Nursing Home Quality Improving (VIDEO)

General Posted by anthony Date July 30, 2012

[embed_youtube”420″ height=”315″ src=”http://www.youtube.com/embed/O6J7Lurp73c”]

Here’s a Good Nursing Home Story

General Posted by anthony Date July 30, 2012

The following is a guest blog by Linda Dickey.

After 15 years of widowhood, at 89, my mom sold her condo in Lake Worth, FL, and moved to a rental apartment in a nearby retirement facility. For a few months, everything seemed to be fine. Then she had a sudden onset physical problem that meant she needed full-time help with walking, bathing, and so on. Because she had excellent long-term care insurance, she was able to have a caregiver with her 12 hours a day. But it soon seemed that there was more than a physical problem: Her mind was going, too.

A few months after moving, Mom was diagnosed with mild to moderate AlzheimerÛªs Disease. My sister and I were soon aware that sheÛªd been hiding the symptoms for a while (one glance at her checkbook told the tale). Now we knew why sheÛªd sold her condo. We had to take action. Her mental condition was deteriorating rapidly, way faster than her physical condition. Her doctor advised us to line up a skilled nursing facility and move her quickly; sheÛªd need 24-hour care soon, and change becomes progressively harder for AD patients.

My guilt over not having Mom come live with me was pretty bad, but I worked full time and had other responsibilities as well; my sisterÛªs situation was similar. So we decided that Mom would come to live in a highly recommended nursing home near where I live in New York City, and with her caregiverÛªs help, explaining as much to Mom as she could reasonably understand, we managed to move her north.

At this point, from the way she acted, we thought she was close to death. The nursing home told us the average stay was about two years, but the nurse who evaluated her for admission thought sheÛªd never make it that long.

The actual move was a challenge in itself, but we did it. Then the amazing thing happened: Mom got better. She still had AD, but, because the nursing home provided a variety of social interactionsÛÓwith CNAs, doctors, nurses, recreation pros, physical therapists, and most of all, other residents, her symptoms receded. She couldnÛªt play bridge as she once did, but she became a Bingo star (winning nickels made her giddy). She did artwork. She enjoyed concerts and religious services. She made friends.

We got better, too: Our worries about MomÛªs physical safety were over, and she was back in our lives again. I visited daily after work and the rest of the family came very often. With all the attention, sheÛªd become her extroverted self once again. She remembered things sheÛªd so long forgotten I had never heard about them: stories from her childhood more than 85 years earlier. The narrative of her wedding day. The names of her childhood neighbors.

She lived five years in the nursing home, long enough to meet and enjoy her great granddaughterÛÓand those years were among the best of our relationship. I really enjoyed visiting her; she was so glad to see me. SheÛªd lost her critical side. She was truly grateful for all the care she gotÛÓso the staff loved her. In her case, AD was a blessing in a beastly disguise.

I hope IÛªm as lucky.

Nursing Home Quality Improving

General Posted by anthony Date July 27, 2012

New government health data shows that quality in AmericaÛªs skilled nursing centers is improving, while scores for facilities receiving the lowest rankings are on the decline.

Examining over 15,000 facilities, the Centers for Medicare & Medicaid Services (CMS) reported that its Five-Star Rating System (Five-Star) for skilled nursing care centers showed the proportion of both 4- and 5-Star centers has increased 4% and 4.1% respectively. Alternatively, the proportion of 1-Star facilities is down 7%. Both staffing and quality improved.

ÛÏThe long term and post-acute care profession has improved in nearly all meaningful quality measures in recent years, including staff and customer satisfaction,Û said Mark Parkinson, President and CEO of the American Health Care Association. ÛÏWeÛªre excited about this positive trend, and will continue to work with CMS to do more in these critical areas.Û

A Five-Star score is a composite rating based on scores in three domains ÛÒ Staffing, Quality Measures (QM) and Health Inspections ÛÒ with a score of five stars serving as the best ranking.

Staffing ÛÒ5-Star nursing centers have increased slightly by 1.7%; the number of 1-Star facilities is down by 9%.
Quality Measures ÛÒ There was a 6% increase in 5-Star centers and a 9% drop in 1-Star rated facilities.
In 2011, 16% of nursing homes received a 5-Star Rating; 27% a 4-Star; 41% a 2 or 3-Star Rating; and 16% received a 1-Star Rating.
Non-Profits performed better particularly in the staffing category.
Data suggests the smaller the size of the home, the better the rating.

Expect more data to be added to the Nursing Home Compare site in the future. Obviously, the increased transparency is good for consumers in choosing a nursing home. So I encourage you to go to Nursing Home Compare as one of your first stops in evaluating a nursing home for a loved one.