Articles Tagged with nursing home neglect

medicaid nursing home patients

Hole torn in a dollar bill with medicaid text

Nursing Home Residents on Medicaid Suffer Most 

Most whose financial situation would be characterized as low income and need to remain in a nursing home for longer than expected, Medicaid will quickly become the primary payer for their long-term care. Designed as a public assistance program for individuals with limited financial support, Medicaid funds a person’s physician visits, hospital, and long-term care, drugs, medical equipment and transportation, and other medical services.

nursing home neglect attorneys

New Study Shows Majority of Nation’s Nursing Homes Fail to Meet RN Staffing Requirements

Harvard and Vanderbilt medical schools recently put researchers to the task of examining payroll records from over 15,000 U.S. nursing homes, revealing the staggering truth about registered nurse (RN) staffing. Three-fourths of the nation’s nursing homes never meet federal staffing expectations for registered nurse staffing, and RNs are missing from such facilities on the weekends.

Health Affairs published the study in its July issue in which co-author David Grabowski, a professor in the Department of Health Care Policy at Harvard, said that the conclusions based on a year’s worth of newly logged payroll data, could present much more significant issues in elder care today and well into the future.

elderly wandering risks

Hot Weather Poses Extra Health Risks for Nursing Home Residents

Even for residents who are sedentary, spending time outdoors or active indoors in small amounts can help decrease recovery times and promote independence. However, during the summer months when temperatures sometimes skyrocket into the dangerous digits, elderly who travel outdoors or are without the appropriate indoor cooling areas, can become especially at risk and negatively react to high-temperature exposures.

Because aging and certain medications can complicate the body’s ability to regulate temperatures, problems such as dehydration, fluid retention, heat stress, and heat stroke, and cardiac-related events leading to death may present more often.

nursing home workers

National Safety Month: Care Workers Have Right to Safe Workplace 

June is celebrated as National Safety Month. As we emphasize the safety of nursing home residents on the blog each week, this also feels like an excellent opportunity to talk about the struggles nursing home employees can face when overexerted, working on demanding schedules with less staff and performing care duties for violent residents who require greater services. These workers can also become too easily hurt by excessive lifting, lowering, pushing, and pulling while caring for residents because of a lack in injury prevention training and poor enforcement of safe workplace policies.

Nursing homes must follow OSHA standards and provide workers with an environment that does not have any known hazards that cause or are likely to cause death or serious injury. Some of the frequent complaints nursing home workers have of the safety and injury risks related to their job include:

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:

nursing home abuse and neglect

CMS Will Publicly Post All Names of Most Concerning Care Facilities

The Centers for Medicare & Medicaid Services (CMS) is reacting to the highly publicized release of U.S. Senators Bob Casey’s (D-PA) and Pat Toomey’s (R-PA) report titled, Families’ and Residents’ Rights to Know: Uncovering Poor Care in America’s Nursing Homes, by announcing it will soon disclose all of the names of care facility candidates in the agency’s Special Focus Facility (SFF) program. SFFs have a “persistent record of poor care” and were previously not available for the public to review. Some lawmakers and resident advocates even called the list a “scary secret” kept from the public to protect nursing home owners and their reputations.

The Pennsylvania lawmakers list included only 400+ facilities, 22 of which are located throughout Illinois, but there are almost 3,000 nursing homes that have a one-star rating on their health inspections, the worst ranking possible. With only 88 SFF program slots funded that likely leaves so many additional poor performing candidates for the program to publicly acknowledge. 

nursing home neglect

Falls Remain Leading Cause of Injury-Related Deaths for Older Adults and Understaffed Nursing Homes Could Be to Blame

Falls are the leading cause of injury-related deaths among persons aged 65 years and older, according to the Centers for Disease Control and Prevention (CDC), and the age-adjusted rate of deaths from falls is increasing as well. Ironically, as many as 75 percent of nursing facility residents are reported falling each year and carry twice the chances of falling compared to a senior who lives in their own home or community.

For elderly patients living in care facilities, hazards that contribute to fall injuries can include:

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 abuse attorneys

Viral Photo Shows Nursing Home Resident Covered in Vomit, Begging for Help

In October of 2018, a visitor at Legend Oaks Healthcare in San Antonio, Texas was witness to an older woman, left in a wheelchair and covered in vomit, begging for help for several hours in a nursing room hallway.

The man who took the photo was not connected to the woman who battles dementia but said he was so disturbed by the resident’s situation he wanted to share the documented encounter with local News4 in San Antonio. The observer told the reporters that instead of helping clean the woman he saw employees throw towels at her and around her as she begged for help, hours on end.

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