Tag Archives: nursing homes

Report shows many nursing home
violations not have been publicly reported

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nursing home

Photo by Ulrich Joho via Flickr (CC BY-SA 2.0)

As many as 10,000 nursing homes may have deficiencies unreported or may have been inaccurately described by the Centers for Medicare and Medicaid Services to Care Compare, according to an April 2023 report by the U.S. Department of Health and Human Services Office of Inspector General (OIG). 

The report is based on a random sampling of 100 of the 15,377 nursing homes by OIG, which compared the deficiencies reported on Care Compare as of December 10, 2020, with the deficiencies documented by state inspectors from the three most recent annual health, fire safety and emergency preparedness inspections and the three most recent years of complaint inspections.

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Liz Seegert is an independent health journalist and AHCJ’s topic leader on aging. She covers older adults, baby boomers, health policy, and social determinants of health, as well as many other health issues. Her bylines include stories for PBS/NextAvenue.org. the American Journal of Nursing, TIME Health, Medscape, Consumer Reports, and Medical Economics, as well as dozens of other trade and mainstream media. Her articles have been syndicated in Forbes.com, the Los Angeles Times, the Hartford Courant, the Saturday Evening Post and other major outlets.

U.S. News & World Report nursing home ratings poke holes in CMS ratings

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Photo by Wellness Gallery Catalyst Foundation: https://www.pexels.com/photo/man-people-woman-girl-12085633/

U.S. News & World Report recently released its 2022-2023 nursing home ratings, which revealed major differences in its assessments compared with the Centers for Medicare and Medicaid’s (CMS) star rating system. The media company found that only a small portion of the nation’s 15,000 nursing homes were high performing in short- or long-term rehabilitation, and only a few hundred were high performing in both. 

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Liz Seegert is an independent health journalist and AHCJ’s topic leader on aging. She covers older adults, baby boomers, health policy, and social determinants of health, as well as many other health issues. Her bylines include stories for PBS/NextAvenue.org. the American Journal of Nursing, TIME Health, Medscape, Consumer Reports, and Medical Economics, as well as dozens of other trade and mainstream media. Her articles have been syndicated in Forbes.com, the Los Angeles Times, the Hartford Courant, the Saturday Evening Post and other major outlets.

An uptick in nursing home COVID deaths, cases

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Photo by Maryland GovPics via Flickr.

COVID-related nursing home cases and deaths are on the rise again, according to recently published data on AARP’s COVID-19 dashboard. And while these rates are nowhere near the levels of 2020 or early 2021, it’s still a troublesome sign that new COVID variants are making their way into facilities tasked with caring for vulnerable older adults.

Rates of COVID-19 cases and deaths rose in June for the second month in a row — with resident cases increasing by 27% for the four weeks ending June 19. That means about one in every 35 nursing home residents nationally tested positive. Staff positivity rates increased by 42% in the same period — about one in every 28. It’s not clear, however, whether staff were infected in the community or contracted COVID in the nursing home. Death rates are trending up too — increasing by about 54% in June compared with the previous month, according to AARP’s data, which is culled from Information on COVID-19 reported by nursing homes to the CDC’s National Healthcare Safety Network (NHSN).

Journalists can use this data to closely follow trends in their state, or even drill down to an individual facility level.

“We’ve actually had increasing cases for a couple of months now,” said Ari Houser, AARP senior methods advisor and lead data analyst on their nursing home COVID dashboard. “Preliminary CDC data through July 17 shows the trend continuing upward, so we’re not at the peak yet.”

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Liz Seegert is an independent health journalist and AHCJ’s topic leader on aging. She covers older adults, baby boomers, health policy, and social determinants of health, as well as many other health issues. Her bylines include stories for PBS/NextAvenue.org. the American Journal of Nursing, TIME Health, Medscape, Consumer Reports, and Medical Economics, as well as dozens of other trade and mainstream media. Her articles have been syndicated in Forbes.com, the Los Angeles Times, the Hartford Courant, the Saturday Evening Post and other major outlets.

Is the Biden administration’s plan to revamp nursing home standards enough?

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Photo by Ulrich Joho via Flickr.

It took a pandemic and tens of thousands of deaths before most people became aware of just how bad circumstances were in many U.S. nursing homes. Long-term care residents bore the brunt of COVID-19 cases and deaths, particularly in the early days of the crisis. The Biden administration wants the Centers for Medicare and Medicaid to tighten standards and oversight to avoid anything like this from happening again.

While the initiative only got passing mention in the March 1 State of the Union address, the White House released a lengthy fact sheet ahead of the speech, detailing several key initiatives it’s directing CMS to implement:

  • Increasing minimum staffing requirements.
  • Reducing resident room overcrowding.
  • Strengthening the Skilled Nursing Facility (SNF) Value-Based Purchasing (VBP) Program.
  • Reinforcing Safeguards against Unnecessary Medications and Treatments, actions they say “will improve the safety and quality of nursing home care, hold nursing homes accountable for the care they provide.”
  • Making the quality of care and facility ownership more transparent so that potential residents and their loved ones can make informed decisions about care.

More than 200,000 residents and staff in nursing homes have died from COVID-19 — nearly a quarter of all COVID-19 deaths in the United States, according to the Kaiser Family Foundation. Despite current regulations, The Government Accountability Office found that from 2013 to 2017, 82% of all inspected nursing homes had an infection prevention and control deficiency, including a lack of regular handwashing, that was identified through Medicare and Medicaid surveys.

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Liz Seegert is an independent health journalist and AHCJ’s topic leader on aging. She covers older adults, baby boomers, health policy, and social determinants of health, as well as many other health issues. Her bylines include stories for PBS/NextAvenue.org. the American Journal of Nursing, TIME Health, Medscape, Consumer Reports, and Medical Economics, as well as dozens of other trade and mainstream media. Her articles have been syndicated in Forbes.com, the Los Angeles Times, the Hartford Courant, the Saturday Evening Post and other major outlets.

Study shows racial differences in COVID-19 nursing home deaths

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Racial-NH-Deaths_Blog_Aging

Photo: Prachatai via Flickr

Racial disparities are glaringly obvious when examining COVID-19 caseloads, hospitalizations and deaths. A new study in JAMA Open looks at how these inequalities in the general population may also be associated with differences in mortality among nursing home residents with a COVID-19 infection.

In a cross-sectional study of 13,312 U.S. nursing homes, University of Chicago researchers found that COVID-19 death counts were 3.3-fold higher in facilities with the highest proportions of non-white residents than in facilities with mostly white residents. This difference in mortality was associated with a combination of differences in facility characteristics and location. Continue reading →

Liz Seegert is an independent health journalist and AHCJ’s topic leader on aging. She covers older adults, baby boomers, health policy, and social determinants of health, as well as many other health issues. Her bylines include stories for PBS/NextAvenue.org. the American Journal of Nursing, TIME Health, Medscape, Consumer Reports, and Medical Economics, as well as dozens of other trade and mainstream media. Her articles have been syndicated in Forbes.com, the Los Angeles Times, the Hartford Courant, the Saturday Evening Post and other major outlets.