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Case Name CRIPA Investigation of the Laguna Honda Hospital, San Francisco, CA NH-CA-0001
Docket / Court none ( No Court )
State/Territory California
Case Type(s) Nursing Home Conditions
Attorney Organization U.S. Dept. of Justice Civil Rights Division
Case Summary
On February 7, 1997, the Department of Justice (DOJ) launched an investigation under the Civil Rights for Institutionalized Persons Act, 42 U.S.C. § 1997, into conditions at the Laguna Honda Hospital and Rehabilitation Center in San Francisco, California. On May 6, 1998, the Department issued a ... read more >
On February 7, 1997, the Department of Justice (DOJ) launched an investigation under the Civil Rights for Institutionalized Persons Act, 42 U.S.C. § 1997, into conditions at the Laguna Honda Hospital and Rehabilitation Center in San Francisco, California. On May 6, 1998, the Department issued a report on its findings. The officials found, upon review of medical records, interviews, and on-site surveys, that the Center's conditions violated the residents' constitutional rights. The Center provided inadequate health care services, particularly nursing and specialized rehabilitative services, and inadequate activities and stimulation for residents. The findings also concluded that the Center also made inappropriate use of physical restraints; failed to protect residents from harm; and failed to provide a safe and adequate living environment. Finally, the Center failed to serve residents in the most integrated setting suitable to their needs.

The report recommended changes, including improved supervision and management programs, especially regarding abuse and neglect; and enhanced health care access. Furthermore, the report recommended additional activities and stimulation; increased number of staff and better training for them; and the termination of use of bedrails except where ordered by physicians.

On June 13, 2008, DOJ entered into a comprehensive settlement agreement with the City of San Francisco to addressing outstanding deficiencies at the Center. The agreement required the City to address the DOJ's findings, in part, by developing a rich network of community homes and programs that serve hundreds of former residents of the Center as well as an unquantifiable number of persons who likely who have have been admitted to an institutional setting like the Center but for the newly-established community network.

Laura Uberti - 06/18/2006
Jessica Kincaid - 03/29/2015


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Issues and Causes of Action
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Issues
Disability
Integrated setting
Least restrictive environment
General
Individualized planning
Rehabilitation
Restraints : chemical
Restraints : physical
Sanitation / living conditions
Medical/Mental Health
Medical care, general
Plaintiff Type
U.S. Dept of Justice plaintiff
Type of Facility
Government-run
Causes of Action Civil Rights of Institutionalized Persons Act (CRIPA), 42 U.S.C. § 1997 et seq.
Defendant(s) Department of Public Health of the City and County of San Francisco
Laguna Honda Hospital
Plaintiff Description United States Department of Justice
Indexed Lawyer Organizations U.S. Dept. of Justice Civil Rights Division
Class action status sought No
Class action status granted No
Prevailing Party Plaintiff
Public Int. Lawyer Yes
Nature of Relief Injunction / Injunctive-like Settlement
Source of Relief Settlement
Form of Settlement Private Settlement Agreement
Order Duration 2008 - 2011
Case Closing Year 2011
Case Ongoing No
Docket(s)
No docket sheet currently in the collection
General Documents
Findings Letter re: CRIPA Investigation of the Laguna Honda Hospital, San Francisco, CA 05/06/1998
NH-CA-0001-0001.pdf | Detail
Findings Letter re: Investigation of Laguna Honda Hospital and Rehabilitation Center 04/01/2003
NH-CA-0001-0003.pdf | Detail
Findings Letter Re: Laguna Honda Hospital and Rehabilitation Center, San Francisco, California 08/03/2004
NH-CA-0001-0002.pdf | Detail
Settlement Agreement 06/13/2008
NH-CA-0001-0004.pdf | Detail
Document Source: U.S. Department of Justice Civil Rights Division, Disability Rights Section
Judges None on record
Monitors/Masters None on record
Plaintiff's Lawyers Acosta, R. Alexander (District of Columbia)
NH-CA-0001-0002
Becker, Grace Chung (District of Columbia)
NH-CA-0001-0004
Boyd, Ralph F. Jr. (District of Columbia)
NH-CA-0001-0003
Brown Cutlar, Shanetta Y. (District of Columbia)
NH-CA-0001-0004
Farano, Richard J. (District of Columbia)
NH-CA-0001-0004
Lee, Bill Lann (District of Columbia)
NH-CA-0001-0001
Preston, Judith C. (District of Columbia)
NH-CA-0001-0004
Saucedo, Luis E. (District of Columbia)
NH-CA-0001-0004
Yamaguchi, Michael J. (California)
NH-CA-0001-0001
Defendant's Lawyers Herrera, Dennis J. (California)
NH-CA-0001-0004
Renne, Louise H. (California)
NH-CA-0001-0001
Van Runkle, Aleeta (California)
NH-CA-0001-0004
Other Lawyers None on record

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