McHenry County Blog


Archive for the ‘Valley Hi’

Proposed Rules for Valley Hi Leave Out Appeal Avenue to County Board

January 04, 2010 By: Cal Skinner Category: Complaint Form, McHenry County, McHenry County Board., Nominating Committee, Nursing Home, Nursing Homes, Patient Proteciton, Patient Protection, Quality of Care, Valley Hi

The McHenry County Board is due to discuss how much control it shall give to an quasi-independent board that will run the county nursing home, named Valley Hi.

In August I offered two “quality of care” ideas that I got from State Rep. Webber Borchers.

County Board member John Hammerand made some patient protection suggestions that I printed. I don’t see any that made it into the draft being considered.

I decided to read the governing document that county board members are being asked to approve to discover if there will be adequate complaint and appeal mechanisms.

When I got about 55% through, I found something that I must say strikes me as close to unbelievable.

The county board is being asked to set up what is pretty much a self-perpetuating governing entity.

Valley Hi, the McHenry County Nursing Home, is seen from the northwest on a sunny winter day.

If someone leaves the board because of the two-term limitation or resigns, where will the pool of replacements come from?

The Nominating Committee shall consist of at least three (3) persons appointed by the Chairperson of the Operating Board. This Committee shall have the responsibility of maintaining a roster of qualified persons for recommendation to the McHenry County Board to serve as Directors. In the absence of a Nominating Committee, the Operating Board shall have the responsibility of maintaining a roster of qualified persons for recommendation to the McHenry County Board to serve as Directors. (Section Two under “Committees.”)

When I read that, I concluded that no one who wanted to rock the boat of the majority need apply.  (Organizational Theory was my favorite course during my Public Administration grad school at the University of Michigan.)

Their name would obviously not make it to the county board for possible appointment.

Well, I’ve been through the entire piece and find no where an avenue whereby a patient or concerned relative or friend could complain to a McHenry County Board member and have it mean anything.

Patient Protections Proposed at Valley Hi, McHenry

September 01, 2009 By: Cal Skinner Category: Complaint Form, County Nursing Home, John Hammerand, McHenry County, McHenry County Board., Nursing Home, Patient, Patient Complaints, Valley Hi

Here’s the mission statement on the McHenry County web site for McHenry County’s nursing home:

Mission Statement

Valley Hi Nursing Home, Woodstock, IL, is operated for the benefit of the aged population of McHenry County who require public assistance.

Valley Hi Nursing Home strives to deliver resident care, clinical, psychological, and spiritual in an environment that promotes dignity and self-respect as envisioned by the McHenry County Board and its inception.

In the tradition of Valley Hi Nursing home, our mission is to continue to provide nursing home services with the highest standards set by policy and ordinance of McHenry County and to conform with all State and Federal regulations

Setting aside that

  • its predecessor, the Poor Farm, was used to patch up gangland victims
  • the pigs never had hams because the members of the Poor Farm Committee took them home in their trunks
  • a member, maybe the chairman of the nursing home’s county board committee tried to shake down the Kishwaukee Valley Road farmer who dug a well

let’s talk about the planned relationship between the company that is going to manage Valley Hi and those most interested in the care it provides, that is, its patients, their family and friends.

McHenry County Board member John Hammerand (R-Wonder Lake) proposed the following amendment to the operating agreement between the county board and the management company:

Valley Hi Complaint and Appeal Procedures

“Patient, Relative, Guardian and Friend Complaints”

“The Authority shall post on the front door and prominently in each wing of the Valley Hi building notices of how anyone wishing to complain of service or conditions may do so.

“The notice shall include reference to a web site where complaint forms may be found and filed. In addition, the notice shall inform people where paper copies of complaint forms may be found at Valley Hi and the Government Center.

“Names of those making complaints shall not be required unless an appeal of corrective action taken, if any, is taken by the Operating Authority and /or staff is made to the McHenry County Board’s Valley Hi Committee.”

“Any patient, relative, guardian or friend may appeal the correction taken, if any, by the Operating Authority and/or staff to the Valley Hi Committee of the McHenry County Board.

“The committee, consisting of three members, shall be appointed in the same manner as all other committees of the McHenry County Board.

“The committee is empowered to hold hearings and conduct any investigations of service quality or conditions based on complaints made by patients, relatives, guardians or friends who are willing to make their identities public or on the committee’s own initiative.

“The Valley Hi staff and Operating Authority are instructed by this ordinance to provide any information and cooperation requested by the Valley Hi Committee.”

Sounds like it would provide something similar to the protection provided with a county board committee overseeing Valley Hi.

I have looked in vain for a complaint form on the county’s web site.

Here is the current complaint policy, provided to every resident/family upon admission.

In addition, as a matter of procedure and implementation, the Valley Hi care plan team addresses complaints and concerns as part of the routine quarterly meetings with residents and their families; part of the monthly Resident Council meeting is designed to address concerns/complaints; and, the Family meetings being conducted since last fall include opportunity for family members to address concerns.

Complaint Process for Valley Hi Patients and Family Inadequate – Introduction

August 31, 2009 By: Cal Skinner Category: McHenry County, McHenry County Board., Nursing Home, Poor Farm, Valley Hi, Webber Borchers

When I was in the General Assembly, probably in the 1970’s, there was a very, very conservative state representative from Decatur named Webber Borchers. His other claim to fame was being the second Chief Illiniwek.

Besides being very, very conservative, I shall remember one way he spent his legislative allowance.

He hired a woman to check on nursing homes in his district.

She would go in a nursing home, introduce herself as Rep. Borchers’ Legislative Assistant and ask the administrator if she could look around.

Some told her, “I don’t have to let you in.”

The reply was, “You are correct, but, if you don’t I’ll tell me boss.”

I’ll bet she wasn’t refused more than once.

She had a 10 or 12-point check list that made so much sense. I wish I could find a copy, but here are some of the questions:

  • Was the water within reach of each patient?
  • Was there a smell of urine?

Common sense questions. Nothing technical. The same kind of things that you would pick up if you were considering putting a parent in a nursing facility.

Picking up on Webber’s idea, I introduced a bill that would have required a toll free complaint number, plus the number and address of the owner of the nursing home be put on the front door.

The type of nursing home with Webber Borchers’ proxy visitors locally has always been the county nursing home, called Valley Hi.

If county board members walked though the facility and smell urine, you better believe they had the power to do something about it.

If things got bad enough, they could probably get the county home administrator fired.

All of this is preface to writing about the ability of patients and their relatives and friends to make complaints that might mean something under the management agreement being proposed with an outside firm.

County Nursing Home Still Losing $2 Million a Year

February 18, 2009 By: Cal Skinner Category: County Nursing Home, Marc Munaretto, McHenry County Board., McHenry County Nursing Home, Peter Austin, Revere Healthcare, Valley Hi

The red ink keeps oozing out, according to a Daily Herald article by the Daily Herald’s Chuck Keeshan

Finance Committee Chairman Marc Munaretto talks of “good structural changes” since Cary-based Revere Healthcare was hired in October 2007 to managed the Valley Hi nursing home.

But it still lost $183,000 a month.

$2.2 million in 2008.

Revere predicts the facility will never stop bleeding.

Improvement is hard to notice. The Northwest Herald headline below shows a $2 million loss in 2006.

Perhaps last year’s loss is a lower percentage of the nursing home’s budget.

McHenry County Administrator Peter Austin said the loss would have been more without Revere’s management.

The county makes up the difference from a referendum passed tax, which collects $6 million a year.

County Nursing Home Still Losing $2 Million a Year

February 17, 2009 By: Cal Skinner Category: County Nursing Home, Marc Munaretto, McHenry County Board., McHenry County Nursing Home, Peter Austin, Revere Healthcare, Valley Hi

The red ink keeps oozing out, according to a Daily Herald article by the Daily Herald’s Chuck Keeshan

Finance Committee Chairman Marc Munaretto talks of “good structural changes” since Cary-based Revere Healthcare was hired in October 2007 to managed the Valley Hi nursing home.

But it still lost $183,000 a month.

$2.2 million in 2008.

Revere predicts the facility will never stop bleeding.

Improvement is hard to notice. The Northwest Herald headline below shows a $2 million loss in 2006.

Perhaps last year’s loss is a lower percentage of the nursing home’s budget.

McHenry County Administrator Peter Austin said the loss would have been more without Revere’s management.

The county makes up the difference from a referendum passed tax, which collects $6 million a year.

Woodstock Residence Deaths Continued for Two Years

September 25, 2008 By: Cal Skinner Category: Angel of Death, Dan Rozek, Illinois Department of Public Health, Illinois State Police, Keith Owano, Lou Bianchi, Marlene Lantz, Marty Himebaugh, Valley Hi, Woodstcok Residence

by Pete Gonigam

In late 2006 Illinois State Police investigated a complaint of unusual deaths at the Woodstock Residence nursing home. Within two weeks they identified a primary suspect and had her removed from duty.

If they had the right suspect the deaths logically should have ended.

Only they didn’t.

When news broke in Mid-November, 2006, that there an investigation was underway Chicago Sun-Times reporter Dan Rozek wondered how big the case might be. He asked McHenry County Coroner Marlene Lantz for figures on recent deaths at the home.

The disturbing response was that almost twice as many people had died at the facility in the first 8 1/2 months of 2006 as in all of the previous year, 34 versus 18.

According to Lantz, no one ever asked about the number of deaths again. McHenry County Blog did, though.

In the raw data Lantz provided, the dates of all deaths at the home, no pattern was readily apparent. A pattern began to emerge, though, when the daily deaths were combined into a running 12-month total.

From what had been a three-year steady baseline the number of deaths at the Woodstock Residence began to rise at the beginning of 2006 although not much. (Click to enlarge the graphic.)

In April, however, there was a marked increase.

That’s the month investigators claim their chief suspect began overdosing patients with morphine.

The deaths continued to mount through the summer until a pause in October when police began interviewing witnesses.

The chief suspect, apparently Lake in the Hills LPN Marty Himebaugh, was suspended at the end of that month. Himebaugh was indicted this year on charges of abusing patients at the home by overdosing them with morphine and other drugs.

The next month, though, with Himebaugh gone, the deaths reached a new peak and remained at high levels for the rest of the year and throughout the next as well.

Only when the Woodstock Residence was sold this past January to new management did the number of deaths fall back again.

In fact, death rates at the home may have been even worse than the raw number of deaths indicated. The Woodstock Residence has been customarily described as a 115-bed facility.

However, according to Illinois Department of Public Health spokeswoman Melanie Arnold only 81 of those beds were occupied when the investigation began in October, 2006. By April of this year there were only 71 residents at the home, she said.

In other words, although the number of deaths at the home fell somewhat in late 2006 and 2007, the rate of deaths per resident probably stayed about the same as it had been in early 2006 when investigators claim six people were drugged to death.

The fragments of the still-secret State Police reports incorporated in the Illinois Department of Public Health report on the home seem to indicate investigators zeroed in on Himebaugh as prime suspect almost immediately. There’s no indication whether they looked for any others or examined records of deaths at the home.

Chief investigator Sergeant Keith Owano refused to discuss the case referring all questions to the McHenry County State’s Attorney’s office.

State’s Attorney Louis Bianchi declined an on-the-record interview citing pending criminal proceedings against Himebaugh.

Sources close to the case report, however, that Bianchi’s involvement in the investigation only extended to securing orders for exhumations requested by Owano’s team.

Coroner Marlene Lantz has no knowledge of the investigation. She’s been complaining for more than a year that Bianchi stonewalled her when she tried to find out about it, saying they involved “cold cases.” That phrasing is another indication investigators may not have looked for victims other than those named by nursing staff at the home. Lantz has said State Police provided her no information, either.

The numbers indicating increased deaths at the Woodstock Residence don’t prove there were more killings that everybody missed.

They don’t, in fact, prove there were any killings at all.

A report requested from Lantz of the past few years’ deaths at all 12 McHenry County nursing homes shows, for example, an unexplained 25 to 33 percent increase in deaths at the county’s own Valley Hi nursing home in 2003 and 2004. Likewise, for the past six years the number of deaths at the giant Alden Terrace home has bobbed up and down apparently at random.

The death numbers at Woodstock Residence show only two things:

  • One is that for two years something caused deaths there to double.
  • The other is that after October, 2006, whatever it was, it can’t have been Marty Himebaugh.

Tomorrow: Who’s supposed to be minding the store? Another surprising answer.

Woodstock Residence Deaths Continued for Two Years

September 24, 2008 By: Cal Skinner Category: Angel of Death, Dan Rozek, Illinois Department of Public Health, Illinois State Police, Keith Owano, Lou Bianchi, Marlene Lantz, Marty Himebaugh, Valley Hi, Woodstcok Residence

by Pete Gonigam

In late 2006 Illinois State Police investigated a complaint of unusual deaths at the Woodstock Residence nursing home. Within two weeks they identified a primary suspect and had her removed from duty.

If they had the right suspect the deaths logically should have ended.

Only they didn’t.

When news broke in Mid-November, 2006, that there an investigation was underway Chicago Sun-Times reporter Dan Rozek wondered how big the case might be. He asked McHenry County Coroner Marlene Lantz for figures on recent deaths at the home.

The disturbing response was that almost twice as many people had died at the facility in the first 8 1/2 months of 2006 as in all of the previous year, 34 versus 18.

According to Lantz, no one ever asked about the number of deaths again. McHenry County Blog did, though.

In the raw data Lantz provided, the dates of all deaths at the home, no pattern was readily apparent. A pattern began to emerge, though, when the daily deaths were combined into a running 12-month total.

From what had been a three-year steady baseline the number of deaths at the Woodstock Residence began to rise at the beginning of 2006 although not much. (Click to enlarge the graphic.)

In April, however, there was a marked increase.

That’s the month investigators claim their chief suspect began overdosing patients with morphine.

The deaths continued to mount through the summer until a pause in October when police began interviewing witnesses.

The chief suspect, apparently Lake in the Hills LPN Marty Himebaugh, was suspended at the end of that month. Himebaugh was indicted this year on charges of abusing patients at the home by overdosing them with morphine and other drugs.

The next month, though, with Himebaugh gone, the deaths reached a new peak and remained at high levels for the rest of the year and throughout the next as well.

Only when the Woodstock Residence was sold this past January to new management did the number of deaths fall back again.

In fact, death rates at the home may have been even worse than the raw number of deaths indicated. The Woodstock Residence has been customarily described as a 115-bed facility.

However, according to Illinois Department of Public Health spokeswoman Melanie Arnold only 81 of those beds were occupied when the investigation began in October, 2006. By April of this year there were only 71 residents at the home, she said.

In other words, although the number of deaths at the home fell somewhat in late 2006 and 2007, the rate of deaths per resident probably stayed about the same as it had been in early 2006 when investigators claim six people were drugged to death.

The fragments of the still-secret State Police reports incorporated in the Illinois Department of Public Health report on the home seem to indicate investigators zeroed in on Himebaugh as prime suspect almost immediately. There’s no indication whether they looked for any others or examined records of deaths at the home.

Chief investigator Sergeant Keith Owano refused to discuss the case referring all questions to the McHenry County State’s Attorney’s office.

State’s Attorney Louis Bianchi declined an on-the-record interview citing pending criminal proceedings against Himebaugh.

Sources close to the case report, however, that Bianchi’s involvement in the investigation only extended to securing orders for exhumations requested by Owano’s team.

Coroner Marlene Lantz has no knowledge of the investigation. She’s been complaining for more than a year that Bianchi stonewalled her when she tried to find out about it, saying they involved “cold cases.” That phrasing is another indication investigators may not have looked for victims other than those named by nursing staff at the home. Lantz has said State Police provided her no information, either.

The numbers indicating increased deaths at the Woodstock Residence don’t prove there were more killings that everybody missed.

They don’t, in fact, prove there were any killings at all.

A report requested from Lantz of the past few years’ deaths at all 12 McHenry County nursing homes shows, for example, an unexplained 25 to 33 percent increase in deaths at the county’s own Valley Hi nursing home in 2003 and 2004. Likewise, for the past six years the number of deaths at the giant Alden Terrace home has bobbed up and down apparently at random.

The death numbers at Woodstock Residence show only two things:

  • One is that for two years something caused deaths there to double.
  • The other is that after October, 2006, whatever it was, it can’t have been Marty Himebaugh.

Tomorrow: Who’s supposed to be minding the store? Another surprising answer.

Privatization at McHenry County Nursing Home

September 07, 2007 By: Cal Skinner Category: Dan Shea, Mary Lou Zierer, McHenry County Board Privatization, McHenry County Nursing Home, Valley Hi

The Valley Hi Committee, the McHenry County Board committee that oversees the county nursing home, has decided to outsource.

At least its management.

That’s what the Northwest Herald’s Regan Foster reports.

At the same meeting, the committee recommended that a $625,000 bailout of the nursing home.

Voting against the outside management proposal were committee chairman Mary Lou Zierer from the Marengo area (but with a Harvard address) and Fox River Grove’s Dan Shea. Both have announced their retirements.

Privatization at McHenry County Nursing Home

September 07, 2007 By: Cal Skinner Category: Dan Shea, Mary Lou Zierer, McHenry County Board Privatization, McHenry County Nursing Home, Valley Hi

The Valley Hi Committee, the McHenry County Board committee that oversees the county nursing home, has decided to outsource.

At least its management.

That’s what the Northwest Herald’s Regan Foster reports.

At the same meeting, the committee recommended that a $625,000 bailout of the nursing home.

Voting against the outside management proposal were committee chairman Mary Lou Zierer from the Marengo area (but with a Harvard address) and Fox River Grove’s Dan Shea. Both have announced their retirements.

County Board Republicans Hand Dems Election Issue

August 12, 2007 By: Cal Skinner Category: Dan Shea, Ed Dvorak, Jim Heisler, Jim Kennedy, Mary Lou Zierer, Mary McCann, McHenry County Democrats, McHenry County Poor Farm, Pete Merkel, Valley Hi

In 2006 McHenry County Democrats took up the expensive relocation of the McHenry County Animal Shelter to Crystal Lake as a county board issue.

It is safe to predict that one 2008 issue will be incompetent management of Valley Hi, the county nursing home. Of course, the animal shelter may come back as a sequel.

Somehow looking at articles on the internet does not have the same impact as seeing them in the Northwest Herald. Placement and size on the printed page can make a big difference.

I know that reading Reagan Foster’s words,

”The audit stated that there was no sign that funding had been managed in any way, nor were there any indications that managers working to change the increasing reliance on taxpayer support,”

gave me a sense of the enormity of the management failure by the McHenry County Board.

Instead of tossing old NW Herald’s my in-laws save them for me. So, last Sunday, I looked through a pile.

The NW Herald put its

article on its front page last Friday.

You can expect to see that front page of July 27th edition of the NW Herald in Democratic Party literature next year, if county Democrats have good designers.

And, how incompetent was county management?

Not knowing the county was spending almost $184 a day caring for patients, while taking in about $131, shows about as few management controls as one could imagine.

To get an idea how significant blowing through $2 million can be, take a look at the Chicago Tribune’s main article last Sunday. It and others were on Governor Rod Blagojevich’s $2.6 million commitment to purchase flu vaccines which were never used.

That rated the front page on Sunday’s Tribune and all of the editorial page of the Chicago Sun-Times on Wednesday.

State government has over a $50 billion budget. So, $2 million is a very small proportion of the total. Yet it is important because Blagojevich was in his “Let’s create a national image, so I can run for President” mode when he got the flu vaccine.

$2 million to McHenry County is real money. The total 2006 county budget was $180 million. Valley Hi’s share was about $12.5 million. $2 million is 16% of 12.5 million, a bit over 1% of the total county budget.

Just as the governor was trying to get publicity with his vaccine ploy, the county board was in the process of completing a new county nursing home.

Big opportunity for brownie points, wouldn’t you agree?

Blown by mismanagement.

Two NW Herald articles, plus an editorial, to drive home the point:

July 26th – Valley Hi audit says home $2 million in red in ‘06

July 27th – Valley Hi ran in red in ’06

July 28th – Valley Hi’s budget woes

The Valley Hi Administrator did resign, but I’m thinking the Democrats may be looking for some county board member scalps.

Members of the Valley Hi Committee, according to the McHenry County web site, are

Chairman: Mary Lou Zierer
Vice Chair: Ed Dvorak
Members: James Heisler, James P. Kennedy, Mary McCann, Pete Merkel, Dan Shea

= = = = =

I wrote last year of Valley Hi Administrator Howard Nehlig’s having told me a story when I was McHenry County Treasurer in the late 1960’s about the pigs raised at the old county poor farm not having hams. He told me the story three times and I still didn’t get his point. He finally had to tell me that the hams went home in the county board committee members’ trunks.

In the same article, I wrote of a farmer who told me at the County Fair in 2000 of how a long ago poor farm committee chairman tried to shake down a farmer who lived, what was it, 8 miles west of Woodstock on Kishwaukee Valley Road. The farmer was hired to dig a well and did so. Afterwards, the county board member showed up, asking, “Where’s my cut?”

The farmer told him he had worked hard and he wasn’t going to pay him anything.

The county board member told the farmer that he would make sure he never got another county contract. The crooked county board member delivered on his pledge.

Maybe McHenry County taxpayers would be better off with the petty corruption of years past than the massive mismanagement of today.

My article on county home corruption also has a McHenry County syndicate section that might be of interest.

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