Articles Tagged with choosing a nursing home

elderly medical care

National Survey Evidence Shows Behavioral Health Services Inadequate in Most U.S. Nursing Homes

Researchers at the University of Rochester School of Medicine started surveying randomly selected skilled nursing facilities in 2017, asking questions about the types of behavioral health issues residents have, available behavioral health services, quality, satisfaction, staffing, staff education, turnover and service barriers. Now complete, the results of the study were published in the Journal of the American Geriatrics Society on June 5, 2019 and show that mental health disorders can affect up to 90 percent of nursing home residents in as many as a third of the nation’s nursing homes and community-based care facilities.

In this first review of its kind, researchers measured four different outcomes:

illinois nursing home attorneys

List of 22 Seriously Under-Performing Nursing Homes in Illinois Released Publicly for First Time 

After an inquiry led by U.S. Senators Bob Casey (D-PA) and Pat Toomey (R-PA), the Special Focus Facility (SFF) program, overseen by The Centers for Medicare and Medicaid Services (CMS), shared a list of nearly 400 consistently underperforming nursing homes, 22 of which are located throughout Illinois. Previously CMS did not publicly disclose the names and locations of these SFF identified facilities. These are nursing homes that if not improved or fail to provide resolutions to documented quality problems, can be cut off by Medicare and Medicaid funding and support.

On June 3, 2019, the concerned lawmakers published the list in a public report titled, Families’ and Residents’ Rights to Know: Uncovering Poor Care in America’s Nursing Homes, and included all of the homes CMS has deemed to have a “persistent record of poor care” and systemic shortcomings.

retirement home

Nursing Homes With “No Harm” Deficiencies Are Not Being Held Accountable

Nationwide, a majority of nursing homes voluntarily participate in the Medicare and Medicaid programs. Because of this partnership, facilities must adhere to minimum standards of care established by the federal Nursing Home Reform Law. Those who do not comply, should receive health violations leading to various penalties including fines or in some of the most severe cases, a group’s Medicare or Medicaid certification will be suspended or revoked by the Centers for Medicare & Medicaid Services (CMS), a part of the Department of Health and Human Services (HHS).

CMS data indicates that about 95 percent of these health violations are cited as causing “no harm” to residents. In a May 2019 newsletter published by the Center for Medicare Advocacy and the Long Term Care Community Coalition (LTCCC) several examples of these “no harm” deficiencies, taken from Statements of Deficiencies (SoDs) on Nursing Home Compare, were discussed. Surveyors classified all of the shortcomings listed below as “no harm,” meaning that they determined that residents were neither hurt nor put into immediate jeopardy for their health or well-being.

nursing home attorneys

Lawmakers Look to Position Older Americans Act into a Greater Enlightenment Phase

In 2017, the Older Americans Act (OAA) served more than 700,000 caregivers; and provided seniors across the country with 358 million meals. These services hit only the tip of how the law has improved the lives of seniors. OAA is also a federal policy that invests back to help older individuals age in place or at home and out of nursing homes and hospitals through low-cost, community-based services.

On Wednesday, May 8th the Senate Aging Committee held a hearing to highlight the importance of the OAA led by U.S. Senators Susan Collins (R-ME) and Bob Casey (D-PA), the Chairman and Ranking Member of the Senate Aging Committee in hopes to rally a bipartisan coalition for OAA’s reauthorization prior to it expiring on September 30.

abuse and neglect attorneys

IDPH Releases First Report of The Year Listing Nursing Home Violators

The Illinois Department of Public Health (IDPH) has released its first Quarterly Report of Nursing Home Violators for 2019. This report dates January 2019 thru March 2019 and highlights Illinois facilities cited for violations of the Nursing Home Care Act, a statute that provides nursing home residents and their families with the assurance that proper and safe care will be received.

Facilities with violations in quarter one of 2019 include:

nursing home patients

Majority of Nursing Home Residents Spend Their Time Inactive, Increasing Chances for Chronic Diseases and Injuries

Too many individuals who reside in nursing home facilities are spending their days – sitting. A typical daily schedule for residents will only include light to moderate intensity activities 20 percent of the time and they will remain sedentary the other 80 percent, according to a February 16, 2019 study published in the International Journal of Environmental Research and Public Health. An extremely sedentary lifestyle, especially for those who are already battling health issues, only creates a stronger connection to the development or progression of chronic diseases and disabling conditions such as:

  • Anxiety

nursing home nutrition

Why Nursing Homes Fail to Meet the Nutritional Needs of Residents

Illnesses such as diabetes, heart disease, obesity, arthritis, known nutritional or eating deficiencies, disabilities, and mobility issues may result in nursing home residents to put on a specialized dietary plan to fit their exact needs. In these cases, a primary care physician and nutritionist should be consulted and a plan for health and nutritional goals should be created based on an evaluation of the resident’s related illnesses, medications, mouth or swallowing problems, and feeding issues such as tremors.

But even in the trickiest of situations, well-balanced, palatable meals, and fluids must be prepared, coordinated, and tracked by staff responsible for caring for the resident to ensure nutritional health is being met. When it is not, nursing home abuse and neglect may be considered as the cause for cases involving malnutrition or dehydration.

nursing home attorney

McClean County Nursing Home Residents Transferred After LeRoy Manor Closes

The former long-term care residents of the LeRoy Manor building, located in the central Illinois community of Bloomington-Normal, have moved to other nursing homes throughout Illinois. The private nursing home closed on February 15, 2019, displacing 75 employees and 66 residents. Administrators say about 90 percent of the residents were receiving Medicaid and poor reimbursement by the state was to blame for the closure. The group announced plans to end long-term care services at the home in January of 2019.

Thankfully, regional ombudsman from the East Central Illinois Area Agency on Aging told local news outlets that residents and their family members felt individual rights and desires were protected during the transition and that staff saw the process out appropriately. Unfortunately, this is not always the case and many residents preparing for a move out of their control will find themselves neglected or abused during a time of uncertainty and when changing staffing challenges become present. The move may be tough though for many of the LeRoy Manor residents who were originally from the area and able to stay connected with family and friends on a regular basis. These are relationships important when addressing basic care and medical needs and identifying nursing home neglect and abuse symptoms of loved ones.

nursing home abuse attorneys

Illinois Lawmaker Says Families Should Be Able to Observe Nursing Home Care Provided to Loved Ones with Dementia Through Video Monitoring

Senate Bill 109, a plan sponsored by Illinois Senator Terry Link (D-Indian Creek), passed the state’s Senate in late March in response to multiple complaints received by the Illinois Department of Public Health about abuse, neglect and theft against nursing home residents. The bill was designed to help families of individuals battling dementia and would allow the installation of video and audio monitoring devices in their loved one’s room to deter or detect signs of abuse and neglect. The legislation language specifically speaks to the use of electronic monitoring in patient rooms in a building or care area solely dedicated to dementia residents.

The bill is now on the way to the Illinois House for further debate. It supports a 2015 law that allowed for video and audio monitoring equipment in facilities for individuals with developmental disabilities or those living in long-term care facilities.

nursing home reform

Latest Senate Hearing Shows CMS Can Do More to Protect Nursing Home Residents

On Wednesday, March 6, 2019 another government session, this time led by the US Senate Committee on Finance, was held to discuss several disturbing reports of nursing home abuse and neglect and the lack of preventative measures and faulty reporting system used by the Centers for Medicare and Medicaid Services (CMS) to create environments for quality resident care. The hearing was led by Chairman, Chuck Grassley (R – IA) and Ranking Member, Ron Wyden (D – OR) with special panelist testimony delivered by family members of residents fallen victim to nursing home abuse or neglect.

A Minnesota woman heartbreakingly remembered her mother, an Alzheimer’s patient who was raped by care staff. During the hearing she said, “My final memories of my mother’s life now include watching her bang uncontrollably on her private parts for days after the rape, with tears rolling down her eyes, apparently trying to tell me what had been done to her but unable to speak due to her disease.” A woman from Iowa shared her family’s concern after their mother died in a nursing home ranked with the highest possible quality of resident care scores from CMS even though the organization had been seriously fined for physical and verbal abuse. The elderly woman was allegedly left in severe pain and may have been dehydrated days before her nursing home death.

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