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Articles Tagged with understaffing

nursing home understaffing dire

The Chronic Problems Related to Understaffed Nursing Homes

Deliberate understaffing is a common practice in nursing homes across the U.S., and especially here in Illinois, where nearly 70% of all long-term care networks are for-profit owned. When facilities are privately owned and operated, owners become more concerned about profits than having the right amount of staff available to provide quality patient care. According to a 2018-2019 report prepared by the Department of Health and Human Services, an incredible 90% of U.S. facilities are understaffed. The findings were documented by evidence through payroll records that showed nursing homes were underreporting staffing challenges.

Worker shortages contribute to nursing home struggles that sometimes lead to preventable hospitalizations, injuries, or deaths. Risky cost-cutting measures and unethical practices are creating a ripple of adverse effects that nursing home residents ultimately pay for.

inspection for nursing homes

How To Read a Nursing Home Inspection Survey To Identify Abuse or Neglect

All nursing home providers participating in the Centers for Medicare & Medicaid Services (CMS) program must meet Federal reporting requirements as well as state laws as they relate to the Illinois Nursing Home Care Act. Homes must also remain in substantial compliance to remain in operation and be evaluated for care standards through annual surveys and inspections. It is expected that any recorded violation will then be addressed promptly and residents will no longer be at risk from those noted deficiencies.

Families can review a website published by CMS called Nursing Home Compare. Here, they can access quality of care information for every nursing home that participates in Medicare and Medicaid in Illinois. Nursing Home Compare provides an overall star rating based on three factors: health inspections, staffing levels, and quality measures, but also includes the results of recent health inspections.

calling 911 on covid-19

Nursing Home Staff and Residents With COVID-19 Are Dialing 911 For Help

Reports from WGLT NPR show a COVID-19 outbreak at Bloomington Rehabilitation and Health Care Center had staff and nursing home residents calling 911 on numerous occasions, requesting for urgent help and resident transfers. The home is located at 925 S. Main St. in Bloomington. Illinois Department of Health coronavirus tracking reports show the facility is home to McLean County’s most significant COVID-19 outbreak to date. And the irony? Bloomington Rehabilitation and Health Care Center struggled to provide quality care and adequate staffing even before the virus hit, according to recent government inspections.

Medicare surveyor reports on the Nursing Home Compare website and IDPH inspection records show:

nursing home negligence bed sores

A Common Sign of Nursing Home Neglect Is Bedsores

According to the National Institutes of Health (NIH), nursing home neglect is the failure to provide care for an older adult. One of the earliest and common signs of nursing home neglect is bedsores, also known as pressure ulcers.

  • Bedsores are painful wounds caused by unrelieved pressure on the skin.

covid-19 nursing homes understaffed

As of Friday, May 1, nursing home workers at 64 Illinois facilities have said they will strike on May 8 due to the lack of personal protective equipment (PPE), safety training, testing, emergency benefits, hazard pay, and paid time off for coronavirus-related illnesses. The workers are represented by SEIU Healthcare, a growing union of healthcare, child care, home care and nursing home workers in the Midwest.

According to the most recent news release by SEIU, “Family members, faith leaders and community supporters will call upon nursing home owners to promptly settle a fair contract with the provisions needed to safeguard both workers and residents—including above-poverty base wages, hazard pay during the current crisis, appropriate and adequate levels of PPE, plus the increased staffing levels to support quality resident care.”

Many of the workers have also been reported to say that facility owners and operators have “refused to increase staffing levels or protect workers’ healthcare coverage and haven’t been transparent about COVID-19 cases within their facilities.”

Steve Levin

A message from Attorney Steven Levin

During these difficult times it is important for patients and their families to understand that residents in nursing homes still have the right to expect proper care.

Direct communication with facility staff, including the director of nursing and administration is key.  Find out what the staff is doing to prevent and control COVID-19.  Here are some things staff should be doing:

The National Consumer Voice for Quality Long Term Care Invites You to Share #LoveFromADistance

With new directives placing strict limits on visitors to nursing homes and many assisted living facilities taking similar precautions, friends and families of residents living in long-term care facilities are using creative ways to stay in touch with their loved ones.

my relative has coronavirus

Federal Agencies Restrict Nursing Home Visitor Access as Coronavirus Spreads

As of March 10, 2020, there are now more than 1,000 cases of the novel coronavirus in the U.S., according to the state and local health agencies, governments, and the Centers for Disease Control and Prevention (CDC). Nineteen individuals in Illinois have tested positive for COVID-19. The highly contagious disease which puts the elderly and those with underlying health conditions into respiratory distress, has businesses, schools, and health agencies on heightened alert. Nursing homes especially have been called upon to help prevent the spread of coronavirus. Stricter guidance from the Centers for Medicare & Medicaid Services (CMS), the American Health Care Association (AHCA), the Illinois Department of Health (IDPH), and the Illinois Health Care Association is rapidly increasing for these facilities.

The most recent updated federal nursing home guidance comes from a memo delivered on March 9, by CMS, the agency in charge of regulating and enforcing care standards for the nation’s long-term care network.

Survey Shows Long-Term Caregivers are in Short Supply
Over the next 20 years, the country will see a surge in the number of older adults who can no longer care for themselves, as will the number of persons diagnosed with dementia. A sizable amount of these two groups are likely to need long-term care services, one being the age 85 and older population — which is expected to double between 2025 and 2040. And a new report from our Midwest neighbors to the north is showing the most grimace future for an ongoing issue we have in Illinois as well. According to a new report based on a survey of long-term care providers in Wisconsin, vacancies for caregivers increased with nearly 1 in 4 openings going unfilled.

“In the future if there continues to be vacancy rates, there may be concerns down the road about the possible closure of some long-term care facilities,” said John Vander Meer, president and CEO of the Wisconsin Health Care Association and the Wisconsin Center for Assisted Living.

Summary of Long-Term Caregiver Survey Results

chronic nursing home problems

New Investigation Shows Continual Lax in Oversight of U.S. Nursing Homes

State-licensed elder facilities in Illinois may include assisted living facilities, residential or personal care homes. Each is supposed to be a place for individuals to go when they are no longer able to care for themselves, require help with daily tasks or a managed medical or physical rehabilitation. Unfortunately, dozens of investigations into these facilities across the county have revealed a repetitive cycle in relaxed state-licensed oversight, understaffing, preventable injuries, dangerous abuse and neglect, and tragic deaths.

The most recent investigation making headlines comes from a partnership between Vermont Public Radio and Seven Days. Seven Days is an alt-weekly publication distributed throughout Vermont. The news sources told the story of 78-year-old Marilyn Kelly, a resident placed in a 13-bed care facility by the name of Our House Too to help manage her dementia. According to the report and interviews by the woman’s children, it only took eight months for a flurry of poor care and neglectful events to arise that ultimately ended in her alleged wrongful death.

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