They Stayed


I found this really cool story about a California nursing home that closed last fall.  Everybody left but…..the 16 residents were still there!  Unbelievably, Cook Maurice Rowland and janitor Miguel Alvarez stayed.  They spent “several days providing round-the-clock care for elderly patients, doling out medication, bathing, feeding, and looking after them”. Finally a local fire department and sheriff took over Valley Springs Manor nursing home, and their actions eventually led to legislation in California known as the Residential Care for the Elderly Reform Act of 2014, which protects nursing home residents from being abandoned in the case of a shutdown.

There are still good people in this world. It’s nice to know that.  Now for some fun.  I have no idea where the administrators of the place went but let’s take a guess.  I’ll start and then you chime in:

  1. They were still going to meetings every day, oblivious to reality, because that is what administrators do.
  2. They were getting promoted in the organization for a job well done at Vally Springs Manor.

Your turn.


Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  3 comments for “They Stayed

  1. Jody
    June 24, 2015 at 7:52 am

    How about giving these two heroes the money paid to those “administrators” who should then spend time confined without any kind of care or hygiene, strapped into wheelchairs for good measure.
    So thankful for the good people like these two.

  2. DrHockey
    June 21, 2015 at 11:04 am

    Administrators receive:

    Bonus (cut down on expenses)


    Golden Parachute (when they leave)

    (play rim shot now)

  3. Sir Lance-a-Lot
    June 21, 2015 at 9:56 am

    No need to come up with farcical suppositions.

    It is well known that nursing homes are at the epicenter of Medicare, Medicaid, and general insurance fraud, and are tremendous profit-makers (Google Bernard Bergman, if you don’t remember him, or are a young kid). The people who run these places bill Medicaid and Medicare to the max, aggressively go after all assets of the residents, and provide the absolute bare minimum of services, especially to patients who are helpless or incapable of describing what’s going on to outsiders.

    In all likelihood, the owners reached a point where they had squeezed all they could out of the residents, and felt the heat moving in, so decided to split while the splitting was good.

    As usual, the employees were left holding the bag (who hasn’t experienced the pressure of “If you call out sick, Doctor / Nurse, there is no replacement, and your patients / coworkers will suffer…”), while the owners / administrators, who really don’t give a flying fuck about the patients, skate.

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