The Evolving Crises at
Laguna Honda Hospital and Rehabilitation Center
Patient Safety Endangered by a Cultural Wall of Silence
New: 12/2/19 LHH Leadership Fingered in Patient Abuse Scandal
Multiple Efficacy Problems Questioned
11/7/19 Invisible Successes Navigating the Homeless
Citywide Public Land Re-Zoning
10/2/19 “Local Control” Excludes Neighborhood Input
Vote “No” on Prop. “E” November 2019!
Lottery in Bond Disguise (72 ≠ 517)
9/3/19 Who Affordable Housing Bond Leaves Behind
Vote “No” on Prop. “A” November 2019!
7/4/19 Breed’s Blank Check: Re-Zoning Public Lands
A Land-Grab, by Any Other Name, Developer’s Will Love Vote “No”
6/7/19 High Costs of Wrongful Arrests and Convictions
$53.4 Million Costs of Failure to Sufficiently Reconsider
November 2015 $310 Million Affordable Housing Bond Update
5/6/19 Affordable Housing That Wasn’t
Sneak Peek: November 2019 $500 Million Affordable Bond Preview
Incestuous Intersection of Politics and Money
4/16/19 Regime Churn of SFERS’ Trustees
What Could Possibly Go Wrong? Scott R. Heldfond’s Connections to
Aon Plc and
San Francisco–Bangalore Sister City Initiative…
$90.7 Million and Counting …
3/6/19 Lawsuit Settlement Costs Continue to Soar
San Francisco's Severe Shortage of Elderly & Disabled Healthcare Facilities
2/14/19 Supervisor Yee Must Prioritize Full Spectrum
Out-of-County Patient Discharges: Is What’s Past, Prologue?
Following Untenable Legislative Track Record as Supervisor ...
Posted 12/8/18, Updated 1/3/19 Mayor Breed Needs to Clean House at DHR
11/3/18 Mayor's Patronage Nepotism Jobs Alive and Well
Escalating City Employee Bloat: The New “$400,000+ Club”
10/8/18 A Few November 2018 Election Recommendations
9/1/18 Slow-Moving, Stalled, Legislation
City Employees Living in Each City District at Risk
Delayed Legislation Deprives
City Employees of Legal Protections
7/3/18 Monetizing Laguna Honda Hospital’s Campus
Rezoning Public Land for Residential Housing: A Land Grab
D-7 Supervisor Norman Yee’s Plan for Increasing “Assisted Living”
and “RCFE” (Residential Care Facilities for the Elderly) Units
in San Francisco Goes
Horribly Wrong — Reduced to “Senior Housing” Units?
6/8/18 Affordable Housing Bond Continuing Oddities
The $310 Million Housing Bond
5/6/18 June 2018 Election Recommendations
Don’t Vote for London Breed!
4/3/18 $70 Million in Taxpayer Funds Up in Smoke
When City Employees Violate Laws, Taxpayers Saddled
More on “Prohibited Personnel Practice” Lawsuits Filed by City Employees
Updated 3/8/18 Financing 250 Laguna Honda Senior Housing
Funds for Affordable Housing Must Be Made Public
Postscript: D-7 Supervisor Norman Yee Suddenly Withdraws Support for Project
2/4/18 San Francisco’s #MeToo Sexual Harassment Scandal
“Time’s Up” on One of San Francisco’s Dirty Little Secrets
12/14/17 Temporary Reprieve From Exile
San Francisco St. Luke’s Hospital Update
11/13/17 City Sues, But Continues Investing In, Big Oil
Will Brian Stansbury Thwart City Attorney Dennis Herrera?
9/1/17 Mayor’s Hiring Spree Isn’t a “Black Swan” Event
Bloat in Patronage Hiring
8/30/17 Eviction and Exile: A Watershed Moment
On the Proposed St. Luke’s Hospital Sub-Acute and SNF Units Closure
by Teresa Palmer, MD and Patrick Monette-Shaw
7/1/17 Part 1: CGOBOC’s Failure to Monitor Change Orders
“Oversight Committee" Provides Scant Oversight on Bond Measures
7/1/17 Part 2: CGOBOC’s Other CSA Duties as the CARB
“Oversight Committee" Provides Scant Oversight on Bond Measures
6/1/17 SF: Sanctuary City for Housing Developers
Pitting Neighbor Against Neighbor for Affordable Housing
Dueling “Inclusionary” Affordable Housing Proposals:
Peskin-Kim v. Safai-Breed-Tang Ordinances, and the HOME-SF Killer
5/1/17 Where’s Our Torchbearer for the Elderly?
Remembering Laguna Honda Hospital’s Sister Miriam Walsh
LHH Demographics Changes, Patient Dumping, Disastrous Community Living
Fund and Dignity Fund, and Non-Existent Senior Services “Gap Analysis”
4/5/17 Slouching Toward Whistleblower Protections
City Employees Deserve Strengthened Anti-Retaliation Law
3/8/17 Addendum: Housing Project Below a Cliff Starts Sampling Soil
Companion Article to “Affordable Housing Bond Measure Lurches Down a Cliff,” Below
3/3/17 Affordable Housing Bond Measure Lurches Down a Cliff
Bait–’n–Switch: 250 Laguna Honda Boulevard Senior Housing Proposal and Other Issues
2/8/17 Who’s Auditing Mayor’s Hiring Binge?
5,090 and Counting: Bloat Under Ed Lee
Updated 2/10/17 — Added Two Tables Showing 6,414 Increase in Number of Employees
1/14/17 Mayor Ed Lee’s Five-and-a-Half Year Hiring Binge
Joel Engardio & Heather Knight Don’t Know What They’re Talking About
Updated 12/14/16 What Price for a Seat at the Table?
Open Letter to “Al” Casciato: Retirement Board Isn’t For Sale!
“Miscellaneous” Members Deserve Balanced Representation
10/2/16 Housing Delays = Justice Denied
New Problems With $310 Million Affordable Housing Bond
San Francisco's Incredibly Shinking Affordable Housing
9/29/16 November Election Recommendations
Voter’s Beware: Don’t Be Suckered!
9/7/16 Support Housing Commission, Public Advocate
Open Government: Two Crucial Good Ballot Measures
7/6/16 Bullying Costs Soar to $41.6 Million
Update on Retaliation Against City Employees and Civil Grand
Jury Whistleblower Report
6/22/16 Happy 65th Birthday to Me: Birth of an Accountability
Watchdog
Remind Me: How Did I Reach Middle Age So Fast?
5/30/16
Novembers Affordable Housing Bond Snookered
Voters
Drunken Sailor City Hall Spending: Another Bait-and-Switch?
5/2/16
June 2016 Election Recommendations
Voters Beware: You Get What You Vote For
4/5/16
San Franciscos Skilled Nursing Bed Shortage
Worsens
Laguna Honda Hospitals Mission Statement Changed,
Again!
3/7/16
Mayors Hiring Spree vs. City Retiree Pensions
Mayors Hiring Spree Is Unsustainable
2/1/16
Pedestrian Safety Not Worthwhile?
Protecting Pedestrians From Scofflaw Bicyclists
12/1/15
SFMTA Makes Tech Shuttle Google Buses
Permanent
1.2 Million Commercial Shuttle Stops
Will Soon Clog San Francisco Roadways
11/30/15
Secondary Analysis of SFMTAs Premature Evaluation
Report of Its Commuter Shuttle Pilot Project
Flaws-in-the-Glass Snake Oil
1/29/15
Mayor Without Mandate
Department of Elections Certifies
November 2015 Election Results
11/1/15
Tech Buses Drive Housing Displacement
Driven Out of Town
Driven
to Eviction?
10/12/15
Re-Elect the Mayor? Youre Kidding.
Right?
Weaving Together the Many Faces of
Mayor Ed Lee
9/6/15
Reject the $310 Million Affordable Housing Bond
Measure
I dont
think we paid any attention to the middle class. I think
everybody assumed the middle class was moving out.
Mayor Ed Lee, January 2014
Dont Fall for
the Blank Check Snake Oil on San Francisco's November
2015 Ballot
7/4/15
Retaliators Keep Their City Jobs
New Civil Grand Jury Whistleblower Report + Police Chief Suhr's
Slurs Fuels SFPDs Text Scandal
(Court Records
Reveal Then-Deputy Chief Suhr Referred to Then-Police Chief Heather
Fong as a Dragon Lady,
and Then-Deputy Chief Mindy Pengel as a Man Hater
a Common Slur Against Lesbians.)
6/10/15
Detrimental Skilled Nursing Care Cuts
Secret City Attorney Opinion Overturns 1988 Voter-Approved
Prop Q
5/10/15
Housing Withers on the Vine
On San Francisco's Housing Crisis
3/29/15
Mayor's Housing Scam, Redux
November 2015 $250 Million Housing Bond Ballot Measure
3/1/15
Troubling Reappointment of Wendy Paskin-Jordan
to the San Francisco Employees Retirement Fund
Part 2: Gambling With San Francisco Employee's Retirement Fund
(How the Board of Supervisors Got It Wrong)
2/14/15
San Francisco Employees' Retirement Fund: Looming
Fiasco Hedge Funds Wealth Transfer
Postscript #2 added February 14 shows Bill Coaker is highest-paid
City employee.
11/7/14 Extract of Briefs Filed in Allen Grossmans
Second Lawsuit Against San Franciscos Ethics Commission
11/2/14 Billionaires Buying Elections: Playing Politics With Domestic Violence
(More on Say No to David Chiu)
San Franciscos November 2014 Election
and Mayor Ed Lees Lie
on Behalf of David Chiu
10/5/14 Prop.
A $500 Million MUNI Bond Measure, and David Chiu:
Just Say No!
On San Franciscos November 2014 Municipal Ballot
9/14/14 Ethics
Pretenses vs. Sunshine
Grand Jurys Report on Ethics Commission ... Sunshine Task
Force Member Pilpel ... and Task Forces Tiny Budget
Update 8/21/14 On Sunshine
Ordinance Task Force Member David Pilpel
San Francisco Government Ethics Laws and Conflicts of Interest
7/6/14 The Big Squeeze: Dys-Integration of Old Friends
Discharging and Diverting Patients Out-of-County
6/14/14 Board of Supervisors Continue Sunshine Task Force
Retaliation
Ongoing Fight for Open Government in San Francisco
5/13/14
The Three-David Race for Assemblyperson
A Fight for the Soul of San Francisco
4/16/14
Affordability Mayor: A Housing BaitandSwitch?
On the Mayors Seven-Point Housing Plan
3/9/14
Sandbagging, Legal Fairy Dust, and Double-Speak
San Francisco Fights Open Government in California Appellate Court
City Seeks to Strike Down Key Sunshine Provision
(Contains Further Reading Section)
12/01/13 Four
Major Sunshine Victories
Advancing Open Government in San Francisco
11/03/13
A Victory for SFGHs Dialysis Patients
Margaret Meade Was Right: Small Groups of Thoughtful, Committed
Citizens, Can Change the World
10/10/13
Department of Public Healths Dialysis Crisis
(Round the Circle-Game We Go)
Why Outsourcing SFGHs Dialysis Renal Center to Laguna Honda
Hospital Is a Really, Really Bad Idea
(Dedicated to Jimmy Manges)
9/09/13
Squished Together: Misery Visits Company
(Patient Dumping Part 2: Mental Health Patients Dumped Into
LHH or Out-of-County;
Non-Ambulatory Elderly Squished Into Vacated MHRF Space; SFGH
Inpatient Dialysis Patients Squished Into Outpatients at LHH)
6/30/13 Of
Mold and Men
(Marc Slavin's Ouster as LHHs Spokesman; $600,000 Mold Problem
in New Kitchen; Board of Supervisors Approves Patient Dumping)
6/11/13 Who's Dumping Grandma?
(Patient Dumping: City Attorney's Hypocrisy, Laguna Honda Hospital's
Shame)
5/27/13 High Cost's of City Attorney's Advice
(Retaliation and Bullying of City
Employees)
3/30/13
The $750,000 Wrongful Termination Affair
(Dr. Kerrs Wrongful Termination Settlement
Award)
3/3/13 Voracious Management
Salaries Rob Citys Lowest-Paid
(The High Cost of San Francisco City
Government)
2/3/13
A Sordid Tale of Two Non-Profits
(Dissolution of Louise Rennes Laguna
Honda Foundation)
12/9/12
A Foundations Dirty Laundry
(Louise Rennes Laguna Honda Foundation)
11/4/12
Consensus
Mayors Sour Grapes
(Mayor Lee Dreams of Sharing Thanksgiving
With Sheriff Mirkarimi)
10/7/12
Swimming in Official Misconduct
(Ethics Commission Exceeds Its Authority;
Will Supervisors, Too?)
9/2/12
Wiener
Out of Control
(Skullduggery at Board of Supervisors)
9/2/12
Westside
Observer Editorial:
Serving Two Masters
(With Editorial Cartoon of Supervisor Scott Wiener)
7/7/12 Who
Killed Sunshine?
(Ask Supervisor Scott "The Tinkerer"
Wiener)
6/2/12 Errors Haunt "God's Hotel"
A Book Review by Patrick Monette-Shaw
5/12/12 Budget Analyst Short-Circuits Supervisor
"Tinkerer" Wiener
4/7/12 Board of Supervisors Tinker With Open Government
3/1/12 Amid Noise Complaints, City Sues LHH Architects
2/12/12 Laguna Honda's 2010 Fundraising Dinner:
$260K Black Hole Expenses
12/3/11 Laguna Honda Charitable Giving Plummets
Again
10/23/11 Six Deadly Ballot Measures
10/23/11 "Pension Reform" Ballot Measures
Omit Salary Reform
9/3/11 Laguna Honda Hospital Scandal
Patient Gift Fund Records Referred to D.A. and Feds
8/8/11 On Laguna
Honda Hospital
Gods
Hotel:
A Doctor, a Hospital, and a Pilgrimage to the Heart of Medicine
7/3/11 Watchdogs, Whistleblowers and Grand Juries
[Is City Attorney Dennis Herrera
the Ultimate Barrier to Open Government?]
6/17/11 Three-Part Series on Pandora's Secrecy Box:
Corruption of San Francisco's Whistleblower Program
[This is the Detailed Version First
Published on CitiReport.com]
6/17/11 Opening Pandora's Secrecy Box:
Corruption of San Francisco's Whistleblower Program
[The Short Version that appeared
in the Westside Observer Newspaper]
5/7/11 Commingling of Public and Private Funds
Two Non-Profit Organizations, and the City, Quietly Mix Their
Funds
4/5/11 Snoozing at Laguna Hondas Gift Fund Wheel
3/27/11 Analysis of Laguna Honda Volunteers, Inc.'s
Tax Returns Reveals
"Program Services" Plummets to Just 56.9 Percent of
Total Expenditures
2/13/11 Health Commission Misses the Point: Laguna Honda's
Gift Fund Scandal
2/13/11 Verbatim Transcript of Health Commission's JCC
Meeting, December 3, 2010
10/31/10: Scapegoating Public Employees: Reasons to
Vote "No" on Adachi's Prop B
10/3/10: Accounting Red Flags Over Laguna Honda Hospital's
Patient Gift Fund Audit
9/3/10: Multiple Black Holes Engulf Laguna Honda
Hospital
7/10/10: Unanswered
Questions Remain Regarding LHHs Patient Gift Fund
7/1/10: West of Twin Peaks Central Council unanimously
passes resolution calling for audit of Laguna Honda Hospitals
patient gift fund.
8/2/10:
Cartoon Regarding Claims Louise Renne Filed
Tabocco Lawsuit
Made During LHH's RIbbon-Cutting Ceremony June 26, 2010
5/24/10:
Raiding the Public's Trust: LHH's Patient
Gift Fund Scrutinized
5/2/10:
LHH "Change Order" Cost Overrun
Lessons Impact All Bond-Financed Projects
2/6/10:
In Memoriam:
Laguna Honda's Torchbearer,
Sister Miriam Walsh, Has Died
2/6/10:
Laguna Honda Hospital Won't Discuss Delays
LHH Delays Its Move-In Date & and
Its Executive Administrator Refuses to Answer Questions
2/6/10:
Laguna Honda Hospital Policy Questions,
by George Wooding
12/20/09:
Laguna Honda Hospital Featured in "The
Worst-Run Big City in the U.S."
12/12/09:
Rebuttal to a Nurse Practitioner's November
2009 Letter About LHH
12/09/09:
Déjà Vu Haunts Laguna Honda
Hospital
11/27/09:
A Mental Health Professional Weighs in on
the "Ja Report" on LHH
10/7/09:
Laguna
Honda's Unkindest Cut (Medical Care)
10/6/09:
SF
Long-Term Care Obmudsman's Thoughts on the Ja Report
9/30/09:
Flawed
Davis Y. Ja Report on LHH "Behavioral Health" Services
Report recommends replacing
physicians with registered nurses, social workers, and psychologists
Includes Critical Analysis of Ja Report Written by Two Physicians
9/7/09: Laguna
Honda Hospital's Identity Crisis
7/4/09: Laguna Honda Hospital: Pot-bellied
Pigs vs. Beds?
Including Links to a Number of
Reports
Just
Before an Increase in Alzheimer's Cases, CPMC Plans to Close Skilled
Nursing Beds
6/29/09: A
Case for Updating the 1997 San Francisco Nursing Facility Bed
Study
Including an Inventory of the Number of Licensed Skilled Nursing
Beds Currently Available
6/14/09:
Community
Living Fund Raided to Balance Mayor Newsom's Budget
5/4/09:
Mortgaging
Laguna Honda Hospital's Future
4/2/09:
Mourning
Laguna Honda Hospital's Changes
3/5/09:
War
on Laguna Honda Seniors Heats Up
11/1/08:
Sister
Miriam Walsh Retires as LHH's Pastoral Care Director
San
Francisco General Hospital Bond Measure:
Is San Francisco About to Repeat Bond Measure Abuse?
Updated 11/1/08:
In
the News: Laguna Honda Hospital and San Francisco General Hospital
2/18/08: Laguna Honda Hospital: Another Light Goes
Out in San Francisco
2/18/08: "Where Will They Go? What Will They
Do?"
8/18/07 Mayor Newsom Assures Community Members LHH
Will Provide Assisted Living
8/27/07: Plans for Senior Housing at LHH in Complete
Shambles at $1 Million Per Unit?
Including Public Comments Analyzing the Draft Feasibility
Report
8/18/07 Chambers Lawsuit
Against Laguna Honda Hospital Testimony Needed Now
8/18/07 LHH Releases MDS Data Showing 73% of Residents
Have No Discharge
11/25/07: Disinformation
Presented in the Chambers Lawsuit Against Laguna
Honda
Forthcoming: Deconstructing Lucette: How a Wall
Street Journal Senior Reporter Got LHH Dead Wrong
If the Current Plan to Downsize LHH
by 420 Beds by Not Building the West Tower
Is Approved by the Health Commission and
the San Francisco Board of Supervisor's,
Mayor Newsoms
Ten-year Plan to End Homelessness
Will Displace 180 of Laguna Hondas Complex Medica and Chronic-Care
Residents, Plus Another 240 People |
In 1999, voters passed Prop. A to rebuild Laguna Honda
Hospital and Rehabilitation Center as a healthcare facility.
Mayor Gavin Care-Not-Cash Newsom, ignoring the will of voters,
has other plans for the Laguna Honda campus. His
plans amount to a land grab.
Those plans involve replacing skilled nursing care at LHH with
supportive housing under a so-called social residential model
of care in order to deliver on his pledge to solve the Citys
homeless problem.
What the Mayor doesnt understand is that voters have
NOT authorized him to retroactively change Prop.
A to build housing.
Learn more ...
|
Supervisor
Alioto-Pier Set to Raid Tobacco Fund
Dedicated to Rebuild LHH's 1,200 Beds
Transcript of Citizens' General Obligation
Bond Oversight Committee Meeting Discussion on Laguna Honda
Two Board of Supervisor Hearings on LHH
Thursday, November
10 and Monday, November 14
Health
Management Associates Audit of LHH and
Mayor Newsom's Public Policy Debate on LHH Rebuild
Planning
To Dislocate Not Relocate
LHH Residents and Staff Begins in October 2005
LHH
Special Use District Proposed For June 2006 Ballot
Status
of $25 Million Lawsuit About LHH in Appeals Court
FOR OVER 50
YEARS, LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER (LHH) has been a medical-model, long-term care
skilled nursing facility (SNF) serving San Franciscos elderly,
frail residents. Doctors, nurses, and ancillary staff at
Laguna Honda Hospital and Rehabilitation Center (LHH) are a close-knit
interdisciplinary team providing skilled nursing and rehabilitation
care to our elderly and people with disabilities, compassionate,
safe environment.
Now, about the only way people
can get into LHH is if they have a dual, or triple, diagnosis
(that would include some sort of medical problem requiring skilled
nursing care, along with either a second diagnosis of mental illness,
or a third diagnosis of substance abuse). Those with a single
diagnosis (say Alzheimers, Parkinsons, or a traumatic head injury),
are finding it more difficult to be admitted into LHH. Increasingly
in San Francisco, unless you have multiple diagnoses, your access
to public health services is being curtailed. (The same
phenomena occuring at LHH is also occuring, or soon will, at so-called
AIDS integrated service programs funded with Ryan White CARE Act
money that have curtailed eligibility to only those having dual
and triple diagnoses, leaving those with a single diagnosis of
AIDS to fend for themselves.)
Gleaned from public records
and public records requests, conflicting smoke signals are occurring
about the true amount of cost overruns of the LHH replacement
facility, and how cost overruns will affect the downsizing of
LHH from the 1,200 beds promised to voters who passed Proposition
A in 1999.
Now, LHHs future is in dire jeopardy, and irreversible decisions
about its future are to be made by the end of December 2005!
There is good reason to believe
that the new LHH may open with 300 to 400 fewer beds than promised
in 1999. Should that occur, losing 300 to 400 SNF beds in
one fell swoop, and another 180 beds converted for locked units,
could increase San Franciscos SNF-bed shortage in the year 2020
(just 16 years from now) to between 1,588 and 2,880 beds short.
The problems of the disabled,
frail, and elderly seeking admission to LHH are caused by a shortage
of nursing homes and funding cuts. How
did this come to be? And how did the voters of San Francisco
get mislead, yet again, by vague ballot initiatives that result
in not getting what the voters were promised?
LHH Downsizing StraightFacts
Summary
- As of May 27,
2004, the cost overrun for the replacement facility was reported
to be $30 million.
- On June 1, 2004,
it was reported that up to 240 beds may be eliminated from the
new hospital.
- As of September
7, 2004, the cost overrun may have grown by an additional $10
million between the end of May and September 2004 to $40 million.
- When asked on
September 7 whether the additional cost overrun might require
cutting another 60 beds, bringing the total to 300 beds to be
cut from the new hospital, the rebuild project manager indicated
that might be a possibility.
- On September 29,
2004, material submitted by the Replacement Facility project
manager to the Board of Supervisors Finance and Audits Committee
revealed that in Spring 2004 the general manager of the project,
Turner Construction Company, prepared an estimate that reveals
the cost overrun for the replacement project stands at a staggering
$43.984 million.
- The LHH Replacement
Project will provide 300 fully secured [locked] units, which
will begin coming on line in FY 07-08; they represent 180 more
locked units than in the current facility, and are intended to
be used for younger, combative patients who are behaviorally
disruptive and unsafe along side of frail, elderly San Franciscans.
- Between the 300
beds likely not to be built, and the extra 180 locked units,
the new facility will probably open with nearly 500 fewer skilled
nursing beds than promised in 1999.
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