Federal program misses problem nursing homes

Mike Kelly — Fri, 02 Oct 2009 10:39:36 GMT

WASHINGTON — A government program that brings extra scrutiny to poorly performing nursing homes leaves out hundreds of troubled facilities, investigators report.

The Centers for Medicare and Medicaid Services identifies up to 136 nursing homes as "special focus facilities" subject to more frequent inspections because of their living conditions. In every state except for Alaska, there are between one and six such facilities. But investigators said four times as many homes, or 580, could be considered among the nation's worst.

The report from the Government Accountability Office does not identify the homes.

The chairman of the Senate Aging Committee said it indicated to him that the special focus is too limited. At the least, Sen. Herb Kohl, D-Wis., wants more explicit warnings about nursing homes as people study quality ratings on a Medicare Web site, Nursing Home Compare — http://www.medicare.gov/nhcompare

"If far more than 136 nursing homes boast the bleakest conditions, then perhaps we should consider expanding" the program, said Kohl, who requested the study with Sen. Charles Grassley, R-Iowa.

The GAO said it made just that recommendation two years ago. Federal officials agreed with the concept, but said they didn't have the resources to do so.

The report being released Monday also suggests adjusting the methods used to identify the worst performing nursing homes. The home now under special attention are the worst performing in their state. But not all states are created equal when it comes to nursing home quality. Comparing the homes nationally would ensure that scarce resources go to inspecting the nursing homes that truly need the most attention, according to the report.

CMS officials told the GAO they disagreed with relying solely on a national comparison. The agency said it would consider an approach that allows for a national comparison to have more weight.

Some states have far more poorly performing nursing homes than are designated as special focus facilities. For example, Indiana had 52 nursing homes listed as among the worst performing, but only four are on the special list; California has 40 considered among the worst performing, but only four are on the list.

Ohio has five nursing homes on the special focus list but only three that investigators considered among the nation's worst.

Investigators also found that the worst-performing ones tend to be for-profit facilities affiliated with a chain of nursing homes. They are more likely to be a larger facility, averaging 102 residents, while other nursing homes not identified as among the worst had 89 residents on average.

Nationally, there are about 16,000 nursing homes. So the 580 homes that GAO describes as the worst-performing represents almost 4 percent of the nation's nursing homes.

Grassley urged policymakers and regulators to pay attention to the report, and use the findings to improve quality and better protect nursing home residents.

On the Net:

Government Accountability Office: http://www.gao.gov
Senate Special Committee on Aging: http://www.aging.senate.gov

Originally posted at InjuryBoard by Mike Kelly

Officials Investigating Alleged Nursing Home Abuse

Christina Cole — Wed, 28 Mar 2007 15:13:03 GMT

Police are currently investigating a case of reported nursing home patient abuse. Friday, officers were called to Georgetown Healthcare and Rehab where they met with the director of the home and a representative from the S.C. Department of Social Services. According to the report, a 55-year old patient was allegedly chocked by a nurse's aide.

The man said in the report, the attack occurred in December but he had not reported it because he was fearful of possible retribution. Police interviewed the man and he said on the day of the incident, the female aide, was yelling at him and she refused to take him to the restroom or to empty his urinal. When the man protested, the aide allegedly cursed at him, calling him a vulgar name.

The victim is wheelchair bound and said the workers are supposed to use a lift to get in him in and out of his bed. On the day of the alleged incident, the aide tried to make him stand up and it took two works to get him back into his bed. Once in his bed, the aide - in front of another female worker- grabbed him by the neck, using both hands and used this position to push him closer to the pillow on the bed, states the report.

The man said he used his good arm to pull the aide's hands from around his neck and she finally released her grasp. After the incident, he lived in fear that she would come back and hurt him again or not properly give him the care he requires.

Originally posted at InjuryBoard by Christina Cole

Florence-Myrtle Beach Personal Injury Lawyer - Nursing Home & Elder Abuse

Federal program misses problem nursing homes

Officials Investigating Alleged Nursing Home Abuse