Special Focus Facilities

After receiving tremendous pressure from advocacy groups, CMS has released its expanded list of the most troubled nursing homes in the country.  These are known as "Special Focus Facilities." 
 
Acting CMS Administrator Kerry Weems disclosed at a special media briefing Thursday that the “Special Focus Facilities” list had actually grown to 131 nursing homes with poor survey records. The list will continually be in flux, noting the next public update will be in April.

In response to a McKnight's reporter's question, Weems also clarified that from now on providers would be given brief advance notice of their inclusion on the dubious list but no others would learn of list contents until results are refreshed online. When CMS went public for the first time ever, but with just the partial list, in November, consumer advocates loudly complained that nursing home lobbyists and associations had been given the full list, while the general public had not.
 
In New Jersey, there are currently only three facilities on the list.  Two of these are listed under the category, "Improving," while the other, sadly, is now a veteran of the listing, in the list of "Facilities That Have Not Improved."
 
It will interesting to see if inclusion on this list will provide extra incentive for these troubled homes to improve the quality of care - and thus reduce the unacceptable quantity of  nursing home injuries and abuse.

Forced Overtime Shifts for Nurses Facing Ban in PA

I read an interesting article this week in the Philadelphia Inquirer that truly encapsulates much of what we've been trying to say on this blog since its inception.  The management and owners of nursing homes, must treat their front-line worker with dignity, respect and compassion.  Otherwise, patients in nursing home get injured and sometimes die.
 
New Jersey has passed good legislation to protect nurses...and in turn, patients.  Pennsylvania should follow this lead.

Resource for Families Investigating Nursing Homes

I recently found a great website for families looking to investigate nursing homes.  The website offers a list of nursing home throughout the country that are in danger of harming it's residents. The site breaks down the potentially harmful home into three categories:

- a red code equals actual harm and/or immediate jeopardy
- a yellow code equals the potential for more than minimal harm
- a blue code equals the potential for minimal harm

In this link, there exist some significant problems at a facility known as Plaza Regency at Park Ridge, in Park Ridge, New Jersey.  I strongly urge our Blog readers to explore this helpful site.

You can access the website here.

Nursing Home Quality Twenty Years After the Nursing Home Reform Act

I found this article which I feel is a very informative article on the improvements and continuing problems of nursing home care 20 years after the Nursing Home Reform Act. Although some changes have come about, there is still much work to be done.

The Kaiser Family Foundation that examines the progress nursing homes have made over the past 20 years since the Omnibus Budget Reconciliation Act of 1987 (also known as the Nursing Home Reform Act) became law reports that though the new act has been in place for over 20 years, there has not been a significant enough change.

You can read more the Nursing Home Reform Act and the Kaiser Family Foundation's study here.

Potential Treatment for Alzheimer's Disease

Below is an extraordinarily promising article involving a potential treatment for Alzheimer's disease.  A very significant component of nursing home and Assisted Living populations includes physically healthy individuals with developing Alzheimer's. 

The drug, Enbrel - commonly used to treat arthritis, in recent tests has shown to reverse the effects of Alzheimer's Disease in just minutes. Enbrel is believed to assist those with Alzheimer's by delivering the same relief the drug offers arthritis patients. The drug, which is used to relieve the inflammation in joints of people suffering from arthritis, researchers now believe can reduce the inflammation in the brain of people suffering from Alzheimer's.

This article offer some hope for the many families and patients suffering from this devastating illness.

Oldest resident in Massachusetts dies at age 111

I recently found an inspiring story about the recent passing of the world's 22nd oldest person and the oldest resident in Massachusetts, Mary Marques.  She died peacefully in her nursing home, Julian J. Leavitt Family Jewish Nursing Home in Longmeadow, at the age of 111. She was believed to be the world's 22d-oldest person, according to the Gerontology Research Group, which validates birthdates of those over 110, who are known as supercentenarians

Much of the credit for her longevity was given to unprocessed foods for the first 40 years of her life, an active lifestyle and red wine. You can read more on Mary Marques and her remarkable life here.

Durable Powers of Attorney

Here is a link to good work being done to encourage families to obtain a durable powers of attorney for elderly family members. 
 
Very often nursing home residents begin their residency with all of their mental faculties.  Sadly, these frequently diminish over time.  Once a person lacks the mental capacity to designate an individual to serve as a power of attorney, the process becomes extremely complicated, slow and expensive.  Most importantly, necessary actions and decisions for NH residents often cannot take place without Court intervention. 
 
The simple solution is to get a power of attorney early on.  It is simple, inexpensive and the smart thing to do.