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no implementation."
Two days after the report
was issued, Home for Aged
and Federation leaders cre-
ated a committee, chaired by
Borman Hall President Jack
Schoen and Federation Vice
President Robert Naftaly.
The committee will monitor
progress of removal of defi-
ciencies; work with state and
federal agencies on the issue;
handle communication re-
garding the Home's status;
and consider the increasing
needs of the Detroit Jewish
elderly.
Concern for the aged has
always been a Federation
priority, Federation Execu-
tive Vice President Robert
Aronson said. "What we're
doing now is really fast track-
ing."
The Federation-Borman
team will begin immediately
to assess the possibility of
opening a new West Bloom-
ield home for the elderly —
an idea raised months ago
but until now put on the back
burner. (The proposed home
received a Certificate of Need
last Friday.)
The team also will consid-
er the various needs of the el-
derly Jewish population,
from those who want inde-
pendent living to those who
require extensive care.
Its recommendations are
expected within the next 60-
90 days, Mr. Aronson said.
Meanwhile, Borman Hall
has until Nov. 15 (90 days
from the date of the first re-
port) to reduce its Level A de-
ficiencies. If it fails to do so,
state officials may move to
have the home shut down.
In addition to the most re-
cent infection control viola-
tion, the survey team last
August found deficiencies in
such areas as the residents'
medical care and quality of
life at Borman.
The state team also gave
the Home 84 Level B defi-
ciencies, quite a few of which
were removed following the
second survey. The items cor-
rected were mostly basic ad-
ministrative procedures, Mr.
Kralapp said.
The reports are based on
interviews with residents
and their families, along with
observation. The standards
for care are determined by
the federal government and
must be practiced at all
homes receiving Medicare
and Medicaid funding.
Examples of incidents re-
sulting in Level A violations
cited in the October state re-
port:
• More than one-third of
the residents were being
physically restrained, many
of whom did not require it.
• One resident was re-

ported to virtually beg to
have his bed raised and re-
ceive extra blankets, only to
be ignored by the staff.
• A puddle of urine was
left sitting all morning at the
foot of one resident's bed,
while another lay for hours
in his feces.
• Staff watched and en-
couraged two residents in-
volved in a heated argument,
even as the state surveyor
was present.
• Staff ignored residents
who reached out to anyone
passing by, asking to be tak-
en for a walk or for assis-
tance to go outside.
The Home is committed to
making progress, Mr. Schoen
said. "But you can't resolve
every one of the deficiencies
in 45 days or 90 days. What
we can do is attempt to re-
solve as many of the major
concerns and address as
many of the minor concerns
in the time allotted."

In Fiscal Year
1991-1992, 12
homes for aged
located in the
Detroit area
received a number
of Level A
deficiencies.

Borman Hall has imple-
mented a number of pro-
grams to help sensitize the
staff to the needs of the resi-
dents and foster a sense of
teamwork, Mr. Schoen said.
And Mr. Aronson labeled
staff-resident relations "pri-
ority number one."
But results will take time,
Mr. Schoen said.
"It turns your stomach to
see what's in that report —
and I'm not quarreling with
what the state found," he
said. "But those changes
don't happen overnight."
Another problem facing
Borman Hall is the changing
nature of the Jewish aged
population, Mr. Aronson not-
ed. The elderly are living
longer and require more
medical care than 10 years
ago. Borman Hall was never
designed to be the kind of
acute-care nursing facility
that is now needed.
Despite its four Level A vi-
olations, Borman Hall is far
from being shut down. In
Fiscal Year 1991-1992, 12
homes for aged located in the
Detroit area received a num-
ber of Level A deficiencies.
"Only one of those closed,"
Mr. Kralapp said. "And that

BORMAN HALL/page 24