Literature Review

Study: Nearly two-thirds of nursing home residents were exposed to med combos linked to potential drug-drug interactions McKnights Long-Term Care News; by Foster Stubbs; 10/17/25 About 62% of nursing home residents experienced one or more drug-drug interactions (DDI) between 2018 and 2020, according to an October study published in the Journal of the American Geriatrics Society. Researchers examined 485,251 Medicare fee-for-service beneficiaries 66 years or older living in nursing homes with observable Medicare Part D prescription drug data. Data were drawn from Medicare claims linked to Minimum Data Set 3.0 clinical assessments. 

Size of the financial incentives in Medicare’s Skilled Nursing Facility Value-Based Purchasing ProgramJAMA Network Open; Robert E. Burke, Franya Hutchins, Jonathan Heintz, Syama R. Patel, Scott Appel, Julie Norman, Atul Gupta, Liam Rose, Rachel M. Werner; 9/25The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) program seeks to reduce all-cause 30-day readmissions from SNF for traditional Medicare beneficiaries recently discharged from the hospital. Under SNF VBP, most SNFs receive a financial bonus or penalty up to 2% of their total traditional Medicare revenues each year, on the basis of their performance on 30-day readmission rates compared with other SNFs, or their own improvement in readmission rates over time. In this cohort study, we found that the size of the financial incentives at the SNF level are relatively small in terms of dollars and as a proportion of net operating income, and that most SNFs experienced substantial variability from year to year in their incentive payments. These 2 factors may have contributed to the relative lack of effectiveness of the SNF VBP program. First, if the level of the penalty is not sufficient to hire additional staff, purchase equipment (such as an x-ray machine or laboratory testing), or invest in new care processes, then SNFs will not be able to improve their ability to manage changes in patient condition. 

With palliative care, earlier referrals mean fewer end-of-life emergency department visits ONS Voice; by Anne Snively, MBA, CAE; 10/15/25 Patients with cancer who are referred to palliative care within one month of death have a mean of 1.17 emergency department (ED) visits, compared to a mean of 0.13 visits for patients referred to palliative care 12 months or more before death—a 160% difference. The data are part of a new study published in JAMA Network Open in July 2025. ... Most of ED visits (47.0%) and EOL ED visits (81.4%) occurred within one month of the palliative care consultation, but the researchers found that both kinds of ED visits “gradually decreased as the time from consultation to death extended.” 

Alzheimer’s Association, Maine Chapter sees largest turnout for annual fundraiser walk WABI-5, Bangor, ME; by Grace Bradley; 10/11/25 For more than two decades, folks have hit the streets of Bangor to help raise money and awareness for Alzheimer’s. On Saturday, Maine’s chapter of the Alzheimer’s Association says they saw the largest crowd yet of about 400 people for their largest annual fundraiser. “We provide free care and support for families and community members walking through this disease, whether it’s Alzheimer’s or other forms of dementia. So what we do enables us to do everything for free. But we also take a portion of that money and put it towards research,” explains Kris Baker, Development Manager of Alzheimer’s Association Maine. Editor's Note: Do you support and partner with the Alzheimer's Association?

Conspiracy of verticals:  Rethinking healthcare models with Peter Benjamin Teleios collaborative Network (TCN); video/podcast hosted by Chris Comeaux with Peter Benjamin; 10/8/25 In this conversation, Peter Benjamin and Chris Comeaux discuss the impact of COVID-19 on mortality rates, particularly the concept of 'death pull forward' and its implications for Hospice Care. Peter highlights the significant role of assisted living facilities in Hospice days and explores macro trends in healthcare, emphasizing the shift from vertical to horizontal care models. The discussion also covers the evolution of Palliative Care, frail elderly practices, and institutional special needs plans (iSNPs), while stressing the importance of measuring quality of care, particularly in pain management. 

Communication surrounding treatment preferences for older adults with dementia during emergency medical services responseJournal of the American Geriatrics Society; by Lauren R. Pollack, Danae G. Dotolo, Anna L. Condella, Whitney A. Kiker, Jamie T. Nomitch, Elizabeth Dzeng, Nicholas J. Johnson, Thomas D. Rea, May J. Reed, Michael R. Sayre, Erin K. Kross; 9/25Emergency Medical Services (EMS) providers, capable of rapidly delivering life-prolonging interventions, are often first to respond to acute health concerns for older adults in the United States. Prior work has shown a preference among many people with dementia for comfort-focused care near end-of-life. EMS providers treating critically ill older adults with dementia face challenges that may hinder their ability to elicit treatment preferences, in particular when responding to calls from professional caregivers. Direct communication with surrogate decision-makers may facilitate goal-concordant care.Assistant Editor's note: Being an RN for over 40 years, I have seen many changes in health care, especially in what is expected now of patients/families. I remember the day when nurses were not permitted to share with the patient his/her own BP reading; instead, we were to tell patients to "ask the doctor". Back then the doctor controlled almost all aspects of the patient's care, as well as the sharing of information with the patient about his/her own medical condition. I am glad those days are gone. Now, patients are expected to engage in ongoing discussions regarding advance care planning, execute written advance directives, and are expected to share their care preferences with health providers and loved ones and/or caregivers. It would be an ideal world where health care providers were continuously aware of evolving patient preferences and could always deliver goal concordant care. I believe we need to keep working toward this goal, but I also understand that this expectation can add burden to patients who are already extremely burdened with the many difficult aspects of serious illness. I believe that, as health care providers, we need to appreciate that some people simply cannot or will not share their preferences; it is simply too scary, too foreign, too difficult to do so.

Hospice of Santa Barbara’s No One Dies Alone Program ensures that those who are alone and actively dying, have someone at their bedside Santa Barbara Independent, Santa Barbara, CA; by Hospice of Santa Barbara; 9/29/25Hospice of Santa Barbara’s (HSB) No One Dies Alone (NODA) program has partnered with local senior living facilities in Santa Barbara for over a decade, providing compassionate volunteer support to seniors in their final 24 to 72 hours when family or friends are unavailable. Currently, NODA has 21 trained volunteers serving in the program. Before becoming a NODA volunteer, applicants must graduate from a six-week patient care training and serve as a patient care volunteer for a minimum of 9 months before attending a NODA specific training. Most NODA volunteers have been with the program for years and feel a strong commitment to the work they do.

Living with dementia: To improve lives, we need to change how we think and talk about this experience in aging societies EurekAlert! - AAAS (American Association for the Advancement of Science); peer reviewed publication by The Hastings Center; 9/24/25 To experience or even contemplate dementia raises some of the most profound questions: What does it mean to be a person? How does someone find meaning in life while facing progressive neurological deterioration? ... To improve the lives of our fellow citizens who are living with dementia or providing dementia care, all of us need to pay attention to how we imagine and talk about these interwoven and increasingly common experiences, concludes Living with Dementia: Learning from Cultural Narratives in Aging Societies, a special report published by The Hastings Center for Bioethics. This report responds to calls from health care and social service practitioners for new ways to depict and talk about dementia, a collective term for Alzheimer disease and related dementias. Editor's Note: Click here for free access to multiple articles in this crucial report, such as

Ground-breaking pilot brings medical students into nursing homes in Hampshire University of Southampton, United Kingdom; by the University of Southampton; 9/18/25 Third-year medical students are undertaking placements in local social care settings in a new pilot programme developed by the University of Southampton and the Hampshire Care Association. The initiative aims to bridge the gap between health and social care by providing the next generation of doctors with real-world insight into the care sector and the critical role it plays in people’s lives. 

Nursing homes failed to report 43 percent of falls with major injury and hospitalization among their Medicare-enrolled residents HHS-OIG; Report number: OEI-05-24-00180; 9/18/25  

Senior health, home health & hospice stocks Q2 highlights StockStory; by Kayode Omotosho; 9/10/25 ... Looking ahead, the industry is positioned for tailwinds from an aging population, increasing chronic disease prevalence, and a growing preference for personalized in-home care. Advancements in remote monitoring and telehealth are expected to enhance efficiency and care delivery. However, headwinds such as labor shortages, wage inflation, and regulatory uncertainty around reimbursement could pose challenges. Investments in digitization and technology-driven care will be critical for long-term success. The 7 senior health, home health & hospice stocks we track reported a mixed Q2. As a group, revenues beat analysts’ consensus estimates by 2%.

Lights, camera, act up! Residents get royal treatment during photo sessions McKnights Long-Term Care News, The Brighter Side; by Foster Stubbs; 9/2/25The Village at Incarnate Word in San Antonio is home to approximately 275 older adults, including over 50 retired religious sisters. Some of them have recently found a new calling: modeling. Terri Landez, the community’s director of communications, had seen a news story about the work of Pop of Colors Images and struck up an Instagram friendship with the organization. ... Once they got the go-ahead, Pop of Colors photographers Megan Bowling and Jessica Rodriguez-Green turned the facility’s memory care floor into a photography studio, complete with a variety of royalty-themed props and outfits. Editor's Note: Do you need a smile? This will bring it! Enjoy and share. 

Nursing homes can disrupt ‘rehabbed to death’ cycle with PDPM-based palliative care Skilled Nursing News; by Kristin Carroll; 9/7/25 ... Skilled nursing facilities can leverage the Patient Driven Payment Model (PDPM) to provide more palliative care to people near the end of life, helping to drive value-based care goals while improving the patient experience. However, much more needs to be done on the policy level to disrupt the current status quo, in which people commonly go through several care transitions near the end of life, driving up costs across the health care system while patients receive services that are not aligned with their own goals. Enabling concurrent SNF and hospice care is one change that could lead to improvement. These are assertions in the recent article “Rehab and Death: Improving End-Of-Life Care for Medicare Skilled Nursing Facility Beneficiaries,” published in the Journal of the American Geriatrics Society.