Recent Blog Posts
Study: Registered Nurse Staffing Inadequate in Most Nursing Homes
When you place a loved one in a nursing home, you have the right to expect that he or she will be treated with kindness, compassion, and most importantly, appropriate care. After all, the entire point of a nursing home is to provide a level of care that patients cannot easily receive at home. Unfortunately, the “nursing” part of many nursing homes around the country is at frighteningly low levels. In fact, a recent study found that a large majority of nursing homes in the United States fall below recommended federal guidelines in regard to nurse staffing.
Analyzing Staffing Levels
It can be confusing to read reports and studies that address nursing home staff shortages because measuring the care offered by a staff member is quite difficult. For this reason, staffing metrics are often broken down as time per patient per day. For example, if a nursing home has two registered nurses each working a ten-hour shift on a given day, the total nursing time would be 20 hours. If those nurses provided care for 20 residents, the staffing level for that day would be reported as one hour per resident day. If the nurses cared for 40 patients, the level would be 30 minutes per resident day.
Two Illinois Nursing Homes Fined Over Patient Deaths
A large majority of nursing home patients will spend the rest of their lives in such facilities. Patients like these often have physical or mental health conditions that make them unable to live at home or even in in assisted living facility. At the risk of being too blunt, this means that death is a part of everyday operations at the average nursing home in Illinois.
Most residents who die in nursing homes eventually succumb to their existing conditions. At a certain point, there is only so much that modern medicine can do as people age and become weaker. There are, however, far too many examples of nursing home residents who have died prematurely because of the actions or negligence of facility staff. Last month, the Illinois Department of Public Health (DPH) announced that it has fined two separate Illinois nursing homes over preventable patient deaths this year.
Lincoln Facility Fined $50,000
Preventing Nursing Home Abuse and Neglect
It can be extremely disheartening to read about case after case of nursing home abuse and neglect. Some of the stories are mostly sad, while others are downright horrific. Even worse is the idea that only about one in 14 cases of elder abuse—including nursing home abuse—are actually reported. This means that the stories we hear about are just the tip of the proverbial iceberg.
If you have a loved one who requires the type of care that is only offered in a nursing home, you may be wondering how you can prevent the unthinkable from happening to him or her. Fortunately, there are some things you can do to minimize the risks.
Do Your Homework
Perhaps the most important way to protect your loved one from abuse or neglect in a nursing home is to educate yourself on the quality of the homes that you are considering. Keep in mind that “educating yourself” means more than a cursory Google search or simply looking at how many stars a particular facility received. Recently, both the Department of Veterans Affairs and Medicare have been forced to take a new look at their respective quality rating systems, which means that it is difficult to trust even a full five-star rating.
Medicare Reduces Quality Ratings at Over 1,000 Nursing Homes
Just weeks after news outlets exposed the often deplorable conditions in many nursing homes managed by the Department of Veterans Affairs, now a new story about inadequate nursing home conditions is making headlines. Medicare rates nursing homes on a five-star system, with five stars being the best and one star being the worst. Nursing homes' failures to keep the facilities adequately staffed with registered nurses or to provide records showing staffing information result in a lower score. Medicare just significantly reduced its quality ratings in 1,400 United States nursing homes because of concerns regarding staffing.
Governing Bodies Cannot Rely on Self-Reported Data from Nursing Homes
Medicare began gathering and disseminating statistics on nursing home care after the Affordable Care Act of 2010 (ACA) was instituted. Before the ACA required Medicare to keep tabs on nursing homes, the program relied solely on self-reported and unverified information from nursing homes. Unfortunately, it seems as if nursing homes were not entirely truthful about the number and quality of staff at their facilities. After Medicare received payroll archives from nursing homes, it became apparent that many facilities were critically understaffed.
Assisted Living Staff Mock Dying Resident in Shocking Video
When you decide to place your loved one in a long-term care facility such as a nursing home, you trust that the staff employed in that facility have the residents’ best interest at heart. Unfortunately, just like in any other profession, some nursing home staff simply do not have their hearts in the job. Even worse, some nursing home staff actually openly ridicule or mock nursing home residents. Cruel treatment can tragically go undetected when patients suffer from debilitating illnesses and cannot report inappropriate staff behavior.
Hospice Workers Share Sick Video of Dying Woman
Three employees at an assisted living center in Georgia have been arrested after their cruel Snapchat video was discovered by authorities. The employees—three women aged 19-21—were watching over a resident who had recently suffered a stroke until the hospice nurse could arrive. During that time, they decided to create and share a video of themselves smoking a vape pen, making obscene gestures, and cursing–all while the elderly resident lay dying in the background. The shockingly callous and invasive video was titled “The End.” Local authorities charged the three young women with exploiting an elderly and disabled person, and all three have been fired from their positions at the assisted living facility.
House Committee Announces Investigation of Veterans’ Nursing Homes
While most of the “Greatest Generation” is gone, there are still thousands of military veterans who require the type of care that is only available in a nursing home. Our nation owes the brave men and women who have served a debt of gratitude, but it seems those who are in need of skilled nursing care are often not able to get it through the government agency that purports to protect veterans. Following a scathing report by USA Today and the Boston Globe, the House Veterans’ Affairs Committee announced this week that it plans to investigate the care being provided at the 133 nursing homes run by the Department of Veterans Affairs (VA) nationwide.
Troubling Numbers
Last month, an investigative report by USA Today and the Boston Globe revealed that many of the VA’s nursing homes were providing substandard care to their residents. The report also pulled back the proverbial curtain on the VA’s secret ratings and quality measures. The reports’ findings suggest that Department was happy to keep its quality indicators a secret because the numbers were not good. In fact, nearly half (60) of all VA nursing homes received just one star out of five for overall quality—using the VA’s own ranking system.
The Issue of Sexual Abuse in Nursing Homes
Hardly a week goes by without another headline about the poor conditions or substandard care in nursing homes in Illinois and around the country. Staffing issues and a lack of resources often contribute to the problems, as nursing facilities often to struggle to care for their patients. There is, however, a particularly heinous issue that plagues many nursing homes: the problem of sexual abuse. While it may seem hard to believe, it is not unusual for sexual predators to victimize the most vulnerable members of our society.
Preying on Patients
It is almost unbelievable that any person would engage in acts of sexual abuse of a patient in a nursing home. Of course, that is exactly why abusers feel “safe.” In most cases where sexual abuse has been alleged, nursing home staff members, administrators, and even the believe were reluctant to believe the victims or their advocates. In other cases, the victims were simply unable to remember that they were abused or could not communicate their experiences to anyone else due to conditions such as Alzheimer’s or dementia.
The Issue of Boomerang Hospitalizations for Nursing Home Patients
The arm of the federal government tasked with providing health care coverage to seniors and the disabled is taking aim at “boomerang hospitalizations” of nursing home residents. Medicare officials have begun taking steps to address high hospital readmission rates, especially for patients who already require skilled nursing care and will reportedly increase those efforts on the nursing home side by this fall.
What Is a Boomerang Hospitalization?
Many nursing home patients require acute medical attention in a hospital at some point during the stay at a nursing home. This is understandable, considering those in nursing homes are there because they are already dealing with fairly serious injuries, illnesses, and other conditions. The problem, however, seems to be beginning when patients are released from the hospital and sent back to their nursing homes. According to reports, 20 percent of Medicare patients who are discharged from a hospital to a nursing home are readmitted to the hospital within 30 days. This number is 27 percent higher for Medicare nursing home patients than for Medicare patients who do not require nursing home care.
Neglect and Abuse in Assisted Living Facilities
You have probably heard many news stories of nursing home abuse and neglect. Individuals staying in nursing homes generally need a higher level of care than those at other types of facilities and are therefore more vulnerable to abuse and neglect. However, mistreatment does still happen at assisted living facilities, and it is just as unacceptable as mistreatment at nursing homes. If you or a loved one has suffered due to negligence or abuse while living in an assisted living facility, you may be able to sue for damages.
Residents May Be Afraid to Come Forward
Residents of an assisted living facility are usually slightly more independent than residents at a nursing home. They may only need limited assistance with daily living activities and are less likely to suffer from serious dementia or other memory or cognition issues. Even though they are more self-sufficient than nursing home residents, those living at an assisted living facility can still be taken advantage of and mistreated. Sometimes assisted living abuse and neglect goes unreported because the victim is afraid to speak up. Other times, residents fear that an abusive staff member will retaliate if they report the mistreatment. Other residents are simply unaware of what their rights are at an assisted living facility or put up with bad care because they do not realize they deserve better.
Rights Afforded by the Nursing Home Care Act
Did you know that laws exist to define and protect the rights guaranteed to people in a nursing home? The Illinois Nursing Home Care Act was created with the explicit purpose of protecting the sick and elderly from receiving less than adequate care while living in a skilled nursing facility. The statute confirms that nursing home residents have every right that all Illinois citizens have and cannot be denied any of those rights while staying in a nursing home. The Act also establishes more specific guidelines and boundaries to which Illinois nursing homes must adhere.
If you have a loved one who is currently residing in a nursing home, it is important to know and understand the rights that he or she has.
Residents Have the Right to Be Free from Neglect and Abuse
In general, nursing home residents have the right to be free from abuse or neglect. Additionally, nursing home residents have the right to: