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Senators critical of governor, HHS over Beatrice violations

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BY JoANNE YOUNG / Lincoln Journal Star

Monday, Mar 10, 2008 - 05:20:51 pm CDT

A number of senators — mostly Democrats — took on Gov. Dave Heineman and the state Department of Health and Human Services Monday over the latest violations at the Beatrice State Developmental Center.

The state stands to lose $28.6 million because of continuing problems at the center for people with developmental disabilities.

A federal inspection team last week issued three immediate jeopardy sanctions after seeing specific serious problems in client protection and physical environment. It is the fourth time the center has failed to meet federal standards.

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HHS has appealed the loss of funds. It also took immediate steps to correct the jeopardy issues.

During a confirmation report Monday for an appointee to the state Board of Health, senators took the opportunity to express their concerns about the care of residents at the center, the continuing violations and threatened loss of federal funds.

Omaha Sen. Tom White characterized it as not just a moral crisis but a fiscal crisis.

The state cannot just move 100 people into community-based programs by the end of the year, as HHS has planned, said Omaha Sen. Steve Lathrop.

A significant part of the problem is the way the state treats people who work there, Lathrop said, referring to low pay and forced overtime. The Legislature needs to do something about the problem and not wait for the administration, he said.

“Our measure of success at the end of the session will be whether we have taken care of those entrusted to our care,” he said.

Lathrop introduced a bill this session (LB926) that would restrict the use of mandatory overtime at state facilities that provide 24-hour care and supervision. The Business and Labor Committee has not advanced the bill.

Lathrop, who said the issues raised Monday were not based on partisan politics, wants to look at the federal inspectors’ report to learn more about their ongoing concerns, and then instead of just patching the problems, really solve them.



Community care can take the state just so far, he said. The state needs a facility for those who are profoundly mentally disabled, a facility that provides them a quality of life, he said.



Appropriations Committee member Sen. Danielle Nantkes said the governor had no mention in his list of budget adjustments for the second year of the current budget of additional resources to address “this serious, serious problem” in Beatrice.

“I believe our state budget is a moral document,” she said.

The lack of resources devoted to the state’s most vulnerable citizens shows it’s time “to check our moral compass,” she said.

The governor, said Omaha Sen. Ernie Chambers, does not seem to see this as a priority, choosing to focus instead on immigration — a federal issue.

“The governor failed in his responsibility,” he said. “It is on his doorstep that the pressure should rest.”

Beatrice is an extreme example of what is happening across the state with funding for community services for the developmentally disabled, said Sen. Annette Dubas of Fullerton.

“Community services are struggling,” she said, without adequate funding and staffing.

These are jobs with responsibility, and these types of jobs aren’t held in high esteem, Dubas said. Agencies are not willing to provide these workers with the compensation they deserve.

Money is always an issue, she said, but senators must ask where their priorities are.

“We are judged by our record and how we take care of the least among us,” she said.

Heineman responded Monday afternoon, calling the criticism a coordinated partisan attack led by Lathrop, a member of the Judiciary Committee that killed a bill that would have helped ensure illegal immigrants could not receive state and local benefits.

“I am disappointed in their partisan attacks in a legislative body that’s supposed to be nonpartisan,” Heineman said. “I’m especially disappointed with Sen. Nantkes’ comments because her priority bill is to give tax breaks to Hollywood film executives instead of helping the people of BSDC.”

HHS is working closely with officials at the Beatrice center and the Legislature’s Health and Human Services Committee to address the issues at the center, he said.

“Politicizing the challenges of the Beatrice State Developmental Center is unfortunate and uncalled for,” Heineman said.

Sen. Tim Gay of Papillion said during the morning comments that the senators were elected to solve problems, not just to point them out.

“We can point it out, but let’s get involved in helping out, too,” he said.

When HHS was reorganized last year, one of the rationales for doing it was for accountability — not only within the agency but directly to the governor, said Sen. Phil Erdman of Bayard, a member of the Legislature’s Health and Human Services Committee.

“He asked for the accountability and now he’s going to get it,” Erdman said.

Everybody wants a solution, but they want it to be more than words.

The Beatrice center’s problems are difficult tasks to solve, and they potentially have financial impacts and impacts on public policy, in general.

The department has brought in experts from outside the state to advise HHS and ensure that residents’ interests and protections are at the front of the conversation, he said.

Some of the tort claims the state is still dealing with concerning the Beatrice facility have dated as far back as 1994, and have spanned different administrations, he said.

“So there are global problems here and there need to be global solutions,” he said. “Let’s solve the problem by empowering them to make the solutions that they need. Actions will speak louder than words, and I think those of us on the committee are beyond the words that we’ve heard and we’re looking for the actions to resolve the problem.”

Health and Human Services Committee Chairman Joel Johnson said DHHS administrator Chris Peterson has taken a cooperative attitude in working with the federal inspectors to accomplish what needs to be accomplished.

The Legislature is a separate but equal branch of government, Johnson said.

“And we must demand that things be done correctly as well,” he said.

Reach JoAnne Young at 473-7228 or jyoung@journalstar.com.


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Thanks for standing up wrote on March 10, 2008 3:51 pm:
" Thanks to the Democratic senators who have the moral courage to take on this governor. It's good to see leaders with backbone in the Legislature, especially on issues like this one that deal with the most vulnerable among us. "

Nina wrote on March 10, 2008 3:52 pm:
" I suggest the best and maybe the only way the legislature can ease the problem is by finding some people in nursing and patient care to work there. The reason they're short-staffed and forcing employees to work overtime is because there is hardly anyone willing to work there. Better pay would help, but would not cure the situation. The same problem exists, probably to a lesser extent, at nursing homes across the state, also. The shortage is dire. Nurse aides are required to show they can lift 100 lb., and get a daily routine on the job to prove it. It is also common that they are physically and verbally abused by patients who may not be responsible for their own actions. All this for a couple dollars an hour more than fast food work! So talk solutions all you want, but put plainly, Nebraska needs to put up or shut up...moneywise and worker-wise. "

About time wrote on March 10, 2008 4:06 pm:
" I am thrilled to hear that at least some of our State Senators care about the disabled community in this state. The Governor should be ashamed of the way he has handled this situation. "

Darren wrote on March 10, 2008 4:54 pm:
" The last two govenors have at every opportunity marginalized and de-emphasized care for the mentally disabled in this state. People shouldn't be suprised that two govenors that are only interested in what you can do for them have created this situation. You can make as much at McDonalds in Beatrice as you can at BSDC and you aren't forced to work overtime. You wanted accountability govenor when you created positions for some of your friends with DHHS and now it's time for you to take responsibility for what you have created. Unfortunately for you the mentally disabled can't be swept under the rug like you had hoped dave. "

Hmmm wrote on March 10, 2008 5:03 pm:
" Maybe if the governor spent more time doing his job and enforcing laws instead of spending his time pandering this wouldn't have happened. He could have enforced the immigration laws already on the books but instead felt the need to propose new laws that did nothing to get attention and rile up some support. Maybe if he had spent that time actually enforcing some laws... "

glad to see someones on our side! wrote on March 10, 2008 5:21 pm:
" Thank you Senators for supporting BSDC! All of what is happening out there is money driven and it is too bad dollars signs have to be put on the heads of the people living at BSDC. The federal regulations need to be re-evaluated. They are expecting people with severe & profound MR to do what normal people like us can do. How preposterous! They are scrutinizing EVERY little injury that happens to the individuals and making BSDC find reasons for them all no matter how minor. Injuries that you & I get in every day life and yes, we get minor injuries & don't know how they happen! This is only a small part of the ridiculousness that is going on out there. Staff's hours are being changed, the individuals don't get any free time until they go to bed at night, they have staff breathing down their throats 14 hours a day! No wonder the behaviors are higher and not to mention that staff are getting hurt! But no one cares about that. The media has been portraying BSDC staff as a bunch of abusive people when it is the federal government that is the real problem! What about the good things happening out there. How come this is never in the papers??? It takes special people to work there. "

What's Heineman thinking wrote on March 10, 2008 5:33 pm:
" Heineman is now calling this a partisan attack. Since when is $30 million in lost federal funding and terrible care for the most vulnerable among us a partisan issue? "

Ol' Farmer wrote on March 10, 2008 6:35 pm:
" I'll vouch for Nina on this one. A big shortage of patient care workers is very true, and it is the patients who are suffering the most. Help wanted notices are always seen for these places, but hardly anyone applies. The only answer I see to this is to find people who are desperate for a job. Sounds like we need some illegal immigrants to me. "

Lori wrote on March 10, 2008 7:41 pm:
" I think we need to take a real strong look at the Lincoln Regional Center as well. There seem to be discriminatory employment practices and nepotism there that are questionable as well as security risks, including the escape of a dangerous patient a few months ago. The whole system seems to need an overhaul as well as a new top management team at each facility. There are a number of employees ready to knock on the EEOC door. Governor Heineman, Senator White and Senator Lathrop - it's time to start asking the right questions to the right people - not the CEO or FOO. Start talking to your middle management team. "

Just more of the same old same old wrote on March 11, 2008 6:09 am:
" This is just another example of what happens when there is no accountability. With HHS under the protection of the Governor, the Feds are the only ones able to ensure services are provided in the best interests of those receiving them – be it developmental health or behavioral health. I have to chuckle when the Governor tries to take the high road by hiding behind claims of partisan politics. Who’s he kidding? It’s all about politics when money trumps doing what is right. "

train those people on public subsidy wrote on March 11, 2008 8:36 am:
" There are people on public subsidy that could have their training paid for to be caregivers at this facility. There ARE people who would do this work. Make the pay worthwhile and make sure you have a person that will provide good oversight of the facility. As for Ms Nantkes the last time I heard you had no moral compass so this is like the pot calling the kettle black! "

steverl wrote on March 11, 2008 9:34 am:
" I worked at BSDC for about three years. I've seen some very good workers leave because A. they were being treated like dirt, B. the couldn't afford working there, and C. too many people criticizing them for their hard work. I was one of them. For the most part the employees who I worked with had become emotionally attached to the people living there and cared deeply for them. I think that the Governor doesn't see the people living at BSDC as qualified voters thus not putting them in the catagory of "very important people". I suspect that there are a few private nursing homes out there who want to get their pockets padded by getting these people into their facilities even though I doubt that they would be able to do a better job. It is about money. I've seen people who work at BSDC who have worked there for ten or fifteen years and care about the residence more than the cash. "

Im a state worker wrote on March 11, 2008 10:46 am:
" and if the state would be a little more proactive in recruiting and reataining QUALIFIED employees, some of these problems might get taken care of. Cutting insurance benefits, fighting comparability raises, doing nothing about low moral, all these things need to be addressed or the class of new hires will be the same as it is now. If you are going out to a resturant and want good service, where do you go? McDonalds or The Renaissance at The Cornhusker? You get what you pay for and if the State wants to continue hiring warm bodies just to fill positions, the treatment at these facilities isn't going to improve. Sad fact but that's the way it is..... "

Nurse wrote on March 11, 2008 2:50 pm:
" The nursing shortage is a major issue, not only at BSDC. After 20 years of direct patient care, I quit. I got so tired of dealing with the godly physicians and demanding families. Hardly anyone appreciates nursing staff any longer. Working long hours, nights & weekends, just is not worth it. I would never advise anyone to become a nurse unless they thrive on abuse. "

Juan wrote on March 12, 2008 10:03 am:
" This is the most vulnerable, least political group in the nation. There is absolutely no political or financial return on taking care of this population. If there was ever a case wherein the hypocrisy of those claiming to be our Christian leaders can be seen, it is in the abandonment of those prinicipals every true christian can -and will be- judged for. "

Sandy wrote on March 12, 2008 10:48 pm:
" In 2004, Senator Jennsen, of the Health and Human Services Committee, put into play the reduction of mental health beds and reducing the number of beds for those with disabilities. I see that nothing has changed. And why won't the community take these individuals into their community? Because these mentally ill and disabled are hard to take care of. Staff have to deal with abuse from the patients, chairs thrown at them, tripped, being made to wear sweat pants and sweat shirts or t shirts. There are a number of well qualified and caring workers out there who love their jobs, but they get paid nothing, work long hours, get spit on, hit, hair pulled, etc. Paying workers better salaries would help, but what is needed is more staff, not less. I have seen this with my own eyes and know that staff work hard in the patient care. Going back to Senator Jenssen's attempt to fill the community with mental health and disability beds has been a total failure. "

David Hector wrote on March 16, 2008 11:01 am:
" As the economy slows to a screeching halt the Governor and his over paid Administration will throw words or give a blind eye to all the problems. As a State Employee of 15 Years I’ve seen more and more administrators and less front line workers. More money spent on studies than what it would cost to cure. More money wasted on lack of responsible spending (taking the lowest bid, most companies in the real world throw out that bid). I could live with that if they would hire a Professional to make sure that all fazes of the projects are completed to the standards of the original proposal. Somebody wants to cut cost, but on the bottom line is that its cheaper to to do it right the first time than it is to fix it after the project has been short sheeted Tell that to our Good old Boys who want lower taxes
.
"

Average Joe wrote on March 18, 2008 10:12 pm:
" You need to get real! You wouldn't even be talking about the poor people in Beatrice if it wasn't something to make it look like the legislature actually cares! You think you have all the answers---community based services--right where are those again??? also no mandatory overtimes---right, how do you think the staff that work at BSDC are going to survive financially without overtime??? Get to know the people, the places, the patients and clients that the state agencies serve before you run off with your blame game!!!! Half of you have no clue what these agencies do and/or what the issues are. You encourage and enable the community to respond negatively and jump the bandwagon when one out of thousands of things and lives they touch every SINGLE day of the year comes into question. You should be ashamed of yourselves! "

Wake Up wrote on March 24, 2008 9:39 am:
" I work for an agency in Omaha that is providing care for mentally ill and addicted people. We are under staffed, under paid and grossly under trained.The answers that I get when responding to my question is flitered through the rose colored glasses that the director wears. The vast majority of staff members are not qualified for the job they are doing and they are given very little training. Our clients have serious mental health and addiction issues and the staff members have high school educations. I'm not being critical of the staff members, they are doing the best with what they know, it's the agency that needs to step up and spend the money on training. "