Articles Tagged with nursing home inspection

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Understaffing  at nursing homes is a primary cause of abuse and neglect at these facilities.  The  White House has moved to tackle such neglect by imposing a minimum staffing requirement on nursing homes.

In  the final version of the new rule, the Biden administration has clarified that at least one  nursing  staff member should be present in a nursing home 24 hours of the day. The rule also requires these facilities to have enough staff members to provide at least 3.18 hours of care for every resident in a facility in a day.  The rule also includes a requirement  for nursing home facilities to properly assess the health needs of every single resident in   their facility,  to help speed up the diagnosis and treatment of sicker residents.

In September, the administration invited comments from the public about the proposed new rule, and received more than 48,000 comments from the public. These comments involved residents who had been forced to lay on the floor for a long time after falling down because staff was not available to attend to them, and older residents  who had to sit in their own filth for hours without being cleaned up.  Other comments said that residents were often not fed on time,  leading to malnutrition. All of these cases of neglect are the direct result of understaffing at nursing homes, a serious problem that has worried the federal administration for decades.

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This June, elder advocate organizations around the country are calling for a focus on the rights of seniors,  and the prevention of abuse and neglect involving elderly persons,  millions of who live in nursing homes.

On June 15, elder organizations across the world including the World Health Organization at the United Nations will mark World Elder Abuse  Awareness Day  to raise awareness about the risks of abuse, exploitation and neglect involving seniors.  Events  and commemorations are being planned for the special day across the world, including the United States where more than 50 million people above the age of 65 currently live.  Out  of these, close to 1.5 million people live in nursing homes, and a million more live in assisted living facilities.

For  families, the  decision to place a loved one in a nursing facility or an assisted living facility is never an easy one.  It  is, unfortunately, the only option available for many people who often find themselves worried and anxious about the safety and care of their loved ones in these facilities.  The  fact that so many nursing homes in the United States have questionable standards of care at best  is definitely a concern for families looking for a facility.

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An overwhelming majority of Georgia nursing homes have not been inspected since 2020. According to a report by the U.S. Department of Health and Human Services Office of Inspector General, the state currently ranks at the bottom of the heap when it comes to conducting inspection surveys of nursing facilities.

Across the country, most states were unable to inspect nursing homes to ensure that these were in compliance with safety and hygiene protocols last year.  Unfortunately, this has resulted in backlogs across the country.  However, the situation is dire in Georgia. In our state, the backlog has meant that most nursing homes have not been subjected to inspections. In fact, nearly 93% nursing home facility have not been subjected to inspections in 16 months. Only one other state fares worse than Georgia in this regard.

Typically, nursing homes are subjected to inspections at least once every 15 months, and these inspections are conducted through survey teams that are sent into the nursing facilities. The Centers for Medicare and Medicaid Services is asking states to resume the process of inspections and re-certifications of facilities without further delay.

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Nursing homes that have lower rankings by federal agencies have been much more likely to have resident deaths related to Covid-19.

According to the director of the Centers for Medicare and Medicaid Services, nursing homes ranked low by the agency’s nursing home ranking tool have seen higher numbers of Covid-19 deaths, compared to nursing homes that were ranked higher by the ranking tool.

This information provides valuable input for families who are looking for nursing homes for their loved ones in a post -pandemic world. By now, it’s clear that many nursing homes were ill-equipped to handle the patient care challenges resulting from the pandemic. Understaffing is a chronic problem in nursing homes across the country, and has already been blamed for the explosion of cases in nursing homes.

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Throughout the nation, the population of those age 65 and older continues to rise.  In fact, as the baby boomer generation continues to age, it is projected that the number of older people in the U.S. population will be greater than children in just a couple of decades.  In Georgia, the population of those 65 and older is projected to constitute over 65% of the state’s population by 2030.

With the rise of the aging population, more and more of these individuals are now living in nursing homes.  However, statistics show that many of these residents suffer from poor and neglectful care, and other abuse.  Residents of for-profit nursing homes are more likely to be subjected to poorer care standards, compared to residents of non-profit facilities. A new report confirms that for-profit nursing home residents have increasing rates of suffering injuries resulting from neglect than those living in other residential arrangements.

The researchers found that seniors over the age of 60 who lived in private community residences were most likely to be well cared for. They found more signs of neglect among residents of for-profit nursing homes.  Some of these cases included serious signs of neglect such as extreme dehydration and stage 3 and stage 4 bedsores. These residents were also more likely to suffer from the effects of mismanagement of their feeding and medication schedules.  The neglect also involved malfunctioning or broken feeding tubes, broken catheters and overall mismanagement of chronic health conditions which are prevalent in the nursing home population.  Numerous lawsuits are filed nationwide against nursing homes and assisted-living facilities for failure to provide adequate care and safety measures.

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