Articles Tagged with illinois nursing homes

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nursing home medication errors

Evictions and Transfers Could Lead to Medication Errors

There are many high-quality nursing home facilities committed to ensuring the residents in their care are receiving the best attention possible but that doesn’t stop family members from fearing the worst-case scenario when residents are evicted or transferred to a new facility.

In the past five years, Illinois was identified as having doubled their number of nursing home evictions and transfers. Evictions can be justified but Federal law requires nursing homes to give residents 30 days’ notice of their decision to evict them from the facility, as well as the opportunity to appeal the decision. That same notice must also be given to the state long-term care ombudsman, an elder rights representative assigned in every state.

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nursing home neglect

Skilled Care Falls Short While Nursing Home Costs Continue to Rise

While there has been a general slowing of individuals dependent on nursing home care from nearly 86 percent in 2012 to less than 82 percent in 2017, as life expectancy continues to increase in the U.S. and seniors account for a higher proportion of the population, demand for the services provided by nursing facilities will increase and no doubtingly, costs will follow suit. But supported and efficient services have failed to align and it’s our nation’s most vulnerable people and their families, as well as care staff, who pay the real price. So, who is to blame?

Third-party payors and private entities who haphazardly increase the costs of healthcare services without providing quality care of professional and skilled nurses and staff look guilty. Employing staff and pushing up labor costs only leads to widespread budget increases and less fattening of private facility pockets, but shortages can ironically do the same. Meanwhile, nursing home administrators blame behind the market reimbursement rates of patients on ‘traditional” Fee-for-Service (FFS) Medicare patients to Medicare Advantage (MA) patients to cause the industry to suffer and negatively profit, demanding them to raise general daily costs to residents and families or cut short in areas such as infrastructure and staffing quality workers.

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nursing home infections

Painful Infections Remain Untreated When Chicago’s Nursing Homes are Understaffed

The Chicago Tribune recently published a scathing article on the inadequate measures taken by a Chicago nursing home to prevent a resident’s bedsores from turning into deadly infections. The story featured the negligence and wrongful death claims of an 85-year-old resident at Lakeview Rehabilitation and Nursing Center on the city’s North Side. Family members of the resident told reporters that the facility’s staff never spoke of the “seriousness of the pressure sore, which led to sepsis, a severe infection that can quickly turn deadly if not cared for properly.”

Complications related to pressure sores often require intravenous antibiotics and sensitive care treatments to treat bloodstream infections and can result in painful surgeries to cut away dead skin around the wound. According to health officials, there are four types of infections that are often linked with sepsis including: lungs (pneumonia), kidney (urinary tract infection), skin (pressure wounds and bedsores) and gut. Out of the 6,000 Illinois nursing home residents who are hospitalized with sepsis each year, 1 in 5 won’t survive.

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doctor opioid theft

Current or Former Employees Likely Responsible for Medication Theft

Pain medication thieves recently scored rather too easily at an Oklahoma nursing home. This was the second time in just one month in which patients’ narcotics were taken from the home. Reports from local police in Sulphur say the thieves climbed through the outside office window at the nursing home and stole more than 500 doses of opioids and other drugs including Norco ((acetaminophen and hydrocodone), Oxycontin, morphine and Xanax, and fentanyl patches. The estimated value of the stolen medications tallied in at $1,000. The home’s frustrated administrator said since the most recent incident, locks have been changed, and staff are encouraged to watch out for and report any suspicious activities. Local Police think it is possible that a current or former employee may be responsible for the theft, given that they “went straight for the key” to the medicine cart.

Levin & Perconti’s elder abuse lawyers feel this is yet another reminder for family members to keep a close eye on the security plan and safe living conditions of seniors to ensure they and their medications are protected. Nursing home negligence and lapses in care by nursing home providers can serve as just the start of possible misconduct and are often indicative of larger problems with the management of nursing facilities. When staffing decisions are made quickly or with lax standards, negligent and abusive employees are invited to abuse, steal, and wreak havoc on the lives of residents. These scenarios should never be allowed.

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elder care

Community Members Wait in Angst Over Champaign County Nursing Home Sale 

Residents and community leaders in Champaign County have had a lot to say about the $11 million sale of a financially challenged nursing home to private control under Extended Care Clinical LLC and Altitude Health Services Inc., both headquartered in Evanston. Board members say current funds are insufficient to cover nursing home operations, but a sale would essentially restore the nursing home to its original 12-month budget. Most people in the Champaign County community remain concerned about the sale to this particular buyer and would rather have it stay a county owned facility. The purchasers have already licensed care under a different name, a tactic most for-profit or private care companies will do to minimize any lasting stigmas in poor reputations.

“The proposed project contemplates the transfer of operational control of the nursing home from Champaign County to University Rehabilitation Center of C-U LLC and transfer of the physical plant to University Rehab Real Estate LLC,” according to the application. “Upon approval by the Illinois Health Facilities and Service Review Board, University Rehabilitation Center of C-U LLC will apply to the Illinois Department of Public Health to become the licensee, necessitating a change of ownership.”

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Nursing Homes May Transfer Ownership to Hide Questionable Care

In the aftermath of a resident accident, report of abuse or neglect, or serious complaints against staff, a nursing home’s lease or title may simply be transferred to another company as a way to position a band-aid over real issues. When nursing home facilities are often bought, resold and rebranded, families of residents should raise questions about whether administrators or staff are to blame.

“A May 2016 article in the Boston Globe highlighted the findings of a Harvard University study on the impact an acquisition has on nursing home quality. The study found that there was a direct link between the number of times a facility had changed hands and the number of state violations it had. The authors ultimately concluded that the changing of hands wasn’t the cause, but the fact that the facility itself was plagued by troubles and that changing ownership did little to improve it.” – The Centers for Medicare & Medicaid Services

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Dangerous Disease Risks Heighten as Nursing Homes Serve More Residents With Less Staffing

It is estimated by the National Institutes for Health (NIH) that nursing home medical staff treat over 2 million resident infections and related diseases each year in the U.S. Because of its nature, care facilities like skilled nursing homes or long-term care settings are places prime for infectious diseases to spread easily since patients share spaces and depend on others for daily hygiene tasks. That care often goes neglected when facilities are understaffed, or care workers are overburdened. With 5.3 million people requiring nursing home or long-term care by 2030, a substantially higher risk of people acquiring more of new infections and serious health complications because of lack of skilled care workers is expected.

Infectious Disease Complications for Nursing Home Residents

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skilled care

Recognizing When Residents May Require Skilled Care vs. Nursing Home Support

When a family is seeking support and viable care options for an elderly loved one, the first step to choosing the right place may be attempting to understand the types of support the long-term care industry offers. Skilled nursing facility (SNF) and a nursing home are terms widely used to describe a residential facility that provides on-site 24-hour care, but the type of care and support may differ depending on staff, managed medical standards, and a confusing overlap of services. In fact, some nursing homes may offer skilled nursing care in a particular wing of the facility but not to every resident, including your loved one. In addition, nursing homes and SNFs may be regulated and certified differently at each facility and the level of staff certification may vary leaving questionable concerns for those in charge of placing a loved one into the hands of a long-term care facility of any type.

Skilled Nursing Facilities Provide Additional Services and Medical Staff

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nursing home visitors

Approved Visitors Must Be Provided Immediate Access to Nursing Home Residents

In 2016, the Centers for Medicare & Medicaid Services (CMS) released revised nursing facility regulations that supports the rights of residents to “receive visitors of their choosing at the time of their choosing and require the facility to provide immediate access to the resident in accordance with the regulations.” These rights include access to spouses and domestic partners, including those of the same-sex.

But even with rules and regulations, there have been too many accounts of residents being told, “visiting hours are over,” “you can call your daughter tomorrow,” or “let’s wait to have a visitor for when you are feeling better,” by nursing home staff. When in reality, nursing homes should seek to allow residents the freedom to make their own decisions and help them see the choice for visitors out. Living in a nursing home does not take away a senior citizen’s rights to make choices about their own life, especially when requesting to see a family member or friend or accepting their visits.

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prescription drugs

How Nursing Homes Should Handle Dangerous Prescription Drug Recalls

While most families worry about the misuse of their loved one’s prescription drugs while they are living in a nursing home, a new medication issue is presenting itself across America. In 2017, the American Medical Association released a report showing that many drugs the U.S. Food & Drug Administration (FDA) approves are involved in some kind of recall or safety event after being released to consumers. Nursing home and long-term care residents are especially at risk of taking recalled or defective drugs because not all recalls are announced by the FDA or reported in the news media. When a public announcement is not made, notification is typically made by communication from the drug manufacturer to a nursing home resident who may not be reachable or cognitive. A nursing home pharmacist or lead medical staff should be in the know of any recalled medications, remove any faulted drugs from the stock cabinet and help provide an alternative plan alongside a nursing home patient’s treating physician to prevent unnecessary sickness or injury.

Understanding Drug Recalls