instruction:
Given a paragraph, generate a claim that is supported by the given paragraph. 1) The claim must contain information from within the paragraph. 2) A sentence within the paragraph can be used as a claim. 3) The claim should not have contradictions within the paragraph. 4) The claim should be at most one sentence long.
question:
In that time, at least 20 residents died and more than 100 suffered injuries after homes failed to provide care as required, the Atlanta Journal-Constitution found in examining reports issued by the Georgia Department of Community Health (DCH), which licenses and inspects long-term care facilities and investigates complaints. The actual death toll may be much higher. In interviews with the newspaper, and in lawsuits, families have tied other deaths and injuries for which there were no state citations to improper care. The newspaper examined thousands of regulatory citations and hundreds of police reports from 2015 through 2018, reviewed lawsuits and interviewed dozens of people. The investigation found breakdowns in care that often were rooted in inadequate staffing, poor training or efforts to cut costs. In some cases, seniors tried to summon staff for help and got no response for hours, wandered away from facilities unnoticed, or languished in unsanitary and hazardous conditions. Others fell repeatedly, suffering bruises, bloody faces and broken bones. Some suffered in pain for days without treatment. In some cases, caregivers physically, verbally and sexually abused residents. Georgians seeking care for aging family members pay thousands of dollars a month to facilities that have popped up across the state in recent years promising luxurious amenities and top-flight attentiveness. Many offer to provide safe, consistent care. But the reality, is that too often thin staffs are overwhelmed, seniors have been treated callously or ineptly, and safeguards have been ignored, the investigation discovered. In a 2016 case, it took an aide at a Savannah facility 26 minutes to respond to an emergency call from a resident who had diabetes and high blood pressure. The resident was unconscious by that time. Another 19 minutes elapsed before anyone called 911. When the ambulance made it to the hospital, the resident was pronounced dead. In October 2018, a 92-year-old woman was repeatedly bitten by ants at a facility in Sandy Springs. The upscale facility failed to eradicate the insects that had been reported in her room a week earlier. Then, over two consecutive days, ants attacked the woman in bed. She died days later. Though abuse is less common than neglect, police and DCH records showed that more than 100 residents reportedly were abused by workers of assisted living and large personal care homes over the four years the newspaper’s investigation covered. Records showed that at home near Athens, a worker in 2017 hit an 86-year-old woman with dementia who tried to leave the facility, bloodying her nose and bruising a cheek. The same worker was accused of pulling an 84-year-old resident’s hair and striking her. A facility in Decatur received a state citation in March 2018 after an aide was accused of abusing a resident late at night. Nine months earlier, a separate allegation of abuse involving two other employees surfaced on the night shift. Will Johnson, the elder abuse prosecutor with the Georgia Prosecuting Attorneys’ Council, told the newspaper that elder abuse and neglect is “not acceptable in our society, in our state, anywhere.” “No one who has lived their life and reached 70, 80, 90 years of age, raised a family, contributed to society — they should never be left to rot in a bed or be bashed in the face or have all of the money that goes to their care squandered,” Johnson  said. State Rep. Sharon Cooper, R-Marietta, said, “I’m saddened for the people that were injured, and I’m appalled for humanity in general that our elders would be treated this way.” “Certainly, as a state, we need to intervene,” said Cooper, who chairs the House Health and Human Services Committee. Top officials at DCH refused repeated requests over several months to meet with the Atlanta Journal-Constitution. After the newspaper provided its findings to DCH, a spokesman again declined an interview, saying it wasn’t in their “best interest.” The agency would only answer questions submitted in writing. While officials didn’t directly address some questions, DCH Commissioner Frank W. Berry said the agency manages a heavy workload and is always seeking ways to improve and carry out its mission. “The health and well-being of Georgians is always our top priority,” Berry wrote. A 2011 state law paved the way for assisted living communities, expanding choices for families whose only options previously were personal care homes, which serve seniors who need help with meals and medication reminders, or nursing homes for those requiring intense assistance. Assisted living facilities allow a higher level of care from staff who can administer medication and assist residents who need help moving around. The 2011 legislation and the rapid graying of the population have led to facilities’ taking in more residents who in their 80s and 90s who have chronic care needs. While facilities market an active lifestyle, some have residents who can’t push their own wheelchairs or who need assistance to get out of bed, dress or eat. Some residents are unable to speak. The state cited facilities 238 times for admitting residents with conditions and illnesses that staff could not handle. At the same time, the for-profit companies that dominate the industry have incentives to keep their costs low, which translates to minimal staffing, said Catherine Hawes, Regents Professor Emeritus at the Texas A&M Health Science Center and a nationally recognized expert on long-term care. “It’s like - let me sit down and write a prescription for disaster,” she said. “You’re writing a prescription for abuse and neglect.” ___ Information from: The Atlanta Journal-Constitution, http://www.ajc.com
answer:
Allegations of neglect, abuse at Georgia elder facilities.


question:
This release doesn’t discuss costs in its comparison of influenza shots versus nasal sprays, although both modes of immunization have been around for a long while and the costs for both are easily known. While flu immunizations are often free through public health clinics and such, some people receive their immunizations from their family physicians and carry a specific cost. Knowing the difference in costs between the two types is useful information both for people and public health officials. The release reports similar rates of vaccine uptake for intranasal vaccine and standard flu shots. But it does not quantify benefits for the main outcome of the study, that is, rates of influenza in communities vaccinated with nasal vs injected vaccine over the course of the study. These rates were statistically no different: 5.2% for the standard vs 5.3% for the nasal vaccine. This release makes no mention of possible harms that my follow the use of either the influenza vaccine injections or nasal spray, even though there are well-known restrictions on whom should and should not receive the nasal spray, and potential negative reactions to the injections among some people. The release points out that the study was the “first blinded randomized controlled trial” done in children within largely closed communities and it found similar efficacy in using the two modes of immunization. However, we do wish the release had addressed limitations, as well as some of the complexity of making these results generalizable to a larger population, as we saw with NPR’s take on the news. While media attention is routinely heightened leading up to and during flu season, this release does not appear to reach the level of disease mongering. The release does identify the chief funder of the study, the Canadian Institutes for Health Research, although it offers no information on possible conflicts of interest among any of the researchers. The abstract of the study does state that two of the researchers do have links to pharmaceutical firms, but not in relation this study. Since the study looked a two forms of influenza vaccine administration, it obviously addresses the question of comparing alternatives. Both forms of immunization — shots and nasal spray — have been around for some time, their availability is widely known, earning the release a Satisfactory in this category. The release makes clear that the novelty of this study is its ability to examine both indirect effects of vaccination on the community as well as direct effects for persons receiving the vaccine. The release does not use any unjustifiable language.
answer:
Flu nasal spray provides similar protection against influenza as flu shot: Study


question:
The documents were filed in support of Trever Dalton’s request for treatment in a mental health diversion program rather than criminal prosecution for the Dec. 5, 2017 shooting, the Ventura County Star reported Thursday. Dalton, who resigned from the CHP last year, has pleaded not guilty to several charges including assault with a firearm. The victim, Sorin Popescu, testified at a 2018 preliminary hearing that Dalton appeared to be drunk and threw an empty can of beer at him during a confrontation in their Ventura neighborhood. Dalton went home but a short time later Popescu was struck in the back by a single bullet. Another neighbor testified he saw Dalton with a gun before the shooting. Ventura County Superior Court Judge Nancy Ayers has yet to rule on Dalton’s application, a request that Popescu opposes, the newspaper said. Dalton claims years of witnessing horrific scenes in his duties as a peace officer coupled with substance abuse influenced his conduct the night of the shooting, records show.
answer:

Ex-officer accused of shooting neighbor claims PTSD.