HARRISON A. WILLIAMS, JR., New Jersey JENNINGS RANDOLPH, West Virg<str<strong>on</strong>g>in</str<strong>on</strong>g>ia EDMUND S. MUSKIE, Ma<str<strong>on</strong>g>in</str<strong>on</strong>g>e FRANK E. MOSS, Utah EDWARD M. KENNEDY, Massachusetts WALTER F. MONDALE, M<str<strong>on</strong>g>in</str<strong>on</strong>g>nesota VANCE HARTKE, Indiana CLAIBORNE PELL, Rhode Island THOMAS F. EAGLETON, Missouri JOHN V. TUNNEY, California LAWTON CHILES, Florida DICK CLARK, Iowa HARRISON A. WILLIAMS, JR., New Jersey FRANK CHURCH, Idaho EDMUND S. MUSKIE, Ma<str<strong>on</strong>g>in</str<strong>on</strong>g>e EDWARD M. KENNEDY, Massachusetts CLAIBORNE PELL, Rhode Island THOMAS F. EAGLETON, Missouri JOHN V. TUNNEY, California SPECIAL COMMITTEE ON AGING FRANK CHURCH, Idaho, Chairman HIRAM L. FONG, Hawaii CLIFFORD P. HANSEN, Wyom<str<strong>on</strong>g>in</str<strong>on</strong>g>g EDWARD W. BROOKE, Massachusetts CHARLES H. PERCY, Ill<str<strong>on</strong>g>in</str<strong>on</strong>g>ois ROBERT T. STAFFORD, Verm<strong>on</strong>t J. GLENN BEALL, JR., Maryland PETE V. DOMENICI, New Mexico BILL BROCK, Tennessee DEWEY F. BARTLETT, Oklahoma WILLAM E. ORIOL, StaffDirector DAVID A. AFFELDT, Chief Counsel VAL J. HALAMANDARIS, Associate Counsel JoHN GrY MILLER, M<str<strong>on</strong>g>in</str<strong>on</strong>g>ority Staff Director PATRICIA G. ORIOL, Chief Clerk SUIBCOMMITrEE ON LONG-TERM CARE FRANK E. MOSS, Utah, Chairman <str<strong>on</strong>g>Trends</str<strong>on</strong>g> <str<strong>on</strong>g>in</str<strong>on</strong>g> <str<strong>on</strong>g>L<strong>on</strong>g</str<strong>on</strong>g>-<str<strong>on</strong>g>Term</str<strong>on</strong>g> <str<strong>on</strong>g>Care</str<strong>on</strong>g>: Part 1. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>, D.C., July 30, 1969 Part 2. St. Petersburg, Fla., January 9, 1970 Part 3. Hartford, C<strong>on</strong>n., January 15, 1970 Part 4. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>, D.C., February 9, 1970 (Marietta Fire) Part 5. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>. D.C., February 10, 1970 (Marietta Fire) Part 6. San Francisco, Calif., February 12, 1970 Part 7. Salt Lake City, Utah, February 13, 1970 Part 8. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>, D.C., May 7, 1970 Part 9. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>, D.C., August 19, 1970 (Salm<strong>on</strong>ella) Part 10. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>, D.C., December 14,1970 (Salm<strong>on</strong>ella) Part 11. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>, D.C., December 17,1970 Part 12. Chicago, Ill., April 2,1971 Part 13. Chicago, I11., April 3,1971 Part 14. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>, D.C., June 15, 1971 Part 15. Chicago, III., September 14,1971 Part 16. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>, D.C., September 29, 1971 (Lil-Haven Fire) Part 17. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>. D.C., October 14,1971 Part 18. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>, D.C., October 28, 1971 Part 19A. M<str<strong>on</strong>g>in</str<strong>on</strong>g>neapolis-St. Paul, M<str<strong>on</strong>g>in</str<strong>on</strong>g>n., November 29, 1971 Part 19B. M<str<strong>on</strong>g>in</str<strong>on</strong>g>neapolis-St. Paul, M<str<strong>on</strong>g>in</str<strong>on</strong>g>n., November 29,1971 Part 20. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>, D.C., August 10, 1972 Part 21. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>, D.C., October 10, 1973 Part 22. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>, D.C., October 11, 1973 Part 23. New York, N.Y., January 21,1975 Part 24. New York, N.Y., February 4, 1975 Part 25. Wash<str<strong>on</strong>g>in</str<strong>on</strong>g>gt<strong>on</strong>, D.C., February 19, 1975 (HI) CHARLES H. PERCY, Ill<str<strong>on</strong>g>in</str<strong>on</strong>g>ois EDWARD W. BROOKE, Massachusetts J. GLENN BEALL, JR., Maryland PETE V. DOMENICI, New Mexico BILL BROCK, Tennessee
CONTENTS 'Page Open<str<strong>on</strong>g>in</str<strong>on</strong>g>g statement by Senator Frank E. Moss, chairman---------------- 2873 Prepared statement of Senator James Buckley- -___________-___________2876 Prepared statement of C<strong>on</strong>gressman Edward I. Koch_------------------- 2876 CHRONOLOGICAL LIST OF WITNESSES Ste<str<strong>on</strong>g>in</str<strong>on</strong>g>, Assemblyman Andrew, chairman, Temporary Commissi<strong>on</strong> <strong>on</strong> Liv<str<strong>on</strong>g>in</str<strong>on</strong>g>g Costs and the Ec<strong>on</strong>omy--------------------------------------------- 2878 Moan, Terrence, executive director, Temporary Commissi<strong>on</strong> <strong>on</strong> Liv<str<strong>on</strong>g>in</str<strong>on</strong>g>g Costs and the Ec<strong>on</strong>omy- - ___________________________________________ 2889 Lee, Hal, research c<strong>on</strong>sultant, Temporary Commissi<strong>on</strong> <strong>on</strong> Liv<str<strong>on</strong>g>in</str<strong>on</strong>g>g Costs and the Ec<strong>on</strong>omy--------------------------------------------------- 2905 Jarvis, Irene, <str<strong>on</strong>g>in</str<strong>on</strong>g>stituti<strong>on</strong>al <str<strong>on</strong>g>in</str<strong>on</strong>g>spector, City of New York Department of Social Services --------------------------------- - ----------------- 2914 Hopper, Anastasia, former chief, City of New York Instituti<strong>on</strong>al Review Service- -______________-- ___________________--__________2919 Dobk<str<strong>on</strong>g>in</str<strong>on</strong>g>, Dr. Jay,. chief resident, <str<strong>on</strong>g>in</str<strong>on</strong>g>ternal medic<str<strong>on</strong>g>in</str<strong>on</strong>g>e, Morrisania City Hospital- -__________________---- _____-- ______________________2922 Bergman, Dr. Bernard ---------------------------------------------- 2933 APPENDIXES Appendix 1. Letters related to subpena issued to Chalres Sigety, nurs<str<strong>on</strong>g>in</str<strong>on</strong>g>g home proprietor: Item 1. Letter from Howard G. Kristol, counsel, Rogers & Wells; to <str<strong>on</strong>g>Special</str<strong>on</strong>g> <str<strong>on</strong>g>Committee</str<strong>on</strong>g> <strong>on</strong> Ag<str<strong>on</strong>g>in</str<strong>on</strong>g>g, dated January 21, 1975____----------2959 Item 2. Letter from Howard G. Kristol; to <str<strong>on</strong>g>Special</str<strong>on</strong>g> <str<strong>on</strong>g>Committee</str<strong>on</strong>g> <strong>on</strong> Ag<str<strong>on</strong>g>in</str<strong>on</strong>g>g, dated January 27, 1975_-_______- -_------------------ 2959 Appendix 2. Bergman family nurs<str<strong>on</strong>g>in</str<strong>on</strong>g>g home operati<strong>on</strong>s and a Bergman "family tree": Item 1. Bergman family <str<strong>on</strong>g>in</str<strong>on</strong>g>terests <str<strong>on</strong>g>in</str<strong>on</strong>g> nurs<str<strong>on</strong>g>in</str<strong>on</strong>g>g homes_--------------- 2961 Item 2. Chart of the Bergman family structure- -________________ 2963 Item 3. Letter and enclosures from Nathan Lew<str<strong>on</strong>g>in</str<strong>on</strong>g>, counsel to Dr. Bernard Bergman; to Senator Frank E. Moss, dated February 3, 1975 ----------------------------- 2964 Appendix 3. Subpenas issued dur<str<strong>on</strong>g>in</str<strong>on</strong>g>g nurs<str<strong>on</strong>g>in</str<strong>on</strong>g>g home <str<strong>on</strong>g>in</str<strong>on</strong>g>vestigati<strong>on</strong>-------- 2973 Appendix 4. Letter from Eugene Hollander, to Val J. Halamandaris, dated January 17, 19756____________________------------------------- 3033 (III)
- Page 1: TRENDS IN LONG-TERM CARE 45-716 0 H
- Page 5 and 6: 2874 First. Our Nation and our Fede
- Page 7 and 8: 2876 Senator Domenici, of New Mexic
- Page 9 and 10: 2878 (5) Dealings
- Page 11 and 12: 88o Did we leave any out? Mr. HoMFI
- Page 13 and 14: 2882 Mr. HALAMIANDARIS. May we have
- Page 15 and 16: 2884 designed to secure publicity,
- Page 17 and 18: 2886 down at that poin</str
- Page 19 and 20: 2888 [The letter referred to above
- Page 21 and 22: - HE-2 HE-2 OPERATOR'S STATEMENT OF
- Page 23 and 24: 2892 Senator Mloss. Now, equity, is
- Page 25 and 26: 2894 It is technically at the actua
- Page 27 and 28: 2896 However, there are very few, f
- Page 29 and 30: 2897 A year later, she sold it back
- Page 31 and 32: 2899 The cost of the sale was $246,
- Page 33 and 34: 2901 much the reimbursement formula
- Page 35 and 36: 2903 There is no change in<
- Page 37 and 38: 2905 to perhaps crowd more patients
- Page 39 and 40: 2907 Senator Moss. I wonder if, s<s
- Page 41 and 42: $23 22 21 I., 19 18 17 16 15 14 2 2
- Page 43 and 44: 4duI . LINEN/LAUNDRY COSTS PER BED
- Page 45 and 46: 2913 matter, they do act, and they
- Page 47 and 48: 2915 Senator Moss. Is that when it
- Page 49 and 50: 2917 Food was not covered or <stron
- Page 51 and 52: 2919 MS. JARVIS. Yes; I am. Senator
- Page 53 and 54:
2921 We went through the rooms, and
- Page 55 and 56:
2923 I would like to start with a s
- Page 57 and 58:
2925 I do feel that bed rest and th
- Page 59 and 60:
2927 Did he do everythin</s
- Page 61 and 62:
2929 Rooms that could be used-such
- Page 63 and 64:
2931 UNITED STATES OF AMERICA QCong
- Page 65 and 66:
2933 submit it, and we will see tha
- Page 67 and 68:
2935 No impropriety of any k<strong
- Page 69 and 70:
2937 Did I understand you to say th
- Page 71 and 72:
2939 made clear we were submitt<str
- Page 73 and 74:
2941 Senator Moss. Thank you. I wou
- Page 75 and 76:
2943 was married, I thin</s
- Page 77 and 78:
2945 Rochdale Park, not known to me
- Page 79 and 80:
2947 Dr. BERGu.rAN1. No. not plesen
- Page 81 and 82:
ado . 2949 Dr. 3EoG31AN. Very rarel
- Page 83 and 84:
2951 A couple of housekeepi
- Page 85 and 86:
2953 I think we ca
- Page 87 and 88:
2955 Congressman KOCH. But give us
- Page 89 and 90:
2957 Mr. NAFTALIS. Mr. Bergman, and
- Page 91 and 92:
APPENDIXES Appendix 1 LETTERS RELAT
- Page 93 and 94:
Appendix 2 BERGMAN FAMILY NURSING H
- Page 95 and 96:
1-4 2963 E. Frank Klein</st
- Page 97 and 98:
2965 1X. Busincs.s
- Page 99 and 100:
2967 includ<strong
- Page 101 and 102:
2969 and may be deemed, in<
- Page 103 and 104:
2971 On January 31, 1968 First Conn
- Page 105 and 106:
2973 Appendix 3 SUBPENAS ISSUED DUR
- Page 107 and 108:
2975 UNITED STATES OF AMERICA Congr
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2977 UNITED STATES OF AMERICA iongr
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2979 UNITED STATES OF AMERICA Congr
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2981 UNITED STATES OF AMERICA Eongr
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2983 UNITED STATES OF AMERICA onffr
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2985 UNITED STATES OF AMERICA Congr
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2987 UNITED STATES OF AMERICA Congr
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2989 UNITED STATES OF AMERICA . IIo
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2991 UNITED STATES OF AMERICA Congr
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2993 UNITED STATES OF AMERICA Conre
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2995 UNITED STATES OF AMERICA Congr
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2997 - UNITED STATES OF AMERICA Con
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2999 UNITED STATES OF AMERICA Congr
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3001 UNITED STATES OF AMERICA Congr
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3003 UNITED STATES OF AMERICA Congr
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3005 UNITED STATES OF AMERICA QCong
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3007 UNITED STATES OF AMERITCA (Con
- Page 141 and 142:
3009 UNITED STATES OF AMERICA Congr
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3011 UNITED STATES OF AMERICA Ctong
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3013 UNITED STATES OF AMERICA ¢ong
- Page 147 and 148:
3015 d. Reason for patient's admiss
- Page 149 and 150:
3017 UNITED STATES OF AMERICA Congr
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3019 UNITED STATES OF AMERICA Congr
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3021 UNITED STATES OF AMERICA Congr
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3023 UNITED STATES OF AMERICA Conqr
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3025 UNITED STATES OF AMERICA Congr
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3027 UNITED STATES OF AMERICA Conay
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3029 UNITED STATES OF AMERICA Congr
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3031 STATE OF NEW YORK OFFICE OF TH
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Appendix 4 LETTER FROM EUGENE HOLLA