nursing homes

A recent report by the U.S. Department of Health and Human Services used Medicare data to identifiy certain characteristics or risk factors that placed nursing home residents at an increased risk of discharge. Characteristics included residents with severe behavioral symptoms, residents with psychiatric and mood disorders, residents with impairments that required more staff time, residents transitioning to Medicaid.

This fact sheet from the National Long-Term Care Ombudsman Resource Center, Residents’ Rights and the LGBTQ+ Community: Know Your Rights as a Nursing Home Resident, highlights federal residents' rights and nursing home requirements pertaining to lesbian, gay, bisexual and transgender (LGBTQ+) residents. The factsheet also provides options for complaint resolution, information for reporting abuse and resources regarding long-term care and LGBTQ+ advocacy.

The impact of COVID-19 on nursing facility residents and staff has brought increased attention to existing workforce issues that affect care quality and safety, including staffing shortages and high turnover rates. This analysis presents the most recent national and state-level data on nursing facility-reported staff shortages and describes the Biden Administration’s new policy initiatives to address issues in nursing facilities. National staff shortage trend data spans from May 2020, the first month when nursing facilities were required to report COVID-19 facility data to the CDC, through March 20, 2022, the most recent week of data available.

The University of Kansas School of Nursing is seeking nursing homes to participate in an NIH-funded research study testing a new online version of the evidence-based Changing Talk (CHAT) communication training program. CHAT educates staff about reducing elderspeak (infantilizing communication) and results in reduced behavioral symptoms and need for psychotropic medication for residents with dementia. The new online version (Changing Talk: Online Training (CHATO)) consists of 3, one-hour interactive online modules that provide flexible and accessible access for staff.

President Biden has announced a set of reforms, developed and implemented through the Department of Health and Human Services (HHS), to improve the safety and quality of nursing home care. The reforms are intended to ensure the following: Every nursing home provides a sufficient number of staff who are adequately trained to provide high-quality care; Poorly performing nursing homes are held accountable for improper and unsafe care and immediately improve their services or are cut off from taxpayer dollars; and The public has better information about nursing home conditions so that they can find the best available options.

The National Consumer Voice for Quality Long-Term Care has shared a podcast episode and fact sheet identifying abuse and neglect toward older adults in nursing home settings. Dr. Laura Mosqueda, a professor of Family Medicine and Geriatrics at the University of Southern California, defines neglect as the failure to provide necessary goods and services to a resident to avoid physical harm, pain, mental anguish, or emotional distress. This can include a lack of staff, supplies, services, or training that fail to meet residents' needs.

Starting on Wednesday, January 26, CMS began posting new information on the Care Compare website to help consumers better understand staffing levels and concerns at nursing home facilities that can influence the quality of care being provided to residents. Information on staff turnover and weekend staff will be posted for each facility.

CMS has made vaccination data available in a user-friendly format to help people make informed decisions when choosing a nursing home for themselves or a loved one. CMS and the Centers for Disease Control and Prevention (CDC) are using this data to monitor vaccine uptake among residents and staff to identify facilities that may need additional resources or assistance.

The Administration will require COVID-19 vaccination of staff within all Medicare and Medicaid-certified facilities to protect themselves and patients from the COVID-19 Delta variant. On Thursday, September 9, 2021, CMS, in collaboration with the CDC, announced that emergency regulations requiring vaccinations for nursing home workers will be expanded to include hospitals, dialysis facilities, ambulatory surgical settings, and home health agencies, among others.

CMS, along with the Centers for Disease Control and Prevention, is developing an emergency regulation requiring staff in over 15,000 Medicare and Medicaid-participating nursing homes to get vaccinated. This new requirement is central to protecting the health and safety of nursing home residents and all staff members. Millions of vaccinations have been administered to residents and staff over the last few months and are shown to help prevent the spread of COVID-19, including the Delta variant.