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FILED: BRONX COUNTY CLERK 04/11/2024 02:55 PM INDEX NO. 805963/2024E
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 04/11/2024
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF BRONX
Filed:_____________
______________________________________________
MANUEL ZARUMA, As Proposed Administrator of the
INDEX NO.:
Estate of JOSE LUIS ZARUMA, Deceased and
MANUEL ZARUMA Individually,
Plaintiff designates BRONX
Plaintiff,
County as the place of trial.
-against-
SUMMONS
FORDHAM NURSING AND REHABILITATION
The basis of venue is
CENTER, F/K/A KINGS TERRACE NURSING HOME,
Plaintiff residence:
Defendant.
109 East 153rd Street
______________________________________________
Bronx, New York 10451
To the above named Defendant:
YOU ARE HEREBY SUMMONED to answer the complaint in this action and to serve
a copy of your answer on the plaintiff’s attorneys within 20 days after the service of this
summons, exclusive of the day of service of this summons, or within 30 days after service of this
summons is complete if this summons is not personally delivered to you within the State of New
York.
In case of your failure to answer this summons, a judgment by default will be taken
against you for the relief demanded in the complaint, together with the costs of this action
Dated: New York, New York
April 11, 2024
________________________________________
DAVID SILVERMAN, ESQ.
RAPHAELSON & LEVINE LAW FIRM, P.C.
Attorneys for Plaintiff
Pennsylvania Building
14 Penn Plaza, Suite 1718
New York, New York 10122
(212) 268-3222
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DEFENDANTS:
FORDHAM NURSING AND REHABILITATION CENTER, F/K/A KINGS TERRACE
NURSING HOME
2678 Kingsbridge Terrace
Bronx, New York 10463
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SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF BRONX
________________________________________________
MANUEL ZARUMA, As Proposed Administrator of the
Estate of JOSE LUIS ZARUMA, Deceased and
MANUEL ZARUMA Individually, INDEX NO.
Plaintiff, VERIFIED COMPLAINT
-against-
FORDHAM NURSING AND REHABILITATION CENTER, F/K/A KINGS TERRACE
NURSING HOME,
Defendant.
________________________________________________
Plaintiff JOSE LUIS ZARUMA by his attorneys, RAPHAELSON & LEVINE
LAW FIRM, P.C. complaining of the Defendant FORDHAM NURSING AND
REHABILITATION CENTER, F/K/A KINGS TERRACE NURSING HOME, respectfully
alleges, upon information and belief, as follows:
1. At all times relevant herein, Plaintiff, MANUEL ZARUMA (“Plaintiff”),
was a resident of the County of Bronx, State of New York.
2. Plaintiff is Proposed Administrator of the Estate of JOSE LUIS ZARUMA.
3. At all relevant times herein, Plaintiff, as the Proposed Administrator
of the Estate of JOSE LUIS ZARUMA, brings these causes of actions on behalf of Plaintiff,
JOSE LUIS ZARUMA.
4. At all times hereinafter mentioned the Defendant, FORDHAM NURSING
AND REHABILITATION CENTER, F/K/A KINGS TERRACE NURSING HOME was and is
a domestic corporation duly organized and existing under and by virtue of the laws of the State
of New York.
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5. At all times hereinafter mentioned the Defendant, FORDHAM NURSING
AND REHABILITATION CENTER, F/K/A KINGS TERRACE NURSING HOME at all times
herein mentioned was and still is a foreign corporation duly license and authorized to do business
in the State of New York.
6. At all times relevant herein, the Defendant, FORDHAM NURSING AND
REHABILITATION CENTER, F/K/A KINGS TERRACE NURSING HOME, maintained a
principal place of business in the County of Bronx, State of New York.
7. At all times relevant herein, the Defendant, FORDHAM NURSING AND
REHABILITATION CENTER, F/K/A KINGS TERRACE NURSING HOME, owned the
premises, the pertinences and fixtures thereto, located at 2678 Kingsbridge Terrace, Bronx, New
York.
8. At all times relevant herein, the Defendant, FORDHAM NURSING AND
REHABILITATION CENTER, F/K/A KINGS TERRACE NURSING HOME, and was and
still remains engaged in the ownership of a facility located at 2678 Kingsbridge Terrace, Bronx,
New York, which was and is governed by the laws and regulations of the State of New York.
9. At all times relevant herein, Defendant, FORDHAM NURSING AND
REHABILITATION CENTER, F/K/A KINGS TERRACE NURSING HOME, held itself out to
the public as furnishing medical treatment facilities where patients including Plaintiff, JOSE
LUIS ZARUMA, could be provided with proper medical care and treatment, which included
providing medical personnel, including, doctors, nurses, attendants, assistants, physician
assistants, and other health care providers and Defendant, FORDHAM NURSING AND
REHABILITATION CENTER, F/K/A KINGS TERRACE NURSING HOME, represented that
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they/it were/was competent to perform and render all the required medical care, treatment
services and advice required by the Plaintiff, JOSE LUIS ZARUMA.
10. At all times relevant herein, Plaintiff, JOSE LUIS ZARUMA, was a
patient at Defendant, FORDHAM NURSING AND REHABILITATION CENTER, F/K/A
KINGS TERRACE NURSING HOME, and under the medical care, services, treatment and
management of the Defendant FORDHAM NURSING AND REHABILITATION CENTER,
F/K/A KINGS TERRACE NURSING HOME.
11. At all times relevant herein, Defendant, FORDHAM NURSING AND
REHABILITATION CENTER, F/K/A KINGS TERRACE NURSING HOME, stood in such
relationship of Plaintiff, JOSE LUIS ZARUMA, as to make Defendant FORDHAM NURSING
AND REHABILITATION CENTER, F/K/A KINGS TERRACE NURSING HOME, liable for
all of the acts and/or omissions of its agents, servants, licensees, doctors, nurses, staff,
contractors and for employees.
12. At all times relevant herein, Defendant was operating a nursing home,
skilled nursing facility and/or long term care facility in New York, and accordingly:
a. Defendant was a nursing home within the meaning of Article 28 of
the Public Health Law and at all times relevant, Defendant was
under a duty to comply with all duties set forth under that chapter;
b. The New York Codes, Rules, and Regulations (NYCRR),
10NYCCR 415.1(b) (4) require that Nursing Homes comply with
all pertinent Federal, State, and local laws, regulations, codes,
standards, and principles;
c. In New York, Nursing Homes are required to provide care and
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services in a manner and quality consistent with generally accepted
standards of practice pursuant to 10 NYCRR 415.1 (b) (1);
d. The Defendant was and are participants in Medicare and Medicaid
programs.
e. To participate in Medicare and Medicaid programs, nursing homes
must be in compliance with the federal requirements for long term
care as prescribed in the U.S. Code of Federal Regulations, 42
C.F.R.§483.
13. Defendant, FORDHAM NURSING AND REHABILITATION CENTER,
F/K/A KINGS TERRACE NURSING HOME, is aware that it is to be in compliance with the
federal requirements for long term care as prescribed in the U.S. Code of Federal Regulations, 42
C.F.R.§483.
14. Under the Code of Federal Regulations, a nursing home must:
a. have sufficient nursing staff to provide nursing and related services to
attain and maintain the highest practicable physical, mental, and
psycho social well-being of each resident (42 C.F.R.§483.30);
b. provide, if a resident is unable to carry out activities of daily living,
the necessary services to maintain good nutrition, grooming, and
personal and oral hygiene (42 C.F.R. §483.25);
c. ensure that the resident's environment remains free of accident hazards
(42 C.F.R§483.25 (h) (1));
d. ensure that each resident receives adequate supervision and assistance
devices to prevent accidents (42 C.F.R.§483.25 (h) (2);
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e. ensure that a resident's maintains acceptable parameters of nutritional
status such as body weight and protein levels (42 C.F.R.§483.25);
f. provide an appropriate assessment of each resident entering a
certified Nursing Home and the development and implementation of
an appropriate care plan so that each resident is allowed to attain and
maintain the highest practicable mental, physical and psycho social
well-being (See 42 C.F.R.§483.1);
g. ensure that the facility protects the resident from unnecessary falls and
accidents (See C.F.R. 42§483.25(h));
h. conduct an initial assessment to determine the resident's risk of
falling and develop a care plan that is tailored to address the
resident's needs (See C.F.R. 42§483.20);
i. report any resident falls to the attending physician and also to the
responsible party for the resident and to monitor the resident's
complications from the fall; and,
j. the facility further has an obligation to investigate the cause of all
falls and develop a plan to protect the resident from future falls (See
42 CFR § 483.10 (10)).
k. conduct initially (no later than 14 days after admission) and
periodically (after a significant change in the resident's physical or
mental condition and, in no case, less often than once every 12
months) a comprehensive, accurate, standardized, reproducible
assessment of each resident's functional capacity (42 CFR §483.20).
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l. develop a comprehensive care plan for each resident that includes
measurable objectives and timetables to meet a resident's medical,
nursing, and mental and psychosocial needs that are identified in the
comprehensive assessment. The care plan must be developed within 7
days after completion of the comprehensive assessment and describe
the services that are to be furnished. Also, the care plan must be
periodically reviewed and revised by a team of qualified persons after
each assessment (42 CFR §483.20).
m. prevent the deterioration of a resident's ability to bathe, dress,
groom, transfer and ambulate, toilet, eat, and to use speech, language
or other functional communication systems (42 CFR § 483.25).
n. ensure that residents receive proper treatment and assistive devices to
maintain vision and hearing abilities (42 CFR § 483.25).
o. ensure that residents do not develop pressure sores and, if a resident
has pressure sores, must provide the necessary treatment and services
to promote healing, prevent infection and prevent new sores from
developing (42 CFR § 483.25).
p. provide appropriate treatment and services to incontinent residents to
restore as much normal bladder functioning as possible and prevent
urinary tract infections and to restore as much normal bladder
function as possible (42 CFR § 483.25).
q. provide each resident with sufficient fluid intake to maintain proper
hydration and health (42 CFR § 483.25).
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r. ensure that residents are free of any significant medication errors (42
CFR § 483.25).
s. care for its residents in a manner and in an environment
that promotes maintenance or enhancement of each resident's
quality of life (42 CFR § 483.15).
t. promote care for residents in a manner and in an environment that
maintains or enhances each resident's dignity and respect in full
recognition of his or his individuality (42 CFR § 483.15).
u. ensure that the resident has the right to choose activities, schedules,
and health care consistent with his or his interests, assessments and
plan of care (42 CFR § 483.15).
v. ensure that the medical care of each resident is supervised by a
physician and must provide or arrange for the provision of physician
services 24 hours a day, in case of an emergency (42 CFR § 483.40).
w. provide pharmaceutical services (including procedures that assure the
accurate acquiring, receiving, dispensing, and administering of all
drugs and biologicals) to meet the needs of each resident (42 CFR §
483.60).
x. be administered in a manner that enables it to use its resources
effectively and efficiently to attain or maintain the highest practicable
physical, mental, and psychosocial well-being of each resident (42
CFR § 483.75).
y. maintain clinical records on each resident in accordance with a
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accepted professional standards and practices that are complete,
accurately documented, readily accessible, and systematically
organized (42 CFR § 483.75).
15. Defendant, FORDHAM NURSING AND REHABILITATION CENTER,
F/K/A KINGS TERRACE NURSING HOME, had the duty to properly complete a
comprehensive MDS assessment for the plaintiff, JOSE LUIS ZARUMA no later than by day 14
after admission.
16. Defendant, FORDHAM NURSING AND REHABILITATION CENTER,
F/K/A KINGS TERRACE NURSING HOME, had the duty to complete a comprehensive
assessment for the plaintiff, JOSE LUIS ZARUMA.
17. Defendant, FORDHAM NURSING AND REHABILITATION CENTER,
F/K/A KINGS TERRACE NURSING HOME, had the duty to update the comprehensive
assessment and to keep it current.
18. Defendant, FORDHAM NURSING AND REHABILITATION CENTER,
F/K/A KINGS TERRACE NURSING HOME, had the duty to complete a comprehensive plan of
care by day twenty-one (21) after admission.
19. Defendant, FORDHAM NURSING AND REHABILITATION CENTER,
F/K/A KINGS TERRACE NURSING HOME, had the duty to complete a comprehensive plan of
care for plaintiff, JOSE LUIS ZARUMA.
20. Defendant, FORDHAM NURSING AND REHABILITATION CENTER,
F/K/A KINGS TERRACE NURSING HOME, had the duty to update the plan of care and to
keep it current.
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21. At all times hereinafter mentioned herein, Defendant was operating a
nursing home in New York, and accordingly:
a. That at all times hereinafter mentioned, Defendant had the duty to
comply with Public Health Law Article 28;
b. That at all times hereinafter mentioned, Defendant was subject to
Public Health Law §2801(d);
c. That at all times hereinafter mentioned, Defendant was under a duty
to comply with New York State Law and Regulations, including but
not limited to Part 10, §415 of NYCRR;
d. That at all times hereinafter mentioned, Defendant was under a duty
to ensure that a resident who enters the facility without pressure sores
does not develop pressure sores unless the individual's clinical
condition demonstrates that they were unavoidable despite every
reasonable effort to prevent them; and a resident having pressure
sores receives necessary treatment and services to promote healing,
prevent infection and prevent new sores from developing;
e. That at all times hereinafter mentioned, Defendant was under a duty
to ensure that a resident who enters the facility as a fall risk does not
fall; and that patient is properly assessed as a fall risk; and, that
proper steps are placed to ensure that the patient does not fall; and,
that if incidents occur, or fall risk changes a re-assessment is done,
and steps are taken to ensure the patient does not fall;
f. That at all times hereinafter mentioned, Defendant was under a duty
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to comply with 42 CFR Part 483;
g. That at all times hereinafter mentioned, Defendant was under a duty
to comply with 42 U.S.C. §1396-r (1990) et seq., as amended by
OBRA of 1987.
22. On the May 29, 2022, plaintiff JOSE LUIS ZARUMA, was lawfully on
the premises of Defendant, FORDHAM NURSING AND REHABILITATION CENTER, F/K/A
KINGS TERRACE NURSING HOME located at 2678 Kingsbridge Terrace, Bronx, New York
11754.
23. Prior to, and on May 29, 2022 Defendant, FORDHAM NURSING AND
REHABILITATION CENTER, F/K/A KINGS TERRACE NURSING HOME agreed and
undertook to care for and treat plaintiff JOSE LUIS ZARUMA.
24. On the above dates, plaintiff, JOSE LUIS ZARUMA, sought the
professional care of Defendant for certain medical complaints, the need for medical care,
medical advice, long term care, rehabilitation care and for nursing home care, including
complaints, from which he was suffering, and these Defendant its agents, servants and
employees took on the responsibility of rendering medical and nursing care, diagnosis, treatment
and services to plaintiff, JOSE LUIS ZARUMA.
25. While plaintiff, JOSE LUIS ZARUMA, was lawfully about the aforesaid
premises and under the medical care and treatment of the Defendant. Plaintiff, JOSE LUIS
ZARUMA, was caused to sustain serious and permanent personal injuries which caused
extensive pain and mental suffering.
26. That no negligence on the part of plaintiff, JOSE LUIS ZARUMA,
contributed to the occurrence or injuries.
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27. The causes of action alleged herein falls within one or more of the
exemptions set forth in CPLR 1602.
AS AND FOR A FIRST CAUSE OF ACTION IN NEGLIGENCE
AGAINST THE DEFENDANT
28. Plaintiff repeats and realleges each and every allegation set forth above
with the same force and effect as though set forth herein at length.
29. The above care, diagnoses, treatment and services rendered to Plaintiff
JOSE LUIS ZARUMA by the Defendant and/or said Defendant’s servants, agents, contractors,
licensees and/or employees, were rendered carelessly, unskillfully, negligently, and in a manner
which departed from customary and accepted standards of practice, diagnosis, treatment and
service in the community; and negligently failed to use ordinary and reasonable care, diligence
and skills.
30. That the injuries by plaintiff JOSE LUIS ZARUMA was caused by the
lack of reasonable care exercised by Defendant, in that the above mentioned injuries and
occurrence, and the results thereof, were caused by the negligence of this Defendant and/or said
Defendant’s servants, agents, staff, contractors, employees, and/or licensees in the ownership,
operation, management, supervision, maintenance and control of the aforesaid Nursing
Home, and this patient and the negligent care and treatment provided to plaintiff JOSE LUIS
ZARUMA, and negligence in failing to hire sufficiently qualified staff to meet plaintiff JOSE
LUIS ZARUMA’s needs; in improperly supervising its staff and its residents/patients; in failing
to properly train the staff; in failing to have sufficient number of staff; in violating plaintiff
JOSE LUIS ZARUMA’s rights; in violating plaintiff’s rights under federal law and
regulations and state law and regulations; in failing to provide adequate and appropriate care
and services to plaintiff JOSE LUIS ZARUMA, in negligently hiring and/or retaining staff and
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employees; and in failing to follow statutory laws, rules, and regulations thereby resulting in
negligence per se and evidence of negligence.
31. That no negligence on the part of plaintiff JOSE LUIS ZARUMA
contributed to the occurrence or injuries.
32. By reason of the foregoing, plaintiff JOSE LUIS ZARUMA was
caused to suffer and sustain severe, serious and permanent personal injuries, severe and
serious pain and suffering and mental anguish; plaintiff JOSE LUIS ZARUMA has been caused
to expend and become obligated to expend and be liable for sums of money for medical
services and related expenses, and has thereby been injured and damaged in a sum which
exceeds the jurisdictional limitations of all lower courts which would otherwise have
jurisdiction.
33. That the conduct aforedescribed involved willful malfeasance, gross
neglect and negligence and gross abuse on the part of the Defendant.
34. By reason of the above plaintiff JOSE LUIS ZARUMA sustained great
pain, agony, injury, suffering, disability, and hospitalization, as well as mental anguish and
emotional distress.
35. That as a consequence, the plaintiff demands special, general and punitive
damages in the sum which exceeds the jurisdictional limits of all lower courts.
AS AND FOR A SECOND CAUSE OF ACTION
IN NEGLIGENCE PER SE AGAINST DEFENDANT
36. Plaintiff repeats and realleges each and every allegation set forth above
with the same force and effect as though set forth herein at length.
37. During the period of plaintiff, JOSE LUIS ZARUMA’s residency in the
Defendant’s facilities, the Defendant, through its officers, employees, agents and staff, were
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negligent in the operation of the facility and particularly in the care rendered to plaintiff and
violated 42CFR Part 483.25 of the OBRA regulations and other Federal rules and regulations
and 10 NYCRR Part 415 and other New York State and County rules and regulations, Federal
Statutes, New York State Statutes, and PHL§2801-d and PHL§2803-c.
38. As a consequence of the Defendant’s failure to adhere to the duties set
forth above, as well as the statutory, licensing and regulatory rules of the United States, the
State of New York and County of Bronx, Defendant is liable in negligence per se.
39. The aforesaid legislative commands and administrative regulations are
designed to prevent injury to the class of persons to which plaintiff JOSE LUIS ZARUMA
belonged.
40. The aforesaid violations by the Defendant was a proximate cause of
plaintiff JOSE LUIS ZARUMA’s injuries.
41. By reason of the foregoing, plaintiff JOSE LUIS ZARUMA was caused to
suffer and sustain severe and permanent serious personal injuries, severe and serious pain
and suffering and mental anguish; plaintiff has been caused to expend and become obligated to
expend sums of money for medical services and related expenses, and has thereby been
injured and damaged in a sum which exceeds the jurisdictional limitations of all lower courts
which would otherwise have jurisdiction.
42. That the conduct aforedescribed involved gross abuse, willful malfeasance
and gross neglect on the part of the Defendant.
43. As a consequence thereof, the plaintiff demands punitive damages
in the sum which exceeds the jurisdictional limits of all lower courts.
AS AND FOR A THIRD CAUSE OF ACTION PURSUANT TO PUBLIC HEALTH
LAW SECTION 2801-d AGAINST DEFENDANT
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44. Plaintiff repeats and realleges each and every allegation set forth above
with the same force and effect as though set forth herein at length.
45. During the period of plaintiff, JOSE LUIS ZARUMA’s residency in the
Defendant’s facility, the Defendant, through its officers, employees, agents and staff, violated
Public Health Law Section 2801-d.
46. By reason of the foregoing, plaintiff, JOSE LUIS ZARUMA was caused
to suffer and sustain severe and permanent serious personal injuries, severe and serious pain
and suffering and mental anguish; and has been caused to expend and become obligated to
expend sums of money for medical services and related expenses, and has thereby been
injured and damaged in a sum which exceeds the jurisdictional limitations of all lower courts
which would otherwise have jurisdiction
47. By virtue thereof, plaintiff additionally demands as damages attorney's
fees based upon reasonable value of legal services rendered pursuant to Public Health Law
Section 2801-d.
48. By virtue thereof, plaintiff additionally demands as damages the per diem
damages pursuant to Public Health Law Section 2801-d.
49. As a result of the foregoing, plaintiff JOSE LUIS ZARUMA sustained
compensatory damages in excess of jurisdictional limits of all lower courts.
50. That the conduct aforedescribed involved gross abuse, willful malfeasance
and gross neglect on the part of the Defendant.
51. As a consequence thereof, the plaintiff demands special, general and
punitive damages in the sum which exceeds the jurisdictional limits of all lower courts.
AS AND FOR A FOURTH CAUSE OF ACTION
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BREACH OF CONTRACT AGAINST DEFENDANT
52. Plaintiff repeats and realleges each and every allegation set forth above
with the same force and effect as though set forth herein at length.
53. Prior to plaintiff’s admission to Defendant corporation’s facility and/or
prior to going under the care of the Defendant, Defendant represented to the Plaintiff that
Defendant could provide good nursing care, good nursing home care and good supervision for
plaintiff JOSE LUIS ZARUMA.
54. Based upon the representations of the Defendant, and plaintiff JOSE LUIS
ZARUMA and/or his representative entered into an agreement with the Defendant, whereby the
Defendant was to provide plaintiff JOSE LUIS ZARUMA with good nursing, medical care and
treatment, and supervision.
55. Pursuant to the agreement, the Defendant had a contractual responsibility
to provide plaintiff JOSE LUIS ZARUMA with his nursing home resident’s rights as set forth in
the contract with the Defendant’s facility, which responsibility included, but was not limited to
the following:
a. Provide adequate and appropriate health care, protective and support
services;
b. Complying with regulations for the operation of nursing facilities
promulgated by the Department of Health and Human Services,
c. Developing and implementing a preliminary and comprehensive resident
assessment, and preliminary and comprehensive resident care plan, with
ongoing evaluation and update;
d. Providing prompt notification to the family and physician of significant
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changes in his health status;
e. Providing prompt documentation of accidents or unusual incidents;
f. Protect plaintiff JOSE LUIS ZARUMA from foreseeable harm;
g. Maintaining medical records which contain sufficient information to
justify the diagnosis and treatment, and to document the results,
including at a minimum, documented evidence of assessments of the
needs of the resident, of establishment of appropriate plans of care and
treatment, and of the care and services provided;
h. Properly supervise staff;
i. Properly train staff;
j. Proper retention of staff;
k. Protect the dignity of plaintiff JOSE LUIS ZARUMA;
l. Protect the privacy of plaintiff JOSE LUIS ZARUMA;
m. Provide adequate and appropriate health care to plaintiff JOSE LUIS
ZARUMA;
n. Provide proper documentation of care for plaintiff JOSE LUIS
ZARUMA;
o. Develop, implement, and update an adequate and appropriate resident
care plan to meet the needs of plaintiff JOSE LUIS ZARUMA;
p. Maintain medical records which contain sufficient information to justify
the diagnosis and treatment, and to document the results, including at a
minimum documented evidence of assessment of the needs of the
resident, of establishment of appropriate plans of care and treatment, and
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of the care and services provided;
q. Appropriately monitor plaintiff JOSE LUIS ZARUMA, and recognize
significant signs and symptoms of change in his health condition;
56. That the Defendant’s responsibilities to plaintiff, JOSE LUIS ZARUMA
as outlined in the contract are non-delegable and such that the Defendant(s) had direct liability
for violations, deprivations or infringements by any person or entity under Defendant’s control,
direct or indirect, including its employees, agents, consultants and independent contractors,
whether in- house or outside entities, individuals, agencies or pools, or caused by Defendant’s
policies, whether written or unwritten, or common practices.
57. That in addition to Defendant’s direct responsibility under contract,
Defendant’s has a vicarious liability for the acts or omissions of all persons or entities under
Defendant’s control, either direct or indirect including its employees, agents, consultants and
independent contractors, whether in- house or outside entities, individuals, agencies or pools,
causing any deprivation or infringements of plaintiff resident’s rights as set forth in the contract.
58. That the duty alleged includes, but is not limited to, proper training and
supervision; proper hiring background and referral check, and proper testing and dismissal of
employees, agents consultants and independent contractors.
59. That notwithstanding, the responsibility of Defendant to provide plaintiff
JOSE LUIS ZARUMA with contractual nursing home resident’s rights and with proper nursing
care, was deprived of such contractual rights by the acts or omissions of Defendant, which
include, but are not limited to, the following:
a. Failure to provide adequate and appropriate health care, protective
and support services;
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b. Failure to comply with regulations for the operation of nursing
facilities promulgated by the Department of Health and Human
Services,
c. Failure in developing and implementing a preliminary and
comprehensive resident assessment, and preliminary and
comprehensive resident care plan, with ongoing evaluation and
update;
d. Failure in providing prompt notification to the family and
physician of significant changes in his health status;
e. Failure in providing prompt documentation of accidents or
unusual incidents;
f. Failing to protect plaintiff JOSE LUIS ZARUMA from foreseeable
harm;
g. Failure in maintaining medical records which contain sufficient
information to justify the diagnosis and treatment, and to document
the results, including at a minimum, documented evidence of
assessments of the needs of the resident, of establishment of
appropriate plans of care and treatment, and of the care and
services provided;
h. Failing to properly supervise staff;
i. Failing to properly train staff;
j. Improper retention of staff;
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k. Failing to protect the dignity of plaintiff JOSE LUIS ZARUMA;
l. Failing to protect the privacy of plaintiff JOSE LUIS ZARUMA;
m. Failing to provide adequate and appropriate health care to plaintiff
JOSE LUIS ZARUMA;
n. Failing to provide proper documentation of care for plaintiff JOSE
LUIS ZARUMA;
o. Failing to develop, implement, and update an adequate and
appropriate resident care plan to meet the needs of plaintiff JOSE
LUIS ZARUMA;
p. Failing to maintain medical records which contain sufficient
information to justify the diagnosis and treatment, and to document
the results, including at a minimum documented evidence of
assessment of the needs of the resident, of establishment of
appropriate plans of care and treatment, and of the care and
services provided;
q. Failing to appropriately monitor plaintiff JOSE LUIS ZARUMA,
and recognize significant signs and symptoms of change in his
health condition;
60. As a result of Defendant’s breach of contract, plaintiff, JOSE LUIS
ZARUMA, suffered injury, harm and pecuniary loss, which necessitated the plaintiff JOSE LUIS
ZARUMA, to expend and/or become liable for medical expenses.
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61. Accordingly, the plaintiff has suffered special, general and punitive
damages in an amount exceeding the jurisdictional limits of all lower courts.
AS AND FOR A FIFTH CAUSE OF ACTION
FOR MEDICAL MALPRACTICE AS AGAINST DEFENDANT
62. Plaintiff repeats and realleges each and every allegation above with the
same force and effect as though set forth herein at length.
63. That the medical care, treatment, services and advice rendered to plaintiff
JOSE LUIS ZARUMA by the Defendant, its agents, servants, licenses and/or employees was
negligently, recklessly, improperly and carelessly performed, and was rendered in a manner
which departed from good and accepted medical practice then and there prevailing and constituted
medical malpractice.
64. By reason of the foregoing, plaintiff JOSE LUIS ZARUMA, was caused to
suffer and sustain severe and permanent serious personal injuries, severe and serious pain,
suffering and mental anguish; plaintiff JOSE LUIS ZARUMA and/or the plaintiff has been
caused to expend and obligated to expend sums of money for medical services and related
expenses, and has thereby injured and damaged in a sum which exceeds the jurisdictional
limitations of all lower courts, which would otherwise have jurisdiction.
65. That the conduct aforedescribed involved gross abuse, willful malfeasance
and gross neglect on the part of the Defendant.
66. As a consequence thereo