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A friend of mine worked as a nurse for a quadriplegic woman. Her boss is the daughter of the patient. The daughter (Boss) gets money from some agency to take care of her mother. She hires nurses to take care of her mother 24/7. But she has the nurses run errands and do lawn care/snow removal as well as take care of the patient. On a weekly basis she has a nurse leave her mother completely alone to take her son (the patients grandson) to his parole officer. Also she puts family members on the payroll who don't work there. My question is how does my nurse friend report her boss? To further complicate things these are tribal members (native Americans) so I don't know if their funding is from the state or the tribe. Is there some way for us to find out and put an end to this behavior?

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This is not sour grapes. My friend loved the lady she was helping. She said it was the most rewarding work she's ever done. Just the boss was awful and abusing her position. And this women deserves WAY better care. Turning these people in will help her tremendously in the long run.
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If the crime is occurring on the reservation, these are sovereign lands outside of any US jurisdiction. It would have to be handled by the authorities on the reservation.
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Call Adult Protective Services and they'll put you in touch with proper authorities.

It sounds as if your friend doesn't work for this woman any more. Was it okay as long as she worked there? Her complaining suddenly now sounds like sour grapes.

If she still DOES work for the woman, she should quit and report the daughter to Protective Services for leaving the woman alone . . . if she can't safely BE left alone, that is. If she CAN be safely left alone, the nurses, if they don't like their job responsibilities? Can quit.
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This is a conundrum....My vote would be to look for another job....My intuition tells me that the workers could get in trouble with the law if, while running errands, the old lady would be injured by a fire or whatever. She might want it contact Medicaid, too, as they may be involved in the support of the old lady...
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