Hospital is committed to providing excellent care and treating all residents with dignity.”\u003c/p>\n\u003cp>The lawsuit stems from a \u003ca href=\"https://www.documentcloud.org/documents/23831881-laguna-honda-2567-1\">2019 California Department of Public Health investigation (PDF)\u003c/a> that confirmed multiple claims of patient abuse by six former nurses at the hospital.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"laguna-honda\"]“This first settlement is really a step in the direction to try to get justice for those people who have been experiencing neglect and, in my own opinion, still experiencing neglect up at Laguna Honda,” said Kathryn Stebner, an attorney who represented the plaintiffs and is pursuing two other pending cases against the city related to abuses at the hospital.\u003c/p>\n\u003cp>“One of the women had a gag over her mouth and part of her breasts were showing,” she added. “Other people were given medications without their consent.”\u003c/p>\n\u003cp>The 2021 lawsuit was filed just months before the hospital — one of the country’s oldest and largest skilled nursing and rehabilitation centers — reported two nonfatal patient overdoses involving smuggled methamphetamine and fentanyl. That disclosure triggered a series of on-site inspections from state and federal officials, which eventually resulted in regulators decertifying the 157-year-old hospital.\u003c/p>\n\u003cp>Last year, Laguna Honda was found to still be out of compliance on a number of safety issues, \u003ca href=\"https://www.kqed.org/news/11950092/san-francisco-laguna-honda-hospital-granted-extension\">prompting federal regulators to cut Medicare and Medi-Cal funding\u003c/a>, which covers the majority of its mostly lower-income patients. The hospital was also required to draft a closure plan and begin discharging or relocating patients by September 2022.\u003c/p>\n\u003cp>But of the 57 patients who were initially transferred or discharged, 12 died shortly after being relocated. San Francisco subsequently sued the federal government, temporarily halting the transfer process.\u003c/p>\n\u003cp>Last month, \u003ca href=\"https://www.kqed.org/news/11950092/san-francisco-laguna-honda-hospital-granted-extension\">regulators again postponed the transfer deadline\u003c/a>, to Sept. 19, 2023, and have allowed subsidized Medicare and Medi-Cal payments for remaining patients at the hospital to continue through March 2024.\u003c/p>\n\u003cp>Stebner’s firm is also representing families of patients — as part of a class-action suit against the city — who died after being discharged in 2022.\u003c/p>\n\u003cp>“This is a good start,” Stebner said of the most recent settlement. But, she added, “we still have a lot of work to do.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "The lawsuit stems from a 2019 state report that found six former nurses at the hospital took nude photos of some elderly patients, and drugged and physically assaulted others. It is the first of at least three pending cases against the city related to abuses at the facility.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco is poised to pay $2.2 million to settle a lawsuit over a \u003ca href=\"https://www.kqed.org/news/11782161/newly-uncovered-cases-of-patient-abuse-at-laguna-honda-bring-incident-count-to-130\">patient abuse scandal at Laguna Honda Hospital and Rehabilitation Center\u003c/a>, where a group of nurses were found to have taken nude photos of some patients and drugged and abused others between 2016 and 2019.\u003c/p>\n\u003cp>The lawsuit involved 11 older residents at the city-run hospital who were under conservatorship, in which a court-appointed family member or other individual was charged with overseeing their finances and medical care. Each of the victims will be compensated based on the extent of abuses they suffered.\u003c/p>\n\u003cp>The settlement amount was agreed to Thursday by the Board of Supervisors’ Government Audit and Oversight Committee and now heads to the full board and mayor for final approval.\u003c/p>\n\u003cp>“We believe this is an appropriate resolution given all of the circumstances,” said Jen Kwart, spokesperson for the City Attorney’s Office. “Laguna Honda Hospital is committed to providing excellent care and treating all residents with dignity.”\u003c/p>\n\u003cp>The lawsuit stems from a \u003ca href=\"https://www.documentcloud.org/documents/23831881-laguna-honda-2567-1\">2019 California Department of Public Health investigation (PDF)\u003c/a> that confirmed multiple claims of patient abuse by six former nurses at the hospital.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This first settlement is really a step in the direction to try to get justice for those people who have been experiencing neglect and, in my own opinion, still experiencing neglect up at Laguna Honda,” said Kathryn Stebner, an attorney who represented the plaintiffs and is pursuing two other pending cases against the city related to abuses at the hospital.\u003c/p>\n\u003cp>“One of the women had a gag over her mouth and part of her breasts were showing,” she added. “Other people were given medications without their consent.”\u003c/p>\n\u003cp>The 2021 lawsuit was filed just months before the hospital — one of the country’s oldest and largest skilled nursing and rehabilitation centers — reported two nonfatal patient overdoses involving smuggled methamphetamine and fentanyl. That disclosure triggered a series of on-site inspections from state and federal officials, which eventually resulted in regulators decertifying the 157-year-old hospital.\u003c/p>\n\u003cp>Last year, Laguna Honda was found to still be out of compliance on a number of safety issues, \u003ca href=\"https://www.kqed.org/news/11950092/san-francisco-laguna-honda-hospital-granted-extension\">prompting federal regulators to cut Medicare and Medi-Cal funding\u003c/a>, which covers the majority of its mostly lower-income patients. The hospital was also required to draft a closure plan and begin discharging or relocating patients by September 2022.\u003c/p>\n\u003cp>But of the 57 patients who were initially transferred or discharged, 12 died shortly after being relocated. San Francisco subsequently sued the federal government, temporarily halting the transfer process.\u003c/p>\n\u003cp>Last month, \u003ca href=\"https://www.kqed.org/news/11950092/san-francisco-laguna-honda-hospital-granted-extension\">regulators again postponed the transfer deadline\u003c/a>, to Sept. 19, 2023, and have allowed subsidized Medicare and Medi-Cal payments for remaining patients at the hospital to continue through March 2024.\u003c/p>\n\u003cp>Stebner’s firm is also representing families of patients — as part of a class-action suit against the city — who died after being discharged in 2022.\u003c/p>\n\u003cp>“This is a good start,” Stebner said of the most recent settlement. But, she added, “we still have a lot of work to do.”\u003cbr>\n\u003c/p>\u003c/div>",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
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"tech-nation": {
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