Beware of Tax Scams Targeting Kupuna

With this year’s filing deadlines fast approaching, now is an important time to beware of tax scams.

On Saturday, Senator Mazie Hirono, along with spokespeople from the IRS and AARP, spoke at a caregiving conference at the Japanese Cultural Center of Hawai‘i to warn seniors about tax scams, and phone scams in particular.

“Well, we know trusting vulnerable seniors are particular targets for scam artists… Scam artists and predators are clever in their attempts to swindle taxpayers out of their refunds. Kupuna and their families need to remain vigilant and protect themselves as we approach the tax filing deadline,” said Sen. Hirono.

If there are any issues with your taxes, she explained, you should expect first to receive a letter or in-person visit from the IRS. If you do get a phone call from someone claiming to be from the IRS, hang up even if it looks like an IRS number on your caller ID—the numbers can be spoofed.

Here are two helpful online resources:

IRS Special Agent in Charge Teri Alexander called tax scams “epidemic in proportion right now… increasing every day.” The AARP Hawai‘i’s state director said that over “6,000 seniors have reported being defrauded and the average amount of loss is about $2,555.”

Photo c/o Edward Kimmel, “Hawai‘i Sen. Mazie Hirono”, (c) CC BY-SA 2.0

 

Seeking Justice for Elders Neglected in Assisted Living Facilities

Concern about elder abuse is growing in Hawai‘i. Galiher DeRobertis & Waxman is currently representing local victims of elder neglect, abuse, and exploitation, as well as their families.

The firm is pursuing a lawsuit against Oceanside Hawai‘i Assisted Living on behalf of the family of Susan Pedro, an elderly mother who died at Wahiawa General Hospital last January, just a month after her family took her out of Oceanside.

Tragically, the conditions that led to Ms. Pedro’s death were preventable. She died as a result of complications from the facility’s neglect.

Attorney Anthony Carr described the conditions she endured in an interview with Hawai‘i News Now: “[Oceanside] left her in her wheelchair, around the clock, for an unknown period of time to soak, just soaked and soiled in her feces and urine, which caused not only pressure sores, but caused those pressure sores to get infected by the very bacteria that she was left sitting in.”

Oceanside has recently been the subject of numerous violations in state inspections, which reported that “health, welfare and safety of the residents are/were at risk.”

Needless to say, tragic events like these have had profound effects on Ms. Pedro’s family and other families of neglected elders in care homes. The full article from HNN is availalble at the following link: Assisted living facility targeted with wrongful death suit.

Perhaps worst of all, this case is part of an epidemic: with the average age of the population in Hawai‘i increasing, elder abuse and neglect is on the rise.

Filing a Lawsuit in Hawai‘i Elder Abuse Case

Elder abuseelder-abuse is a growing concern nationwide and in Hawai‘i. Galiher DeRobertis & Waxman is currently representing elderly victims of neglect, abuse, and exploitation, as well as their families.

Our firm filed one such suit earlier this year. Have a look at the coverage of it on Hawai‘i News Now: “EXCLUSIVE: Assisted living facility targeted with wrongful death suit“. The defendant, Oceanside Hawai‘i Assisted Living, has been found repeatedly in violation of standards during state inspections in the past couple of years. We are representing the family of Susan Pedro, who was neglected at Oceanside before her family moved her to Wahiawa General Hospital.

[Oceanside] left her in her wheelchair, around the clock, for an unknown period of time to soak, just soaked and soiled in her feces and urine, which caused not only pressure sores, but caused those pressure sores to get infected by the very bacteria that she was left sitting in.

—Attorney Anthony Carr

This story has been resonating with the local community, bringing outpourings of sympathy and support on the Web. You can have a read those narratives on the relevant HNN Facebook post. While you’re at it, drop by our Facebook page and give us a “like,” if you please. We’re right here: facebook.com/GaliherMesotheliomaLaw/.

As a final note, we’d like to recommend these 10 Questions to Ask Any Senior Care Home if you have an elderly family member who needs to be placed in any kind of care.

What Is Elder Abuse?

Elder abuse is a broad term which encompasses several different forms of neglect, abuse, and exploitation of an older person. There are hundreds of thousands of victims of elder abuse across America every year, and the problem is growing. Victims of elder abuse are often vulnerable and sometimes even dependent on the very people who abuse them. The abusers may be caregivers, friends, or even family members.

Ability is a privilege, and as those who are able it is our duty to help those who are in need.

Gary Galiher, Founding Partner of Galiher DeRobertis & Waxman

Definitions and legal standards differ widely from one state to another. In Hawaiʻi, HRS § 28-94 defines “abuse” as “actual or imminent physical injury, psychological abuse or neglect, sexual abuse, financial exploitation, negligent treatment, or maltreatment.” Most of the relevant statutes in Hawaiʻi define an elder as someone 62 years of age or older.

The Most Common Types of Elder Abuse Are:

  • Neglect: Disregard for the health, safety or welfare of an elder that results in injury, loss or damage.
  • Physical Abuse: Intentionally causing physical pain or injury to an elder, such as slapping or pushing.
  • Sexual Abuse: Any form of non-consensual sexual contact.
  • Emotional Abuse: Intentionally or negligently causing anguish, or distress to an elder through acts such as intimidation and harassment.
  • Financial Exploitation: Any improper misuse of an elder’s finances for someone’s own benefit. Also includes fraudulent schemes aimed at vulnerable individuals, such as announcements of a “prize” or investment fraud.

Elders are especially vulnerable and less able to stand up for themselves or fight back. Depending on the circumstances, they may have even have a limited or complete inability to communicate or explain the abuse they have suffered. Some elders may have disabilities or dementia that allow others to take advantage of them.

Tragically, many cases of elder abuse are committed by the individuals who are directly responsible for their care. Elder abuse typically occurs where the senior lives, whether that is a residential home, or a senior care home such as an assisted living facility or adult residential care home.

10 Questions to Ask Any Senior Care Home

Knowing what to ask can help you be better informed about a senior care home. The answers you hear could be valuable when you are trying to help yourself or a loved one decide if a home could be a good place for them to live. Here are ten good questions to ask:

  1. What is the staff-to-resident ratio?
  2. What are the staffing shifts and how does resident care change overnight?
  3. How do you determine the level of care that my loved one will need? Or does every resident receive the same level of care?
  4. What type of training does the staff receive and how often do they receive it?
  5. How experienced are the nurses and resident care aides?
  6. What happens if my loved one requires skilled nursing?
  7. Ask them to explain what they mean by statements they make in marketing materials, especially “24 hour nursing care” and “memory care” or other specialized services.
  8. What special care or services do they provide for residents with dementia?
  9. Have you ever been cited or investigated by the State Department of Health?
  10. What is your discharge policy?

The Gary Galiher Law Hour — Episode 5: Elder Care & Preventing Abuse

This week’s podcast abounds with helpful information and advice about elder care and elder abuse. Attorney Anthony Carr joins Gary in the conversation, and they discuss with Mike Buck, our host, everything from the variety of options available for senior care, to the hidden epidemic of abuse and neglect, to how to check in and make sure someone you know in a care facility is getting treated well.

Without question, elderly parents are best taken care of at home, but we have economic needs that force their children to put their mothers, fathers, aunties in care homes because they cannot afford to stay home and take care of them. More often than not, there’s a very slick sales pitch that comes when people are looking for a place.

People are very trusting in Hawai‘i. People assume that placing a parent in a care facility that things are going to be fine—wonderful, even—but you cannot assume that. You need to establish rapport with the charge nurse, and be the advocate for whoever you have there, and satisfy yourself that you have the complete picture.

Partly, that starts with making regular visits to facilities where your loved ones lived. Escort your mom, your dad, your auntie, to their medical appointment. Be a little more niele (nosy) than you normally would. If someone misses taking a bath the day you visit, for example, you should try to find out if that’s an isolated incident or part of a pattern. Are there schedules in place that the facility has allowed to lapse? Vigilance on your part could help uncover such negligence.

People frequently report to us that they first noticed a problem when something didn’t smell right, that the bedding was soiled and hadn’t been changed. Bedsores are especially egregious signs of neglect, and they can worsen quickly. If you are aware of one, don’t leave the facility until there’s a medical intervention: get a doctor involved right away.

“A lot of the incidents that we’ve seen coming into our office were preventable, and that’s where our passion starts—helping to spread awareness and knowledge of these issues, whether it’s the difference in the standard of care these facilities offer, dangers of bedrails, spreading awareness through the community so that they’re armed with that knowledge and information so that these incidents stop happening, and while it might be possible to completely eliminate them, at least we could see a decline.”

One of the main points of our guide is to make sure that, should a loved one of yours require a care facilitiy, they find one that provides the right level of care for their needs. Be extra skeptical about the salesmanship of these facilities, too.

This summary has only scratched the surface. We care deeply about this issue, which is why we’ve devoted an entire website to it at http://StopHawaiiElderAbuse.com, and written a free guidebook, which you can get by filling out the form that follows. Please do listen to the show, too, as it’s chock full of further useful information.

12 More Community Resources for Healthy & Safe Senior Living

We’ve previously posted a roundup of Hawai‘i-based community resources, which can show you where to turn if you are concerned about the well-being of any older person, or if you need to report elder abuse. In the spirit of that post, here we are presenting a new collection of 12 free online resources, which run the gamut of health issues for older people.

We hope you’ll find them as useful and fascinating as we have. We’d also like to send a big thank you to Patricia Sarmiento from the Public Health Corps, who brought many of these resources to our attention.

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1. How to Talk With Your Doctor
Senior Health @ National Institute of Health

http://nihseniorhealth.gov/talkingwithyourdoctor/planningyourdoctorvisit/01.html

This article can help you or your loved ones improve the doctor-patient relationship (and thereby stay healthy!) through improved communication and preparation. By building a partnership with your doctor, you can be sure to cover everything you need to discuss, and make the most of your visits. The NIH also offers a chart to help keep track of medicines.

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2. 22 Senior Health Risk Calculators for Healthy Aging
Calculators.org

http://www.calculators.org/health/aging.php

Here’s a collection of links to special calculators that tally elder abuse risk assessment, lifestyle factors and numerous others related to healthy aging. They’re all free, so you can use any you like.

 

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3. Cats and Seniors
American Humane Association

http://www.americanhumane.org/animals/adoption-pet-care/cat-behavior/cats-and-seniors.html

Mood and health go hand in hand, so fuzzy pets aren’t only fun—they’re good for you, too. What dog people might not realize is that cats are also really fun. Owning a cat also brings health benefits to the whole family, and seniors in particular. Dogs require more training, care, and exercise, which makes them less suited for those who don’t wish to or cannot take the responsibility for canine needs.

 

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4. The New Breed of Service Dog: Canine Caregivers
for Dementia and Alzheimer’s Patients

Rover.com

https://www.rover.com/canine-caregivers-dementia-alzheimers/

Dogs are more than just best friends: therapy dogs can act as service animals for a variety of disabilities. With the right training, well-tempered dogs can improve a person’s independence, social life, confidence and mood. They provide cognitive stimulation in any setting, reignite their human companions’ interest in the world around them, and so much more. Even just visiting a therapy animal from time to time has demonstrated health benefits.

 

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5. Help Support Pets for the Elderly
Pets for the Elderly Foundation

http://www.petsfortheelderly.org/

The Pets for the Elder Foundation helps pay the fees to participating animal shelters throughout the United States for senior citizens (age 60 and over) who adopt a companion dog or cat from a participating shelter. You can learn about them and lend them your support through their website.

 

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6. Older Adults & Anxiety
Anxiety and Depression Association of America

http://www.adaa.org/living-with-anxiety/older-adults

The scientific understanding of anxiety in older adults trails is still unrefined in comparison to Alzheimers or depression. The ADAA can help you recognize symptoms of an anxiety disorder and figure out the best way to treat them. They offer pointers on how to talk to elderly parents about their anxieties, as well as direct advice for the anxious.

 

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7. Seniors & Drugs
NCADD

https://ncadd.org/learn-about-drugs/seniors-vets-and-women/241-older-adults

According to the NCADD, “it has been predicted that by the year 2020, the number of persons needing treatment for a drug abuse and addiction will double among persons aged 50 or older.” They break down myths and state the facts about drug problems as they concern older people.

 

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8. Ultimate Guide to Rehab & Medicare: The Ultimate Guide to Addiction Treatment for Seniors with Medicare
Discovery Place

https://www.discoveryplace.info/rehab-medicare-ultimate-guide

With the senior population set to double over the next 35 years, senior citizens’ special susceptibility to alcohol and drug abuse looms at an epidemic scale. The link has a checklist assessment for addiction and tips for navigating the medicare system to find treatment.

 

StopFraud.gov - Financial Fraud Enforcement Task Force

10. StopFraud.gov

http://www.stopfraud.gov/protect-yourself.html

The link’s chock full of resources, from tips on avoiding scams & swindles to guides for managing someone else’s money, with help for elders as well as their children, to information about the top scams and defensive measures against them.

 

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11. National Center on Elder Abuse
The U.S Administration on Aging

http://www.ncea.aoa.gov/

The NCEA is an organization that brings lawmakers, social service and healthcare practitioners together with researchers, advocates and families. They offer lots of research on their website for the public to use. They also have training curricula, webinars and podcasts geared toward various professional and general audiences. See also our site dedicated to this concern: StopHawaiiElderAbuse.com.

 

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12. Rights for Those With Hearing Loss
Ovation Hearing

http://www.ovationhearing.com/resources/rights-for-those-with-hearing-loss

Persons with hearing loss have won in at least a few noteworthy cases. At the link are extensive resources for advocacy on behalf of the hard of hearing. It includes resources for all 50 US states, and links to several organizations operating exclusively on behalf of hearing loss sufferers in Hawai‘i.

6 Signs & Symptoms of Elder Abuse

Be on the lookout for these signs and symptoms:
  • Mood and/or personality change, unexplained withdrawal from normal activities, a sudden change in alertness, and unusual depression may be indicators of emotional abuse.
  • Mysterious injuries ranging in severity, including bruises, pressure sores, abrasions, fractures or broken bones, burns and scars.
  • Repeated falls under similar circumstances (same location or time of day).
  • Bedsores, poor hygiene, unusual weight loss or unattended
    medical needs are indicators of possible neglect.
  • Behavior such as belittling, threats, and other uses of power and control by caregivers are indicators of verbal or emotional abuse.
  • Strained or tense relationships, frequent arguments between the caregiver and elderly person may also be signs of a problem.

It is also important that you stay aware and speak up if you suspect elder abuse or neglect. The elderly are especially vulnerable and are not always able to communicate their condition.

See our page on Reporting Abuse and Community Resources for more information on what to do if you believe abuse may be taking place. If the situation is serious, threatening, or dangerous, call 911 or your local police department for immediate help.

Hawai’i Statistics & Info About Elder Abuse

10,000-24,000 Cases of Elder Abuse in Hawaiʻi Each Year

iStock_000054854042_MediumHawai‘i’s Adult Protective and Community Services Branch (“APCSB”), which protects vulnerable adults from abuse and neglect, reported 801 cases of elder abuse in 2014. However, elder abuse is a “hidden” wrong as experts estimate that for every report of elder abuse to the authorities, between 10 and 24 go unreported (see Lifespan of Greater Rochester et al., 2011). Using this estimate, there are approximately 10,000-24,000 cases of elder abuse in Hawaiʻi each year.

Hawai’i Statistics & Info About Elder Abuse

iStock_000010423734_MediumBetween 1990 and 2012, the number of elderly aged 75 and older increased 47% nationally, compared to a 116% increase in Hawaiʻi. 15.6% of Hawai‘i’s population was 65 and over in 2013, compared with 14.1% nationally.

Elderly Populations Growing Nationally

iStock_000043978712_MediumIn the United States, the 2010 Census recorded the greatest number and proportion of people age 65 and older in history: 40.3 million, or 13% of the total population. This “Boomer Generation” effect will continue for decades. By 2050, people age 65 and older are expected to comprise 20% of the total U.S. population.

85+ The Fastest Growing Age Group

iStock_000003134667_SmallThe fastest growing segment of America’s population consists of those 85 and up. In 2010, there were 5.8 million people aged 85 or older. By 2050, it is projected that there will be 19 million people aged 85 or older.

Community Resources & Reporting Elder Abuse

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If someone is in immediate danger, do not hesitate—call 911 or the local police for immediate help. If danger is not imminent, report it to the appropriate authorities as soon as possible at the appropriate Adult Protective Services (APS) telephone number listed on this page.

If you have been the victim of abuse, exploitation, or neglect, you are not alone. Many people care and can help. Please tell your doctor, a friend, or a family member you trust, or call Hawai‘i APS or the Eldercare Locator help line immediately.

You can reach the Eldercare Locator by telephone at 1-800-677-1116. Specially trained operators will refer you to a local agency that can help. The Eldercare Locator is open Monday through Friday, 9 a.m. to 8 p.m. Eastern Time.

Hawai‘i Resources

In Hawai‘i, to report elder abuse, contact the Adult Protective Services agency by phone:

The Hawai‘i State Department of Health Licensing Section is responsible for licensing the various long term care facilities and enforcing regulations. You can call the State Licensing Section at (808) 692-7400.

For Seniors on the US Mainland

To Contact APS in other states, visit the State Resources section of the National Center on Elder Abuse website.

You can also call the Eldercare Locator at 1-800-677-1116, or visit them online at http://www.eldercare.gov

Community resources and advocacy groups include: