Herron nursing home was disorganized prior to pandemic, former staff member says

The Herron nursing home in Dorval, Que., was understaffed and disorganized long before the pandemic struck, the former director of care told a coroner's inquiryon Monday.

Vronique Boss began working at the privately run long-term care home in September 2019 and left in January 2020.

Her mother, Viviane Blanchard, was also a resident at the home. Blancharddied on April 7, 2020, at the height of the crisis at Herron.

In her testimony Monday, Boss said patient files weren't up to date, and there were chronic staffshortages at the home.

"There weren't enough workers," she told coroner Ghane Kamel, who is presiding over the inquest into Herron.

This, she said, was as a result of low wages. Bosssaid patient attendants at the residence were earning $12 an hour when she started there in 2019.

"It was underpaid for the tasks they had to do,'' she said, adding that whenever she would bring concerns about staff shortages to the administration, she would be told it was a question of money.

Boss questioned the push for profits in private residences such as Herron. "Why does it have to be profitable to the detriment of the quality and the care we give to the elderly?'' she asked.

She said equipment and supplies were also lacking. There were, for instance, five washcloths available to bathe 15 patients, and such a shortage of adult diapers that staff would stash them to ensure they had enough, she said.

Boss said she tried to change things for the betterbut grew frustrated and returned to a job in the public system.

Her mother, who had Alzheimer's but was otherwise in good health, remained atHerron as a patient.

The inquiry, which began last week, has heard from staff and health officials about the poor co-ordination between health officials and the owners of Herron, the Katasa Group,that resulted in residents lacking basic care for more than a week in late March and early April of that year.

Staff at theWest Island health authority, the CIUSSS de l'Ouest-de-l'le-de-Montral, were aware of the appalling conditions after visiting the home on March 29, the inquiryhas heard.

But the acute staffing shortage remained in place for several days and the health authority only formally took over on April 9. By that point, 31 people had died.

During her testimony, Boss recounted how she would telephone Herronduring her mother's final daysto find out how shewas faring. She said she often was sent to voicemail, where she heard her own voice.

The message hadn't been changed since she had left her post.

Bosse's mother died on April 7.

"In my mind, she died of thirst, of hunger. Also, her oxygen tank was empty,'' she said. "She ran out of oxygen.''

The coroner's mandate is to investigate 53 deaths at six long-term care homes, including Herron, and one seniors' residence.