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Articles Tagged with california nursing homes

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

dominik-lange-VUOiQW4OeLI-unsplash-1-copy-300x200The population of Southern California is aging rapidly, as it is in many other regions of the state and the country. As more older adults require care in nursing homes and move into assisted-living facilities, those seniors may be at greater risk of suffering injuries as a result of elder abuse and neglect. Yet most instances of nursing home abuse or neglect are preventable. Indeed, if California nursing facilities had more staff members, had better screening processes for elder care licenses, and took more steps to prevent injuries like falls in nursing homes, fewer older adults would get hurt. According to a recent article in StateofReform.com, several new laws will take effect in California in 2020, and many of them are designed to help older adults. 

We want to tell you more about these laws and to explain how they may help to prevent senior injuries in nursing homes and assisted-living facilities.

SB 280: Reassessing the California Residential Code and Fall Prevention

max-larochelle-421822-copy-240x300Whether your elderly loved one is located in a nursing home in Riverside County or a facility in another part of California, a recent article in Kaiser Health News suggests that natural disasters—and preparation for them—ultimately may reveal possibilities of increased risk of nursing home neglect injuries in facilities. The article cites information from a new report released by the U.S. Department of Health and Human Services Office of Inspector General. As that report explains, when federal health officials visited 20 nursing homes in the state to determine whether the facilities were prepared for natural disasters including fires and earthquakes, they determined that there were other more pressing safety violations at those nursing homes. We want to tell you more about the Kaiser Health News report and its findings.

Nursing Homes Have More Serious Violations Than Mere Lack of Natural Disaster Preparedness

The federal health officials who visited nursing homes in California to determine their preparedness for a natural disaster found, by and large, that the facilities were not prepared for a natural disaster. Indeed, facilities were so unprepared that federal health officials indicated hundreds of nursing home residents throughout the state could be at serious risk of injury or even death. The article clarifies: “Inspectors found hundreds of potentially life-threatening violations of safety and emergency requirements, including blocked emergency exit doors, unsafe use of power strips and extension cords, and inadequate fuel for emergency generators.”

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

daan-stevens-282446-1-copy-300x191There are many different ways that elder abuse and neglect can happen in Rancho Bernardo, and seniors can suffer from a variety of injuries as a result of nursing home negligence. While we often think about scenarios in which injuries can occur in skilled nursing facilities, should older adults and their families also be thinking more carefully about elder neglect or negligence in hospitals, and what this means for a senior’s long-term health? According to a recent article in The New York Times, many elderly hospital patients end up suffering serious injuries as a result of “post-hospital syndrome.”

What is post-hospital syndrome? In brief, it is tied to hospital readmissions and inadequate care among seniors, according to the article. Who is responsible when elderly patients sustain serious injuries as a result of post-hospital syndrome?

Understanding the Harms of Hospital Readmissions Among Seniors

obed-hernandez-592136-unsplash-copy-212x300Nursing homes in San Diego and throughout Southern California should be on warning that nursing home residents and their families are not willing to deal with understaffing problems that can easily lead to nursing home neglect injuries. According to a recent article in Advance Senior Care, there are 15 nursing homes in the state of California that are now the subject of class action lawsuits “alleging that their owner systematically understaffed them to increase his profits.” While these nursing homes are facing claims for nursing home negligence risks, a recent report from California Healthline stated that approximately 1,400 nursing homes in the country will now have to report lower Medicare ratings as a result of concerns about understaffing.

Southern California skilled nursing facilities are required to have specific staffing numbers in order to prevent patient injuries due to elder neglect. When facilities do not have adequate staff, patients can suffer serious and life-threatening injuries due to neglect alone. What should families in California know about the changes to Medicare ratings and how those might relate to the recent class action lawsuits in the state?

Understaffing Problems Lead to Lower Medicare Ratings for Nearly 1,400 Nursing Homes

rawpixel-487102-unsplash-copy-300x207One of the most common reasons that seniors sustain serious injuries from nursing home neglect is understaffing. When skilled nursing facilities do not have enough staff members, there are not enough people to provide the necessary care to patients and residents at the facility. Both California state law and federal law require skilled nursing facilities to have a specific staff-to-patient ratio to help ensure that seniors are getting the care they need. However, according to a recent article in The New York Times, many nursing homes across the country have been overstating their staffing numbers in order to be in compliance with state and federal regulations. As a result, patients have been suffering from nursing home abuse and neglect.

Federal Data Shows Inadequate Staffing Levels at Many Nursing Homes

For many years, according to the article, numerous family members of seniors in skilled nursing facilities have worried that staffing levels were insufficient. As it turns out, many of those suspicions and fears have some validity to them. Indeed, “on the worst staffed days at an average facility, the new data show, on-duty personnel cared for nearly twice as many residents as they did when the staffing roster was fullest.” Records also showed that there were significant fluctuations in staffing numbers at many facilities from day to day, with some days having adequate staff while others had grossly inadequate staff on hand to meet the needs of the residents.

rawpixel-487102-unsplash-copy-300x207Many families with elderly loved ones in nursing homes in Oceanside know about the risks of overmedication, particularly in dementia patients. For example, an article in U.S. News & World Report discussed the continuing epidemic of overmedicating dementia patients with antipsychotic drugs, reporting that more than 179,000 patients receive drugs every week that are “not appropriate for their condition.” Many of these medications are prescribed because of their “sedating side effects,” used to keep seniors suffering from Alzheimer’s and other forms of dementia “easier for overworked nursing home staff,” according to the article. Yet it is not antipsychotic drugs that are on the minds of many Americans who are concerned about overmedication or misuses of prescription drugs. This category has become reserved for opioids and news of preventable overdoses. What role do opioids play in the nursing home setting?

According to a recent report in the Washington Post, seniors are also grappling with the opioid epidemic, and many older adults are at risk of serious injury as a result of using these drugs.

Opioid Abuse on the Rise Among Older Adults

jorge-lopez-284336-copy-300x200Elderly residents of skilled nursing facilities (SNFs) in San Clemente and throughout California could lose important federal protections against nursing home abuse and neglect, according to a recent article in Lake County News. However, California Attorney General Xavier Becerra is working to prevent this from happening. As the article explains, “Becerra has led a coalition of 16 states and the District of Columbia in submitting a letter to the United States Department of Health and Human Services (HHS) and its Centers for Medicare and Medicaid Services (CMS).” The letter “condemn[s] federal actions that would delay the enforcement of protections for Medicare and Medicaid beneficiaries who receive care in skilled nursing facilities.”

In 2016, regulatory reforms resulted in improved “protections against abuse, neglect, and exploitation.” During the June rule-making period, Becerra and other attorneys general have “grave concerns” that the federal government will “revisit requirements deemed to be burdensome for facilities.” In other words, Becerra and others expect that CMS will change the way it deals with protections for seniors in SNFs, allowing facilities to be less burdened by regulations, thereby jeopardizing the health and safety of the patients at these facilities.

Revisiting the Long-Term Care Reforms of 2016

parker-byrd-139348-copy-300x200Can Yelp help Valley Center seniors avoid nursing homes with histories of elder abuse or neglect? Most residents of San Diego County think of Yelp as a crowd-sourced set of reviews for businesses like restaurants or retail establishments. However, according to a recent article in The New York Times, Yelp also might be able to provide helpful information about nursing homes and assisted-living facilities to patients and their families who are looking for places with high ratings.

Given that nursing home abuse and neglect is a serious problem across Southern California and throughout the state, using an unlikely source such as Yelp to find reviews can not hurt. As the article points out, “gerontologists at the University of Southern California have been looking into Yelp nursing home reviews and think they make a useful addition to the homework any prospective resident or family member needs to undertake.”

Using Crowd-Sourced Information to Choose a Skilled Nursing Facility