Literature Review

Don’t stop dreamin’ turns nursing home residents’ dreams into realityiAdvanceSeniorCare, by Paige Cerulli; 1/22/24The nonprofit now works to fulfill dreams for residents of all Quality Life Services homes, as well as for patients of Three Rivers Hospice. “There is one employee at all ten locations, including Three Rivers Hospice, that represents Don’t Stop Dream’ as a Dream Ambassador,” explains [Paula] Elder. “They are responsible for learning about our residents and patients’ needs and dreams, and submitting them for request. Most dreams are typically granted to our residents and patients after research is completed to ensure their safety, travel arrangements (if necessary), and staffing is available.”

MedPAC approves hospital, physician pay bump; Doubles down on post-acute cutsInsideHealth Policy, by Bridget Early; 1/12/24Congress’ Medicare pay advisors recommended pay raises in 2025 for hospitals and physicians along with extra so-called Medicare safety-net pay and voted Thursday ... to recommend a second year’s worth of post-acute pay cuts as it approved proposals that would lower base pay rates for skilled nursing facilities, home health agencies and inpatient rehabilitation facilities. 

Increasing longevity, decreasing health quality: A close look at American health trendsBNN, by Ayesha Mumtaz; 1/16/24Recent data paints a concerning picture of Americans’ health despite an increase in longevity. While people are living longer, the quality of their health during these extended years is deteriorating. 

Hospital study on AI identifies undiagnosed dementia patients coming from LTCMcKnights Senior Living, by Aaron Dorman; 1/16/24A high number of senior living and care residents have dementia on admission, or develop it during their stay, despite never receiving a formal diagnosis. When these “secret” dementia patients, however, have an emergency – say, a fall – and are hospitalized, they can catch the new care team unaware and struggling to make appropriate clinical decisions. To avoid this pitfall, new research is looking at electronic health records to flag individuals who might have dementia, possibly undiagnosed, so that when they arrive at a hospital, the care team is ready. 

A looming crisis: Millennials caring for aging parentsFalls Church News-Press, by Brian Reach; 1/11/24... Millennials, born between 1981 and 1996, comprise roughly 73 million Americans. By 2030, all boomers, and over 70 million Americans in total, will be ages 65 and older. This represents an at least 25 percent increase in the number of senior citizens — in just over five years.

Well-being of older adults, workforce prioritized in executive orderMcKnights Senior Living, by Kimberly Bonvissuto; 1/8/24The well-being of older adults and members of the direct care workforce has become a top priority in Maryland with the recent signing of an executive order meant to address challenges related to the state’s aging population. Senior living industry representatives say the effort has “tremendous” potential for operators in the state.

Nursing home struggles expected to worsen hospital backlogsMcKnights Long-Term Care News, by Josh Henreckson; 1/4/24Nursing homes’ familiar struggles with insufficient staffing and insurance reimbursements are contributing to growing backlogs of patients awaiting throughput from hospitals to post-acute care across the US. Those waitlists are set to grow more congested in 2024 and cause even bigger disruption throughout the US healthcare system, according to recent state-level reports.Editor's Notes: Hospice leaders, how might your organization help reduce these backlogs and delays?

Cap rates increase by 74 basis points across all segments of senior living and careMcKnight's Senior Living, by Kathleen Steele GaivinThe average senior housing and care capitalization rate across all segments increased by 74 basis points between April and October, according to results of the 13th edition of CBRE’s US Senior Housing & Care Investor Survey for the second half of 2023. An April survey had found that cap rates had increased for all sectors but skilled nursing. 

Ensign (ENSG) buys 2 nursing facilities in Tennessee & NevadaZacks Equity Research; 1/2/24 The Ensign Group, Inc. announced that it bought the operations of a nursing facility in Harrogate, TN. It has also acquired the operations of a nursing facility in Sparks, NV. ... The 116-bed unit in Harrogate, named TriState Health and Rehabilitation Center, is ENSG’s first skilled nursing facility in Tennessee. ... The other acquisition, the 125-bed Hearthstone Health and Rehabilitation facility in Nevada, is likely to boost its footprint in the region. The acquisition deals have increased Ensign's portfolio to encompass 299 healthcare operations spanning 14 states. Of the total, 27 also have senior living operations. 

‘Profound’ financial, workforce challenges persist for senior living providers as 2024 beginsMcKnights Senior Living, by Lois Bowers; 1/2/24Senior living operators will continue to face inflationary pressures and capital market challenges in 2024, but some effects may lessen before the year is out, according to industry experts.

Lawsuit—Minnesota’s free training hurt nursing assistant schoolsStar Tribune (Minneapolis, MN)December 26, 2023A group of nursing assistant training schools has sued Minnesota, saying their business has been undercut by the state’s free training program. With its no-cost training for would-be nursing assistants, Minnesota’s two-year-old Next Generation Nursing Assistant training program has been hailed as a solution to the state’s worsening health care labor shortage. But providers left on the outside of that program say they have struggled. 

Labor activity in long-term care may be poised for ‘enormous’ growth in 2024McKnight’s Long Term Care NewsDecember 21, 2023Heightened union activity frequently made headlines this year, including among healthcare workers who loudly raised concerns about pay and staffing. Multiple factors make it likely that the trend of rising labor activity in long-term care will continue in 2024, experts say. 

Nursing home complaints up 38% since last yearSouth Dakota Searchlight, 12/21/23Complaints against South Dakota nursing homes are the highest they’ve been in at least eight years. The state Department of Health oversees 97 long-term care facilities, according to its website, It fielded 54 complaints as of Dec. 19—a 38% increase over 2022 and three times higher than 2021 and 2020, when the state received 18 complaints each year. Most complaints in 2023 concern quality of life and care, neglect and abuse, and nursing services. In just over two-thirds of the cases, inspections found no violations. Of the complaints deemed credible, many involved a lack of adequate care and documentation for residents after a fall or change in health condition.