No Way Out

A Couple Faces Life In Prison After 35 People Die In Their Care

(CBS)  Cullen and fellow prosecutor Paul Knight say the Manganos should never have had to rescue anyone. "I think the thing that's important is to understand the bright line in this case. Because the case was not ever about the chaos that Katrina became after it made landfall," Knight says.

The charges against the Manganos are based on what the couple did in the days and months before the storm, beginning with the filing of an evacuation plan. "It's our position it was just a plan on paper. It was never going to be enforced. They had no intention of evacuating," Cullen says.

The plan, which Louisiana nursing homes are required to file every year, included an agreement with an ambulance company that would take the home's neediest patients out of harm's way first.

"They made no calls to the ambulance service to try to evacuate any special needs patients that they had," Cullen says.

The plan also included a letter from a busing company called "Regional Transportation," which agreed to take residents out of the parish in the event of an emergency.

"It's a letter that is on Regional Transportation, Inc. letterhead. And it's addressed to Mrs. Mabel Mangano, Administrator, St. Rita's Nursing Home. And it's signed, 'Sincerely, Salvador Mangano,'" Knight says. "It could just as easily have been signed 'Love, Sal.'"

"And the only vehicle that was owned was one nine-passenger van," Cullen adds.

With just one van, the Manganos could not possibly move all of their residents. It is proof, prosecutors say, that they had no intention of evacuating.

"How are you gonna get all the people out in one van?" Dow asks.

"Well, we figured if we would call a mandatory evacuation, if we had to go, we'd have gotten buses or something from somebody, the parish would have furnished some kind of buses for us," Sal says.

But transportation was not the main issue, says Mabel. "It was very difficult to make a decision on whose plug to pull first," she says. "Well, who do you take off of the life support first? Do you take my mom, your mom, Sal's mom?"

"So, what are you saying, then, that if you decide to unplug someone, are you saying that their life might be in jeopardy? That's what you're saying?" Dow asks.

"I would…Yes. Yes," Mabel says.

Mabel says she believes it was a life or death decision.

So the Manganos made a plan to "shelter-in-place," just as they had done for every previous hurricane.

"Sheltering-in-place is a well-recognized concept of emergency preparedness and emergency management nationwide. Not just in hurricane states. And sheltering-in-place means that you make a conscious decision to stay where you are. To batten down the hatches. To do everything you need to have supplies and food and water and medicines to last a week if you have to without any help from the outside world," says defense attorney Jim Cobb.

Yet none of the parish's other nursing homes made the same decision. "There were four nursing homes in St. Bernard Parish who were all dealing with the same warnings, the same geographical, topographical conditions. The other three nursing homes evacuated 188 elderly residents similar in age and medical condition to those residents in St. Rita's. And out of 188, one died as opposed to 35 drowning in place in St. Rita's," Cullen says.

But Cobb says the Manganos didn't commit a crime in not evacuating.

"So who killed the 35 people at St. Rita's?" Dow asks.

"We know who did that. So if you're looking for a murderer, we know who it is," Cobb says.

[angelicar-2009]

Although this was a predicted event as seen in many scientific journal, engineering studies and by the Corps of Engineerinf themselves. Lets not forget the school bus full of elderly people who burned to death cause of a spark catching on to someones O2 tank and the whole bus with all the elderly on it were killed in an inferno.

[angelicar-2009]

True Statement Quote:
When visiting New Orleans in May of 2005 we were told that if a storm took a direct hit on New Orleans the levees would break because Nutra Rats had burrowed into the levees weakening them to a state of disrepair and the Government knew of the problem at that time.So if you want to point fingers and lay blame the Army Corps of Eng. may be a beginning. Katrina was the straw that broke the weakened levees.

Repsonse:
This is well documented on the discovery channel! and scientific magazines. You want to blame someone blame Congress the Levee problem has been known about for years and years; they failed to appropriate the money to fix the levees. The Corps was moved from the Levee mission a couple of years before Katrina in a series of downsizing the government (cause taxes are bad.) So while the rest of the country might be able to put shoe on their children''s feet; New Orleans became a death trap for many because Congress failed to put money into our infrastructure. It is well documented that Corp wanted to fix the levees but Congress and other leadship bodies failed the people of this country and everyone is pointing fingers in the wrong directions; this one really belongs to the executive bodies of leadership.

[chrisbrod]

What if the Maganos evacuated everyone and after moving them back the levee breeched would that be their fault? They survived Katrina not the breech.The water hit like a tsunami that caused the deaths. Hindsight is 20/20 but even in this case no one could have foreseen the levee breech. How can you blame someone for that?

[baconskt]

This was a tragic NATURAL DISASTER. I don''t believe for a second that the Manganos anticipated the magnitude of this disaster, and they should NOT have been charged with homicide. My heart breaks for all involved, but it adds to the tragedy to blame the Manganos. I cannot imagine why a mandatory evacuation was not issued (though it sounded like it was because of a loss of revenue for the town... and why aren''t the victims'' families outraged by that?), and I am dumbfounded as to why our government didn''t do more to help. Is it because our government officials, who are elected to make wise decisions on our behalf, did not anticipate the magnitude of this natural disaster? Yet the Manganos are expected to? The wrong people were on trial.

[kidsnursega]

Let%u2019s look at the truth in the situation. First of all to onesuegibson who said that people on %u201Clife support%u201D are only in ICUs: You are WRONG! There are people that require advanced medical technology to live including ventilators, that attend school, work and live at home. The only people indicted in the hospital and nursing home deaths were the Manganos. There were more than 200 Katrina-related deaths at four New Orleans-area hospitals and 13 nursing homes. Yes, that is correct 13 nursing homes including Lafon with 22 deaths, so clearly other nursing homes felt the same way the Manganos did. Testimony during the trial showed that the majority of the nursing homes in the path of the storm (36 of 57) did not evacuate. Finally: To all the families who lost loved ones at St. Rita%u2019s: You have reported that you were told that they would be leaving, but according to your own comments you did not know where your family members were. Did you ask the following questions? 1. Where are you evacuating to? 2. How can I contact you to find out where my family member has been taken? 3. Here is my cell phone number: Please have the new facility call when my loved one arrives. 4. When should I expect to hear that my loved one has safely arrived at the new location? Simple, responsible, loving questions. Let%u2019s look at who should really be blamed for the disaster that was Katrina and not blame everything on a single couple.

[onesuegibson]

Harold Dow missed a glaringly important point in this story. He allowed the Mandanos and their attorney to repeatedly refer to potentially having to "pull the plug" on some residents without exploring what that means. People on life support do not live in nursing homes; they are exclusively in Intensive Care Units in hospitals. I can''t anything a nursing home resident would depend on that uses electricity. Oxygen could be provided by portable tanks.

[pollroller1]

I would like to add that their are two businesses that I would never want to be in. One is the nursing home business and the other is child care.

[pollroller1]

This was a terrible, terrible tragedy and I feel bad for the families that lost their loved ones. But in life we have to make choices. It''s always easy to look back after the fact and say they should have done this or they should have done that. What if they had tried to move all of those people and they died while being moved? Their is no right or wrong answer for a lot of decisions that we all make every day. I guess that is why we have lawyers.

[q-tessa]

Just curious...does anyone know when an "evacuation plan" is REQUIRED to go into effect? In the show they said it is required to be filed each year, but didn''t specify when it is REQUIRED by law to be used? Or is there no law on that? There should be! Even though I don''t feel the Mangano''s bear the sole responsibility, they do bear the responsiblity of a good/accurate/safe evacuation plan that should be enacted and should work. Also, if the other nursing homes did evacuate, wouldn''t the Manganos have known this? Wouldn''t they feel they should go too? Don''t these Nusing homes communicate/share info? If one is to go wouldn''t they call the other and say ..do u need help...u should go, etc, etc, etc?

[q-tessa]

This story is so tragic & sad. My heart goes out to the families & the people who died. Everyone devastated by Hurricane Katrina is a victim. We should be empathic to all who suffered in this horrific storm/levee break. Many things were not in place to save/help the people of these communities. I can''t believe this can happen in America. It''s amazing that in such a rich/blessed country as ours, with the generosity of millions of Americans, that things aren''t back to normal for our fellow Americans. I guess that is another issue.
That being said, the Mangano''s should not bear the only blame. They suffer their own hell thinking about those they lost. Unless what they did was illegal, then they cannot be soley to blame.

[q-tessa]

If a city/town/state is in danger for any reason the Officials are the ones everyone looks to for help/hope/direction. They are supposed to protect the citizens. Ray Nagin and Governer Blanco bear a HUGE responsibility amongst other government officials. They should''ve ordered a mandatory evacuation for everyone, be it business or resident. Perhaps this could''ve been avoided...but this we will never know, because it wasn''t issued!
Furthermore, I am quite perplexed why the families of the victims didn''t come and pick up their loved ones? Maybe they too didn''t think the unthinkable was to happen. Which proves the point that no one thought such horrific tragedy was to happen. Everyone wants to blame someone when something like this happens.
What would anyone do when faced with a sudden rush of 10 feet of water? The fact is they were told they could stay & there was NO mandatory evacuation given. They couldn''t have predicted this outcome.
Why didn''t the families that were fleeing go down to the Nursing Home to get their loved one out and take them with them? This point was NOT presented in the show and I do think it should''ve been.
If however, the Manganos told them not to come down and take their loved ones, then they would be complicit for giving these families false hope and comfort. But again, this was not presented in the show.
Lastly, this is a tragic story with unbelievable loss and pain for many Americans. My heartfelt condolences to all of you!

[patriot12436]

I think mistakes were made due to the owners incompetence. The questions they asked after this happend should have been asked and answered in the evacuatiion plan. I think they were stupid and greedy, now they have to answer in court for their actions.

[sadie_001]

Even though I think they are innocent, I know I would not be able to forgive myself if I were in their shoes. How do you sleep at night with that?

[sadie_001]

I think it is ridiculious to put COMPLETE blame to them. The family also had to have some accountability. How do you completely blame the Manganos without realizing the actions you could have taken yourself? How do you arrest the Manganos if the evacuations were not even mandatory for St. Bernard? Yes, I agree they should have evacuated as a precaution but this case should not be based on "what ifs". Did they break the law or not? If the evacuation was mandatory, then they broke the law. In this case, it was not mandatory. So it tells you that the St. Bernard officials did not feel their city was in grave danger. Therefore, it gave an impression that it was not immediate (I live in Florida, I know hurricane evacuation). If you dont make it mandatory, people don''t see the severity of the hurricane. Remember that they are not the only ones who did not evacuate St. Bernard. Many residents stay and lost love ones too. they should have evacuated too to protect their love ones. So why stop at the Manganos. The biggest crime was by our government. They failed at every level. Remember that residents had to take it in themselves to rescue people which should have been the task of the National Guards. In this case, it was 1 fireman who help them. So they did the best they could. They did not break any laws. They are victims to a flawed system which did not required much from other nursing homes too. They are the scapegoats in the Katrina disaster.

[aprilnc]

Outrageous! How could the families leave their loved ones behind, I know that I would walk through hell if need be for my family, the owners should be held accountable for this horrible murder. The families should be held accountable also. It''s sad and it really broke my heart to know that they were left behind to die alone,fighting to live. SHAM ON ALL OF YOU!

[onesuegibson]

Harold Dow missed a glaringly important point in this story. He allowed the Mandanos and their attorney to repeatedly refer to potentially having to "pull the plug" on some residents without exploring what that means. People on life support do not live in nursing homes; they are exclusively in Intensive Care Units in hospitals. I can''t imagine a plug that would have to be pulled. Oxygen could be provided by portable tanks.

[onesuegibson]

Harold Dow missed a glaringly important point in this story. He allowed the Mandanos and their attorney to repeatedly refer to potentially having to "pull the plug" on some residents without exploring what that means. People on life support do not live in nursing homes; they are exclusively in Intensive Care Units in hospitals. I can''t imagine a plug that would have to be pulled. Oxygen could be provided by portable tanks.

[maxxie54494]

After 25 yrs. in elderly housing, I am sad to hear this story. Had I been the manager of that nursing home, I''d have removed those people as quickly as possible after the warning was issued. I know sometimes it''s hard to make that decision because of our mentality that it won''t happen. However, I would also hold family members somewhat accountable. They could of requested they be removed. But it all boils down to making policy and adhering to it. I will say this, most of the older generation would be difficult to get to move. I hate to say this but maybe some government regulations have got to be applied to these buildings, including elderly and handicapped housing. MOSTLY, I BELIEVE THAT IT SHOULD BE UP TO THE CITY/LOCAL GOVERNMENT TO REQUIRE ANY BUILDINGS HAVE AND SUBMIT A COPY OF AN EMERGENCY PLAN TO THEM. It should cover all types of disasters, from severe thunderstorms to natural disasters, etc.
It''s important that we as service providers of elderly/handicapped understand our responsibility provide the best services.

[shafiqa2]

Had to comment. I have worked many years with the elderly who are fragile and disabled and unable to care for themselves. It is appalling to see "professionals" such as the Manganos not to be held accountable for their lack of action that ultimately killed these individuals. The lawyer was very successful in redirecting the blame to everything else, but the one thing that was apparent to me, was that had they taken the action to evacuate the residents, these individuals would have survived. The concern over the fragility of their residents surviving a move, and being compared to "pulling the plug" is BS. The other 3 nursing homes evacuated their residents. There is absolutely no excuse in the world that this couple can say, and this lawyer can pull out of a hat that would convince me otherwise.

[onesuegibson]

Harold Dow missed a glaringly important point in this story. He allowed the Mandanos and their attorney to repeatedly refer to potentially having to "pull the plug" on some residents without exploring what that means. People on life support do not live in nursing homes; they are exclusively in Intensive Care Units in hospitals. I can''t imagine a plug that would have to be pulled. Oxygen could be provided by portable tanks.