nursing homes

States Are Beginning To Move COVID-19 Patients From Hospitals To Nursing Facilities

Last week, I suggested that in the wake of the coronavirus pandemic, nursing homes may need to take patients from over-burdened hospitals. At the same time, care settings such as assisted living facilities (ALFs) might have to accept nursing home residents who must be relocated to make room for those post-acute patients. Now, it looks like that is beginning to [...]

By |2020-03-31T11:49:05-04:00March 31st, 2020|nursing homes|0 Comments

In Response To Coronavirus, Mom’s Nursing Home Asks You To Not Visit. What Should You Do?

As the coronavirus spreads, many nursing homes and assisted living facilities are discouraging family members from visiting loved ones, and they are screening those who do come. President Trump created additional confusion last night when he urged facilities to “suspend all non-essential visits.” What should you do? There is good reason for concern. While there is no evidence that older [...]

By |2020-03-12T13:55:07-04:00March 12th, 2020|nursing homes|1 Comment

Why Are So Many Nursing Homes Closing?

Faced with growing pressures from payors, rising costs, the need to replace old buildings, increased competition from other forms of residential care, and shrinking demand from older adults who prefer to age at home, nursing homes are shutting their doors at a rapid pace. There still are more than 15,000 nursing facilities in the US—more, in fact, than McDonald’s franchises. [...]

By |2020-03-02T11:38:48-05:00March 2nd, 2020|nursing homes|0 Comments

Medicare Must Keep A Closer Eye On Hospices And Nursing Homes That Put Patients At Risk

Three reports in the past month have outlined serious problems with the way some nursing homes and hospices are caring for their patients.  The tales are similar: A relative handful of providers are delivering poor, even dangerous, care that is being hidden from consumers. But the real story is far more troubling:  Neither the federal government nor many states have [...]

By |2019-07-12T13:40:00-04:00July 12th, 2019|nursing homes|0 Comments

How Can We Keep Nursing Home Residents Out of Hospitals?

One-third of nursing homes residents are admitted to the hospital at least once each year, and half of those admissions could be avoided. Preventing them could protect hundreds of thousands of older adults from potential harm and save Medicare billions of dollars. The problem is neither new nor surprising. But it is tough to fix. Last week, the federal Centers [...]

By |2015-09-02T17:47:56-04:00September 2nd, 2015|Hospitals, Medicare, nursing homes|2 Comments

What Medicare and Medicaid’s Ratings Say About Nursing Homes

For all of its flaws, Medicare and Medicaid’s Nursing Home Compare five-star rating system gives consumers a head-start when searching for a facility. Now, the Kaiser Family Foundation has taken a closer look at the ratings, and reached some interesting conclusions: In a system that rates facilities from 1-5 stars, about one-third have low 1 or 2 star ratings, while [...]

By |2015-05-20T14:20:57-04:00May 20th, 2015|nursing homes|0 Comments

Nursing Homes Use Too Many Antibiotics, and Residents Are Dying

Infections are all-too-common in nursing homes. And all-too-often facilities treat these conditions with large doses of antibiotics. Now the Obama Administration has announced a major initiative aimed at dramatically reducing the use of these drugs. And the effort has the potential to fundamentally change the way nursing homes operate—and the way residents receive care. Today, antibiotic use is routine in nursing facilities. [...]

By |2014-10-22T13:23:48-04:00October 22nd, 2014|nursing homes|0 Comments

Looking Beyond Medicare’s Nursing Home Ratings: What You Really Should Know Before Picking a Facility

This week, The New York Times published an investigative report by Katie Thomas on Medicare’s five-star rating system for nursing homes.  Among its findings: Medicare’s Nursing Home Compare tool relies largely on self-reported data by the facilities themselves and is thus unreliable. On one hand, this is a bit odd, since Medicare’s website explicitly describes these very shortcomings.  On the [...]

By |2014-08-27T12:14:25-04:00August 27th, 2014|Medicare, nursing homes|4 Comments

Frail Seniors Want To Live At Home. But Is it More Dangerous?

Frail seniors getting supports and services at home are more likely to be hospitalized than those living in nursing homes, even though those in nursing facilities are often sicker than those in the community, according to a new study in the June issue of the journal Health Services Research (behind a paywall). The study finds that seniors receiving care at [...]

By |2014-07-09T13:54:56-04:00July 9th, 2014|aging in place, nursing homes|4 Comments

A Modest Step To Improve Medicare Post-Acute Care

Medicare has a huge and growing problem caring for patients after they have been discharged from the hospital. After years of talk, Congress may be about to take a modest but important first step toward cleaning up the mess, and making sure that patients get care that gives them the best chance to live a healthy and active life after a [...]