nursing homes

A Stakeholder Commission Correctly Diagnoses The Problems With Nursing Homes and Covid-19, But Soft-Peddles The Solutions

A national Coronavirus Commission on Safety and Quality in Nursing Homes has identified more than two dozen major flaws in the response of government and the nursing home industry to the covid-19 pandemic. However, the panel, created by the Trump Administration, was relatively passive in its recommendations for how to fix those shortcomings. It feels a bit like reading the [...]

By |2020-09-18T14:36:49-04:00September 18th, 2020|nursing homes, Uncategorized|0 Comments

Hundreds of Thousands Of Nursing Home Residents Don’t Need To Be There

Hundreds of thousands of older adults and younger people with disabilities are living in nursing homes only because that is where Medicaid drives them. They have no clinical need for skilled nursing care, and, if better options were available, many could be living in other settings, including their own homes. Medicaid—the joint state/federal health care program for the very poor—sends [...]

By |2020-08-28T12:42:22-04:00August 28th, 2020|nursing homes|0 Comments

As Covid-19 Batters The Sunbelt, Have We Learned Anything About Protecting Long-Term Care Residents?

What have we learned from the 50,000+ covid-19 deaths of residents and staff in long-term care facilities? As the pandemic spreads aggressively in states such as California, Texas, Arizona, and Florida, we are about to find out. Multiple studies found that facility-based covid-19 cases and deaths from March-May closely tracked the experience in surrounding communities: If a facility was located [...]

By |2020-07-10T12:41:12-04:00July 10th, 2020|nursing homes|1 Comment

The Painful Choice to Reopen Long-Term Care Facilities To Visitors In The Time Of Covid-19

Nothing I have written lately has generated more heartfelt response than my articles about family members who, due to the covid-19 pandemic, are unable to visit their loved ones in long-term care facilities. And the writers are consistent: They want to visit, no matter the risk. Here are just some of the emails I’ve received in the past few weeks: [...]

By |2020-06-18T09:44:28-04:00June 18th, 2020|nursing homes|0 Comments

Two Strong Signals That A Nursing Home Is Likely To Have COVID-19: Its Location And The Race Of Its Residents

We are beginning to learn which nursing homes are most likely to be hit with COVID-19.  And while studies are preliminary and based on very limited data, they tell a troubling story: Location and the race of residents matter a lot. But they also tell a surprising story: Quality (at least as measured by Medicare),   the share of Medicaid residents, [...]

By |2020-06-01T11:22:30-04:00June 1st, 2020|nursing homes|10 Comments

The Trump Administration’s COVID-19 Non-Guidance About Reopening Nursing Homes to Family Visitors

“When will I be allowed to visit my mother again?” That’s been the question on the minds of the families of millions of residents of nursing homes, assisted living facilities, and other senior communities who effectively have been locked down since the COVID-19 pandemic took hold two months ago. Yesterday, the Centers for Medicare and Medicaid Services (CMS) put out [...]

By |2020-05-19T14:23:54-04:00May 19th, 2020|nursing homes|0 Comments

The Trump Administration May Reopen Nursing Homes To Visitors. It Must Be Very Careful

The Centers for Medicare and Medicaid Services (CMS) appears to be preparing to allow nursing homes to open their doors to families and other visitors, despite the COVID-19 pandemic. If not done carefully, this would be folly, and could put residents, staff, and families at risk. The new rules, which still are under consideration, would reverse March 16 CMS guidance [...]

By |2020-05-11T16:31:09-04:00May 11th, 2020|nursing homes|2 Comments

Five Ways To Reduce COVID-19 Deaths in Long-Term Care Facilities

Could all those COVID-19 nursing home deaths have been prevented?  No. Could some of them have been prevented? Certainly.  And many more can be prevented in the future. How? With more testing, with better testing that produces rapid results, with more personal protective equipment (PPE) and better staff training in how to use it, with far better management of staff [...]

By |2020-05-08T13:59:37-04:00May 8th, 2020|nursing homes|1 Comment

 The Grim Post-COVID-19 Future For Nursing Homes

Someday, most of us will return to life before COVID-19. Nursing homes will not. The deaths of more than 16,000 of their residents from COVID-19 has profoundly disrupted senior living facilities--especially nursing homes-- and will drive historic change in the industry. Robert Kramer, president of the consulting firm Nexus Insights and a long-time observer of nursing home finances, told me, [...]

By |2020-05-04T11:22:15-04:00May 4th, 2020|nursing homes|0 Comments

The Trump Administration Finally Is Requiring Nursing Homes To Report COVID-19 Cases. It Is Not Nearly Enough.

The Trump Administration has finally said it would require nursing homes to report cases of COVID-19 to the Centers for Disease Control and Prevention (CDC) and, eventually, to families of residents. The move is welcome, but it is far too little and, for many families, far too late. On Friday, The New York Times reported that more than 36,500 residents [...]

By |2020-04-20T11:13:10-04:00April 20th, 2020|nursing homes|0 Comments