Nursing home neglect has been endemic with understaffing and poor funding, but some states are developing their own solutions. One has begun a “pay-for-performance” plan for funding its nursing homes. Medicaid payments correlate with the residents’ quality of life. Payments go to homes that make changes ranging from reducing bed sores to giving residents peanut-butter sandwiches on demand. However, reforms like these, are often dependent upon the energy and dedication of key staff members and are difficult to replicate in more than 16,000 nursing home nationwides.
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