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Articles Posted in Los Angeles Nursing Home

markus-spiske-3_SvgDspSTE-unsplash-copy-300x200Nursing home patients in San Diego County and throughout the U.S. are particularly vulnerable to infections and illness as a result of age and underlying conditions, even when the world is not experiencing a coronavirus pandemic. However, in this moment of the pandemic caused by the novel coronavirus, news reports across the country are reflecting the ways in which nursing home residents are uniquely vulnerable to the virus and, in particular, to death as a result of contracting it. As such, many nursing homes have limited how visitors can see their loved ones at nursing homes and assisted-living facilities in order to prevent the spread of the virus among the elderly. At a moment when residents of California’s nursing homes are especially vulnerable to illness, the Trump Administration announced plans to relax federal oversight of nursing homes. 

According to a recent article in The New York Times, the Trump Administration’s proposal “would loosen federal rules meant to control infections, just as the coronavirus rips through nursing homes.” The following is some information you should know about plans to relax federal oversight of nursing homes and what that could mean for elderly residents.

Rule Changes Were Proposed Last Summer

eduard-militaru-Q4PvX80itZ0-unsplash-copy-300x200Are changing demographics at nursing homes in Orange County, California impacting rates of elder abuse and neglect in those facilities? According to a recent article in McKnight’s Long-Term Care News, new research considering the effects of the Omnibus Budget Reconciliation Act of 1987 (OBRA 87) is having more of an impact on nursing home demographics than many of us might expect. In short, more nursing homes are admitting patients from hospitals, the diversity of nursing home residents has increased, and the overall percentage of nonprofit nursing homes and other facilities has risen. 

Researchers believe that these shifts should continue as we move into the future, and that they may help to reduce the rate of nursing home abuse and neglect in some instances. The research cited in the article appeared in the Journal of Post-Acute and Long-Term Care Medicine this month. We want to tell you more about the findings.

OBRA 87 was Supposed to Improve the Quality of Care in Nursing Homes

coronavirus_2019-300x169The recent outbreak of coronavirus in a skilled nursing facility in Washington has exposed the susceptibility of nursing home residents to this virus. News reports have indicated that the Washington facility was found to be understaffed with inadequate gear attempting to serve dozens of patients vulnerable to catching the virus. Those reports also indicate children and other relatives of patients in the facility have been attempting to sound the alarm about conditions in the facility for weeks.

The arrival of the coronavirus in the United States has come at a time when we already have ongoing problems associated with caring for the American elderly, one of the country’s most vulnerable populations, especially as long-term care is frequently understaffed and underfunded. It is only be a matter of time before Southern California nursing homes and assisted living facilities will be impacted by the virus. Accordingly, these nursing facilities need to be adequately prepared to handle the virus and proactively work to prevent its introduction into its patient population, and its spread.

As stated, this is especially important given that nursing homes and other care facilities, including assisted living facilities, are particularly vulnerable for viruses: Residents inside are older and live in close proximity. Moreover, many residents don’t know enough not to touch other residents’ foods, drink others waters, rub their own eyes, and touch their own mouths.

rawpixel-1055781-unsplash-1-300x201A new federal nursing home bill is designed to prevent elder abuse, and it could help patients at facilities in San Bernardino County and throughout California. According to a recent article in Skilled Nursing News, the proposed legislation “seeks to protect individuals in nursing homes by implementing more stringent staffing protocols—including increased clinical hours and training—among other safety measures for residents.” Nursing home abuse and neglect often occurs as a result of understaffing. If a federal law were to mandate certain staffing numbers in facilities, rates of abuse and neglect could drop. 

Learning More About the Quality Care for Nursing Home Residents Act

The proposed law is known as the Quality Care for Nursing Home Residents Act. The bill is co-sponsored by two Democratic lawmakers, Rep. Jan Schakowsky (Illinois) and Sen. Richard Blumenthal (Connecticut). It has support from lawmakers in both the House and Senate. In addition to requiring certain staffing levels for facilities receiving payments through Medicare and Medicaid, the bill would also make other changes to nursing home mandates. First, nursing staff members would be required to go through “heightened training” and would be subject to heightened “supervision obligations.” This requirement, in connection with the requirement for increased staff numbers, aims to prevent nursing home abuse and neglect by targeting staff at these facilities. Three registered nurses (RNs) would have to be on staff as “management personnel.”

jorge-lopez-284336-copy-300x200If you are seeking out a nursing home for an elderly loved one in Orange County, it can be difficult to identify a facility that has a strong history of complying with safety regulations and providing quality care for patients. While you might think that a more expensive nursing home is less likely to engage in hiring practices that could lead to injuries caused by nursing home abuse or neglect, the price of a nursing home is not necessarily indicative of its quality. Even expensive nursing homes can have safety citations and histories of nursing home abuse injuries. According to a recent article in McKnight’s Long-Term Care News, the Centers for Medicare and Medicaid Services (CMS) has plans to update its “Nursing Home Compare” information to include an “abuse icon” that will alert potential patients and their families to dangerous histories of abuse and neglect. 

CMS Data Update Will Add an Abuse Icon

Currently, potential nursing home residents and their families can access information about nursing homes from the CMS “Nursing Home Compare” website. The website allows consumers to compare multiple nursing homes, assessing CMS ratings for those facilities and other important information that can illuminate whether the nursing home is a good fit. Yet that data can be difficult to navigate, especially for individuals and families who do not have experience analyzing detailed information about nursing homes. In order to make it easier to assess these facilities and to learn whether the facility has a recent history of abuse, CMS will be adding an “abuse alert icon.”

obed-hernandez-592136-unsplash-copy-212x300If you are seeking out a nursing home for an elderly loved one in Orange County, it can be difficult to identify a facility that has a strong history of complying with safety regulations and providing quality care for patients. While you might think that a more expensive nursing home is less likely to engage in hiring practices that could lead to injuries caused by nursing home abuse or neglect, the price of a nursing home is not necessarily indicative of its quality. Even expensive nursing homes can have safety citations and histories of nursing home abuse injuries. According to a recent article in McKnight’s Long-Term Care News, the Centers for Medicare and Medicaid Services (CMS) has plans to update its “Nursing Home Compare” information to include an “abuse icon” that will alert potential patients and their families to dangerous histories of abuse and neglect. 

CMS Data Update Will Add an Abuse Icon

Currently, potential nursing home residents and their families can access information about nursing homes from the CMS “Nursing Home Compare” website. The website allows consumers to compare multiple nursing homes, assessing CMS ratings for those facilities and other important information that can illuminate whether the nursing home is a good fit. Yet that data can be difficult to navigate, especially for individuals and families who do not have experience analyzing detailed information about nursing homes. In order to make it easier to assess these facilities and to learn whether the facility has a recent history of abuse, CMS will be adding an “abuse alert icon.”

brandon-holmes-199535-unsplash-copy-300x200Whether you have a loved one who currently resides in a nursing home or an assisted-living facility, or if a former neighbor or co-worker lives in a nursing facility and you visit regularly, it is important to know how to spot signs of nursing home abuse and neglect. Yet simply being able to identify possible symptoms of elder abuse is only the first step. If you do not have any familiarity with the legal system or the health care system in San Diego County, it can be difficult to know what to do once you have concerns about elder abuse. This is particularly true if you do not know the senior well and want to help, but you do not know where to turn. 

The Administration for Community Living (ACL) and the California Institute on Aging provides information about identifying and reporting elder abuse and neglect, and we want to discuss some of those steps and options with you below.

When You are Worried About an Emergency Situation

josh-appel-423804-copy-300x225If you are in the process of looking for a nursing home or assisted-living facility in Los Angeles County for a loved one, it can be difficult to know how to choose the best facility and how to assess the risks of nursing home abuse at a particular place. Given that nursing home abuse and neglect can happen in some of the most seemingly luxurious and upscale facilities, it is important to keep in mind that the cost of care alone is not necessarily a predictor of senior safety in the facility. However, according to a recent article from Reveal News, a study conducted by The Center for Investigative Reporting suggests that one clear indicator of safety issues in a nursing home or assisted living facility may be the way the facility treats its workers.

In short, “operators of senior . . . homes that violate labor laws and steal workers’ wages . . . often also endanger or neglect their residents, sometimes with dire consequences.” We want to say more about the study and to discuss ways of identifying potential safety concerns in nursing homes.

U.S. Department of Labor Cases and Nursing Home Abuse Reports in California

daniele-levis-pelusi-9BObZ4pzn3Y-unsplash-copy-300x225When a patient in an Escondido nursing home suffers serious illness or injury as a result of a “superbug,” is nursing home negligence to blame? In other words, if a facility fails to take proper precautions to prevent nursing home patients from contracting “superbugs,” or medication-resistant bacteria and fungi, can that facility be held responsible for nursing home neglect? That is a question that elder safety advocates have begun asking in the wake of news about superbugs causing serious and fatal injuries in hospitals and nursing homes across the country. 

How Nursing Homes are Grappling with Superbugs

According to a recent article in Kaiser Health News, hospitals and nursing homes in California have begun using a strategy that might strike readers as bizarre at first: The facilities have started “washing patients with a special soap.” Along with facilities in Illinois, California nursing homes and hospitals are among the first to begin using this strategy, funded by about $8 million in total from the U.S. Centers for Disease Control and Prevention (CDC). In all, about 50 facilities in both California and Illinois are employing this new procedure.

brandon-holmes-199535-unsplash-copy-300x200When nursing homes are cited for nursing home abuse and neglect in Poway, how are those citations determined? What can the type of citations a facility has received in the past tell potential residents about the quality of care at the facility?

It can be difficult to find a skilled nursing facility in Southern California that has a strong record when it comes to patient safety and patient care. One clear way to know that a facility has had problems in the past is to look into its citation history. However, nursing home citations can be difficult to understand. While a citation of any sort indicates that there is a problem, the different citation levels, including the most serious of the penalties, do not always clearly indicate by title alone that the facility has been cited for a serious incident of nursing home abuse or neglect. The following will explore these citations and describe the different categories.

Class AA Nursing Home Citations are the Most Serious Citation

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