Staffing is perhaps the most important factor in a nursing home resident’s quality of care and the ability to live with dignity. Unfortunately, inadequate nursing home staffing is a widespread and persistent problem. Some nursing homes provide proper care, ensuring that their facilities have enough qualified care staff. However, many nursing homes still fail to maintain safe and sufficient staffing.
You can get staffing information from CMS’ payroll-based journal data, but there’s another tool that makes it pretty simple for reporters and consumers to find out whether nursing homes in their state meet requirements. Continue reading
Fewer than 20% of nursing homes in the U.S. are considered “best” under a revamped analysis from U.S. News and World Report, which is out with its 2019-20 ratings on Tuesday.
Ratings are provided for homes in every state and nearly 100 major metropolitan areas. California tops the list, with 169 nursing homes receiving a “high performing” rating in short-term rehabilitation and 157 “high performing” homes in long-term care, followed by Pennsylvania and Florida. Hawaii, Alaska and Washington, D.C., have the highest proportion of “best nursing homes,” with at least half of all Medicare or Medicaid-certified nursing facilities in these states receiving a high-performing designation in either short-term rehabilitation or long-term care or both. Continue reading
Compelling, heartbreaking stories of abuse and neglect from the daughters of two elderly women drove home a call for tighter regulations, better oversight and more careful screening of nursing home staff during a Senate Committee on Finance hearing on March 6. The hearing comes in the wake of another horrific story, when a woman in a 14-year coma at a long-term care facility in Arizona gave birth after being raped.
Legislators from both sides of the aisle expressed outrage over mistreatment, neglect and other serious violations at nursing homes, despite years of efforts to enact additional reforms and more government supervision. Continue reading
Photo : Kelsey Kremer, Des Moines RegisterLinnea and Gailen Clausen share a moment outside the central Iowa nursing home where he lives, three hours away from their northwest Iowa home. Other nursing homes rejected Gailen Clausen, 55, because his early onset dementia caused confusion and anxiety, which sometimes led him to be aggressive toward staff.
Nursing homes are supposed to be places that care for ill, frail adults — many of whom also suffer from Alzheimer’s and other forms of dementia. The disease takes a terrible toll on those who have it, whether it’s forgetting who their loved ones are, forgetting how to eat or use the toilet, or sliding into a state of agitation and violence. That’s the time when more nursing homes are saying “enough.”
And, as Tony Leys writes in this article for the Des Moines Register last fall, they’re kicking them out, sometimes even if there’s nowhere else for them to go. Continue reading
The Centers for Medicare & Medicaid Services does not have adequate procedures in place to ensure potential abuse or neglect of Medicare beneficiaries in nursing homes are identified and reported, according to recent testimony from the HHS Office of the Inspector General (OIG).
While the agency has taken some action, based on earlier OIG recommendations, it has not yet acted on the other suggestions to help consumers better understand nursing home quality and make distinctions between nursing homes. Continue reading
Photo: Ann via Flickr
It seems to make sense intuitively that creating a smaller, more home-like atmosphere would foster improvements in nursing home residents’ psychosocial outlook.
But, there’s been little hard data to support the time and effort needed to implement culture change in institutional care. Most efforts have come from qualitative research. However, qualitative results from a 2017 study confirm that widespread adoption of a person-centered care approach makes a difference. Continue reading