Ohio Regional Manager Needed At FORBA - July 2010

One just has to love this post for a position with FORBA.  They are planning expansion and now needing regional managers...  Ok, whatever.

Regional Manager, OH

If anyone does apply be sure to ask about contract changes in their future.  Consider permitting an attorney look it over before you sign it, since they are famous for 'imprisoning' employees.  

Check out the Non-Compete section if any, you may be locking yourself out of a job within hundreds of miles if you find you do not like the job.  Then what will you do?  Will you have to uproot your family;  better think about it.

Look closely at any Confidentially Agreement, remember they may require you to keep secrets that should NOT be kept.

 
Be especially vigilant; watch out for any Non-Disparagement clauses!  Not good!  I would say in most circumstances it is a gigantic red flag, and I would run like the wind.  It is like signing away your First Amendment right to free speech at a time where it could be the  most crucial.
 
Also, ask about the contract they are going to need you to sign where you have to answer to the government.  It is their Corporate Integrity Agreement, and it is a doozey.

Related Atricle

Attn: FORBA Small Smiles Employees

Skin Care Now Gets "Endorsement" From Pueblo Chieftain-No Big Surprise

It must be official; it is in the Chieftain, right?  More swift and easy health care, brought to you by Dan DeRose, Mike Roumph and the usual crowd and promoted by the Pueblo Chieftain.  Consistently the Chieftain appears to be the DeRose & Company's own propaganda publication.

Pueblo Chieftain, July 31, 2010

The building is owned by Pueblo businessmen and community leaders Dan DeRose and Mike Roumph. Pollock and Sbarbaro lease the building, and also have a management contract with a company comprised of DeRose, Roumph, Sbarbaro and Rich Lane, also of Pueblo.

Once again, the Chieftain had the gall to put the citizens of Pueblo at another health risk, brought to you by a DeRose "gang".   Talk about a "puff" review this is not a story it is an ad.

A quick overview is this; Dan DeRose and Mike Roumph, the two of the ring leaders in Medicaid Fraud and abusing children for profit through their Small Smiles Dental Centers were managed by FORBA, which they also were a part.  Have now partnered up with two more doctors; Dr. Jamie Pollock and Dr. Jim (kill 'em during the stress test) Sbarbar.  Dan and Mike are supplying the building and 'management' and Pollock and Sbarbar are providing the medical service.  NOW, does this sound like a scam or what?

Posted: Saturday, July 31, 2010 12:00 am

THE PUEBLO CHIEFTAIN |

   It could take weeks, maybe even months, to have a Pueblo dermatologist look at a suspicious spot, mole or growth on your skin.

   You can telephone Skin Care Now and get in to see family practice physician Dr. Jamie Pollock the day you call or the next day — guaranteed.

   "We are here to give quality service, to study basic skin conditions the same day or the next day," said Pollock, co-owner of the center at 415 N. Grand.

  "We screen for atypical skin issues, then decide on treatment." Pueblo cardiologist Dr. Jim Sbarbaro also is a co-owner.

   Pollock explained that if a skin growth appears suspicious, he will biopsy it and send the sample to the lab.

   "If it comes back malignant, there are several options," he said. "We could refer the patient to a dermatologist or perhaps a plastic surgeon, for example."

   Pollock emphasized that he was educated as a family practice physician and that he in no way intends to supplant local dermatologists in treating skin conditions.

   "We're not trying to compete with someone with more training," Pollock said. "This is the first stopping point, a staging area for specialists.

   "If you wake up with acne, or if you have a spot that you'd like someone to look at right away, this is the place to come."

   Why not just have your family doctor do that?

   "First, there aren't many family practice physicians. Secondly, not all are willing to do the procedures."

   "They refer the patient to a dermatologist, and that may mean the patient has to wait weeks, usually months to see the doctor," he said. "This is a problem typical in many specialties, not just dermatology. There is a great shortage of specialists in Pueblo and nationwide.

   "We help not to delay the diagnosis. You haven't waited three months to see if you have a problem."

   About half of the patients who have visited the center so far have been Medicare or Medicaid patients. Sometimes, Pollock explained, such patients lack a family physician that they can see.

   Pollock, who has been in Pueblo since 2004 and completed his residency at St. Mary-Corwin Medical Center, said he also intends to "do some family practice, to an extent. That's important, too, to look at the entire patient, to study their conditions, the medicines they're on.

   "A patient can have a benign spot, but it might be a herald of a malignancy inside."

   "But the focus of the practice is on skin care that is available — now. We will answer the phone within three rings. We will see the patient that day or the next day. Plus, I'm on call."

   The new center — which markets itself as offering "treatment and diagnosis NOW for acne, rashes, moles, eczema, psoriasis, wart treatments, rosacea and suspicious skin spots — employs six staffers in addition to Pollock. It has eight examination rooms and plenty of parking in back.

   The building is owned by Pueblo businessmen and community leaders Dan DeRose and Mike Roumph. Pollock and Sbarbaro lease the building, and also have a management contract with a company comprised of DeRose, Roumph, Sbarbaro and Rich Lane, also of Pueblo.

   Lane explained that the management company provides accounting, advertising and marketing services.

   "If this meets a need, and we believe it will, then we might consider offering similar services in other locations," Lane said.

   The center's phone number is 924-8448. There will be an open house at the center from 5-7 p.m. Aug. 12.

CanHouse Studios and Ballancing Act

You gotta love Letitia (Tish) Ballance's creativity for her business ventures in Waynesboro, NC.

CanHouse Studios, LLC (this sounds like the name of a porn production company to me)  This is a new one, just set up this month.

Ballancing Act, LLC  (this one I bet is dead on...lol)

Here It Is July 2010 and States Are Still Not Cracking Done On Kool Smiles-More Bad News

Have you been wondering how things are going at Kool Smiles?  Are they cleaning up their act?  You decide. Well here is a review of the Kool Smiles in New Bedford, MA:

From one Mother to another, here is a brief description of my experience with Kool smiles. One afternoon I was brushing my two year old sons teeth when I noticed a small pin size hole in one of his canine teeth. I immediately got online to find a dentist for my son that would accept my health insurance and when I came upon Kool smiles in the list of providers I was ecstatic! I had seen their commercials on television and I knew it would be a great place to bring him because the entire place was geared toward children his age. I called to setup the appointment which I was able to get very quickly (now I know why). We arrived the morning of our visit and my son could not have been more excited to find a little climbing area with a slide and other children to play with while he waited, I thought "what a great idea to make the dentist seem like a fun place to try to ease the fear of the little ones instead of having them sitting in a waiting room fearing what would happen when it was their turn". I filled out the usual new patient paper work and after about 40 minutes we were in the room getting x rays and an exam. When the dentist came in the room to examine my sons teeth and look over his x rays she had found that he had six cavities in his mouth and she decided that it would be appropriate to grind down all six teeth and put metal caps on each one of them, I expressed my concern that the cavities were so small they were hardly noticeable to the naked and eye and I didn't see why such extreme measures needed to be taken for such small holes. The dentist had explained to me that they are not able to fill cavities in young children's mouths because they don't last very long when the cavities are "so deep" and that in their office they will not fill them because it isn't their policy. I was very disheartened with their solution to fix my two years old's teeth so much so that I had decided to go and get a second opinion. I called a new office and got an appointment for four weeks later. When I brought him to this dentist the cavities had gotten a lot worse because they were untreated for several weeks while I was waiting to have him seen. We went in the examination room and and had the same exam done, and they reviewed his x rays and the dentist told me that the cavities were so minimal that he wouldn't even need to use Novocaine to get them filled since they were only on the surface and had not reached the nerve (mind you kool smiles couldn't fill them because they were "so deep"). He said there was no way that he would need to have any of his teeth capped because the cavities were so minimal. Walking out of the office that day I had felt such a huge sigh of relief that my toddler didn't have to have his teeth ground down and metal caps placed over them!  Needless to say I would NOT recommend Kool smiles in anyway they are money hungry and would go as far as putting an innocent two year old through many painful unnecessary trips to the dentist to be left with a mouth full of metal caps just to make a buck. Please don't fall for their commercials... the way they get their money to pay for them is completely disheartening and unethical.

Up A Creekview - William Nash, DDS

The William Nash, DDS that appears on so many of the Small Smiles, PC and PLLC filings at state Secretary of State sites is 

William Nash, DDS

1450 SAM DAVIS RD
SMYRNA, TN 37167

You can find his name and address at the Nebraska Secretary of State site by searching Small Smiles.  He's listed as President and Randy Ellis, DDS as director.

Dr. Nash also has a clinic in Smyrna, TN called Creekview Dental.  Amazingly, Creekview Dental has the exact same address as William Nash, DDS on all of FORBA's Small Smiles clinics.

Dr. Kenneth Knott began as being the only person on the Board of Directors.  In the original Article of Organization it states the President shall be a shareholder and a director.  Joseph Bower, Esq was VP.

By March of 2008 Dr. William Nash was President and Kenneth Knott was secretary.  Wow, that was a demotion!

Presto Chango in September 2009, William Nash, DDS was demoted to secretary and Randy Ellis, DDS took over the presidency.  Wooo Hooo.. But what,  oh what happened... to Kenneth Knott,.... oh that's right he was fired along with Robert Andrus in or about September 2008.

The "Professional employees" listed on the  "Professional Certificate" since 10-2006 were:

• Joseph Brett Carranza, DDS (he was there in 2008 but abcent from Professional Certificate by the 2009 filing)  I guess he had a 'come to Jesus' moment and got the heck out of there. However, in googling Dr. Brett, his address comes up as 618 Church Street, Suite 520, Nashville, TN., FORBA Holding's address and I can't find that he is practicing anywhere else, so maybe he's still there.  I dunno.
• Carl Trout, DDS
• Preeti Singh, DDS (who has a Scottsdale, AZ address)
• Christopher RJ Wieseman, DDS
• Jamie Lynn Bass-Schwaniger, DDS
• Julie Cariglio, DDS
• Maria Nosworthy, DDS

By March 2010 William Nash, DDS was back in as president and Randy Ellis, DDS to secretary.

Clearly that don't have a clue who is what do they?

Dr. William Nash, DDS and Dr. Randy Ellis, DDS should probably read those Articles and pay special attention to Article X part D.

BTW, FORBA is looking for lead dentists and associate dentists for the Nebraska clinic with a $15K signing bonus.  Before you bite, you should read the Bait and Switch posts below.

Anyway, just want to make sure no one forgets those who lend their name and professional licenses to the fraud and child abuse perpetrated by FORBA and it's dental clinics.

Parent Wishes She Had Googled Dr. Robert Andrus Before Going To Giggles Dental In Colorado

A parent posted this comment on the Giggles Dental post, I thought it was worth posting here so everyone realizes Dr. Robert Adrus is using his skills, learned by the DeRose bunch and Forba training sessions, to good work.   I am amazed he was fired for credentialing fraud, when their whole business plan is based around fraudulent behavior and abusing children.

Dr. Robert (Bob) Andrus

I hope this mom first heads to Giggles and obtains her children's records, asap or quicker.  Second, files a complaint with the dental board so they will investigate, they know Dr. Adrus.  Third takes the records and the x-rays from Giggles Dental back to her dentist at "A Wild Smile" for comparison.  Forth, files a complaint with her dental underwriter, whether it is a private insurance carrier or Colorado's Medicaid program.  Don't forget each state has a Medicaid Fraud Control Unit. 
The quicker this mom makes the complaint, the quicker the next child isn't overtreated.   Everyday, all day long,this is happening to children visiting Giggles Dental.  This crap has got to stop! 

I used to drive 25 minutes to A Wild Smile, and I was always very pleased with their work. I switched to Giggles because it is only 5 minutes from my house, but it has been nothing but trouble. None of my kids (ages almost 7, 8, and 9) had ever had a cavity before. On our first visit Dr. Andrus said my youngest had 1 small cavity - not unbelievable considering her age. We came back and got it filled, no problem. On our second cleaning visit, I was told my oldest daughter, who'd had her molars sealed at Wild Smile, needed to have her teeth resealed. I didn't realize sealant didn't last, so he resealed them. He also told me my youngest had 1 very small cavity and two naturally occurring pits in her back teeth that he felt should be filled even though they weren't cavities. Fine. I took her back and had the pits filled, she didn't need anesthetic. My husband took her in for her the actual filling a month later. She came home with three fillings! Or so the bill said. In addition to that, within minutes of leaving his office, my daughter's lip developed an enormous and disgusting canker sore. He said she bit her lip, but that is what the cotton roll is supposed to prevent, right? I think he clipped her with some dental tools, but I can't prove anything, so I just treated it with peroxide. I didn't bother to fill the prescription he gave me for Children's Tylenol with Codeine - it seemed like a ridiculous prescription for a canker sore. Anyway, I reminded him that he told me my daughter had one cavity and two pits - he said she had 3 cavities and 2 pits. If I had been told that my daughter who'd had the only cavity out of all my kids now had three cavities six months after her last cleaning, I would have remembered that and had a fit on my kid!
I wish I had Googled this guy before I left a perfectly good dentist merely for a convenient drive from my house. I'm just lucky it wasn't worse.

It worked out perfect for the dentist in this case since the same parent who came the first time, was not the one who brought the child back for treatment. 
This is just a small example why it's so important to track these dentists who have been employed by FORBA Small Smiles, Kool Smiles, Dental Dreams and all the other mills.

Inside The Mind Of A 4th Year Dental Student

I ran across this blog and got a quick glimpse into the mind of a 4th year dental student and his attitude toward children and clearly if he's not being taught this stuff at the University of Illinois - Chicago School of Dentistry he is not being taught the proper way to handle them.

• "Man Handle"
• "Going Medieval on them"
• "Papoose their ass"

Sunday, July 25, 2010

Profiling the Pediatric Patient

After spending four weeks (with one more to go) at a clinic devoted solely to pediatric dentistry, I have begun to notice that every patient falls into a specific pre-determined (by me of course) category. Allow me to elaborate:

KEY:

Tell-Show-Do = this is when you show the kid everything you are using (aside from the needle) and explain what it does. For example, I will let them see the mouth mirror before I use it. I will show them my “tooth fixing wand” (the highspeed) and show them the noise it makes and even spray their arm with the water a little so they see what it feels like. This goes on as necessary.

N2O = Nitrous Oxide, a commonly used anxiolytic in the medical setting.     Easy to use, easy to remove the effects, and pretty much no chance of killing someone.

Manhandling = when all else fails, you just go medieval on the kid to get the job done. This includes papoose boards, head holding, mouth props, and half-assed dentistry. Really, there is no way to do a great job on a patient with zero compliance. You just need it to last long enough for the permanent teeth to get in. Manhandling is more commonly used for the 6 and under crowd but there are always exceptions.

Difficulty = a generic scale of how tough the kid is to work on. Scaled out of five. One being easier than an adult, and five being extremely tough (general anesthesia candidate).

And now for the profiling!

The Vomiter:

This patient, like most kids, wants nothing to do with the dentist. Once you papoose their ass and headlock them with two assistants, they still find ways to defend themselves. Frankly, they try to puke all over you. And it isn’t friendly gurgling puke, it is projectile – get in your eyes puke. What’s worse is that they inadvertently could kill themselves by choking on said puke. So you need to brave it out to suction all that shit up (god bless the assistants). The only way to tackle this patient is to wait out the vomiting because they will eventually run out of ammo.

Tell-Show-Do - ineffective

N20 - ineffective

Manhandling - marginally effective

Difficulty = 4/5

The Old Man:

This patient is actually pretty relaxed. Nitrous can work wonders sometimes. They may still get crotchety during the injection, but afterwards they will just sleep – THE ENTIRE APPOINTMENT. A real treat to work with. Only annoying when mom comes back and thinks I OD’d her kid on nitrous…bah.

TSD - unnecessary

N20 - extremely effective

Manhandling -unnecessary

Difficulty - 2/5

The Stoner:

A close relative of “The Old Man,” this patient wants nitrous and wants it bad. It may be hard to associate a 9 year old with a 25 year old pot-head. But when one sees these kids craving the “magic nose,” one can’t help but make the comparison. These patients generally are pleasant to work on because they are riding the good waves of N2O. I’ve even had kids laughing while getting a block…crazy.

TSD - Pointless, they aren’t listening

N20 - EXTREMELY effective

Manhandling - unnecessary

The Question Asker:

This patient simply doesn’t shut-up. They constantly need to know what you are up to. N2O is only marginally effective because they never stop talking. TSD is only helpful to a certain extent because I still haven’t found a pleasant way to show them the 25gauge needle. I am good at hiding it like a magician though. These patients can be really easy or really tough – they are unpredictable.

TSD – Marginally effective

N2O – Marginally effective

Manhandling – Effective when necessary

Difficulty – ranges from 2-4

Difficulty - 2/5

The Victim of Circumstance:

Perhaps the most depressing patient to work on. This is the kid who shows up with cheetoes all over his teeth and a bag of skittles in his pocket. This is the patient with parent’s that are ignorant, negligent, or just suck at parenting. “I can’t get him to shut up at night without giving him a bag of Doritos and a pepsi” is the most ridiculous thing I have ever heard. Suck-it up and lay down the law. These kids are generally too young to know any better, so it is really the parent’s responsibility to take care of them. Unfortunately, I see a lot of neglect going on.

TSD – variable

N2O – variable

Manhandling – variable

Difficulty – variable

 The Momma's Boy:

This patient generally arrives clinging to mom and is too old to be exhibiting such behavior. They generally freak out once detached and go one of two ways: total meltdown or total calm. Again, a bipolar patient type. If they freak out, being extremely stern often solves the problem immediately. Parents are not allowed in the operatory if the kid is 5 or older so this type is always a wildcard. After the procedure they always run straight back to their leech like hold on mom’s leg.

TSD – Effective to Useless

N2O – Effective to Useless

Manhandling – always effective

Difficulty – 2 to 4

The Screamer:

Name says it all. This patient screams the entire appointment with variable pitches. Surprisingly easy to deal with if you aren’t fazed by the noise. The papoose is usually all that is necessary, they rarely thrash their heads around.

TSD – ineffective

N20 – ineffective

Manhandling – very effective

Difficulty – 3/5

The Negotiator:

This patient will do anything to get out of the chair. They will bargain with you. For example, "please don't put that in my mouth (bite block), I promise I'll keep my mouth open." You may fall for the negotiator at first, that is until they bite down on the running bur and change that small occlusal composite into a pulp/crown. I usually just re-negotiate. "Be good and you get a shiny toy." If this doesn't work - proceed to manhandling.
TSD - slightly effective
N20 - slightly effective
Manhandling - effective if necessary
Difficulty - 2-3/5

The Mongolian Warlord:

Containing attributes of both “The Vomiter” and “The Screamer,” this breed is the absolute worst. They are combative, spit at you, vomit on you, scream at you, and essentially struggle the entire time. Unlike other difficult patients, they don’t get tired. These patients unfortunately seem to have the most neglect as well in terms of oral hygiene. If they require multiple pulps/crowns – they are best referred to a hospital for general anesthesia, there is no way you can get it done acceptably otherwise.

TSD – ineffective

N2O – ineffective

Manhandling – ineffective

Difficulty – 5/5

The Angel:

This is the type of patient that makes you happy to be a dentist. They are cooperative, exhibit very little apprehension, and are just cute as the dickens. TSD and N2O are always effective but are often not necessary as the patient will be compliant regardless.

TSD – often unnecessary

N2O – often unnecessary

Manhandling – unnecessary

Difficulty – 1/5

I may add or edit this post as the year goes on.   I haven’t covered all the types – just the most common run-ins for me so far.

PS. sorry for the lack of spacing after periods. I swear I didn't type it up like that... but the mystery makes it even more exciting right?

 From The Blog of 4th Year Dental Student - Skeletor, DDS

Turnover Still High

Appears as though things are not changing much at Small Smiles, in Ohio anyway.  In the last month, one clinic lost three employees, hire three replacements, and quickly lost 2 of those.

 

Wooo Hoooo

Ameris Health Systems–Shifting Focus Toward Management

One day before FORBA’s Michael Lindley signed the 5 year Corporate Integrity Agreement his other associated company, Ameris sent out a press release announcing it was “shifting it’s focus to management”.  !!

Nashville Post talks about this and the “unloading” of all but one of it’s hospitals.
Read it here.

Michael Lindley bought his Florida condo from Ameris Realty of Florida, he is up to his eyeballs in Ameris.

Ameris Health Systems
1114 17th Avenue South
Suite 205
Nashville, TN 37212

From the Ameris Health Website

History:
In 1992, Sam Lewis founded Consolidated Health Corporation ( CHC ). CHC was the predecessor of Ameris Health Systems, LLC (Ameris). Ameris, a Tennessee limited liability company, was formed on June 26, 1998 for purposes of developing, owning and managing hospitals and geriatric psychiatric units.

The first project undertaken by CHC was the reopening of Morton Medical Center in Morton, Mississippi. The hospital had been closed for 4 years prior to the involvement of CHC . Ameris recruited physicians and managed this facility until 1998, when management was returned to the local hospital authority. The facility is still open and serving the needs of the community.

In 1993, CHC reopened Newton Regional Hospital, originally a 50-bed acute care facility in Newton, Mississippi. The hospital had been closed for 9 months when CHC reopened it. Over the years, Ameris had added physicians to the medical staff, implemented a 12-bed geriatric psychiatric unit and a swing bed program increasing the services provided to the community and Income for the hospital. In 2003, management was returned to the local hospital authority.

In 1996, Ameris was engaged to manage Prentiss Regional Hospital & Nursing Home in Prentiss, Mississippi. Ameris added a 14-bed geriatric psychiatric unit and a swing bed program. New physicians were attracted to the community. The facility was renovated via grant money obtained by Ameris management. In 2004, management was returned to the local hospital authority.

In 1997, Ameris purchased CareNet Health Systems, Inc. (an owner and manager of residential adolescent treatment facilities), developed and opened 2 additional facilities in Birmingham and Philadelphia, and sold CareNet to Children's Comprehensive Services, Inc. In 1998.

In 1997, Ameris purchased Smith Hospital in Hahira, Georgia. Following a bitterly contested Certificate of Need (CON) application process, Smith received approval to build a new facility In Valdosta, eight miles away. Ameris syndicated the facility to local physicians and other Investors. The new facility opened in June 2002. Ameris partners individually own approximately 30% of Smith Hospital and Ameris manages this facility. Smith Northview Hospital is very successful as an Ameris-managed facility. The hospital has undergone four expansions in its new location since opening and has a bed capacity of 54. A fifth expansion is currently underway to increase the capacity of the Women's Center and Nursery.

In 1998, Ameris took over management of a geriatric-psychiatric unit for Winston Medical Center in Louisville , MS . Ameris recruited physicians and increased the marketing efforts of the unit. Ameris continues to manage this unit.

In 2001, Ameris' founder, Sam Lewis led a group of investors who acquired Children's Comprehensive Services, Inc., a NASDAQ listed public company with annual revenues of approximately $140 million, and took the company private.

[ He tried to hide the company from scrutiny by taking it private is what he’s really saying.  Twiford Rainer, Al Smith (“Smith”), Mike White, Rodney Cawood (“Cawood”), Buddy Turner, Jeff Cross, Gail Debiec, Brad Gardner, Brad Williams, Don Wert, Rob Minor, Mike McCulla, Jim Shaheen, and Rod Gaeta were the group of investors -  Smith, Cawood, Lindley, Gardner, Williams, McCulla are the crooks who own the illegal dental clinics-Small Smiles]

The company then operated as KEYS Group Holdings, LLC ( KEYS ). Mr. Lewis was on the board of KEYS and Ameris partners owned more than 10% of the company. KEYS ' audited financials for 2004 reflected shareholder equity of $42.7 million, net revenues of $118 million and pretax income of $6.5 million from continuing operations and a $40.6 million gain on sale of discontinued operations. KEYS was sold to Universal Health Systems in 2005.

In 2003, Ameris obtained a CON to build a 70 bed replacement medical/surgical hospital in Phenix City , Alabama . Ameris contributed the CON with an appraised value of $3 million to Russell County Community Hospital , LLC ( Summit Hospital ), raised over $22 million of additional equity and obtained a HUD insured mortgage loan, which closed on May 19, 2005 , for $33.6 million needed to develop, construct and equip Summit Hospital . Summit Hospital was sold to Houghston Orthopedic Clinic in February 2008.

In late 2004, Ameris acquired the operations of two acute care hospitals ( Blytheville and Osceola Arkansas ) from Baptist Health Systems of Memphis and entered into leases for each of the two facilities with Mississippi County Arkansas. Ameris and Ameris partners own approximately 66% of the Arkansas operation and Ameris was contracted to manage each facility. Ameris returned the management of the facilities back to the County in March2009.

In April 2007, Ameris received approval from the Florida Agency for Health Care Administration for a Certificate of Need to develop a 60 bed general acute care hospital in Levy County , Chiefland , Florida . Plan developments and financing activities are currently underway.

In September 2008, Ameris assumed the management contract for Barrien County Hospital and Georgia Home Health Services in Nashville , GA. Berrien County Hospital is a JCAHO accredited facility with a licensed capacity of 63 beds. Ameris added a 12-bed geriatric psychiatric service to the hospital in January 2010. Georgia Home Health Services operates three offices – Nashville , GA ; Valdosta , GA ; and Tifton , Georgia . Ameris returned operations of the facilities back to the owners in August 2010.

In January 2010, Ameris began a management engagement and turnaround of the 50-bed acute care hospital in Montezuma , GA. A financial turnaround is currently underway, as well as plans to sell the facility’s assets to a newly formed 501( c ) 3 corporation under an Ameris management agreement.

Ameris Health Systems and Ameris Management Services continue to explore new opportunities for management, development, and consulting for general acute and psychiatric health care entities. Please contact us for more information at (615) 327-4440 .

Ameris of Georgia -

CEO – Sam J. Lewis
CFO – Michael G. Lindley
Sec – Luther Ramsay

Just sitting around wondering how one could divvy up a Football Stadium...

Small Smiles Dentist Pay To Be Production Based Only by January 2011-No Vacation-No Holidays-No Paid Time Off

ATTN- Current and Future Small Smiles Dentists.  This is a News Alert!

You are about to get your chance to get the hell out of this corrupt company.  If I were you, I'd take it and run like the wind.  I'm telling you this so you will have time to start looking for work elsewhere.  I also expect you to leave your bad training and treatment habits behind and never touch a papoose board again, unless its an emergency.  I have a very large database and will be checking for complaints for years to come.

In the next few months you are going to be presented with an ultimatum.  Either sign a new contract or you have 90 days to move on to greener pastures.

For those of you who are seeing new ads on the Internet for dentists, BEWARE, it's a bait and switch, read on for clarification.

For all  'sponsored' foreign dentists who are here and enslaved to FORBA, it's time to decide, stay or move back to your mother country.  I would go home.  If you stay with FORBA chances are you will be in deep doo doo with the government before too long.  You won't be able to open your own practice and the market is about to be flooded with out of work dentists.   The dental mills are on their way out… and that leaves you no where to go… A 'Dentist Without A Country' so to speak.

Those of you who are locked in because of student loans, here is your chance to change your ways and find another job and if it were me, I would have done it yesterday.  It's only my opinion, but it's an informed opinion.

Here is what is about to happen:

Currently FORBA VIP's are making the rounds to each clinic with their power-point presentation.  First thing you want to realize is they are going to make this sound fantastic for you, but it is NOT.  They are about to sell you a bag of bullshit, just as they've sold their services to all those poor children and their parents.  FORBA speaks with forked tongue, not sometimes, but always.  You surely know by now you are not working for the most above board company in the world.

In this presentation they are going to tell you it's all on you from now on.  You probably already know this, since FORBA forced you to sign the Corporate Integrity Agreement, they chose to sign with Health and Human Services. 

You are going to have no base salary, no holiday pay, no paid time off, no weekend pay, and NO vacations.  You are about to be paid only a percentage of your production, somewhere between 17 and 24 percent. 

This is FORBA's way of washing their hands clean and hanging you out to dry.  Not to worry, Dr. Stephen Adair will hang you out to dry in a New York minute or quicker if FORBA needs him to do so.  He will say whatever they tell him to say to hang any problems or issues that come up on Y.O.U.

(remember, Dr. Stephen Adair is a NON-practicing dentist, put a drill in his hands and he wouldn't know what to do with it, but he, like me, can sure write or talk about it.  The only people who are impressed with him are other nonpracticing dentists, and they are as useless as screen door on a submarine.)

Remember why FORBA and its Small Smiles clinics have been able to make a billions by it's quantity, not quality care. 

FORBA is going to tell you that they are having to do this because of the Compliance Agreement they signed with the government.  That is not true and I suggest you read the agreement, here. 

If patients don't show up, you don't make any money.  If FORBA fails to bill correctly or fraudulently you get screwed.  Who do you think they are going to say submitted the fraudulent billing, yes, Y.O.U. 

If you think they are breathing down your neck now for production, imagine what is about to come your way.

You will be required to stay at the clinic whether patients show or not.  You will only get paid once a month and that will be what FORBA says you made.  You will also be 'on call' at all times.  Just as if you owned your own private practice.

They are going to tell you they are being forced to do this because of all the expenses they are incurring from having to hire so many public relations companies and law firms.  What they won't tell  you is how much they pay various lobbyist.  Remember they are incurring these expenses because they have stolen millions and millions and millions of dollars of our tax dollars, that includes your tax dollars!  Nothing like getting screwed twice and not even a kiss.

These changes are going to hit Colorado and Indiana first in a 15 clinic startup plan.  FORBA will roll it out for the rest of the company this fall and be completely in place at all clinics by January 2011.

When they come to visit you, ask questions and lots of them.  They are shifting all the responsibility on your shoulders while they call you daily and demand more production. 

You will no longer be able to treat per your education and medical judgment.  You will be required to apply statistical treatment methods on ALL patients.  Other than knowing how to use the equipment in the facility, you won't need to know a thing about dentistry.  They will tell you exactly what you can do and what you can't do, no judgment or patient evaluation needed. Just follow the flow chart treatment.

Of course they are going to paint a wonderful picture with visions of sugar plums dancing in their heads, and make no mistake sugar plums are all that are in any of their heads…

If they can't sell this to you, they go belly up.  Be on guard! Be job hunting and save your soul from damnation and nullify your contract when asked and do it with glee!

Related Article

Report of Fayetteville Smile Starters Abusing Another Child

Yesterday, another child was abused and traumatized at Smile Starters in Fayetteville, North Carolina.  This child's father is a member of our military serving our country with pride.

The abusers were dental assistants Sonya and Christy and the dentist Dr. Rafael (Raf) Rivera, Michael DeRose and Tish Ballance's hand picked successor to run their Smile Starter clinics.
Until yesterday this was a bright and energetic 29 month old  little boy, today he's bruised, scratched, withdrawn, not eating and having other intestinal track issues.

I called the Fayetteville office – 910-864-9884 to see if they had any comment, Debbie at the office, said they did not.

Tricare contracts with this house of horrors to provide dental services to our military families.  SHAME on TriCare, SHAME of The Department Of Defense, but most of all SHAME on The North Carolina Dental Board for not closing the doors on these places.  The board knows full well what happens to children here.

Still on it…

It's been a few days since I've posted anything.  I injured my wrist.  But make no mistake, I'm still on this issue.  If the doors of these places are still open you can count on the fact I'm still on it.

DeRose Backed Facility Kills A Man - Cardiolory Now to be Renamed Flatline Now?

 Cardiology Now 

A DeRose backed medical facility in Pueblo kills a man on Thursday July 1, 2010.

A gentlemen who should have had further testing BEFORE any stress testing, was put through a stress test today and killed.  Dead. Thanks to the DeRose family and Dr. James Sbarbaro, a family is shredded, Mike, Dan and Dr. James are sleeping peacefully at home. 

When is someone going to put these people behind bars and keep them from abusing and killing people!??

This DeRose style drive thru medicine is KILLING PEOPLE!!!!

Flatline Now

OHSA Whistleblower Contact Info

Just in case anyone needs this...  (wink) here is the OSHA whistlerblower information:

http://www.osha.gov/dep/oia/whistleblower/index.html

FORBA Holding, requesting donations from employees due to hard times. Passing On The Smiles

This is a great one!  Ya just gotta love some of the cool things FORBA comes up with…

So far turnover in 2010  is at a record high is some of it's clinics…and now we have the "Hardship Contribution Fund".  Its official name is "Pass The Smiles" .

I'm told FORBA is asking their employees to contribute a percentage of their paychecks to a 'fund' that will go to employees who suffer hardships and it will be at FORBA's discretion on who gets it and when.

Of course not a soul is buying that this 'fund' is for anything other than to help FORBA with fines, legal expenses and keep money in the bank.  

So far FORBA has not crossed the line in 'forcing' employees to contribute, but I'm hearing those who decided not to participate are being frowned and seen as not being a team player in their respective offices.   Sounds like duress to me.  

FORBA doesn't care about employees having hard times!  They don't care if children are abused and mistreated, tied up and chocked so they sure as hell don't care about Jenny in Macon whose house is flooded.  

Who is tracking all these donations?  How are employees supposed to trust you…75% hate going to work everyday!  How many have quite in the last month, this week?  A crap load!

Do you honestly think they believe you want to help out employees, noooooooooooo they think you want to steal money from them as you did Medicaid!

C'mom! 

Dead Children In Dental Chair Preventable? Talking Points Memo From AAPD

The aftermath of yesterday’s post, that was supposed to be in your face shocking, has generated some of the longest emails I’ve received in a long time.  All from people who are frustrated nothing is being done to stop these needless deaths.  Some believe there is a cover-up by the American Academy of Pediatric Dentistry.  Probably more like "turn that light off", don't shine it over this way.   Many expect the number to rise because of the Medicaid dental mills spreading faster than I can list them across the US. 

The carelessness that caused these deaths happens in just about every operatory room all day every day, with each child that is separated from their parent and taken back to that dreaded room and the dreaded papoose board.

Five Dead in Two Years

This is to every dentist who continues to over treat, mistreat and abuse children in the name of a dollar and to meet production goals.

This is to every support staff that quietly sits back day by day and says nothing. 

This is to every office manager, corporate fat head, and investment banker behind any and all corporate dental mills and Medicaid dental facilities.

This is to each and every person along the chain from top to bottom; Patient coordinators, IT staff, recruiters, etc.

This is to every member of any state's dental board who are turning their heads, some even in collusion with the criminals who call themselves dentist.  Your chosen profession is being disgraced.

If you are paid directly or indirectly from these substandard dental facilities you are just as guilty of killing the next child as the dentist in the seat next to you, in my opinion. 

I understand the need to hang on to a job.  But you can refuse to participate in these acts…things you know are just wrong.

Imagine the number of children sitting in waiting rooms right this second in all the dental mills such as Small Smiles, Kool Smiles, Smile Starters, Dream Dental and others. 

Which child will die or almost die today...what about tomorrow?

Now, on with today's programming.

Click here

Deaths In Dental Chair On The Rise

This is to every dentist who continues to over treat, mistreat and abuse children in the name of a dollar and to meet production goals. 

This is to every support staff who quietly sits back day by day and says nothing.  

This is to every office manager, corporate fat head, and investment banker behind any and all corporate dental mills and medicaid dental facilities.

This is to each and every person along the chain from top to bottom.  Patient coordinators, IT staff, recruiters, etc. 

This is to every member of any state's dental board who are turning their heads, some even in collusion with the criminals who call themselves dentist.  You are disgracing your chosen profession. 

If you are paid directly or indirectly from these substandard dental facilities you are just as guilty of killing the next child as the dentist in the seat next to you, in my opinion. 

Imagine the number of children sitting in waiting rooms right this second in all the dental mills such as Small Smiles, Kool Smiles, Smile Starters, Dream Dental and others.  Which child will die or almost die today...what about tomorrow?

The next time you see or hear the word, underserved I want to to think about each one of these dead children who were killed by overserving the so called underserved.

Now, on with today's programming.

This is Dylan Shane Stewart,  he was five years old.  At least take the time to read his obituary, the next Dylan may be an obit of a child you had a hand in killing, whether it be directly or indirectly.

Those who knew and loved him called him "Dilli Man".  He died April, 22, 2010 in the care of Dr. Ronnie Lynn Grundset a dentist in Gainesville, Florida. 

Dilli Man was there to have four fillings and eight caps put on his teeth. Sounding eerily familiar to you.  What about you, Dr. DeRose?

His parents stayed with him as he fell asleep.  They took him from the room, and like each of you do many times a day, they reassured his parents, that Dilli Man would be ok.   Dilli Man was NOT ok.

They stepped outside.  Jennifer, his mom heard sirens.   They kept getting closer to Dr. Grundset's office.  That is when the instinct all mothers have kicked in and Dilli Man's mom knew something was very wrong.


Dilli Man's parent ran inside and watched the staff perform CPR.   When the ambulance arrived, they took Dylan to Shands at the University of Florida, his dad rode in the ambulance with him.  Close your eyes and imagine being Dylan's father. 

Now, you females, who are to damn scared to step you and report these incompetent and careless dentists, take another minute and close your eyes.  Imagine being Jennifer, Dilli Man's mom, following behind the ambulance as it raced to the hospital with your 5 years old child's life hanging by a thread.   If you don't feel the unbelievable pain and panic in your gut, you should be ashamed, but most of all you should be scared.  Tomorrow you will get up, put on those scrubs and walk in that dental clinic and each child you take back, may be the one you kill today.


About 45 minutes after arriving at the hospital, Dilli Man was dead.  He was 5 and he  was dead!  Why?

Dr. John Rutkauskas, chief executive officer of the American Academy of Pediatric Dentistry said that among the possible causes of death of anyone who received a sedative was anaphylactic shock.  "Anaphylaxis shock is the body's allergic reaction to a drug."  


"Hundreds of thousands of sedatives are used in pediatric dentistry on an annual basis, and you almost never hear of a fatality."  he said.  This is the AAPD's talking points.  More on that later in this article.

 I'm sorry Dr. Rutkauskas, ALMOST is not good enough.


Dr. Rutkauskas should have been asked about the procedure Dylan was to receive that day.  Wasn't it excessive, what about how necessary?  Was it really a life or death matter?  Did they put him to sleep and strap him in a papoose board and not be able to tell he was in distress?  This happens a hell of a lot more than "almost never".  This happens thousands of times a month and some dentists and assistants just get lucky.
(Dr. Grundset's dental license are marked "Clear/Active".  Qualifications "Pediatric Conscious Sedation and there are no discipline actions or complaints listed in the online file)

Even though the autopsy report is not back, in my opinion Jacobi Hill was killed by Dr. Robert E. Primosch, in Richmond, Virginia just one month after Dylan.  Look at this little boy.  What a bright beautiful smile.  How much dental work could this 6 year old little boy need?  Blip.fm


The dental profession is killing our children and the state dental boards are doing little to stop this madness.  It is just another example of "agency capture phenomena."

"It's used thousands of times every day," dentist Indru Punwani, a spokesman for the American Academy of Pediatric Dentistry and head of the pediatric dentistry department at the University of Illinois at Chicago, told the Times-Dispatch.  

Please note the response by the AAPD spokesman.

Dr. Robert Campbell, a pediatric oral surgeon at Virginia Dental and Anesthesia Associates, told the Richmond Times-Dispatch that the most common cause of death in dental offices under anesthesia is related to an airway condition.

According to Campbell, "the most common problem is that the vocal cords go into a spasm and shut down," in the upper airway. He states this upper airway problem could possibly be related to an allergic reaction. The next most common issue would involve the lower airway, in an asthma-like attack.  This is referred to as a laryngospasm. 

In a May 15, 2010 story at the Richmond Times-Dispatch, Tammy Smith wrote: Dr. Indru Punwani said,  "untreated decay causes pain and suffering and can lead to infection.  Simply pulling the tooth is not always the best option."  He mentions there could be speech problems if the two front teeth are missing as a child is learning to speak.

REALLY?!  Exactly how many children have rotten front teeth at 18 months old?

On February 19, 2009 Cory Moore, Jr. age 9 was killed by dentist Dr. R. Andrew Powless.  Dr. Powless did business under the name "Florida Special Care Dentistry".  Powless sedated little Cory even though he and his staff were completely aware that Cory had eaten prior to the dental procedure.  Cory coked to death on his own vomit.  Cory's family have filed suit against Dr. Powless, but currently Dr. Robert Andrew Powless's license in Florida are  marked "Clear and Active" for Conscious Sedation.  Amazingly, (eyes rolling) when you check to see what discipline has been taken against Dr. Powless, it will result in nada.   The online file will tell you discipline has been take but in order to view the details, you must write to the Division of Medical Quality Assurance in Tallahassee, Florida.   There is also a link on his online license verification that links to actual complaints.  These two must be requested.  However, there are two case numbers listed, both in 1997.  Add to this headache to check on Dr. Powless, Florida's professional licenses lookup/verification is hidden deep within the website.  Clearly they don't make it easy to check. 


Children are vomiting daily in these dental mills.  The employees simply flips the child over and suction.  It's easier to flip the child while strapped to "The Board"!


Quoted from South Tampa News Tribune in connection to Cory Moore's death:  

"It's a rare event, but when it occurs it's a tragic event and we certainly don't want it to Inoccur," said Dr. Milton Houpt, chairman of pediatric dentistry at the New Jersey Dental School, who says he has been studying the issue. 

Dr. Houpt said there are no national statistics on the number of children who die while being sedated in dental offices. The available information is anecdotal, said Houpt, who is conducting a survey with a colleague that includes questions about whether dentists have experienced deaths in their offices.

"In a sample of 2,000 practitioners, you may have one or two" deaths, Houpt said. But that estimate also is anecdotal.

"There has, over the years, been increasing attention to this issue in order to make sedation as safe as possible," he said. "That attention led to the development of guidelines and the review of those guidelines on an ongoing basis.

"I think it's important to recognize there are literally hundreds of thousands of sedations each year and they're almost always performed in a safe fashion," Houpt said.

I have serious doubt in some of Houpt's statements.   Didn't that last sentence sound familiar?  Almost word for word from Dr. John Rutkauskas'.

Well that would be because they are the AAPD talking points sent out in a recent memo.   They call it "we have finalized a media holding statement" Dr. Houpt says these deaths are extremely rare, however he also said no one keeps records.  So which is it.  If he's doing this study, it shouldn't take him but a week or so, if he knows about "google".  Supposedly this is a 25 year study and should be available soon.  REALLY?  C'mom 25 years!  Sounds more like keeping it under wraps for 25 years to me!

The Academy does not keep such statistics because it is not required to and, given the litigation that frequently shrouds the cases, it is difficult to do, according to Academy spokesman Dr. Stephen Wilson in a scathing article in Health News Florida by Mary Jo Malone.


In the same article Mary reports Dr. Stephen Wilson says, "Such cases are handled by dentistry boards as individual disciplinary complaints, if substandard care was involved." 

Are you kidding me??????????????!!!!!!!!!!!!  There are statistics on how many people are struck by lightening each year, there are stats on  how many birds live in any particular area, and no one is keeping track of how many innocent children die at the hands of a dentist!  Honesty, this is just crazy.  My guess is it's the "A Few Good Men Syndrome" as to why no one is tracking this.  The profession can't handle the truth and they don't want the general public to know the truth.

This is what I've been saying about the inadequacy of those very boards.  Board members are appointed and serve a short term of 2 years or so.  At that point those same board members are back into private practice and could well find themselves on the carpet being judged and sentenced by someone who has an ax to grind.  And taking a phrase from a reader, Turkey's don't usually vote for Thanksgiving.  So the chances of rules and regulations to curtail this is not likely.

The memo from the AAPD has links to several deaths but leaves out many as well.  As with  Javier Villa, who was killed by Dr. Gabriella Pham in 1997.   Javier was only 4 years old.

A 22-page statement released by the court tells of what happened in the clinic through the eyes of the two dentists and two unlicensed assistants who cared for Javier.  Dental assistant Claudia Briseno told investigators that dentist Dr. Gabriella Pham had filled three of Javier's cavities and worked on a fourth when they noticed mucus coming from the boy's nose. While (dental assistant) Alejandra Juarez was wiping the nose, she noticed that the chest was not rising. ... Alejandra put the mouth mirror up to his nose and it did not fog up. She checked for a pulse and could not locate one.

Dasia Washington, was 10.  She lived in Pompano Beach.  She was killed in 2006 by Dr. Edward R. Walters and Dr. Abbe Silverberg-Aroshas.   The state records show she was given nitrous oxide, lidocaine and epinephrine and strapped to a papoose board.  She too was suffocated to death in a dentist chair.  When interviewed, Walters said, “I walked away from about a $3 million practice and closed it." He gave up his license, he said, because “I couldn’t deal with it anymore.” 

Well, bless his poor heart!  He sounds much like the British Petroleum guy who just wants to get back to his life.

In Boca Raton a 10 year old died in 2006 from aspiration complications at a dentist office.

There is Jonathan Barrera who died from an overdose of anesthetic while strapped to a papoose board.  He was killed by Dr. Mathew Nolen (deceased) and worked under the direction of Dr. Edward DeRose, Dr. Michael DeRose and Dr. William Mueller in one of the Small Smiles clinics in Phoenix.  Jonathan was 4 years old! Jonathan is dead.  

Maddoux Cordova was 22 months old when he was killed in December 2009 while having crowns on his teeth.  Dr. Cynthia Banker was in charge of this one.  I want each of you to look at his distraught mother's face.   See the pain.  Can't you feel her agony?  I know I can.

Look at this sweet little boy.  Maddox was on 22 months old!!!  Less than 2 years old!!!  How many teeth could he have had?   Crowns?  Really?  That answer would be a big fat NO.

Every time these dental mills try and defend their outrageous behavior with all the stainless steal crowns and baby root canals, the very first thing they will tell you is about Deamonte Driver, a 12 year old homeless child.  An infection started with an abscessed tooth and spread to his brain.


In fact, this case has been used by "Senator Benjamin L. Cardin (D-MD) and Senator Jeff Bingaman (D-NM) to put more children who lack insurance or who rely on state aid into a dentist's chair." 

"It is outrageous today that in America, a young boy can die because his family can't find a dentist to remove an infected tooth," Cardin said on the Senate floor Thursday. "Anytime we lose a child, it is a tragedy. But Deamonte Driver's death is particularly devastating because it was easily preventable." 

 (quote from Washington Post, March 3, 2007)

 First, even families who have medical insurance, even some very good medical insurance may not have dental coverage!  Even if you do, other than free cleanings it covers very little.  If I took the cost of our dental insurance and put in the bank, I'd be money ahead.

But the most important thing I have to say on this is this:

"It is outrageous today that in America, a young boy can die because his family can find a dentist, Senator Cardin.  Are you as concerned about all the deaths discussed here, which far out number one who died of an infection.  Why are you not on the Senate floor wailing about this issue."  And you can quote me on that!

These dental mills and other dental facilities use dentists who are substandard at best, the C- to D- students.  The poor quality of dental care is killing children!  Has anyone looked at how many of these deaths in just the past 18 months are children on medicaid?  Most, if not all!  Doesn't that say something!  You are not helping them, you are killing them! 

Some will argue the children must be treated aggressively, root canals, caps/crowns are the best way to achieve good dental health.  I say your are full of it.  

In March 2008 Jacqueline Martinez coked to death at New Smile Dental Office.  Jacqueline was 7 years old.  The child died from choking on a tooth that was dropped and became stuck in her throat.   The dentist who killed Jacqueline was Dr. Thien Luong of Riverside, California.  

October 2006 5 year old Diamond Brownridge was killed by Dr. Hicham Riba.  She too was receiving crowns.  She went to sleep and never woke up.  Four days later she was dead.  Another mother, another father suffering the worst thing a parent could ever experience.  What happened to Dr. Hicham Riba?  Dr. Riba was fined a measly $10,000.  That was the maximum under Illinois state law.  The state board of Professional Regulations suspended Dr. Riba's licenses to sedate patients but only suspended his dental licenses for 18 months.  Originally the Illinois Board of Dentistry only recommended his general dentistry license be suspended for 6 months!!!!!!

Riba intravenously gave Diamond diazepam or Valium twice -- a 1.3-milliliter dose followed up with a 1.2-milliliter dose -- within a five-minute period, the complaint said. He also gave her "7.5 milligram of an oral Valium, nitrous oxide-oxygen 3:3; .25 milliliter of IV atropine; .25 milliliter IV Talwin; 1.3 milliliter Midazolam and 2 carpules of 2 percent lidocaine with 1:100,000 epinephrine" within a 90-minute time frame, the complaint said.  

Dr. Riba's insurance company settled with Diamond's parents for $1millon.
(Currently, Dr. Riba is still holds a dental licenses in Illinois.  He is on probation until September 30, 2012.)

October 12, 2006 was when baby Jessenia Valles was killed at the dentist office.  Jessenia was two years old.  She was killed by an overdose of Mepivicaine at Good Sheperd Dental Clinic in Houston by Dr. Robert Choy.  The name of the clinic sounds so "Biblical" and safe doesn't it.  

Jessenia was alone when she died.  Her mother wasn't allowed into the exam room with her baby daughter.  Alone in the waiting room, her mother heard her precious daughter crying.  The other staff reassured Jessenia's mom everything was ok, as they always do.  But again, everything wasn't ok.  

Dr. Robert Kim Choy was supposed to repair cracks in her teeth, not kill her.  After Dr. Choy did his repair they left little Jessenia alone in a room to recover, not letting her mother back there.  The child was in there, alone for nearly an hour.  The comforting nurse told little Jessenia's mom, she (Jessenia) needed time to recover.  

As the mother waited patiently in the waiting area, Jessenia died, alone.  SHE WAS TWO YEARS OLD!  

Dr. Choy had been warned by the State Board of Dental examiners in August 2004 that was not to keeping adequate records and the complaint was settled. 

Links to the story:

Toddler Dies After Trip To Dentist 
Child's Death At Dentist Ruled Accidental by Overdose 
Heart wrenching video report 

(Dr. Robert Kim Choy has surrendered his Texas dental licenses in 2009)

Finally, when was the last time your office had a mock drill to prepare for the above emergencies.  Illinois is the first and only state so far to pass a law requiring dental facilities to have an emergency plan. 

Kool Smiles is now Kool Smiles

Kool Smiles Holding, LLC is now Kool Smiles Holding, LLC.  Yeah I know it sounds stupid, and it is.
Kool Smiles was started by Dr. Tu Tran and Dr. Thien Pham, back in 2002 after leaving the employment of Ed and Michael DeRose at the Smile High clinic on Colorado.  (there a load of info on that on this blog)
By 2004 Tran and Pham reigned in the private equity firm, Friedman Fleischer & Lowe, a San Francisco base company.  Kool Smiles Holding was formed to facilitate the transaction.
NCDR, LLC (National Children Dental Research) was formed to ‘manage’ the Kool Smiles clinics. 
A couple of years ago, Kool Smiles II was created to take over the Kool Smiles in the west.  It was managed under the name DPMS, LLC (Dental Practice Management Services).  All still with FF&L holding the purse strings.
So all they have basically done was remerge.  They once were one, then they were two and now they are one again.
Here’s the Corporate run down:
President – David Lowe
VP and Sec – Aaron Money
Director – Tully Friedman
CFO – S. Thomas Nance
Directors– William Brody, Paul Walker, DDS, Douglas Brown, Kevin Miller, Brian Bouma, and Joseph Mello.
Kool Smiles Reg D form can be seen here.