Nursing homes often fail to provide sufficient safe staffing. It is an issue we see in every case. A new study published in JAMA Network Open shows daily staffing stability is an indicator of better quality care. Staffing instability is defined as the percentage of days with below-average staffing levels. Nursing homes that keep day-to-day
Nursing home rankings can be helpful but often are misleading if based on unreliable data. For example, the State had an interesting article listing the worst nursing homes in South Carolina. The rankings were based on based on CMS’ five-star rating system for nursing homes. The CMS star rating system is based on staffing, health
As a nursing home attorney for over 25 years, we often see national chains that control operations and siphons funds away from the facility through related entities. National Labor Relations Board established standards for joint employment that defines how nursing homes work with third-party caregivers. Companies would be defined as joint employers if they work together
Will Justice be done? McKnight’s reported that a ruling in the 11th U.S. Circuit Court of Appeals found against Philip Esformes. In 2019, a jury found Esformes guilty of bribing physicians for illegal referrals and inappropriate collection of payment from 1998 to 2016 for services that were either unnecessary or not performed. The DOJ convicted Esformes of
MACPAC is a non-partisan legislative branch agency that provides policy and data analysis. Their purpose is to make reasonable nonpartisan recommendations to Congress on Medicaid programs. They issued a report finding that without increased transparency in how nursing homes spend Medicaid dollars, it could not determine the actual costs of providing care. MACPAC was not
Workforce Shortages The severe shortage of nursing-home workers is largely due to low wages and poor working conditions. The $1.7 trillion congressional year-end spending bill had many provisions to help the nursing home industry. Hopefully, they can finally provide the staff necessary to meet the needs and safety of the residents. The omnibus spending package would include
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