Put Mom And Dad In The Nursing Home And Hope They're Not In The 94% That Suck
MayorBob.
Posted to Etcetera on Wed Oct 01, 2008 at 12:24:37 PM EST (promoted by port1080). RSS.
More than 1.5 million Americans live in nursing homes. Because the Baby Boom generation is barreling into its senior years, more of us will begin looking at these facilities as homes for ourselves or our parents. As a result the number of these facilities can be expected to increase from today's 15,000 over the next couple of years. Concerns over quality of life standards for residents tend to move people towards what is perceived as higher quality privately-run facilities and away from perceived lower quality public nursing homes.
Beginning in December, the federal government will begin issuing one to five stars to rate the quality of American nursing homes. But, perception doesn't necessarily equate to facts and the government can probably go easy on the number of stars they have to hand out. Because a recent federal study reveals that over 90% of all nursing homes have deficiencies and the problems are worse at the private homes than at the public homes.
In order to maintain their eligibility to receive Medicare payments, nursing homes are required to uphold federal health and safety standards and pass an annual inspection. The recent report (pdf doc) from the Department of Health and Human Services (HHS) casts a dark cloud over this nation's nursing homes. 94% of the 10,000 privately-owned facilities recorded violations of health and safety standards. 88% of the 4,050 non-profit facilities and 91% of the 950 government-run homes recorded violations. 17% of all nursing homes recorded violations which caused "actual harm or immediate jeopardy" to residents.
Inspectors substantiated close to 14,500 complaints about nursing home conditions in 2007 with over 2,900 of them involving some sort of abuse of patients. Other deficiencies noted in the report include medication mix-ups, poor nutrition, and unsanitary conditions. HHS Inspector General Daniel Levinson observed that the study's numbers showed things were worse in privately-run homes than in the others:"For-profit nursing homes had a higher average number of deficiencies than the other types of nursing homes. In 2007, for-profit nursing homes averaged 7.6 deficiencies per home, while not-for-profit and government homes averaged 5.7 and 6.3, respectively."
Bruce Yarwood, of the American Health Care Association, says the industry knows it "has to do a better job" and has been making improvements in areas like "treating pressure sores, managing pain and reducing the use of physical restraints." But Yarwood says the inspection system is broken because it "doesn't reliably measure quality" or "create any positive incentives." He also says that inspectors consistently fail to identify all potential deficiencies because "they interpret federal standards in different ways." One thing researchers found that is helpful in improving conditions in nursing homes is having adequate staff on hand to serve patients. Levinson issued a compliance guide which said that some facilities "have systematically failed to provide staff in sufficient numbers and with appropriate clinical expertise to serve their residents."
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