Overdue But on the Table: Nursing Home Reform

Muriel Cole • April 13, 2022

Image by Gundula Vogel from Pixabay


The National Consumer Voice for Quality Long-Term Care released a report last month reflecting the results of inadequate nursing home staffing during the pandemic. According to federal data:

 

  • The number of residents experiencing pressure ulcers rose 31%
  • The number of residents experiencing significant weight loss rose 49%
  • The number of residents reporting feeling down, depressed, or hopeless rose 40%
  • The increase in the rate of residents receiving antipsychotic medications jumped 77.5%, while the increase in the rate of residents being diagnosed with schizophrenia rose 54%

 

While there is a long road ahead to be confident that nursing home residents will get quality care, this administration seems to be taking long-standing complaints seriously.


Anyone working for a cause fervently hopes to hear a mention of their issue in the president’s annual State of the Union address. This year, seniors’ advocates were rewarded with more than a mention.

 

Referring to the increasing takeover of nursing homes by private equity owners, President Biden said, “As Wall Street firms take over more nursing homes, the quality in those homes has gone down and costs have gone up. That ends on my watch. Medicare is going to set higher standards for nursing homes and make sure your loved ones get the care they deserve, and that they inspect and will get looked at closely.”

 

According to the National Consumer Voice for Quality Long-Term Care, the Biden administration will be implementing new nursing home reforms, including the creation of a minimum staffing standard in nursing homes, accountability for poor performing nursing homes, increased transparency around ownership and finances, and support for direct care staff. The organization says that these reforms are “critical and desperately needed to address the inadequate conditions that many residents face in their day-to-day lives.”

 

The president also mentioned home-based care, long seen as healthier and more cost-effective than institutional care. In March the Senate Special Committee on Aging held a hearing on the Better Care Better Jobs Act legislation which passed the House last year and includes $150 billion in funding for Medicaid home- and community-based services. “This bill is an investment in better jobs for home care workers, better care for seniors and people with disabilities, and better support for those family caregivers,” said Bob Casey, committee chair.

 

Here are suggestions for when you visit a long-term care facility:

  • Observe your loved one’s appearance and demeanor (weight loss or gain, cleanliness, evidence of discomfort)
  • Look at what is happening in the building
  • Ask questions during your visit to get a better understanding of your loved one’s experience

 

If you are concerned, talk to the nurse on duty. Request a care planning meeting to discuss issues of concern and how they can be resolved. Talk to the director of nursing or administrator about your concerns and ask what they will do to address them. Contact the Long-Term Care Ombudsman program for assistance. The Ombudsman program advocates for residents and can help resolve concerns.

 

 

Muriel Cole is Co-Chair of the Kent County Commission on Aging and was, for ten years, a volunteer long-term care ombudsman for Upper Shore Aging, Inc.

 

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