Literature Review

How to choose the right assisted living facility for your aging loved one Mediafeed.org; by Rebecca Schier-Akamelu; 8/19/25 When you tour assisted living facilities, you’ll have the opportunity to speak directly with staff members and, when appropriate, even residents. Asking questions about pricing, amenities, caregivers, the types of care provided, and community culture will help you and your loved one compare when it’s time to choose the best facility. Key questions to find the right fit: ... 

Amid growing 'scandal' of elder homelessness, health care groups aim to help NPR, Bristol, RI; by Felice J. Freyer; 8/16/25 At age 82, Roberta Rabinovitz realized she had no place to go. A widow, she had lost both her daughters to cancer, after living with one and then the other, nursing them until their deaths. Then she moved in with her brother in Florida, until he also died. ... Rabinovitz joined the growing population of older Americans unsure of where to lay their heads at night. But Rabinovitz was fortunate. She found a place to live, through what might seem like an unlikely source — a health care nonprofit, the PACE Organization of Rhode Island.

Medicaid payments and racial and ethnic disparities in Alzheimer disease special care unitsThe Journal of the American Medical Association - JAMA Network Open; by Huiwen Xu, PhD, Shuang Li, PhD, John R. Bowblis, PhD, Monique R. Pappadis, PhD, Yong-Fang Kuo, PhD; James S. Goodwin, MD; 8/4/25 In this cohort study of 13, 229 nursing homes, those with higher proportions of Black or Hispanic residents were less likely to have Alzheimer disease special care units. The disparities among nursing homes serving high proportions of Black residents, however, narrowed and even disappeared in states with higher Medicaid payment-to-cost ratios. ... This study suggests that more generous Medicaid payments may be associated with improved availability of specialized dementia care in nursing homes that serve primarily marginalized Black residents.

Gov. Moore launches Longevity Ready Maryland, a landmark state plan to support thriving aging population The Bay Net, Annapolis, MD; by Governor Wes Moore; 7/30/25 Governor Wes Moore today launched Longevity Ready Maryland, the state’s first comprehensive, 10-year multisector plan to coordinate services and policies that support Maryland’s growing population of older adults. ... Longevity Ready Maryland is a collaborative, long-term plan that aims to support the work of service providers by consolidating resources; coordinating efforts across government, businesses, and communities; and transforming systems of care to more sustainably accommodate a greater number of older Marylanders. To advance the objectives of the plan, the Maryland Department of Aging will work to encourage collaboration between state agencies, support local initiatives, and improve access to home- and community-based services.

Amazon documentary exposes 'neglect and pain' in many nursing homes. It's only going to get worse. Morningstar; by Jessica Hall; 8/9/25  Susie Singer Carter's mom, Norma Pecora, suffered from Alzheimer's disease for 16 years and spent the last five years of her life in a nursing home. She died at age 89 after enduring sepsis, urinary-tract infections, bed sores and dehydration at a five-star facility in Los Angeles. ... In a new three-part documentary streaming on Amazon Prime (AMZN) called "No Country for Old People: A Nursing Home Expose," Carter walks viewers through her mom's early life, including her time as a singer for Capitol Records, as well as her final months - when she suffered from infections and other complications that required emergency hospitalizations while being cared for at a nursing home. 

A WNC assisted living facility stopped paying its staff. Two remained to save 27 residents BlueRidgeNow Times-News; by Will Hofmann; 8/6/25By the time the sun rose on Aug. 2, Macie Vance knew nobody was coming to replace her. Vance had just finished the night shift at The Heritage of Sugar Mountain, a 40-bed assisted living facility in her hometown of Newland, where she worked as a resident care aide. The 20-year-old was at the "bottom of the food chain" in terms of office hierarchy, she said, but after weeks of staff resignations, Vance was one of just two remaining employees caring for Heritage’s 27 residents, some of whom were in hospice.

Assisted living fire with multiple fatalities a reminder to have evacuation plan, expert says McKnights Senior Living; by Kimberly Bonvissuto; 7/15/25 A five-alarm fire at a Massachusetts assisted living community in which nine people died and at least 30 were injured is a “realistic reminder” for senior living providers to make sure they have evacuation plans that are practiced and up to date, according to one expert. Stan Szpytek, president of Fire and Life Safety Inc. and a former deputy fire chief and fire marshal, told McKnight’s Senior Living that he was “horrified” to see the death toll, adding that multiple fatalities in buildings equipped with properly working fire suppression systems “has never occurred,” according to statistics from the National Fire Protection Association. ... “Smoke kills more people than fire does everyday in America,” Fall River Fire Chief Jeffrey Bacon said during a press conference.

Terminally ill nursing home patients face needless ER visits, hospital stays HealthDay; by Dennis Thompson; 7/28/25 Terminally ill nursing home residents are being hounded to their graves with needless trips to the hospital, a new study says. About 80% of ER visits by terminally ill nursing home residents are potentially avoidable, researchers report in the Journal of the American Medical Directors Association. Likewise, nearly one-third of hospitalizations among these residents were needless, the study says. Pneumonia, urinary tract infections (UTIs) and sepsis commonly resulted in needless trips to the hospital for terminally ill patients, but better health care and management at nursing homes could have kept these people out of the hospital, researchers argue. 

By the Bay Health CEO on stretching home health dollar, surviving proposed rate cuts Home Health Care News; by Joyce Famakinwa; 7/25/25 ... By the Bay Health CEO Skelly Wingard aims to improve the quality and accessibility of the company’s home health care line by enhancing the company’s clinical informatics and collaborating across service lines and managed care. These initiatives emerge amid regulatory uncertainty, as proposed Medicare home health rate cuts have raised alarms across the industry. Wingard warned that such cuts could force many providers out of business.By the Bay Health is an affiliate of the University of California San Francisco Health. The organization’s service lines include hospice, palliative, pediatric and skilled home health care. The company serves the entire Bay Area.

Where UnitedHealthcare, Humana rule the Medicare Advantage market Modern Healthcare; by Tim Broderick; 7/22/25 Medicare Advantage competition was meager in 97% of counties last year, where beneficiaries could choose among just a handful of dominant insurers. The health policy research institution KFF analyzed Centers for Medicare and Medicaid Services data on the plans available across the U.S. and Puerto Rico in 2024. The findings indicate that Medicare enrollees have few options in most areas. Market share was “highly concentrated” in 79% of counties and “very highly concentrated” in another 18%, KFF found, using metrics similar to those the Federal Trade Commission and the Justice Department employ to measure competitiveness. ... Ninety-three percent of Medicare-eligible people lived in “highly concentrated” or “very highly concentrated” counties. ... [Click here and scroll down for the national map with] the level of Medicare Advantage market concentration for each county and the market share for each county's top insurer.

[PACE] New service serving seniors ready to open CBS WKBN 27, Youngstown, OH; by Dave Sess; 7/21/25 ... Buckeye PACE is ready to open its new Mahoning County day center on August 1. There will also be one in Warren. PACE is a program of all-inclusive care for the elderly. People age 55 and over can get wrap-around services to help them stay at home and in their communities. Most of the seniors qualify to live in a skilled nursing facility, but they get support from PACE so they don’t have to. “All of that is wrapped into one service that allows family members then to not have to play the role of constant nurse and social worker and caregiver, and they’re able then to be able to still partake in the community and be out in the community while our seniors are at home,” said Craig Worland, acting CEO for One Senior Care. 

Rural hospitals eye service expansions to weather federal cuts Modern Healthcare; by Alex Kacik; 7/14/25 Rural hospitals are hopeful they can add rather than reduce services to help soften the blow from looming Medicaid and Medicare cuts. ...  If rural providers cannot recruit physicians, lean more heavily on philanthropic donors or find other ways to reduce their reliance on Medicaid and Medicare reimbursement to get ahead of cuts in the law, hospitals will be forced to pare back services or close their doors, industry observers said. ... In response, rural providers have accelerated ongoing operational adjustments, including renegotiating vendor contracts, beefing up their coding and billing processes, freezing new hires and standardizing daily tasks to reduce administrative waste. But those tweaks alone cannot sustain rural hospitals, so some providers are aiming to grow surgeries, infusions and other services to boost their bottom lines, executives said.

How PACE is jockeying for position amid Medicaid cuts Modern Healthcare; by Diane Eastabrook; 7/16/25 A federal-state program aimed at keeping older adults out of nursing homes could come out awinner under the new federal tax law. Nevada was the latest state to approve a Program of All-Inclusive Care for the Elderly last month before President Donald Trump signed the tax law. South Dakota is considering PACE as well. The program can save states money by caring for adults at home, rather than in nursing homes. However, PACE is a relatively small and not widely known initiative, which could make it a low priority for states weighing the best way to spend fewer Medicaid dollars.