Articles Tagged with nursing homes

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nursing home drug dangers

Elder Justice Coalition Links Nursing Home Abuse and Opioid Abuse

With an opioid epidemic in our country that is beyond alerting, it remains evident that the 2017 guidelines The Centers for Disease Control and Prevention (CDC) set forth for managing chronic pain with caution against opioid use are not being followed. The CDC continues to warn that the benefits for improving pain and function through dangerous opioids must outweigh the risks when prescribing and administering the drugs. One group of Americans persistently impacted by the mismanagement of opioids is the nursing home population.

The nonpartisan Elder Justice Coalition (EJC) recently met with the Department of Health and Human Services’ (HHS) Assistant Secretary for Health and Senior Advisor for Opioid Policy, Admiral Brett Giroir in response to the opioid crisis. Assistant Secretary for Aging and Administrator of the Administration for Community Living (ACL), Lance Robertson and leadership of the National Adult Protective Services Association (NAPSA) were also present. EJC National Coordinator Bob Blancato released this statement recapping the meeting in a January 23, 2019 EJC press release.

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for profit nursing homes

Vulnerable Populations Pay the Price as U.S. Nursing Home Chains Crumble Under Risky Financial Choices

The Long Term Care Community Coalition, in partnership with the Center for Medicare Advocacy, is preparing a strong agenda for 2019 starting with a joint statement concerning the chaos that has occurred in the nursing home industry as operators, even those of large care groups, are undertaking money hungry risks at the cost of their own staff resources and vulnerable patient residents. The joint statement highlighted investigative findings reported by The Washington Post, The Kansas City Star, The Philadelphia Inquirer and The New York Times of these U.S. nursing homes chains.

  • The Carlyle Group bought HCR ManorCare and each year since the number of health deficiencies at the chain rose 26 percent. The Carlyle Group then went on to sell ManorCare’s real estate collection for more than $6 billion dollars but inevitably faced bankruptcy in 2018 after not being able to pay rent to the new owners.
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nursing home abuse

Illinois Department of Veterans’ Affairs Submits First Required Biannual Report

The first required biannual report for the Illinois State Veterans Homes has now been published for the reporting period of July 1, 2018 through December 31, 2018 and highlights the number of complaints made by residents including those listed in a “Resident Grievance Log” and required follow-up by staff, information on any epidemic reported at a veterans home, the number of cases and information on the cases, and action taken by the homes to eradicate the spread of communicable disease. The new reporting requirements enacted in 2018 by Illinois lawmakers mandate the Department of Veterans’ Affairs Act (20 ILCS 2805/2.13) direct the Illinois Department of Veterans’ Affairs (IOVA) to report the following information to the Illinois General Assembly:

  • The number and nature of complaints made by residents;
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nursing home illness

Last Flu Season Was Deadliest for Nursing Home Residents

During the 2017-2018 flu season, an estimated 80,000 Americans died and 900,000 were hospitalized, according to the U.S. Centers for Disease Control (CDC), making last year one of the deadliest our country has even seen with the elderly and very young children affected most severely. A new study from Brown University School of Public Health reports that a more immunogenic vaccine, such as the adjuvanted trivalent influenza vaccine (aTIV), can improve clinical outcomes in nursing home patients compared with a non-adjuvanted trivalent influenza vaccine.

According to the CDC, older adults with weaker immune systems also may have a lower protective immune response after flu vaccination compared to younger, healthier people.

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residents' rights month

Part 2: Residents’ Rights Month

October is Residents’ Rights Month, an annual event created by advocates to honor residents living in all long-term care facilities. This is an important time for family members and residents to be reminded of the rights anyone living in a nursing home has, protected by the 1987 Nursing Home Reform Law. In a previous blog post, the nursing home abuse and neglect attorneys at Levin & Perconti reviewed the first half of these rights to ensure readers understand residents must be treated with the same rights as those individuals residing in the larger community. Those rights found in a blog post titled Part 1: Residents’ Rights Month, include the 1) right to be fully informed, 2) right to complain, 3) right to participate in one’s own care, and 4) right to privacy and confidentiality. The remaining four residents’ rights outlined in the reform law include:

  1. Rights During Transfers and Discharges
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nursing home rights
Part 1: Residents’ Rights Month

The 1987 Nursing Home Reform Law is a federal law requiring nursing homes to “promote and protect the rights of each resident” in support of individual dignity and self-determination. Unfortunately, the law is often violated without repercussion because most seniors (and their family members) are not aware of the legal protections that support an individuals’ rights when residing in a nursing home facility. The month of October has been recognized as a time to address these needs and protections. To show support, the nursing home abuse and neglect attorneys at Levin & Perconti would like to review the first four residents’ legal rights outlined within the 1987 Nursing Home Reform Law in Part 1 of this Residents’ Rights Month blog series.

Four Nursing Home Rights You Need to Know

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elderly financial exploitation

3 Times Nursing Home Staff Stole and Were Caught

It feels as though nursing home staff seem to be caught stealing from vulnerable and sick residents and their facilities more often. Brought on by the nation’s opioid epidemic, staff steal medication and patient drugs most often, but theft can also be in the form of residents’ possessions or finances, and when executives swindle millions from the company and spend it on personal items or other investments. Here is a special review of three times Illinois nursing home staff stole, they were caught, and justice was served.

  1. Drug Theft
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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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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.