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Psychiatric Hospital Pledged Change, But Some Problems Persist

This story was co-published with the Chicago Tribune.

 Shortly after the Justice Department began investigating Illinois' largest psychiatric hospital last summer, the company's chief executive assured investors that the problems were behind them. Riveredge Hospital had a new management team, said Joey Jacobs, CEO of Psychiatric Solutions Inc., and would "continue to get better."

Three weeks later, however, a hospital staffer noticed two teenage boys in bed engaged in what one of them later described as sexual assault. Instead of separating the boys, the worker attended to four other patients before alerting a supervisor, documents show (PDF).

The boys, 14 and 16, were among a handful of children admitted to Riveredge after a Tribune report last July revealed that patients had been assaulted and left vulnerable to known sexual predators.

In the months since, details have emerged suggesting that problems at Riveredge continued after the new facility manager took over in June.

Just a day before Jacobs spoke to investors on Aug. 4, a patient with a history of acting out sexually was observed having sex with a mentally retarded female patient in an open area of the hospital, records show.

Responding to inquiries about these incidents, Riveredge Hospital said in a statement that it took its responsibility "to provide a therapeutic and safe environment" to its patients "very seriously."

But it also said: "While every precaution is taken to ensure patient safety and quality of care, incidents have occurred despite our vigilant efforts. We recognize that even one incident is too many, so we have responded immediately and aggressively to make sure our patients' needs are being met and that we are doing everything possible to prevent further occurrences."

Public officials paid Riveredge $32.4 million in 2007 to treat patients in the 210-bed facility. But that funding fell off in the seven months since the Department of Children and Family Services stopped sending state wards to the hospital last summer -- following inquiries from the Tribune.

After the newspaper published its investigation, the Justice Department subpoenaed records from the facility's owner and from DCFS officials.

In turn, Psychiatric Solutions hired former Chicago-based federal prosecutor Scott Lassar, now a partner with the firm Sidley Austin. Lassar said the company is fully cooperating with the Justice Department.

He said the hospital has also responded to subpoenas from the Illinois State Police, which investigates Medicaid fraud, and has permitted employees to speak with investigators.

"I haven't seen any evidence that they've done anything wrong whatsoever," Lassar said. "Zero."

The DCFS admissions hold remains in place while a team of University of Illinois at Chicago psychiatry researchers completes a thorough evaluation of the hospital's past services to agency wards, interviewing youth and reviewing patient charts, according to DCFS spokesman Kendall Marlowe.

Once the review is complete, Marlowe said the agency will review it and determine whether, or under what conditions, children in state custody will return to the hospital.

"Our decision will be based on the safety, well-being and quality of care of our children," he said.

The review comes against a backdrop of continuing concern by state and federal officials about Tennessee-based Psychiatric Solutions, the nation’s largest operator of free-standing psychiatric facilities.

In both 2007 and 2008, California health officials levied $25,000 in fines against one of the chain's hospitals. Authorities have threatened to pull the licenses of company PSI facilities in Virginia, Florida and Texas. Officials from the federal Centers for Medicare and Medicaid Services took the rare step of ousting a company hospital in Houston from the government's reimbursement program in 2007.

At the company's Riveredge facility in west suburban Forest Park, state health department inspectors found several deficiencies in the hospital's care of a pregnant 27-year-old patient. She died in August 2007, an hour after she was rushed out of Riveredge. Regulators determined that the hospital failed to document vital-sign checks for the woman and her fetus even while she was taking a risky antipsychotic drug.

During inspections last fall, the Illinois Department of Public Health also scrutinized 12 patients' medical records, noting that many of their assessments were not individualized and their treatment plans were vague.

Both of the sexual contact cases, which did not involve DCFS wards, prompted health department citations against Riveredge for failing to adequately monitor patients.

In the case involving the 16- and 14-year old boys, the older child, an autistic patient, alleged his 14-year-old roommate had assaulted him. The 16-year old told Forest Park police his roommate initiated the attack by choking him and threatening to kill him.

The state report on the incident says a staffer reported seeing the boys engaged in sexual conduct at 7:15 a.m., but went about her duties for 15 minutes before notifying a nurse.

Inspectors found conflicting accounts of the incident. The facility's incident report says the boys were "immediately" separated. But the detail about the staffer going about her business before alerting a supervisor was found in that employee's own written statement, regulators wrote.

Health authorities noted another shortcoming: The staffer who was in charge of observing the boys every 10 minutes -- per hospital policy -- wrote that they were each "in bed, asleep" from 7:10 a.m. to 7:30 a.m.

In the same report, regulators also noted that on Aug. 3, 2008, the hospital failed to monitor a 34-year-old mentally retarded patient, who, it was noted, was unable to "provide for personal safety/protection."

That patient was observed having sex in an open day room with a 54-year-old patient who was on "assault precautions" and had exhibited sexually inappropriate behavior on his way to the hospital.

In response to regulators' findings, the facility said last fall that it fired three mental health workers and one nurse who didn't comply with its patient-checking policy. It also initiated additional staff training and installed bar-code scanners outside of patient rooms to ensure that staffers make the prescribed 10-minute patient checks.

On Oct. 29, the hospital's chief executive sent a memo to staffers, directing them to tell a professional if they noticed signs of sexual volatility. The memo emphasized the importance of checking on those in their care.

"The purpose of rounds is to ensure that patients are safe at all times!" read the memo, which was provided to the Tribune by a hospital worker. "Before initiating rounds, know who your patients are!"

Another example why privatization spurred on by Tax cuts (and profittering)do not mix with Human services.
Let’s thank the ‘Tax cut’ Guru’s who have handed our Human services over to corps who cut services and staff to pad tehri bottom line.
In Nursing homes annual State surveys are supposed to be conducted, Fed Survey have not been held to such scheduling. Both rarely meet their goals. Too Few Bucks and Too few skilled Staff.Of course these are primarily conducted on those facilities getting Medicare/caid dollars. Forget about those pure private pay or ‘assisted living’ facilities.The Residents and families are left to fend for themselves.They got their own ‘Don’t ask Dont’ Tell’policy. Make a stink and out you go. ‘Level of care required’ suddenly changes,so your rate goes up or you don’t meet the required level of independence. Seems since Reagans ‘Deinstitutionization’ long term healthcare has amounted to little more than shoving them out on an iceberg to die.They pay the Docs, the nurses and the direct care staff as little as possible. Never bother with background checks or encourage continuing education, so they get what they pay for.
I’m not Trying to disparage all those who have stuck it out, put their heart & souls into caring for the most at risk, because the system has failed them as much as it has failed the patients.Under paid, under appreciated, under staffed and over worked.But anyone who has worked in the system knows there are those who should not be there.They ‘flip’ patients like Burgers with as much regard and sensitivity. They are ill equipped to care for the disabled, let alone themselves.
Docs who never actually lay eyes on the patients their writing scripts for, nurses who constantly smell like Booze, CNA’s with criminal record (abuse & theft)and can not comprehend the legitmate forgetfulness of senilty.
If we want better healthcare we must get the Profiteers out of it, require proper training for staff (including continuing education), pay good wages and Bennies to attract the ‘upper classmen’ and assure appropriate medical/care staff to patient ratios at all levels to reduce burnout and abuse/neglect.AND Pay Taxes to assure State & Federal Regulation surveys are conducted annually and as needed to handle investigations.
Another side note, If Private industry continues to be granted ownership (Profit or non profit) the Social Worker MUST be a State/Fed Employee. Having the Dept responsible for Resident Rights paid by the facility is a conflict of interest and does not serve the Residents best interest.Impartiality and Objectivity are difficult when your check is signed by the facility you are about to report to authorities.

After reading your reports on the four patients that ended up dead due to Riveredge’s negligence, I feel like your headline stating “some problems persist” is far too trite. Being a healthcare worker myself, I see the potential for these kinds of abuses of power all the time. The system we have now of privatization of care is fragile and profit-driven, which is exactly what mental health care systems should not be. There are too many safeguards and standards that are ignored, which I think are wisely pointed out by many of your articles. But the fact that Riveredge ignored these standards regularly, and is not being held sufficiently criminally liable is very scary indeed, and warrants a much stronger headline than “some problems persist”.