Literature Review

Improving nursing home care goes beyond helping nursesMcKnight's Long-Term Care News; by Kristen Fischer; 5/30/24An editorial published Monday in the Journal of the American Geriatrics Society [Quality of care for older adults in nursing homes: It begins with registered nurses but does not end there!] points out flaws in moves to improve nursing home care outlined in a report published in March. Authors of the March report [RNs in nursing homes—It is not always about the numbers] shared a method to move beyond staffing numbers and optimize the workload of registered nurses. The model detailed nurse accountability, decision making, continuity of information and continuity of care. The authors shared the differences between RN work in the nursing home compared with acute care hospitals, and they also emphasized the importance of geriatric nursing knowledge.

PACS Group subsidiaries to acquire 53 long-term care properties across 8 states McKnights Senior Living; by Kathleen Steele Gaivin; 5/24/24 PACS Group is on an accelerated growth trajectory since going public earlier this month. ... The Farmington, UT-based holding company announced plans Thursday for subsidiaries to acquire the operations of 53 skilled nursing facilities and senior living communities across eight western states. The properties currently are being operated by Prestige Care or Prestige Senior Living. The company anticipates that the transactions will close in the third quarter. PACS Group already is one of the country’s largest nursing home operators. Founded in 2013, the company’s portfolio includes more than 200 facilities, mostly SNFs but also some assisted living communities.

Healthcare sees highest Chapter 11 bankruptcy filings in 15 years: reportMcKnights Senior Living; by Kathleen Steele Gaivin; 5/20/24Chapter 11 bankruptcies in healthcare, including senior living reached a multiyear high in the first quarter of 2024. That’s according to the newest Polsinelli-TrBK Distress Indices Report, published Wednesday. “We continue to see intense stress in senior living,” Jeremy R. Johnson, a bankruptcy and restructuring attorney at Polsinelli and co-author of the report, said in a press release issued in conjunction with the report. ... The Southeast continues to outpace the rest of the country as the busiest region for bankruptcy filings, according to the report. The Southeast region reported 33.4% of the filings in the first quarter, followed by Northeast and Delaware at 30.8% and 16.1%, respectively. Since the benchmark period of 2020, the Northeast has shown the biggest increase in filings.

Tuesday Health launches revolutionary Supportive Care solution with $60 million of strategic investment from healthcare leadersInvestors Observier; by PR Newswire; 5/21/24Tuesday Health, a pioneer in value-based care dedicated to transforming serious illness, has launched its innovative supportive care solution in partnership with Valtruis, Blue Venture Fund, Mass General Brigham Ventures , and CareSource. This alliance brings a $60 million strategic investment to Tuesday Health, fueling its mission to redefine supportive care for patients and caregivers facing serious illnesses. "Leveraging clinical expertise, advanced data solutions, and cutting-edge technology, while partnering with Ohio's largest Medicaid plan, its largest hospice provider and the unmatched palliative care experience of Mass General, Tuesday Health is dedicated to tackling one of healthcare's biggest challenges-providing support and care in the right setting, at the right time, for those facing serious illness", said Jim Wieland, CEO of Tuesday Health.Editor's Note: What is the difference between supportive care and palliative care? Click here for a description from ASCO, the American Society of Clinical Oncology. 

[Old news] Consumer Alerts added to the Nursing Home Compare website and the Five Star Quality Rating SystemCMS; 10/7/19Adding an “abuse icon” to facilities cited for abuse: Every nursing home resident deserves be treated with respect at all times. Abuse is never acceptable and CMS is very concerned about incidents related to abuse (including neglect and exploitation) in nursing homes. ... As part of this strategy, we want to make it easier for consumers to identify facilities with instances of non-compliance related to abuse. To do this, in October 2019, we are adding an icon to highlight facilities that meet the following criteria: 1) Facilities cited for abuse where residents were found to be harmed (Scope/Severity of G or higher) on the most recent standard survey, or on a complaint survey within the past 12 months; or 2) Facilities cited for abuse where residents were found to be potentially harmed (Scope/Severity of D or higher) on the most recent standard survey or a complaint survey within the past 12 months, and on the previous (i.e., second most recent) standard survey or on a complaint survey in the prior 12 months (i.e., from 24 months ago to 12 months ago).Publisher's Note: With apologies for "old news", this was "new news" to me - i.e., that Care Compare for Nursing Facilities includes a "red stop hand" and a "yellow triangle warning" to warn consumers of poor performers. When might this be added to Care Compare for Hospice, and what criteria might be used?

[Honoring Nurses Week] Too many nurses are being assaulted. Some say they are being blamed for the attacks. Chief Healthcare Executive; by Ron Southwick; 5/9/24 With disturbing regularity, nurses in hospitals and other healthcare settings are being physically assaulted and verbally harassed. More than half of emergency nurses say they’ve been assaulted or threatened within the past 30 days, according to the Emergency Nurses Association. In a separate study, researchers found that healthcare workers faced at least one violent or aggressive incident for every 40 hours worked, according to findings published by The Joint Commission Journal on Quality and Patient Safety. With the observance of National Nursing Week, the increased violence in healthcare can’t be ignored. Nursing leaders say the regular exposure to violence or threatening behavior is one factor adding to stress and burnout of nurses and, in some cases, spurring them to seek new jobs.

New dementia guide provides best Standards of Care from 100+ not-for-profit hospice, palliative and advanced illness organizations PR Newswire; by National Partnership for Healthcare and Hospice Innovation (NPHI); 5/9/24 The National Partnership for Healthcare and Hospice Innovation (NPHI), the national voice for not-for-profit hospice care, in collaboration with Aliviado Health and the Center to Advance Palliative Care (CAPC), announces today the release of the NPHI "Dementia Care Resources Provider Guide." The new guide aims to improve the quality of life for patients with dementia, reducing hospitalizations, and easing the burden of advanced illness for families and caregivers. A dementia diagnosis poses substantial challenges for both patients and their families, impacting millions of Americans nationwide. Shockingly, the Alzheimer's Association reports that an estimated 6.7 million individuals in the U.S. currently live with dementia. 

Palliative patients can die peacefully at home with paramedic support, claims proposed frameworkRiotack - Australia; by James Day; 5/6/24A proposed national framework suggests paramedics could help ease pressure on emergency departments by supporting palliative care patients who wish to die at home. Published in the leading international peer reviewed journal Palliative Medicine, the framework seeks to embed palliative care into paramedics’ core business and reduce needless transports to hospital. ... Lead author and trained paramedic Dr. Madeleine Juhrmann developed the framework in consultation with paramedics, palliative care doctors, GPs, carers with lived experience and others. The expert group – representing six countries and all the states of Australia – agreed on the framework’s 32 service changes to standardise best practice for paramedics delivering palliative care in community-based settings.Pair this with a USA article in today's newsletter, "Stranded in the ER, seniors await hospital care and suffer avoidable harm." 

Elder abuse is easy to missNextAvenue; by Leida Snow; 5/6/24 Here is what to look for if you suspect a caregiver--whether a relative or a professional--is mistreating a loved one. ... People are living longer in their own homes outside of nursing homes or other institutional settings, which means that at some point each of us is likely to be a caregiver or looking for continuing health care for a loved one or ourselves. ... "My husband was in home hospice for the last months of his life." ... [A bereaved caregiver describes incidents with her husband's care.]  Then I ... went to the other room and called the agency's 24-hour number. 'I want her out of here,' I said. 'Please send someone else as soon as you can.' Lou briefly rallied the next morning, but he died later that day. Did the aide hasten his death? I believe she did."

Optum layoffs affect teams in Medicare Advantage I-SNP, IE-SNP business Skilled Nursing News; by Zahida Siddiqu; 5/2/24 Optum is paring back its workforce, including in the parts of the business related to Medicare Advantage plans for nursing home and assisted living residents. ... The recent layoffs at Optum number hundreds of people across various parts of the company, according to multiple news reports. The company is discontinuing its virtual care business, as Endpoints first confirmed. ... Multiple sources have shared that out of a roughly 20% to 30% of a 400-person workforce [in IE-SNP business] has been laid off in this part of Optum. ... The reduction in staff was across the board from senior leaders on the clinical end to low-level employees, industry sources said.

Ensign Group buys 7 nursing homes in 6 states Modern Healthcare; by Diane Eastabrook; 5/1/24 Senior living services company Ensign Group acquired seven skilled nursing facilities in six states, as well as a long-term acute care hospital. The deals closed Wednesday [5/1], the same day Ensign Group will report first quarter 2024 earnings. The acquisitions include: [click on the title's link for the list] ...

To stay open, rural nursing homes in the Midwest prioritize nurses NPR KCUR 89.3; by Aaron Bonderson; 5/1/24... Not enough nurses. Nursing home closures are creeping across Nebraska and other parts of the Midwest. Since 2020, 13 Nebraska nursing homes have shuttered, according to the American Health Care Association (AHCA). During that time, 25 Kansas nursing homes, 27 in Missouri, and 36 in Iowa closed their doors. According to the Center for Medicare Advocacy (CMA), 22 nursing homes in Iowa closed in 2022 alone because of poor quality of care and low occupancy. ... Staffing shortages and quality of care concerns are the leading reasons long-term care facilities shut down, according to the AHCA and the CMA. The pandemic didn’t help matters, stretching employees and resources to their limits.Editor's Note: Click on the title's link and scroll down for a US map of states with data for rank, nurse staff hours per resident per day (HRPD), total nurses, and total providers.