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Going through, meeting a lot of the personnel, many who have been here for decades, it’s important to get a sense from them how they feel.’[/pullquote]He visited the facility to observe some of the areas and processes that Laguna Honda must bring up to code in order to get recertified, such as medicine storage and cleaning, and to see how patients with mental illness and substance use disorder are cared for at the facility.\u003c/p>\n\u003cp>Reporters were not allowed on the tour, but Becerra said he spoke to nurses and patients who told him they hope he will protect Laguna Honda.\u003c/p>\n\u003cp>“Most of them said, ‘Help us keep Laguna Honda open,’” Becerra said. “A facility like this is critical to a community, and a facility like this understands it has to meet standards so that anyone who needs to send their loved ones here can know that the health and safety that we would all expect is being provided.”\u003c/p>\n\u003cp>It’s been a year of constant uncertainty and crisis for staff and patients at Laguna Honda. In 2022, \u003ca href=\"https://abc7news.com/amp/laguna-honda-hospital-san-francisco-funding-mayor-london-breed-press-conference-healthcare-in-sf/11747735/\">federal regulators decertified the hospital\u003c/a> after it was found to be out of compliance on a number of safety issues, including medication storage, hygiene practices and having a lighter near an oxygen tank.\u003c/p>\n\u003cfigure id=\"attachment_11941889\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11941889 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/02/GettyImages-1405644957-800x534.jpg\" alt=\"Middle-aged Latino man with glasses looks toward the camera.\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/GettyImages-1405644957-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/GettyImages-1405644957-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/GettyImages-1405644957-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/02/GettyImages-1405644957.jpg 1024w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">US Secretary of Health and Human Services Xavier Becerra during a news conference at the headquarters of HHS June 28, 2022, in Washington, DC. \u003ccite>(Alex Wong/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Despite objections from hospital and city leaders, the regulators mandated that the hospital remove as many of the patients as possible while staff simultaneously worked toward regaining certification.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11920121/sf-officials-outraged-over-laguna-honda-patient-deaths-following-federally-mandated-transfers\">Regulators paused their initial transfer requirement\u003c/a> in July 2022, after reports that some of the 57 patients who had initially been moved from the hospital had died. In total, 12 former patients are confirmed to have died, nearly all of whom had been transferred last year to other skilled nursing facilities.\u003c/p>\n\u003cp>Becerra’s tour comes months after local and national leaders including Mayor London Breed and Sen. Dianne Feinstein called on Becerra to halt involuntary patient transfers out of the hospital, which previously held more than 700 patients and now has below 600.\u003c/p>\n\u003cp>Laguna Honda is still a licensed nursing facility. But losing certification with the Centers for Medicare and Medicaid Services, which Becerra oversees, would mean cutting the 156-year-old hospital from government subsidized health care plans, which the vast majority of Laguna Honda patients rely on.\u003c/p>\n\u003cp>The hospital is now working toward recertification, and CMS has agreed to continue Medicare and Medi-Cal payments through November. And any involuntary transfers will be paused until at least May.\u003c/p>\n\u003cp>Becerra, who previously served as California attorney general, toured the facility alongside Mayor London Breed, California Health and Human Services Agency Secretary Dr. Mark Ghaly, San Francisco City Attorney David Chiu, San Francisco Public Health Department Director Grant Colfax and Laguna Honda interim CEO Roland Pickens.[aside label=\"Related Stories\" postID=\"news_11940765,news_11921717\"]Regarding progress toward recertification, Colfax said that the hospital successfully met the 126 action items that regulators told the hospital to correct in January, and that they are on track to meet the 133 milestones required by the end of February.\u003c/p>\n\u003cp>“We are really supporting a new culture of accountability,” Colfax said.\u003c/p>\n\u003cp>Some of those changes have included repeated training for staff on infection control and prevention. 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That doesn’t go away just because someone becomes old or elderly,” Pickens said. “We are looking at how we provide those services … and will be proposing new models for how we can do a better job at that.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Regarding progress toward recertification, Colfax said that the hospital successfully met the 126 action items that regulators told the hospital to correct in January, and that they are on track to meet the 133 milestones required by the end of February.\u003c/p>\n\u003cp>“We are really supporting a new culture of accountability,” Colfax said.\u003c/p>\n\u003cp>Some of those changes have included repeated training for staff on infection control and prevention. More than 6,000 clinical observations take place every week, where staff check whether nurses and other staff are appropriately washing hands, wearing masks, cleaning and disinfecting, according to Pickens.\u003c/p>\n\u003cp>Pickens also shared that the hospital is continuing to explore options for how to better care for patients with mental illness and substance use disorders. That will be critical to operations moving forward, because the initial series of inspections that led to the hospital getting decertified were triggered after two nonfatal overdoses occurred at the hospital with substances brought from outside.\u003c/p>\n\u003cp>Recertification likely will not occur before May, Pickens said, but he did not further speculate on the exact timeline ahead.\u003c/p>\n\u003cp>“Laguna Honda is here to serve the needs of the San Francisco community. And in our community, we know we have individuals with substance use disorders and mental illness. That doesn’t go away just because someone becomes old or elderly,” Pickens said. “We are looking at how we provide those services … and will be proposing new models for how we can do a better job at that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>\u003ca href=\"#anchor\">This report contains a correction.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>A San Francisco supervisor \u003ca href=\"https://twitter.com/HillaryRonen/status/1623737084463951873/photo/1\">refused to attend an event\u003c/a> with Health and Human Services Secretary Xavier Becerra this week, citing his agency’s failure to help resolve the ongoing regulatory crisis that threatens to close the Laguna Honda Hospital and Rehabilitation Center.\u003c/p>\n\u003cp>“Instead of offering to assist the City, Becerra and his employees have done everything to threaten and punish Laguna Honda and by extension its patients,” Supervisor Hillary Ronen wrote in a letter to the executive director of the San Francisco General Hospital Foundation, which held a gala on Thursday that featured Becerra as a guest speaker.\u003c/p>\n\u003cp>“I can’t possibly go to an event featuring someone who is causing so much harm to the poorest and most vulnerable residents in San Francisco,” Ronen told KQED. “I need people to understand the damage that the secretary is doing to the people of San Francisco and the impact, and this is my way of protesting in a polite and small way.”[aside label=\"more Laguna Honda coverage\" tag=\"laguna-honda-hospital\"]Ronen and the majority of her fellow supervisors, along with Mayor London Breed and Sen. Dianne Feinstein, have called on Becerra, California’s former attorney general, to refrain from requiring the hospital to remove patients while it works toward recertification.\u003c/p>\n\u003cp>The majority of residents at Laguna Honda, one of the largest skilled nursing facilities in the country, are older and require specialized care for conditions including dementia, physical and post-stroke rehabilitation, HIV and mental illness.\u003c/p>\n\u003cp>But last year, \u003ca href=\"https://abc7news.com/amp/laguna-honda-hospital-san-francisco-funding-mayor-london-breed-press-conference-healthcare-in-sf/11747735/\">after Laguna Honda failed a series of federal on-site safety inspections\u003c/a>, a division of Becerra’s agency suspended government-provided health care options like Medicare and Medi-Cal, which make up the bulk of its funding. The hospital was subsequently ordered to immediately begin transferring or discharging patients.\u003c/p>\n\u003cp>The result was disastrous: Twelve of the 57 patients initially transferred from the hospital last summer — some of whom had dementia and limited physical and cognitive ability — died within weeks or months of being relocated.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.kqed.org/news/11939987/feds-grant-reprieve-on-laguna-honda-patient-transfers-until-may\">hospital now has until at least May to hold off\u003c/a> on transferring its remaining patients, following an 11th-hour federal reprieve earlier this month.\u003c/p>\n\u003cp>“That is causing everyone unneeded stress. Just say [patient transfers] are off the table during the recertification process,” Ronen said.\u003c/p>\n\u003cp>Becerra, who has rarely spoken publicly about Laguna Honda, told reporters he’s optimistic the 156-year-old facility will remain open, saying, “Laguna Honda is showing good faith and trying to move forward.”\u003c/p>\n\u003cp>But Becerra also said his hands are tied.\u003c/p>\n\u003cp>“We are, by law, required to make sure that patients are cared for safely and with the care they’re supposed to have,” he said during a press event on Thursday at Wellman’s Pharmacy in San Francisco’s Chinatown. “That’s outlined very clearly. We have no choice by law but to say that the safety of patients must come first.”\u003c/p>\n\u003cp>Ronen said Becerra also declined an invitation this week from Mayor London Breed — whose cousin and grandmother both received care at Laguna Honda — to see the hospital for himself. Neither Breed nor Becerra responded to requests for comment by publication time.\u003c/p>\n\u003cp>On Saturday, a spokesperson for Becerra disputed that he had declined the invitation, saying, “He wants to visit Laguna Honda and plans to do so in the coming weeks.”\u003c/p>\n\u003cp>Ronen acknowledged the serious deficiencies the hospital was cited for last year, including improper medication storage and illicit substances on site, but insisted those issues could be resolved without the simultaneous threat of having to move patients out.\u003c/p>\n\u003cp>Ronen also said she was recently told that the hospital, which currently has an interim CEO, may have to hire a permanent leader in order to be federally recertified. But it’s been nearly impossible to find someone qualified to take over an institution that’s facing the constant threat of closure, she said.\u003c/p>\n\u003cp>“We are gumming up our entire hospital system, and frankly the homeless crisis in our streets is made worse by this,” Ronen said, pointing to how the hospital takes in many older, lower-income San Franciscans with complex health needs. “We are begging for fairness at this point.”\u003c/p>\n\u003cp>\u003cem>This story has been updated to include a response from a U.S. Health and Human Services spokesperson received on Feb. 11.\u003c/em>\u003c/p>\n\u003cp>\u003ca id=\"anchor\">\u003c/a>\u003cem>Feb. 13: The original version of this story stated that Health and Human Services Secretary Xavier Becerra was honored at a San Francisco General Hospital Foundation event on Feb. 9. In fact, he spoke at the event but was not officially honored.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"#anchor\">This report contains a correction.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>A San Francisco supervisor \u003ca href=\"https://twitter.com/HillaryRonen/status/1623737084463951873/photo/1\">refused to attend an event\u003c/a> with Health and Human Services Secretary Xavier Becerra this week, citing his agency’s failure to help resolve the ongoing regulatory crisis that threatens to close the Laguna Honda Hospital and Rehabilitation Center.\u003c/p>\n\u003cp>“Instead of offering to assist the City, Becerra and his employees have done everything to threaten and punish Laguna Honda and by extension its patients,” Supervisor Hillary Ronen wrote in a letter to the executive director of the San Francisco General Hospital Foundation, which held a gala on Thursday that featured Becerra as a guest speaker.\u003c/p>\n\u003cp>“I can’t possibly go to an event featuring someone who is causing so much harm to the poorest and most vulnerable residents in San Francisco,” Ronen told KQED. “I need people to understand the damage that the secretary is doing to the people of San Francisco and the impact, and this is my way of protesting in a polite and small way.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Ronen and the majority of her fellow supervisors, along with Mayor London Breed and Sen. Dianne Feinstein, have called on Becerra, California’s former attorney general, to refrain from requiring the hospital to remove patients while it works toward recertification.\u003c/p>\n\u003cp>The majority of residents at Laguna Honda, one of the largest skilled nursing facilities in the country, are older and require specialized care for conditions including dementia, physical and post-stroke rehabilitation, HIV and mental illness.\u003c/p>\n\u003cp>But last year, \u003ca href=\"https://abc7news.com/amp/laguna-honda-hospital-san-francisco-funding-mayor-london-breed-press-conference-healthcare-in-sf/11747735/\">after Laguna Honda failed a series of federal on-site safety inspections\u003c/a>, a division of Becerra’s agency suspended government-provided health care options like Medicare and Medi-Cal, which make up the bulk of its funding. The hospital was subsequently ordered to immediately begin transferring or discharging patients.\u003c/p>\n\u003cp>The result was disastrous: Twelve of the 57 patients initially transferred from the hospital last summer — some of whom had dementia and limited physical and cognitive ability — died within weeks or months of being relocated.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.kqed.org/news/11939987/feds-grant-reprieve-on-laguna-honda-patient-transfers-until-may\">hospital now has until at least May to hold off\u003c/a> on transferring its remaining patients, following an 11th-hour federal reprieve earlier this month.\u003c/p>\n\u003cp>“That is causing everyone unneeded stress. Just say [patient transfers] are off the table during the recertification process,” Ronen said.\u003c/p>\n\u003cp>Becerra, who has rarely spoken publicly about Laguna Honda, told reporters he’s optimistic the 156-year-old facility will remain open, saying, “Laguna Honda is showing good faith and trying to move forward.”\u003c/p>\n\u003cp>But Becerra also said his hands are tied.\u003c/p>\n\u003cp>“We are, by law, required to make sure that patients are cared for safely and with the care they’re supposed to have,” he said during a press event on Thursday at Wellman’s Pharmacy in San Francisco’s Chinatown. “That’s outlined very clearly. We have no choice by law but to say that the safety of patients must come first.”\u003c/p>\n\u003cp>Ronen said Becerra also declined an invitation this week from Mayor London Breed — whose cousin and grandmother both received care at Laguna Honda — to see the hospital for himself. Neither Breed nor Becerra responded to requests for comment by publication time.\u003c/p>\n\u003cp>On Saturday, a spokesperson for Becerra disputed that he had declined the invitation, saying, “He wants to visit Laguna Honda and plans to do so in the coming weeks.”\u003c/p>\n\u003cp>Ronen acknowledged the serious deficiencies the hospital was cited for last year, including improper medication storage and illicit substances on site, but insisted those issues could be resolved without the simultaneous threat of having to move patients out.\u003c/p>\n\u003cp>Ronen also said she was recently told that the hospital, which currently has an interim CEO, may have to hire a permanent leader in order to be federally recertified. But it’s been nearly impossible to find someone qualified to take over an institution that’s facing the constant threat of closure, she said.\u003c/p>\n\u003cp>“We are gumming up our entire hospital system, and frankly the homeless crisis in our streets is made worse by this,” Ronen said, pointing to how the hospital takes in many older, lower-income San Franciscans with complex health needs. “We are begging for fairness at this point.”\u003c/p>\n\u003cp>\u003cem>This story has been updated to include a response from a U.S. Health and Human Services spokesperson received on Feb. 11.\u003c/em>\u003c/p>\n\u003cp>\u003ca id=\"anchor\">\u003c/a>\u003cem>Feb. 13: The original version of this story stated that Health and Human Services Secretary Xavier Becerra was honored at a San Francisco General Hospital Foundation event on Feb. 9. In fact, he spoke at the event but was not officially honored.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Federal regulators have agreed to continue to hold off on patient discharges and transfers out of Laguna Honda Hospital and Rehabilitation Center until at least May 19, 2023, San Francisco officials confirmed on Wednesday.\u003c/p>\n\u003cp>The reprieve comes just one day ahead of when the pause on patient transfers was set to expire.\u003c/p>\n\u003cp>“The transfers and discharge of residents has been arduous as many have complex healthcare needs, and Laguna Honda and City leadership have strongly advocated against the involuntary transfers,” a statement released Wednesday from Laguna Honda officials reads. “The vast majority of residents and their families are fighting to remain at Laguna Honda and this continued reprieve of involuntary transfers provides stability, continuity of care, and short-term relief.”\u003c/p>\n\u003cp>City leaders, residents and their loved ones celebrated the decision.\u003c/p>\n\u003cp>“Laguna Honda is a critical part of San Francisco’s ability to care for our most vulnerable residents and is essential to the future of our city,” said Mayor London Breed, whose grandmother lived the final years of her life at Laguna Honda. “We appreciate that CMS has agreed to continue this pause of transfers from Laguna Honda while we work collaboratively towards recertification,” she said, referring to the regulatory body, the Centers for Medicare and Medicaid Services.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Joe Urban, whose mother-in-law was a resident at Laguna Honda, said CMS “did the right thing.”\u003c/p>\n\u003cp>“Restarting the discharges would have killed a lot of San Franciscans,” Urban said. “There’s no need to do it if Laguna Honda is making progress towards recertification.”\u003c/p>\n\u003cp>But relief may be temporary. The hospital is still working to regain certification with CMS to participate in government-subsidized health care plans like Medicare and Medi-Cal, which cover the majority of patients at Laguna Honda.\u003c/p>\n\u003cp>“I’m worried that May will be here before you know it and we will go through this again,” said Tony Chicotel, staff attorney with California Advocates for Nursing Home Reform. “With each extension, [another extension] become increasingly unlikely, and at some point I think it will stop happening.”\u003c/p>\n\u003cp>[aside label='Related Coverage' tag='laguna-honda-hospital']In April 2022, CMS decertified Laguna Honda after a series of inspections found the hospital out of compliance with safety measures for a skilled nursing facility. The hospital was then required to create and implement a closure plan, which included transferring or discharging all of its residents by September 2022.\u003c/p>\n\u003cp>The hospital, city leaders and senior advocates pushed hard against the transfers, citing how it can be physically and emotionally traumatic for older people and people with disabilities to be uprooted.\u003c/p>\n\u003cp>Laguna Honda transferred 41 residents to other skilled nursing facilities and discharged an additional 16 residents. Of those, 12 people died — eight of them within weeks, and four within months, of leaving Laguna Honda.\u003c/p>\n\u003cp>After reports came in that some residents had died after being transferred, San Francisco sued the federal government for failing to provide adequate time to repeal the original citations.\u003c/p>\n\u003cp>The city and CMS came to an agreement in July 2022 to pause transfers until Feb. 2, 2023.\u003c/p>\n\u003cp>The hospital maintains that it is working to prepare for recertification in the meantime.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This is the humane and compassionate thing to do for the residents of Laguna Honda, their families and staff,” said San Francisco City Attorney David Chiu. “We certainly hope we don’t cut things as close next time. I know that the staff at Laguna Honda will work and do everything they can to address the issues and get us to that recertification. Our hope is we aren’t in this place again.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In April 2022, CMS decertified Laguna Honda after a series of inspections found the hospital out of compliance with safety measures for a skilled nursing facility. The hospital was then required to create and implement a closure plan, which included transferring or discharging all of its residents by September 2022.\u003c/p>\n\u003cp>The hospital, city leaders and senior advocates pushed hard against the transfers, citing how it can be physically and emotionally traumatic for older people and people with disabilities to be uprooted.\u003c/p>\n\u003cp>Laguna Honda transferred 41 residents to other skilled nursing facilities and discharged an additional 16 residents. Of those, 12 people died — eight of them within weeks, and four within months, of leaving Laguna Honda.\u003c/p>\n\u003cp>After reports came in that some residents had died after being transferred, San Francisco sued the federal government for failing to provide adequate time to repeal the original citations.\u003c/p>\n\u003cp>The city and CMS came to an agreement in July 2022 to pause transfers until Feb. 2, 2023.\u003c/p>\n\u003cp>The hospital maintains that it is working to prepare for recertification in the meantime.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“This is the humane and compassionate thing to do for the residents of Laguna Honda, their families and staff,” said San Francisco City Attorney David Chiu. “We certainly hope we don’t cut things as close next time. I know that the staff at Laguna Honda will work and do everything they can to address the issues and get us to that recertification. Our hope is we aren’t in this place again.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "'Down to the Wire Again': SF Officials Blast Feds for Silence on Laguna Honda Patient-Transfer Decision, Just Days Before Deadline",
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"content": "\u003cp>\u003cstrong>Update, 6 p.m. Tuesday: \u003c/strong>Federal officials have yet to say whether they will allow San Francisco to continue postponing the transfer of hundreds of Laguna Honda Hospital patients to other skilled nursing facilities, frustrated city leaders said Tuesday.[pullquote align=\"right\" size=\"medium\" citation=\"San Francisco Supervisor Myrna Melgar\"]‘It is entirely possible that on Friday, Feb. 3, hundreds of San Franciscans residing at Laguna Honda will face the trauma of possible relocation again from being discharged.’[/pullquote]\u003c/p>\n\u003cp>The clock is ticking. If the Biden administration rejects the city’s requests to continue halting transfers, the hospital could be required to resume relocating its more than 550 remaining patients, many of whom are elderly and lower-income, to other skilled nursing facilities as early as Friday.\u003c/p>\n\u003cp>“It is entirely possible that on Friday, Feb. 3, hundreds of San Franciscans residing at Laguna Honda will face the trauma of possible relocation again from being discharged,” San Francisco Supervisor Myrna Melgar, whose district includes the hospital, said at Tuesday’s Board of Supervisors hearing. “The rigid bureaucracy of the U.S. government has put us into this position.”\u003c/p>\n\u003cp>Hospital officials have said they have no plans to resume transferring patients unless compelled to do so. Twelve of the 57 patients who were initially transferred from the hospital last summer — some of whom had dementia and limited physical and cognitive ability — died within weeks or months of being relocated.\u003c/p>\n\u003cp>“Laguna Honda strongly advocated against these transfers. We warned CMS (the Center for Medicare and Medicaid Services) that the four-month deadline to transfer nearly 700 residents to other facilities was entirely insufficient given the complex nature of our resident population and the lack of available beds at SNFs (skilled nursing facilities) anywhere in the region or the state,” hospital officials said in a public statement earlier this month in response to regulatory citations it received following the deaths of the transferred patients.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Roland Pickens, Laguna Honda’s interim CEO, said he is hopeful the current pause on patient transfers will be extended, allowing the hospital to continue working to address deficiencies cited by state and federal regulators.\u003c/p>\n\u003cp>At Tuesday’s hearing, other San Francisco leaders blasted federal officials for so far failing to respond to the city’s extension request, just days before the hospital could be required to resume patient transfers.\u003c/p>\n\u003cp>“This is a powerful and unaccountable bureaucracy,” Supervisor Rafael Mandelman said. “They [CMS] have done significant harm. They have created a ton of stress and anxiety for hundreds more people.”\u003c/p>\n\u003cp>\u003cstrong>Original story, 6 a.m. Tuesday: \u003c/strong>San Francisco officials are expected to find out this week whether federal regulators will allow the city to continue postponing the transfer of patients out of Laguna Honda Hospital.\u003c/p>\n\u003cp>An extension would allow patients and their families to breathe a temporary sigh of relief, just days before the recently decertified hospital could be required to resume relocating its more than 550 remaining charges.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11920121/sf-officials-outraged-over-laguna-honda-patient-deaths-following-federally-mandated-transfers\">Regulators paused their initial transfer requirement\u003c/a> in July 2022, after reports that some of the 57 patients who had initially been moved from the hospital had died. In total, 12 former patients are confirmed to have died, nearly all of whom had been transferred last year to other skilled nursing facilities.\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu is now requesting that the pause on transfers extend until at least May 30, 2023, and the status of the relocation plan is scheduled to be addressed at a Board of Supervisors hearing on Tuesday afternoon.\u003c/p>\n\u003cp>“There is a moral and ethical imperative to not continue the transfers,” said Joseph Urban, a health care consultant whose mother-in-law, Betty Campbell, was a resident at Laguna Honda. “We’re down to the wire again.”\u003c/p>\n\u003cp>Citing Campbell’s frail state, Urban and his spouse turned down the hospital’s offer last summer to relocate her. The 86-year-old died recently at the hospital.\u003c/p>\n\u003cp>Opened in 1866, Laguna Honda is one of the oldest and largest public skilled nursing facilities in the country, treating a wide range of medical conditions including dementia, stroke, mental illness and HIV.\u003c/p>\n\u003cp>Although the hospital is still licensed, it was decertified last year by the federal Centers for Medicare and Medicaid Services (CMS) for a series of safety violations. That means it is no longer in good standing with government-provided health care options like Medicare and Medi-Cal, which fund medical costs for the vast majority of its patients.\u003c/p>\n\u003cp>After Laguna Honda lost certification, CMS required the hospital to create and implement a closure plan, including the transfer of all of its nearly 700 patients, many of them elderly and frail.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"laguna-honda-hospital\"]At the same time, the hospital has been working with consultants to prepare for recertification.\u003c/p>\n\u003cp>“The focus of this meeting needs to be primarily on how the Board of Supervisors can be a force for protecting the most vulnerable: those who are now residents at Laguna Honda and those of us could need a bed there at any time,” Teresa Palmer, a former Laguna Honda physician and geriatrician, wrote in a letter to the board ahead of its Tuesday hearing. “Administration at Laguna Honda and consultants obviously need more time to ‘turn the ship around.’ In order to prevent death and harm to current and future residents, this time needs to be made available by CMS.”\u003c/p>\n\u003cp>Last month, the California Department of Public Health fined Laguna Honda $36,000 for providing inadequate care to the patients who died after their transfers. Nearly all of those patients, who ranged in age from 63 to 100, were considered severely disabled, including some who were on feeding tubes, living with dementia or nonverbal, the agency’s citations show.\u003c/p>\n\u003cp>The citations also noted that the patients who died were identified as “not discharge ready” because they were frail or otherwise not in a condition to be relocated.\u003c/p>\n\u003cp>The \u003ca href=\"https://abc7news.com/amp/laguna-honda-hospital-san-francisco-funding-mayor-london-breed-press-conference-healthcare-in-sf/11747735/\">current regulatory crisis facing Laguna Honda\u003c/a> began last spring, when federal regulators decertified the hospital after conducting a series of safety inspections triggered by two nonfatal drug overdoses the previous year.\u003c/p>\n\u003cp>Because San Francisco lacks an adequate supply of skilled nursing options, especially for people who rely on government health care plans like Medicare, most of those 57 patients were transferred out of the county. Two of the patients were sent to homeless shelters after discharge.\u003c/p>\n\u003cp>In August, city leaders responded to the relocation requirement and subsequent deaths by \u003ca href=\"https://www.kqed.org/news/11921717/san-francisco-sues-feds-over-forced-closure-of-laguna-honda-hospital/\">suing the federal government\u003c/a>, arguing that CMS had imposed an arbitrary and unrealistic closure deadline that didn’t give the city enough time to appeal the original infractions.\u003c/p>\n\u003cp>Several months later, however, the city agreed to drop the lawsuit in exchange for federal regulators temporarily halting the transfers and continuing to pay the $18 million in monthly Medicare and Medi-Cal costs for the remaining residents through November 2023.\u003c/p>\n\u003cp>Patricia McGinnis, executive director of California Advocates for Nursing Home Reform, called out the hurried transfers as a form of abuse and criticized state and federal regulators for pressuring the hospital to carry out the closure plan, despite the severe risk it posed to many patients.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“We call on CMS to stop the Laguna Honda closure before more residents are killed, and the Legislature to investigate CDPH and hold its leaders accountable,” she said.\u003c/p>\n\n",
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"excerpt": "Federal regulators, who decertified the public skilled nursing facility last year due to a series of safety violations, could order the city to resume transferring its hundreds of remaining patients as early as Friday. As of Tuesday, however, city officials had received no word of that decision.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 6 p.m. Tuesday: \u003c/strong>Federal officials have yet to say whether they will allow San Francisco to continue postponing the transfer of hundreds of Laguna Honda Hospital patients to other skilled nursing facilities, frustrated city leaders said Tuesday.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The clock is ticking. If the Biden administration rejects the city’s requests to continue halting transfers, the hospital could be required to resume relocating its more than 550 remaining patients, many of whom are elderly and lower-income, to other skilled nursing facilities as early as Friday.\u003c/p>\n\u003cp>“It is entirely possible that on Friday, Feb. 3, hundreds of San Franciscans residing at Laguna Honda will face the trauma of possible relocation again from being discharged,” San Francisco Supervisor Myrna Melgar, whose district includes the hospital, said at Tuesday’s Board of Supervisors hearing. “The rigid bureaucracy of the U.S. government has put us into this position.”\u003c/p>\n\u003cp>Hospital officials have said they have no plans to resume transferring patients unless compelled to do so. Twelve of the 57 patients who were initially transferred from the hospital last summer — some of whom had dementia and limited physical and cognitive ability — died within weeks or months of being relocated.\u003c/p>\n\u003cp>“Laguna Honda strongly advocated against these transfers. We warned CMS (the Center for Medicare and Medicaid Services) that the four-month deadline to transfer nearly 700 residents to other facilities was entirely insufficient given the complex nature of our resident population and the lack of available beds at SNFs (skilled nursing facilities) anywhere in the region or the state,” hospital officials said in a public statement earlier this month in response to regulatory citations it received following the deaths of the transferred patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Roland Pickens, Laguna Honda’s interim CEO, said he is hopeful the current pause on patient transfers will be extended, allowing the hospital to continue working to address deficiencies cited by state and federal regulators.\u003c/p>\n\u003cp>At Tuesday’s hearing, other San Francisco leaders blasted federal officials for so far failing to respond to the city’s extension request, just days before the hospital could be required to resume patient transfers.\u003c/p>\n\u003cp>“This is a powerful and unaccountable bureaucracy,” Supervisor Rafael Mandelman said. “They [CMS] have done significant harm. They have created a ton of stress and anxiety for hundreds more people.”\u003c/p>\n\u003cp>\u003cstrong>Original story, 6 a.m. Tuesday: \u003c/strong>San Francisco officials are expected to find out this week whether federal regulators will allow the city to continue postponing the transfer of patients out of Laguna Honda Hospital.\u003c/p>\n\u003cp>An extension would allow patients and their families to breathe a temporary sigh of relief, just days before the recently decertified hospital could be required to resume relocating its more than 550 remaining charges.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11920121/sf-officials-outraged-over-laguna-honda-patient-deaths-following-federally-mandated-transfers\">Regulators paused their initial transfer requirement\u003c/a> in July 2022, after reports that some of the 57 patients who had initially been moved from the hospital had died. In total, 12 former patients are confirmed to have died, nearly all of whom had been transferred last year to other skilled nursing facilities.\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu is now requesting that the pause on transfers extend until at least May 30, 2023, and the status of the relocation plan is scheduled to be addressed at a Board of Supervisors hearing on Tuesday afternoon.\u003c/p>\n\u003cp>“There is a moral and ethical imperative to not continue the transfers,” said Joseph Urban, a health care consultant whose mother-in-law, Betty Campbell, was a resident at Laguna Honda. “We’re down to the wire again.”\u003c/p>\n\u003cp>Citing Campbell’s frail state, Urban and his spouse turned down the hospital’s offer last summer to relocate her. The 86-year-old died recently at the hospital.\u003c/p>\n\u003cp>Opened in 1866, Laguna Honda is one of the oldest and largest public skilled nursing facilities in the country, treating a wide range of medical conditions including dementia, stroke, mental illness and HIV.\u003c/p>\n\u003cp>Although the hospital is still licensed, it was decertified last year by the federal Centers for Medicare and Medicaid Services (CMS) for a series of safety violations. That means it is no longer in good standing with government-provided health care options like Medicare and Medi-Cal, which fund medical costs for the vast majority of its patients.\u003c/p>\n\u003cp>After Laguna Honda lost certification, CMS required the hospital to create and implement a closure plan, including the transfer of all of its nearly 700 patients, many of them elderly and frail.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>At the same time, the hospital has been working with consultants to prepare for recertification.\u003c/p>\n\u003cp>“The focus of this meeting needs to be primarily on how the Board of Supervisors can be a force for protecting the most vulnerable: those who are now residents at Laguna Honda and those of us could need a bed there at any time,” Teresa Palmer, a former Laguna Honda physician and geriatrician, wrote in a letter to the board ahead of its Tuesday hearing. “Administration at Laguna Honda and consultants obviously need more time to ‘turn the ship around.’ In order to prevent death and harm to current and future residents, this time needs to be made available by CMS.”\u003c/p>\n\u003cp>Last month, the California Department of Public Health fined Laguna Honda $36,000 for providing inadequate care to the patients who died after their transfers. Nearly all of those patients, who ranged in age from 63 to 100, were considered severely disabled, including some who were on feeding tubes, living with dementia or nonverbal, the agency’s citations show.\u003c/p>\n\u003cp>The citations also noted that the patients who died were identified as “not discharge ready” because they were frail or otherwise not in a condition to be relocated.\u003c/p>\n\u003cp>The \u003ca href=\"https://abc7news.com/amp/laguna-honda-hospital-san-francisco-funding-mayor-london-breed-press-conference-healthcare-in-sf/11747735/\">current regulatory crisis facing Laguna Honda\u003c/a> began last spring, when federal regulators decertified the hospital after conducting a series of safety inspections triggered by two nonfatal drug overdoses the previous year.\u003c/p>\n\u003cp>Because San Francisco lacks an adequate supply of skilled nursing options, especially for people who rely on government health care plans like Medicare, most of those 57 patients were transferred out of the county. Two of the patients were sent to homeless shelters after discharge.\u003c/p>\n\u003cp>In August, city leaders responded to the relocation requirement and subsequent deaths by \u003ca href=\"https://www.kqed.org/news/11921717/san-francisco-sues-feds-over-forced-closure-of-laguna-honda-hospital/\">suing the federal government\u003c/a>, arguing that CMS had imposed an arbitrary and unrealistic closure deadline that didn’t give the city enough time to appeal the original infractions.\u003c/p>\n\u003cp>Several months later, however, the city agreed to drop the lawsuit in exchange for federal regulators temporarily halting the transfers and continuing to pay the $18 million in monthly Medicare and Medi-Cal costs for the remaining residents through November 2023.\u003c/p>\n\u003cp>Patricia McGinnis, executive director of California Advocates for Nursing Home Reform, called out the hurried transfers as a form of abuse and criticized state and federal regulators for pressuring the hospital to carry out the closure plan, despite the severe risk it posed to many patients.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We call on CMS to stop the Laguna Honda closure before more residents are killed, and the Legislature to investigate CDPH and hold its leaders accountable,” she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cstrong>Update, 5 p.m. Wednesday, Oct. 12\u003c/strong>\u003cstrong>: \u003c/strong>Federal regulators have reached an agreement with California and San Francisco health officials to continue funding the Laguna Honda Hospital & Rehabilitation Center until November of next year. The agreement, announced Wednesday, comes after the San Francisco city attorney filed a lawsuit in August against the federal government for its closure plan for the facility, claiming it was an “unworkable” plan that “denied due process” and put the facility’s 600-plus patients at risk.\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu agreed to drop his lawsuit against the U.S. Department of Health and Human Services after it allowed the facility to receive funding through Nov. 13, 2023, and agreed to halt relocation proceedings until next February.\u003c/p>\n\u003cp>Officials on the local, state and federal levels released a joint statement following the agreement, saying they are committed to ensuring people in nursing homes “are receiving safe, high-quality services and support.”\u003c/p>\n\u003cp>“We are all focused on resident wellbeing while Laguna Honda continues to provide critically needed health care services for hundreds of residents” the statement said.\u003c/p>\n\u003cp>Laguna Honda agreed to meet requirements set to improve health and safety conditions at the facility, and may be able to reapply for federal funding in the future. The deadline for transfers and discharges of residents could possibly be extended if the facility meets its obligations, according to the agreement.\u003c/p>\n\u003cp>\u003cstrong>Original story, 5:30 p.m. Aug. 4: \u003c/strong>San Francisco officials said Thursday they have filed a lawsuit against the federal government over its decision to cut funding to a nursing home run by the city and the tight deadline it set to move all patients out of the facility that state and federal officials deemed was providing “substandard care.”\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu said the order by the federal government to transfer or discharge all patients out of Laguna Honda Hospital by Sept. 13 has denied the city due process and put patients at risk. He said at least nine patients have died days or weeks after being transferred or discharged and that at least three ended up in homeless shelters.\u003c/p>\n\u003cp>“We’re asking the federal government to exert compassion and common sense,” Chiu said during a Thursday press conference. “Between the huge shortage of skilled nursing facility beds, we see potentially very negative consequences” if the facility closes. “Individuals will become homeless. These people have nowhere to go.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The city’s lawsuit filed Wednesday against the U.S. Department of Health and Human Services and Health and Human Services Secretary Xavier Becerra alleges the Centers for Medicare and Medicaid Services (CMS) imposed an arbitrary closure, requiring the facility to shut down before San Francisco’s administrative appeals can be decided.\u003c/p>\n\u003cp>Chiu said filing the lawsuit is “the last thing any of us wanted to do.”\u003c/p>\n\u003cp>“But after months of our attempts at engagement, the federal government has left us with no choice but legal action,” he said. “Our profound hope is that CMS will come to the table, will work with us on a plan that protects the remaining 610 patients, preserving an institution that has been the last safety net for so many for our patients.”\u003c/p>\n\u003cp>Mayor London Breed called the lawsuit “a matter of life or death.”\u003c/p>\n\u003cp>“Now, look at where we are, forced to move patients, to move patients to homeless shelters outside of the county where their families can’t visit,” Breed said. “We know that this creates trauma.”\u003c/p>\n\u003cp>Former City Attorney Louise Renne also filed a class action lawsuit against the state and federal government on behalf of Laguna Honda patients and families [aside postID=\"news_11920121\" hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2022/07/RS57392_GettyImages-1216234763-qut-1020x680.jpg'] Last week, \u003ca href=\"https://apnews.com/article/health-california-public-san-francisco-medicaid-db6837ba531aae2dca3cf3560177446a\">federal regulators agreed to pause the transfers\u003c/a> after several patients died within days or weeks of being moved from the hospital and rehabilitation center but the deadline to shut down the hospital remains.\u003c/p>\n\u003cp>Speaking at the press conference, Renne urged CMS to “come to your senses.”\u003c/p>\n\u003cp>“How much longer are we going to keep this up before more deaths occur?” Renne said.\u003c/p>\n\u003cp>CMS terminated its payments to Laguna Honda in April after two patients had nonfatal overdoses at the facility in 2021, and inspectors with the California Department of Public Health declared it to be “in a state of substandard care.”\u003c/p>\n\u003cp>The federal agency, which pays for care for the majority of the nursing home’s 700 patients, also ordered the facility to start discharging or transferring its patients ahead of a mid-September mandated closure.\u003c/p>\n\u003cp>Founded in 1866, the sprawling facility serves people who need long-term care but who can’t afford private nursing homes. Many of the patients have dementia, drug addiction and other complex medical needs.\u003c/p>\n\u003cp>City officials say patients and their families are the ones suffering the most because of the forced closure. Debra Bauer spoke Thursday about how the facility has helped her son, who has a traumatic brain injury, and has been a resident at the hospital for about 20 years.\u003c/p>\n\u003cp>”My son feels safe there, I don’t want that taken away from him,“ she said. “I don’t want it taken away from him or any of the other residents that I see and we wave to in the hallways.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting from Bay City News’ Olivia Wynkoop.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "San Francisco's city attorney said the order by the federal government to transfer or discharge all patients out of Laguna Honda Hospital by Sept. 13 has denied the city due process and put patients at risk.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 5 p.m. Wednesday, Oct. 12\u003c/strong>\u003cstrong>: \u003c/strong>Federal regulators have reached an agreement with California and San Francisco health officials to continue funding the Laguna Honda Hospital & Rehabilitation Center until November of next year. The agreement, announced Wednesday, comes after the San Francisco city attorney filed a lawsuit in August against the federal government for its closure plan for the facility, claiming it was an “unworkable” plan that “denied due process” and put the facility’s 600-plus patients at risk.\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu agreed to drop his lawsuit against the U.S. Department of Health and Human Services after it allowed the facility to receive funding through Nov. 13, 2023, and agreed to halt relocation proceedings until next February.\u003c/p>\n\u003cp>Officials on the local, state and federal levels released a joint statement following the agreement, saying they are committed to ensuring people in nursing homes “are receiving safe, high-quality services and support.”\u003c/p>\n\u003cp>“We are all focused on resident wellbeing while Laguna Honda continues to provide critically needed health care services for hundreds of residents” the statement said.\u003c/p>\n\u003cp>Laguna Honda agreed to meet requirements set to improve health and safety conditions at the facility, and may be able to reapply for federal funding in the future. The deadline for transfers and discharges of residents could possibly be extended if the facility meets its obligations, according to the agreement.\u003c/p>\n\u003cp>\u003cstrong>Original story, 5:30 p.m. Aug. 4: \u003c/strong>San Francisco officials said Thursday they have filed a lawsuit against the federal government over its decision to cut funding to a nursing home run by the city and the tight deadline it set to move all patients out of the facility that state and federal officials deemed was providing “substandard care.”\u003c/p>\n\u003cp>San Francisco City Attorney David Chiu said the order by the federal government to transfer or discharge all patients out of Laguna Honda Hospital by Sept. 13 has denied the city due process and put patients at risk. He said at least nine patients have died days or weeks after being transferred or discharged and that at least three ended up in homeless shelters.\u003c/p>\n\u003cp>“We’re asking the federal government to exert compassion and common sense,” Chiu said during a Thursday press conference. “Between the huge shortage of skilled nursing facility beds, we see potentially very negative consequences” if the facility closes. “Individuals will become homeless. These people have nowhere to go.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The city’s lawsuit filed Wednesday against the U.S. Department of Health and Human Services and Health and Human Services Secretary Xavier Becerra alleges the Centers for Medicare and Medicaid Services (CMS) imposed an arbitrary closure, requiring the facility to shut down before San Francisco’s administrative appeals can be decided.\u003c/p>\n\u003cp>Chiu said filing the lawsuit is “the last thing any of us wanted to do.”\u003c/p>\n\u003cp>“But after months of our attempts at engagement, the federal government has left us with no choice but legal action,” he said. “Our profound hope is that CMS will come to the table, will work with us on a plan that protects the remaining 610 patients, preserving an institution that has been the last safety net for so many for our patients.”\u003c/p>\n\u003cp>Mayor London Breed called the lawsuit “a matter of life or death.”\u003c/p>\n\u003cp>“Now, look at where we are, forced to move patients, to move patients to homeless shelters outside of the county where their families can’t visit,” Breed said. “We know that this creates trauma.”\u003c/p>\n\u003cp>Former City Attorney Louise Renne also filed a class action lawsuit against the state and federal government on behalf of Laguna Honda patients and families \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Last week, \u003ca href=\"https://apnews.com/article/health-california-public-san-francisco-medicaid-db6837ba531aae2dca3cf3560177446a\">federal regulators agreed to pause the transfers\u003c/a> after several patients died within days or weeks of being moved from the hospital and rehabilitation center but the deadline to shut down the hospital remains.\u003c/p>\n\u003cp>Speaking at the press conference, Renne urged CMS to “come to your senses.”\u003c/p>\n\u003cp>“How much longer are we going to keep this up before more deaths occur?” Renne said.\u003c/p>\n\u003cp>CMS terminated its payments to Laguna Honda in April after two patients had nonfatal overdoses at the facility in 2021, and inspectors with the California Department of Public Health declared it to be “in a state of substandard care.”\u003c/p>\n\u003cp>The federal agency, which pays for care for the majority of the nursing home’s 700 patients, also ordered the facility to start discharging or transferring its patients ahead of a mid-September mandated closure.\u003c/p>\n\u003cp>Founded in 1866, the sprawling facility serves people who need long-term care but who can’t afford private nursing homes. Many of the patients have dementia, drug addiction and other complex medical needs.\u003c/p>\n\u003cp>City officials say patients and their families are the ones suffering the most because of the forced closure. Debra Bauer spoke Thursday about how the facility has helped her son, who has a traumatic brain injury, and has been a resident at the hospital for about 20 years.\u003c/p>\n\u003cp>”My son feels safe there, I don’t want that taken away from him,“ she said. “I don’t want it taken away from him or any of the other residents that I see and we wave to in the hallways.”\u003c/p>\n\u003cp>\u003cem>This story includes reporting from Bay City News’ Olivia Wynkoop.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"disqusTitle": "Regulators Agree to Pause Laguna Honda Patient Transfers Following Deaths, Outrage",
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"content": "\u003cp>\u003cstrong>Update, 11:30 a.m. Friday, July 29:\u003c/strong> State and federal regulators have agreed to an \"urgent\" request from the San Francisco Department of Public Health to \"pause\" the federally mandated discharge or transfer of all remaining residents at Laguna Honda Hospital, city health officials announced on Thursday. The temporary measure, which took effect Thursday, applies to the roughly 600 residents still at the hospital.\u003c/p>\n\u003cp>\"Today's agreement to halt all patients discharges and transfers will allow the dedicated Laguna Honda staff to focus on caring for patients and not moving them,\" Dr. Grant Colfax, director of the San Francisco Department of Public Health, said in a statement.\u003c/p>\n\u003cp>The statement noted it has been \"an extremely challenging time for our community of residents and their families, our staff and all those who care about Laguna Honda Hospital,\" and said the facility would continue to work toward recertification.\u003c/p>\n\u003cp>To date, \u003ca href=\"https://sf.gov/information/laguna-honda-hospital-closure-and-patient-transfer-and-relocation-plan\">57 residents have been transferred or discharged\u003c/a>, and admissions to the hospital remain paused, a hospital official said in an email Friday.\u003c/p>\n\u003cp>\"We will do our best to prioritize former residents who have been transferred out of Laguna Honda,\" the official said. \"At this time, we are not certain how long the pause of transfers and discharges will be but will continue to keep our community updated with the latest information. We know the uncertainty is challenging but we hope this pause provides our community with relief.\"\u003c/p>\n\u003cp>\u003cstrong>Original story, 5:30 p.m. Friday, July 22:\u003c/strong>\u003cbr>\nSan Francisco officials expressed outrage this week over the deaths of four patients shortly after they were transferred from Laguna Honda Hospital and Rehabilitation Center to other facilities.\u003c/p>\n\u003cp>News of the deaths came after federal authorities gave Laguna Honda just four months to close down due to a series of violations. The hospital is the nation’s largest skilled nursing facility, treating nearly 700 patients, many of them medically fragile and low-income.\u003c/p>\n\u003cp>Two of the patients, women with dementia aged 95 and 102, \u003ca href=\"https://www.sfchronicle.com/bayarea/article/Fourth-person-dies-after-being-transferred-out-of-17318758.php\">died within days of being transferred, according to reporting by The San Francisco Chronicle.\u003c/a> The story cited a doctor at Laguna Honda who spoke on condition of anonymity. Fewer details are known about an 80-year-old patient who died within days of being transferred, or about the fourth patient, a person in his or her 60s who died three weeks after being transferred, according to the Chronicle.\u003c/p>\n\u003cp>The U.S. Centers for Medicare and Medicaid Services (CMS) is requiring Laguna Honda to transfer or discharge all patients by Sept. 13, after the federal agency decertified the nursing facility in April. San Francisco’s Department of Public Health, which runs the facility, is working to be re-certify Laguna Honda before the deadline, but must in the meantime abide by the closure order.\u003c/p>\n\u003cp>As of July 18, 56 patients had been moved\u003cspan style=\"font-weight: 400\"> – \u003c/span>40 were transferred to other skilled nursing facilities and 16 were discharged, three of them placed in homeless shelters, \u003ca href=\"https://sf.gov/sites/default/files/2022-07/LHH%20Wkly%20Closure%20Patient%20Transfer%20DATA%20DASHBOARD%2007.18.22.pdf\">according to the city's dashboard\u003c/a>.\u003c/p>\n\u003cp>At a hearing Thursday, San Francisco supervisors and health officials blamed CMS for the rushed closure of the 156-year-old hospital.\u003c/p>\n\u003cp>\"I think that what is happening to folks who are being turned out of Laguna Honda\u003cspan style=\"font-weight: 400\"> – \u003c/span>in some cases to die, in other cases to be sent to homeless shelters\u003cspan style=\"font-weight: 400\"> – \u003c/span>is an embarrassment to the Biden administration,\" said Supervisor Rafael Mandelman.\u003c/p>\n\u003cp>\"Laguna Honda is the country's largest skilled nursing facility. San Francisco is the only county that has tried to bear the responsibility of operating a facility like this,\" he said. \"And to be turning folks out of that institution into either far poorer and far less careful institutions, or in some cases to homeless shelters, is abominable and awful.\"\u003c/p>\n\u003cp>Roland Pickens, Laguna Honda's interim CEO, told supervisors at the hearing that his pleas for a longer period of time to find adequate facilities for patients went unheeded.\u003c/p>\n\u003cp>\"We recognized how traumatic a closure or transfer would be for patients at Laguna, and informed CMS, as the local experts who take care of our patients and know our population, how long it would take,\" Pickens said. \"They rejected that 18-month offer and said, 'No, you must do it in four months.'\"\u003c/p>\n\u003cp>Laguna Honda \u003ca href=\"https://www.kqed.org/news/11782161/newly-uncovered-cases-of-patient-abuse-at-laguna-honda-bring-incident-count-to-130\">suffered a scandal in 2019 after cases of patient abuse were uncovered\u003c/a>, which led to the firing of hospital CEO Mivic Hirose. The incidents of alleged verbal and physical abuse happened between 2016 and January 2019. The facility came under further scrutiny after staff reported two patients' non-fatal overdoses on street drugs in July 2021.\u003c/p>\n\u003cp>State officials concluded last October that the facility was \"in a state of substandard care,\" after an investigation found deficiencies related to hygiene, safety protocols, drug paraphernalia and other banned substances. The state implemented a six-month deadline for a correction plan. After failing to meet that deadline, Laguna Honda was decertified by CMS.\u003c/p>\n\u003cp>[aside postID=\"news_11782161,news_11757925,forum_2010101889843\" label=\"Related Posts\"]On Monday, \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\">supporters of Laguna Honda spoke on KQED's Forum with Alexis Madrigal\u003c/a> about the situation and what it means for patients moving forward.\u003c/p>\n\u003cp>Pickens, the interim CEO, didn't dispute the state's findings but lamented the impact of missing the deadline.\u003c/p>\n\u003cp>\"Laguna did their usual of producing a corrective action plan which was approved on behalf of the state and CMS,\" he said, \"but then in subsequent regulatory investigations they found other items and unfortunately, the clock ran out ... and so we weren't able to fix them, and that led to the decertification.\"\u003c/p>\n\u003cp>Supervisor Myrna Melgar expressed concern about the negative health impacts that transfers can have on patients, and said she'd like for patients to be able to stay during the ongoing recertification process.\u003c/p>\n\u003cp>\"The scientific evidence tells us that when you relocate or change the lives of folks who are frail and elderly, their health will suffer,\" she said. \"Folks deserve a due process and they deserve to have stability and they deserve to stay put while we go through the process of recertification.\"\u003c/p>\n\u003cp>Tony Chicotel, staff attorney with California Advocates for Nursing Home Reform, referred to Laguna Honda's decertification as a \"once-in-a-generation kind of event\" and said it's very rare for nursing homes in California to go through this process.\u003c/p>\n\u003cp>\"[Laguna Honda] has had its struggles. It's had problems. But I think some of that is almost unavoidable given the size of the facility and the fact that it's publicly run and the population that it serves,\" Chicotel said. \"I think there's a lot of facilities in California that would be much more ripe for decertification. We're still struggling with why it's happened, but we really haven't had a lot of time to focus on that, because of the immediate concerns of the residents that are still there, right now.\"\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED's Cesar Saldaña and Sara Gaiser.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, 11:30 a.m. Friday, July 29:\u003c/strong> State and federal regulators have agreed to an \"urgent\" request from the San Francisco Department of Public Health to \"pause\" the federally mandated discharge or transfer of all remaining residents at Laguna Honda Hospital, city health officials announced on Thursday. The temporary measure, which took effect Thursday, applies to the roughly 600 residents still at the hospital.\u003c/p>\n\u003cp>\"Today's agreement to halt all patients discharges and transfers will allow the dedicated Laguna Honda staff to focus on caring for patients and not moving them,\" Dr. Grant Colfax, director of the San Francisco Department of Public Health, said in a statement.\u003c/p>\n\u003cp>The statement noted it has been \"an extremely challenging time for our community of residents and their families, our staff and all those who care about Laguna Honda Hospital,\" and said the facility would continue to work toward recertification.\u003c/p>\n\u003cp>To date, \u003ca href=\"https://sf.gov/information/laguna-honda-hospital-closure-and-patient-transfer-and-relocation-plan\">57 residents have been transferred or discharged\u003c/a>, and admissions to the hospital remain paused, a hospital official said in an email Friday.\u003c/p>\n\u003cp>\"We will do our best to prioritize former residents who have been transferred out of Laguna Honda,\" the official said. \"At this time, we are not certain how long the pause of transfers and discharges will be but will continue to keep our community updated with the latest information. We know the uncertainty is challenging but we hope this pause provides our community with relief.\"\u003c/p>\n\u003cp>\u003cstrong>Original story, 5:30 p.m. Friday, July 22:\u003c/strong>\u003cbr>\nSan Francisco officials expressed outrage this week over the deaths of four patients shortly after they were transferred from Laguna Honda Hospital and Rehabilitation Center to other facilities.\u003c/p>\n\u003cp>News of the deaths came after federal authorities gave Laguna Honda just four months to close down due to a series of violations. The hospital is the nation’s largest skilled nursing facility, treating nearly 700 patients, many of them medically fragile and low-income.\u003c/p>\n\u003cp>Two of the patients, women with dementia aged 95 and 102, \u003ca href=\"https://www.sfchronicle.com/bayarea/article/Fourth-person-dies-after-being-transferred-out-of-17318758.php\">died within days of being transferred, according to reporting by The San Francisco Chronicle.\u003c/a> The story cited a doctor at Laguna Honda who spoke on condition of anonymity. Fewer details are known about an 80-year-old patient who died within days of being transferred, or about the fourth patient, a person in his or her 60s who died three weeks after being transferred, according to the Chronicle.\u003c/p>\n\u003cp>The U.S. Centers for Medicare and Medicaid Services (CMS) is requiring Laguna Honda to transfer or discharge all patients by Sept. 13, after the federal agency decertified the nursing facility in April. San Francisco’s Department of Public Health, which runs the facility, is working to be re-certify Laguna Honda before the deadline, but must in the meantime abide by the closure order.\u003c/p>\n\u003cp>As of July 18, 56 patients had been moved\u003cspan style=\"font-weight: 400\"> – \u003c/span>40 were transferred to other skilled nursing facilities and 16 were discharged, three of them placed in homeless shelters, \u003ca href=\"https://sf.gov/sites/default/files/2022-07/LHH%20Wkly%20Closure%20Patient%20Transfer%20DATA%20DASHBOARD%2007.18.22.pdf\">according to the city's dashboard\u003c/a>.\u003c/p>\n\u003cp>At a hearing Thursday, San Francisco supervisors and health officials blamed CMS for the rushed closure of the 156-year-old hospital.\u003c/p>\n\u003cp>\"I think that what is happening to folks who are being turned out of Laguna Honda\u003cspan style=\"font-weight: 400\"> – \u003c/span>in some cases to die, in other cases to be sent to homeless shelters\u003cspan style=\"font-weight: 400\"> – \u003c/span>is an embarrassment to the Biden administration,\" said Supervisor Rafael Mandelman.\u003c/p>\n\u003cp>\"Laguna Honda is the country's largest skilled nursing facility. San Francisco is the only county that has tried to bear the responsibility of operating a facility like this,\" he said. \"And to be turning folks out of that institution into either far poorer and far less careful institutions, or in some cases to homeless shelters, is abominable and awful.\"\u003c/p>\n\u003cp>Roland Pickens, Laguna Honda's interim CEO, told supervisors at the hearing that his pleas for a longer period of time to find adequate facilities for patients went unheeded.\u003c/p>\n\u003cp>\"We recognized how traumatic a closure or transfer would be for patients at Laguna, and informed CMS, as the local experts who take care of our patients and know our population, how long it would take,\" Pickens said. \"They rejected that 18-month offer and said, 'No, you must do it in four months.'\"\u003c/p>\n\u003cp>Laguna Honda \u003ca href=\"https://www.kqed.org/news/11782161/newly-uncovered-cases-of-patient-abuse-at-laguna-honda-bring-incident-count-to-130\">suffered a scandal in 2019 after cases of patient abuse were uncovered\u003c/a>, which led to the firing of hospital CEO Mivic Hirose. The incidents of alleged verbal and physical abuse happened between 2016 and January 2019. The facility came under further scrutiny after staff reported two patients' non-fatal overdoses on street drugs in July 2021.\u003c/p>\n\u003cp>State officials concluded last October that the facility was \"in a state of substandard care,\" after an investigation found deficiencies related to hygiene, safety protocols, drug paraphernalia and other banned substances. The state implemented a six-month deadline for a correction plan. After failing to meet that deadline, Laguna Honda was decertified by CMS.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>On Monday, \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\">supporters of Laguna Honda spoke on KQED's Forum with Alexis Madrigal\u003c/a> about the situation and what it means for patients moving forward.\u003c/p>\n\u003cp>Pickens, the interim CEO, didn't dispute the state's findings but lamented the impact of missing the deadline.\u003c/p>\n\u003cp>\"Laguna did their usual of producing a corrective action plan which was approved on behalf of the state and CMS,\" he said, \"but then in subsequent regulatory investigations they found other items and unfortunately, the clock ran out ... and so we weren't able to fix them, and that led to the decertification.\"\u003c/p>\n\u003cp>Supervisor Myrna Melgar expressed concern about the negative health impacts that transfers can have on patients, and said she'd like for patients to be able to stay during the ongoing recertification process.\u003c/p>\n\u003cp>\"The scientific evidence tells us that when you relocate or change the lives of folks who are frail and elderly, their health will suffer,\" she said. \"Folks deserve a due process and they deserve to have stability and they deserve to stay put while we go through the process of recertification.\"\u003c/p>\n\u003cp>Tony Chicotel, staff attorney with California Advocates for Nursing Home Reform, referred to Laguna Honda's decertification as a \"once-in-a-generation kind of event\" and said it's very rare for nursing homes in California to go through this process.\u003c/p>\n\u003cp>\"[Laguna Honda] has had its struggles. It's had problems. But I think some of that is almost unavoidable given the size of the facility and the fact that it's publicly run and the population that it serves,\" Chicotel said. \"I think there's a lot of facilities in California that would be much more ripe for decertification. We're still struggling with why it's happened, but we really haven't had a lot of time to focus on that, because of the immediate concerns of the residents that are still there, right now.\"\u003c/p>\n\u003cp>\u003cem>This story includes reporting from KQED's Cesar Saldaña and Sara Gaiser.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "SF Mayor Breed Explains Extending Shelter-in-Place Order, Discusses Laguna Honda Hospital",
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"headTitle": "SF Mayor Breed Explains Extending Shelter-in-Place Order, Discusses Laguna Honda Hospital | KQED",
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"content": "\u003cp>San Francisco Mayor London Breed announced Wednesday that the city’s shelter-in-place order would be extended until May 1, in a continued effort to “flatten the curve” and slow the spread of the coronavirus.\u003c/p>\n\u003cp>Residents of the Bay Area have been ordered to shelter in their homes for more than two weeks now, and six counties, including San Francisco, have extended the original order to May 1.\u003c/p>\n\u003cp>Meanwhile, San Francisco is reporting its seventh death from COVID-19, and 67 people are currently hospitalized with the virus.\u003c/p>\n\u003cp>Breed spoke with KQED’s Tara Siler about why San Francisco hasn’t seen the same spike in cases as New York City. Plus, she discussed the ongoing shelter-in-place order and how it might impact the city’s financial future, as well as the current situation at Laguna Honda Hospital, where an outbreak of the coronavirus put the facility \u003ca href=\"https://www.sfchronicle.com/bayarea/article/Laguna-Honda-orders-full-lockdown-following-5-15157239.php\">on lockdown\u003c/a> last week.\u003c/p>\n\u003cp>\u003ci>This interview has been edited for clarity and length.\u003c/i>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#hcw\">Health Care Workers\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"#sip\">Shelter in Place\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"#economic\">Economic Impacts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"#laguna\">Laguna Honda Hospital\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Health Care Workers\u003c/h3>\n\u003cp>\u003ca id=\"#hcw\">\u003c/a>\u003cstrong>Some experts are saying that there seemed to be some signs that these stay-at-home efforts are working in the Bay Area, and maybe even across California. What is your assessment at this point? How is San Francisco doing?\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Dr. Grant Colfax, director of the San Francisco Department of Public Health, said that it’s definitely too soon to tell. I think we’re fortunate in that we’re not seeing the numbers grow as rapidly, but I also think it has a lot to do with the fact that people are complying with the order.\u003c/p>\n\u003cp>However, this is the time where we can’t ease up. We also know that it’s going to get a lot worse before it gets better.\u003c/p>\n\u003cp>So, I think that it’s important for people to know that it’s definitely having an impact. And it’s yet to be determined as to what the impact will be, because we have not necessarily experienced the worst of it.\u003c/p>\n\u003cp>\u003cstrong>Do you think that San Francisco’s hospitals are prepared for that peak, despite concerns from health care workers?\u003c/strong>\u003c/p>\n\u003cp>I think what we’re trying to do is make sure we have what we need. We have made a request for 1,500 more ventilators, because that’s what we need. We need an additional 5,000 beds.\u003c/p>\n\u003cp>I think, ultimately, we’re going to have some real challenges with our health system if we don’t continue to comply with the order.\u003c/p>\n\u003ch3>Shelter-in-Place\u003c/h3>\n\u003cp>\u003ca id=\"#sip\">\u003c/a>\u003cstrong>You’ve been ordering people to maintain their distance from the very beginning. How do you adjust this message over time? Especially for young people who may find it really hard to maintain as time goes by?\u003c/strong>\u003c/p>\n\u003cp>As time goes on, it’s going to be even more challenging. But the fact is, once we let up, that’s when we’re going to experience the worst of it. We are trying to prevent things from getting terrible.\u003c/p>\n\u003cp>Part of the need to socially distance ourselves from one another has everything to do with making sure that people don’t die and that we’re able to help those who end up sick. And that’s going to continue to be a challenge.\u003c/p>\n\u003cp>So, I don’t want people to take any of this for granted. I’m hopeful that people will understand and continue to comply.\u003c/p>\n\u003ch3>Economic Impacts\u003c/h3>\n\u003cp>\u003ca id=\"#economic\">\u003c/a>\u003cstrong>San Francisco, along with other Bay Area counties, extended the shelter-in-place order and increased the restrictions — closing off playgrounds, dog parks and residential construction.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Are you concerned this ban on residential construction might worsen the city’s affordability crisis? \u003c/strong>\u003c/p>\n\u003cp>I’m definitely concerned. And what we’re trying to do is work with our county health officer to get clarity on some of those concerns. Because, yes, when this is over we want to make sure we have new housing. We want to make sure that we have places for people to live. We already have a very challenging homeless population as is. And as a result of this unanticipated pandemic, things could get worse.\u003c/p>\n\u003cp>So, we’re definitely concerned. But we also understand and respect the public health experts who are making these recommendations. Protecting public health has to be the priority, as hard as it is on our economy, on our housing market, on all of these things. We have to prioritize public health.\u003c/p>\n\u003cp>\u003cstrong>The San Francisco controller announced a pretty grim picture for the budget over the next two fiscal years — up to a $1.7 billion shortfall. What kind of cuts do you foresee, and how is this going to affect the city’s efforts to address the homeless crisis? \u003c/strong>\u003c/p>\n\u003cp>I think it’s going to be very challenging. And San Francisco is not unique in this challenge — I mean, this is going to be happening all over the country. We have reserves, but reserves are not going to sustain us. We’re going to have to make some hard decisions. I’m setting up a task force now to explore what we plan to do as a city, financially, to recover.\u003c/p>\n\u003ch3>Laguna Honda Hospital\u003c/h3>\n\u003cp>\u003ca id=\"#laguna\">\u003c/a>\u003cstrong>You reported during a news conference earlier today that nine staff and two patients have tested positive for COVID-19 at Laguna Honda Hospital. You’ve announced that there’s some \u003ca href=\"https://www.sfexaminer.com/news/federal-state-health-officials-visit-laguna-honda-after-coronavirus-outbreak/\">federal assistance, a team, coming in\u003c/a> to make recommendations.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>The state Department of Public Health \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/FluAndRespiratoryIllnessOutbreakQuicksheet.pdf\">defines an outbreak\u003c/a> at an institution like Laguna Honda as one case of an infectious respiratory illness, plus a second within 72 hours. \u003c/strong>\u003cstrong>By that definition, it seems that the outbreak at Laguna Honda started much earlier than the chief health officer called it.\u003c/strong>\u003c/p>\n\u003cp>I would defer to Dr. Colfax on the specifics around any health-related questions or health-related guidelines and comments.\u003c/p>\n\u003cp>But I will say that this is something that we have been focused on for some time — specifically early on when we terminated visitors to the campus and put in the kinds of systems to help protect people. I think it’s important that we focus on trying to keep people safe and trying to protect the residents of Laguna Honda and the staff. And that’s exactly what we’re doing.\u003c/p>\n\u003cp>Right now, [the team is] analyzing exactly what the best plan is moving forward. And until we receive that information, we will continue to do everything we can to maintain social distancing, to provide resources to the patients and to make sure that we’re complying with all the regulations.\u003c/p>\n\u003cp>\u003cstrong>How challenging is this going to be in such a sprawling facility? \u003c/strong>\u003c/p>\n\u003cp>It is going to be challenging. Patients, for the most part, can be kept apart with our social distancing policy.\u003c/p>\n\u003cp>The challenge, of course, is a lot of the people there are dependent upon … the nurses and the doctors and some of the social workers of the facility.\u003c/p>\n\u003cp>So I think that there were some [safety protocols] that were already in place and then we enhanced those. And, in the meantime, we’ll keep implementing them until there are further recommendations.\u003c/p>\n\u003cp>\u003cstrong>Looking back, do you think that the health department should have done more to control the infections earlier?\u003c/strong>\u003c/p>\n\u003cp>Laguna Honda was on our radar screen from the very beginning. So before this was brought to anyone’s attention, whether there was a patient or employee infected, there were already limitations around visitors and strict monitoring.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>I’m comfortable that what was implemented at the time was sufficient. And we will get recommendations in order to make sure that problem doesn’t persist.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco Mayor London Breed announced Wednesday that the city’s shelter-in-place order would be extended until May 1, in a continued effort to “flatten the curve” and slow the spread of the coronavirus.\u003c/p>\n\u003cp>Residents of the Bay Area have been ordered to shelter in their homes for more than two weeks now, and six counties, including San Francisco, have extended the original order to May 1.\u003c/p>\n\u003cp>Meanwhile, San Francisco is reporting its seventh death from COVID-19, and 67 people are currently hospitalized with the virus.\u003c/p>\n\u003cp>Breed spoke with KQED’s Tara Siler about why San Francisco hasn’t seen the same spike in cases as New York City. Plus, she discussed the ongoing shelter-in-place order and how it might impact the city’s financial future, as well as the current situation at Laguna Honda Hospital, where an outbreak of the coronavirus put the facility \u003ca href=\"https://www.sfchronicle.com/bayarea/article/Laguna-Honda-orders-full-lockdown-following-5-15157239.php\">on lockdown\u003c/a> last week.\u003c/p>\n\u003cp>\u003ci>This interview has been edited for clarity and length.\u003c/i>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"#hcw\">Health Care Workers\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"#sip\">Shelter in Place\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"#economic\">Economic Impacts\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"#laguna\">Laguna Honda Hospital\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Health Care Workers\u003c/h3>\n\u003cp>\u003ca id=\"#hcw\">\u003c/a>\u003cstrong>Some experts are saying that there seemed to be some signs that these stay-at-home efforts are working in the Bay Area, and maybe even across California. What is your assessment at this point? How is San Francisco doing?\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dr. Grant Colfax, director of the San Francisco Department of Public Health, said that it’s definitely too soon to tell. I think we’re fortunate in that we’re not seeing the numbers grow as rapidly, but I also think it has a lot to do with the fact that people are complying with the order.\u003c/p>\n\u003cp>However, this is the time where we can’t ease up. We also know that it’s going to get a lot worse before it gets better.\u003c/p>\n\u003cp>So, I think that it’s important for people to know that it’s definitely having an impact. And it’s yet to be determined as to what the impact will be, because we have not necessarily experienced the worst of it.\u003c/p>\n\u003cp>\u003cstrong>Do you think that San Francisco’s hospitals are prepared for that peak, despite concerns from health care workers?\u003c/strong>\u003c/p>\n\u003cp>I think what we’re trying to do is make sure we have what we need. We have made a request for 1,500 more ventilators, because that’s what we need. We need an additional 5,000 beds.\u003c/p>\n\u003cp>I think, ultimately, we’re going to have some real challenges with our health system if we don’t continue to comply with the order.\u003c/p>\n\u003ch3>Shelter-in-Place\u003c/h3>\n\u003cp>\u003ca id=\"#sip\">\u003c/a>\u003cstrong>You’ve been ordering people to maintain their distance from the very beginning. How do you adjust this message over time? Especially for young people who may find it really hard to maintain as time goes by?\u003c/strong>\u003c/p>\n\u003cp>As time goes on, it’s going to be even more challenging. But the fact is, once we let up, that’s when we’re going to experience the worst of it. We are trying to prevent things from getting terrible.\u003c/p>\n\u003cp>Part of the need to socially distance ourselves from one another has everything to do with making sure that people don’t die and that we’re able to help those who end up sick. And that’s going to continue to be a challenge.\u003c/p>\n\u003cp>So, I don’t want people to take any of this for granted. I’m hopeful that people will understand and continue to comply.\u003c/p>\n\u003ch3>Economic Impacts\u003c/h3>\n\u003cp>\u003ca id=\"#economic\">\u003c/a>\u003cstrong>San Francisco, along with other Bay Area counties, extended the shelter-in-place order and increased the restrictions — closing off playgrounds, dog parks and residential construction.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Are you concerned this ban on residential construction might worsen the city’s affordability crisis? \u003c/strong>\u003c/p>\n\u003cp>I’m definitely concerned. And what we’re trying to do is work with our county health officer to get clarity on some of those concerns. Because, yes, when this is over we want to make sure we have new housing. We want to make sure that we have places for people to live. We already have a very challenging homeless population as is. And as a result of this unanticipated pandemic, things could get worse.\u003c/p>\n\u003cp>So, we’re definitely concerned. But we also understand and respect the public health experts who are making these recommendations. Protecting public health has to be the priority, as hard as it is on our economy, on our housing market, on all of these things. We have to prioritize public health.\u003c/p>\n\u003cp>\u003cstrong>The San Francisco controller announced a pretty grim picture for the budget over the next two fiscal years — up to a $1.7 billion shortfall. What kind of cuts do you foresee, and how is this going to affect the city’s efforts to address the homeless crisis? \u003c/strong>\u003c/p>\n\u003cp>I think it’s going to be very challenging. And San Francisco is not unique in this challenge — I mean, this is going to be happening all over the country. We have reserves, but reserves are not going to sustain us. We’re going to have to make some hard decisions. I’m setting up a task force now to explore what we plan to do as a city, financially, to recover.\u003c/p>\n\u003ch3>Laguna Honda Hospital\u003c/h3>\n\u003cp>\u003ca id=\"#laguna\">\u003c/a>\u003cstrong>You reported during a news conference earlier today that nine staff and two patients have tested positive for COVID-19 at Laguna Honda Hospital. You’ve announced that there’s some \u003ca href=\"https://www.sfexaminer.com/news/federal-state-health-officials-visit-laguna-honda-after-coronavirus-outbreak/\">federal assistance, a team, coming in\u003c/a> to make recommendations.\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>The state Department of Public Health \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/FluAndRespiratoryIllnessOutbreakQuicksheet.pdf\">defines an outbreak\u003c/a> at an institution like Laguna Honda as one case of an infectious respiratory illness, plus a second within 72 hours. \u003c/strong>\u003cstrong>By that definition, it seems that the outbreak at Laguna Honda started much earlier than the chief health officer called it.\u003c/strong>\u003c/p>\n\u003cp>I would defer to Dr. Colfax on the specifics around any health-related questions or health-related guidelines and comments.\u003c/p>\n\u003cp>But I will say that this is something that we have been focused on for some time — specifically early on when we terminated visitors to the campus and put in the kinds of systems to help protect people. I think it’s important that we focus on trying to keep people safe and trying to protect the residents of Laguna Honda and the staff. And that’s exactly what we’re doing.\u003c/p>\n\u003cp>Right now, [the team is] analyzing exactly what the best plan is moving forward. And until we receive that information, we will continue to do everything we can to maintain social distancing, to provide resources to the patients and to make sure that we’re complying with all the regulations.\u003c/p>\n\u003cp>\u003cstrong>How challenging is this going to be in such a sprawling facility? \u003c/strong>\u003c/p>\n\u003cp>It is going to be challenging. Patients, for the most part, can be kept apart with our social distancing policy.\u003c/p>\n\u003cp>The challenge, of course, is a lot of the people there are dependent upon … the nurses and the doctors and some of the social workers of the facility.\u003c/p>\n\u003cp>So I think that there were some [safety protocols] that were already in place and then we enhanced those. And, in the meantime, we’ll keep implementing them until there are further recommendations.\u003c/p>\n\u003cp>\u003cstrong>Looking back, do you think that the health department should have done more to control the infections earlier?\u003c/strong>\u003c/p>\n\u003cp>Laguna Honda was on our radar screen from the very beginning. So before this was brought to anyone’s attention, whether there was a patient or employee infected, there were already limitations around visitors and strict monitoring.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>I’m comfortable that what was implemented at the time was sufficient. And we will get recommendations in order to make sure that problem doesn’t persist.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The number of patients subject to various forms of abuse or had their privacy violated at San Francisco's Laguna Honda Hospital is now 130 — not 23, as \u003ca href=\"https://www.kqed.org/news/11757925/hurtful-offensive-and-heartbreaking-major-patient-abuse-scandal-reported-at-s-f-s-laguna-honda-hospital\" target=\"_blank\" rel=\"noopener\">previously reported by city officials\u003c/a>.\u003c/p>\n\u003cp>The latest incidents were uncovered from a forensic analysis of the cellphones of six former employees, who allegedly carried out the abuse over a three-year period from 2016 to January 2019.\u003c/p>\n\u003cp>[aside postID=\"news_11757925\" label=\"Related coverage\"]\u003c/p>\n\u003cp>The additional evidence means that a total of about 30 patients suffered “some physical, sexual and psychological abuse,” according to Troy Williams, chief quality officer at Zuckerberg San Francisco General Hospital, who is assisting with reform efforts at Laguna Honda.\u003c/p>\n\u003cp>Williams testified Wednesday before an oversight committee of the San Francisco Board of Supervisors.\u003c/p>\n\u003cp>He clarified that there is no evidence of sexual assault or touching, but rather photos taken of nudity. Some patients were also chemically restrained- sometimes drugged for staff convenience using narcotics brought in from outside the facility.\u003c/p>\n\u003cp>Approximately 25 additional patients were photographed or were visible in the background of photographs that were taken without their consent. Another 75 patients had their names disclosed in recordings\u003ci>,\u003c/i> also a privacy violation.\u003c/p>\n\u003cp>Brent Andrew, spokesman for Zuckerberg San Francisco General Hospital supplied the latest tally in an email, to clarify earlier numbers.\u003c/p>\n\u003cp>The news of more incidents of abuse comes as city public health officials attempt to institute a number of reforms at Laguna Honda, one of the country’s largest skilled nursing and rehabilitation centers.\u003c/p>\n\u003cp>The reforms follow revelations made public by Mayor London Breed in June that six, now former, employees allegedly abused 23 patients, including kicking one, having sexual conversations with others, taking nude photos and inappropriately drugging patients.\u003c/p>\n\u003cp>An investigation by the California Department of Public Health (CDPH) found that deficiencies in the hospital’s medication management, workplace safety and hospital leadership were “primary contributing factors” in patient abuse.\u003c/p>\n\u003cp>Details of the abuse were obtained by the \u003ca href=\"https://www.sfexaminer.com/news/sordid-details-emerge-in-abuse-of-patients-at-laguna-honda-hospital/\" target=\"_blank\" rel=\"noopener\">San Francisco Examiner\u003c/a> through a public records request to the CDPH.\u003c/p>\n\u003cp>City officials have said they initially uncovered evidence of the abuse during an investigation of an unrelated staff complaint.\u003c/p>\n\u003cp>Williams said he is currently facilitating interviews between the San Francisco Police Department and Laguna Honda residents to assist in the department’s ongoing criminal investigation.\u003c/p>\n\u003cp>Williams also said his team has been in contact with all the relevant licensing and certification boards because “we don’t feel like those folks [the former employees] should ever work — ever again — in any health care setting.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Supervisor Norman Yee suggested jail would be an appropriate fate.\u003c/p>\n\u003cp>As a result of the scandal, Williams revealed the city is already facing two lawsuits. The city has also paid a $780,000 fine and is expected to be hit with more, due to the additional recordings of abuse, according to Williams.\u003c/p>\n\u003cp>Following the initial revelations, Laguna Honda hospital CEO Mivic Hirose was fired. Margaret Rykowski, the Public Health Department’s chief integrity officer and director of compliance and privacy affairs, is now acting CEO.\u003c/p>\n\u003cp>However, Williams said the hospital is now in full compliance with state and federal regulations. The CDHP’s report this summer found the hospital out of compliance by failing to protect the privacy rights of patients, to ensure they are free of chemical restraints and to protect them from verbal, physical and mental abuse.\u003c/p>\n\u003cp>Yee said hospital officials will need to win back the trust of the city’s residents, “who cannot be asked to entrust the care of their loved ones to any entity that cannot prove that they have an effective system that guarantees the safety and well-being of every single patient.”\u003c/p>\n\u003cp>\u003cem>KQED's Matthew Green contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Editor's note: This story has been edited to correct conflicting information provided by the Department of Public Health about the number of patient abuse cases.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The number of patients subject to various forms of abuse or had their privacy violated at San Francisco's Laguna Honda Hospital is now 130 — not 23, as \u003ca href=\"https://www.kqed.org/news/11757925/hurtful-offensive-and-heartbreaking-major-patient-abuse-scandal-reported-at-s-f-s-laguna-honda-hospital\" target=\"_blank\" rel=\"noopener\">previously reported by city officials\u003c/a>.\u003c/p>\n\u003cp>The latest incidents were uncovered from a forensic analysis of the cellphones of six former employees, who allegedly carried out the abuse over a three-year period from 2016 to January 2019.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The additional evidence means that a total of about 30 patients suffered “some physical, sexual and psychological abuse,” according to Troy Williams, chief quality officer at Zuckerberg San Francisco General Hospital, who is assisting with reform efforts at Laguna Honda.\u003c/p>\n\u003cp>Williams testified Wednesday before an oversight committee of the San Francisco Board of Supervisors.\u003c/p>\n\u003cp>He clarified that there is no evidence of sexual assault or touching, but rather photos taken of nudity. Some patients were also chemically restrained- sometimes drugged for staff convenience using narcotics brought in from outside the facility.\u003c/p>\n\u003cp>Approximately 25 additional patients were photographed or were visible in the background of photographs that were taken without their consent. Another 75 patients had their names disclosed in recordings\u003ci>,\u003c/i> also a privacy violation.\u003c/p>\n\u003cp>Brent Andrew, spokesman for Zuckerberg San Francisco General Hospital supplied the latest tally in an email, to clarify earlier numbers.\u003c/p>\n\u003cp>The news of more incidents of abuse comes as city public health officials attempt to institute a number of reforms at Laguna Honda, one of the country’s largest skilled nursing and rehabilitation centers.\u003c/p>\n\u003cp>The reforms follow revelations made public by Mayor London Breed in June that six, now former, employees allegedly abused 23 patients, including kicking one, having sexual conversations with others, taking nude photos and inappropriately drugging patients.\u003c/p>\n\u003cp>An investigation by the California Department of Public Health (CDPH) found that deficiencies in the hospital’s medication management, workplace safety and hospital leadership were “primary contributing factors” in patient abuse.\u003c/p>\n\u003cp>Details of the abuse were obtained by the \u003ca href=\"https://www.sfexaminer.com/news/sordid-details-emerge-in-abuse-of-patients-at-laguna-honda-hospital/\" target=\"_blank\" rel=\"noopener\">San Francisco Examiner\u003c/a> through a public records request to the CDPH.\u003c/p>\n\u003cp>City officials have said they initially uncovered evidence of the abuse during an investigation of an unrelated staff complaint.\u003c/p>\n\u003cp>Williams said he is currently facilitating interviews between the San Francisco Police Department and Laguna Honda residents to assist in the department’s ongoing criminal investigation.\u003c/p>\n\u003cp>Williams also said his team has been in contact with all the relevant licensing and certification boards because “we don’t feel like those folks [the former employees] should ever work — ever again — in any health care setting.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Supervisor Norman Yee suggested jail would be an appropriate fate.\u003c/p>\n\u003cp>As a result of the scandal, Williams revealed the city is already facing two lawsuits. The city has also paid a $780,000 fine and is expected to be hit with more, due to the additional recordings of abuse, according to Williams.\u003c/p>\n\u003cp>Following the initial revelations, Laguna Honda hospital CEO Mivic Hirose was fired. Margaret Rykowski, the Public Health Department’s chief integrity officer and director of compliance and privacy affairs, is now acting CEO.\u003c/p>\n\u003cp>However, Williams said the hospital is now in full compliance with state and federal regulations. The CDHP’s report this summer found the hospital out of compliance by failing to protect the privacy rights of patients, to ensure they are free of chemical restraints and to protect them from verbal, physical and mental abuse.\u003c/p>\n\u003cp>Yee said hospital officials will need to win back the trust of the city’s residents, “who cannot be asked to entrust the care of their loved ones to any entity that cannot prove that they have an effective system that guarantees the safety and well-being of every single patient.”\u003c/p>\n\u003cp>\u003cem>KQED's Matthew Green contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003cem>Editor's note: This story has been edited to correct conflicting information provided by the Department of Public Health about the number of patient abuse cases.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"disqusTitle": "'Hurtful, Offensive and Heartbreaking': Major Patient Abuse Scandal Hits S.F.'s Laguna Honda Hospital",
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"content": "\u003cp>Nearly two dozen patients at Laguna Honda Hospital and Rehabilitation Center in San Francisco were abused for years by a group of staff members, city officials said on Friday.\u003c/p>\n\u003cp>Following a months-long investigation, the San Francisco Department of Public Health reported that six former employees subjected 23 live-in patients to verbal and physical abuse, including sedating them with non-prescribed medications and engaging in sexualized conversations. The employees also photographed and recorded video of the abusive interactions, and shared them with each other via text message.\u003c/p>\n\u003cp>[pullquote size=“medium” align=”right” citation=\"Mayor London Breed\"]'This behavior does not belong in our City or anywhere and can never be allowed to happen again. San Francisco is better than this.'[/pullquote]\u003c/p>\n\u003cp>The alleged abuse occurred between 2016 and January 2019, and was limited to two wards of the hospital that primarily serve patients with dementia, officials said.\u003c/p>\n\u003cp>“What has recently come to light is so profoundly hurtful, offensive, and heartbreaking for so many of us who care deeply about this hospital,” San Francisco Mayor London Breed said in a statement Friday morning.\u003c/p>\n\u003cp>\"This behavior does not belong in our City or anywhere and can never be allowed to happen again. San Francisco is better than this, and significant changes will be made at Laguna Honda Hospital so it can fulfill its mission of caring for those most in need.\"\u003c/p>\n\u003cp>Laguna Honda, a public city-run facility, is a live-in hospital, nursing home and rehabilitation center serving nearly 800 patients.\u003c/p>\n\u003cp>In light of the allegations, DPH said it fired hospital CEO Mivic Hirose as well as its director of quality management and the six employees suspected of abuse. A department official declined to specify when the terminations occurred.\u003c/p>\n\u003cp>Margaret Rykowski, DPH's chief integrity officer, has since been appointed acting CEO and is leading the recovery process, officials said.\u003c/p>\n\u003cp>Breed, along with Board of Supervisors President Norman Yee and Dr. Grant Colfax, the city's recently appointed public health chief, addressed the scandal during a press conference on Friday at City Hall.\u003c/p>\n\u003cp>\"We are here to report something difficult, disturbing and disappointing to the people of San Francisco,\" said Colfax. \"This behavior is not something I will tolerate. As a caregiver, I am outraged and heartbroken that our patients were treated this way. I apologize to them and to their families.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The allegations first came to light in February as part of an investigation into an unrelated personnel complaint, Colfax said. DPH immediately began an internal investigation and found evidence to substantiate the suspicions, he said. The city attorney was then asked to take over the investigation, and findings were reported to the city's police department and state public health officials.\u003c/p>\n\u003cp>\"We have immediately taken steps to ensure patient wellness and safety,\" Colfax added.\u003c/p>\n\u003cp>All affected patients have been fully examined and their decision-makers notified, Colfax said. Hospital staff have also been retrained in prevention and reporting of patient abuse, and the facility has adopted improved drug security, dispensing and testing practices.\u003c/p>\n\u003cp>\"Today we are confident that Laguna Honda continues to be a good place for patients,\" Colfax said. \"Especially in the areas of patient care and safety, we want to ensure it continues moving in the right direction so these circumstances never occur again.\"\u003c/p>\n\u003cp>DPH will also conduct a \"turnaround plan for Laguna Honda, and submit a plan for moving forward to the mayor and Board of Supervisors within 60 days, Colfax said.\u003c/p>\n\u003cp>Anyone with concerns about patient care or staff conduct, he added, should contact the confidential DPH compliance hotline: 855-729-6040\u003c/p>\n\u003cp>\u003cem>KQED's Carla Williams contributed to this story. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The alleged abuse occurred between 2016 and January 2019, and was limited to two wards of the hospital that primarily serve patients with dementia, officials said.\u003c/p>\n\u003cp>“What has recently come to light is so profoundly hurtful, offensive, and heartbreaking for so many of us who care deeply about this hospital,” San Francisco Mayor London Breed said in a statement Friday morning.\u003c/p>\n\u003cp>\"This behavior does not belong in our City or anywhere and can never be allowed to happen again. San Francisco is better than this, and significant changes will be made at Laguna Honda Hospital so it can fulfill its mission of caring for those most in need.\"\u003c/p>\n\u003cp>Laguna Honda, a public city-run facility, is a live-in hospital, nursing home and rehabilitation center serving nearly 800 patients.\u003c/p>\n\u003cp>In light of the allegations, DPH said it fired hospital CEO Mivic Hirose as well as its director of quality management and the six employees suspected of abuse. A department official declined to specify when the terminations occurred.\u003c/p>\n\u003cp>Margaret Rykowski, DPH's chief integrity officer, has since been appointed acting CEO and is leading the recovery process, officials said.\u003c/p>\n\u003cp>Breed, along with Board of Supervisors President Norman Yee and Dr. Grant Colfax, the city's recently appointed public health chief, addressed the scandal during a press conference on Friday at City Hall.\u003c/p>\n\u003cp>\"We are here to report something difficult, disturbing and disappointing to the people of San Francisco,\" said Colfax. \"This behavior is not something I will tolerate. As a caregiver, I am outraged and heartbroken that our patients were treated this way. I apologize to them and to their families.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The allegations first came to light in February as part of an investigation into an unrelated personnel complaint, Colfax said. DPH immediately began an internal investigation and found evidence to substantiate the suspicions, he said. The city attorney was then asked to take over the investigation, and findings were reported to the city's police department and state public health officials.\u003c/p>\n\u003cp>\"We have immediately taken steps to ensure patient wellness and safety,\" Colfax added.\u003c/p>\n\u003cp>All affected patients have been fully examined and their decision-makers notified, Colfax said. Hospital staff have also been retrained in prevention and reporting of patient abuse, and the facility has adopted improved drug security, dispensing and testing practices.\u003c/p>\n\u003cp>\"Today we are confident that Laguna Honda continues to be a good place for patients,\" Colfax said. \"Especially in the areas of patient care and safety, we want to ensure it continues moving in the right direction so these circumstances never occur again.\"\u003c/p>\n\u003cp>DPH will also conduct a \"turnaround plan for Laguna Honda, and submit a plan for moving forward to the mayor and Board of Supervisors within 60 days, Colfax said.\u003c/p>\n\u003cp>Anyone with concerns about patient care or staff conduct, he added, should contact the confidential DPH compliance hotline: 855-729-6040\u003c/p>\n\u003cp>\u003cem>KQED's Carla Williams contributed to this story. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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