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Florida's Vulnerable Seniors: The Controversial Role of Larkin Community Hospital

4/6/2026, 11:05:01 AM

Core Event: DCF's Reliance on Larkin Community Hospital

The Florida Department of Children and Families (DCF) has increasingly relied on Larkin Community Hospital in South Miami for the medical evaluation and placement of vulnerable seniors, raising concerns about the treatment and rights of these individuals. This reliance has led to allegations of improper practices, including the bypassing of local medical facilities and questionable diagnoses.

Background & Context: A Troubled History

Larkin Community Hospital has a controversial past, having been implicated in the largest Medicare and Medicaid fraud scheme in U.S. history, involving former healthcare mogul Philip Esformes. The hospital's former CEO, Dr. Jack Michel, settled a healthcare-fraud lawsuit without admitting guilt, which accused him of receiving kickbacks for patient admissions. Despite this history, DCF has made Larkin a key player in its Adult Protective Services program, which is designed to protect at-risk adults.

Key Figures & Groups: DCF and Larkin's Relationship

The relationship between DCF and Larkin has come under scrutiny, particularly regarding the actions of Tania Hernandez, a DCF placement specialist. Hernandez has faced multiple investigations for allegedly steering seniors to Larkin and other assisted living facilities (ALFs) with poor care records. Despite these investigations, she has not been found at fault. Critics, including attorney Harrison Griffis, argue that this practice exploits the civil rights of seniors by removing them from their support networks and homes.

Criticism & Opposition: Concerns Over Patient Treatment

Critics have voiced serious concerns about the treatment of seniors at Larkin. Attorney Harrison Griffis noted that many clients were transported to Larkin despite being closer to other hospitals, leading to unnecessary disruptions in their care. He testified that decisions regarding placements were often made without consulting the clients or their families. This has raised alarms about the lack of safeguards in Florida's adult protection program, which does not adequately protect seniors from potential exploitation.

Official Statements & Responses

Geoffrey D. Smith, Larkin's attorney, defended the hospital's practices, stating that there is no financial incentive for Larkin to cooperate with DCF and that the hospital adheres to high ethical standards. He emphasized that DCF clients are only discharged once their medical needs are met and that Larkin does not discharge patients until a suitable placement is found. However, Smith declined to comment on specific cases, citing privacy laws.

Verbatim Quotes

  • “I felt as though I was violated. I felt as though my mother was violated,” — Brenda Broadnax, Daughter of Patient
  • “I was very concerned my clients were being somehow abused,” — Harrison Griffis, Attorney
  • “we only deal with Tania,” — Anonymous Larkin Caseworker
  • “Larkin is not aware of any finding of any deficiency in the care” — Geoffrey D. Smith, Larkin's Attorney

What's Next: Ongoing Investigations

The situation continues to evolve, with ongoing investigations into the practices of DCF and Larkin. Concerns about the treatment of vulnerable seniors and the ethical implications of their placements remain at the forefront of discussions among legal advocates and state officials. As these investigations unfold, the future of DCF's partnership with Larkin may be called into question.