Long-term care facilities approach 80% worker flu vaccination rate after handing power to regional pharmacy, AHQR reports

Fourteen long-term care facilities in Pennsylvania dramatically increased their staff flu vaccination rate by having a regional pharmacy take over the process, according to a report issued Thursday by the Agency for Healthcare Quality and Research (AHQR).

RACs were 'most improved' healthcare auditors for getting back money in 2013, government report states

Medicare Recovery Audit Contractors dramatically stepped up their overpayment recoveries last year, returning nearly $487 million more to the government than they did in 2012, according to a new report from a federal watchdog agency.

Septicemia, urinary tract infections rank high on latest list of hospital readmissions causes

Septicemia, urinary tract infections rank high on latest list of hospital readmissions causes

Two infectious conditions common in long-term care settings — septicemia and urinary tract infections — were among the top causes of hospital readmissions for Medicare beneficiaries in 2011, according to recently released data.

PharMerica to pay $200,000 settlement over federal charges of unsafe dispensing practices

Long-term care pharmacy company PharMerica has agreed to pay about $213,000 to settle charges that it dispensed medications without prescriptions and committed other breaches of the Controlled Substances Act, federal authorities announced Wednesday.

Shortchanging the Older Americans Act has led to unnecessary nursing home placements, senators say

Chronic underfunding of the Older Americans Act is leading to unnecessary long-term care facility admissions, Sen. Bernard Sanders (I-VT) and 26 of his Democratic colleagues in the Senate said in a recent letter to Appropriations Committee leaders.

Hospitals slap the government with lawsuits over 'two-midnight' policy to reduce observation stays

Hospitals slap the government with lawsuits over 'two-midnight' policy to reduce observation stays

The American Hospital Association and other hospital groups have sued the federal government over the so-called "two-midnight rule," which was designed in part to ease access to skilled nursing services. The rule undermines the judgments of physicians and other clinicians, the hospital associations stated in their complaint, filed Monday in U.S. District Court.

Government would pay seniors to create advanced directives under Senate bill

Medicare beneficiaries would be paid to create advance directives and store them in an easy-access system if a recently proposed Senate bill were to become law.

MS patients less tense and pessimistic in nursing homes than at home, study finds

Nursing home residents with severe multiple sclerosis report being less tense and pessimistic than similar individuals receiving care at home, according to recently published research findings.

Long-term care providers achieved 15% antipsychotic reduction goal, CMS announces

Long-term care providers achieved 15% antipsychotic reduction goal, CMS announces

Long-term care facilities have reduced antipsychotic medication use by more than 15% through a large-scale initiative, according to a new report from the Centers for Medicare & Medicaid Services. That means it's time to set a more ambitious goal, a subgroup says.

Proposed Life Safety Code updates encourage more homelike environments

Updated fire safety regulations could encourage more home-like healthcare environments while increasing security to safeguard against wandering, according to a proposed rule announced Monday.

Visitor shot and killed on the grounds of an assisted living community in Kansas

A woman visiting her mother at an assisted living facility in Kansas was gunned down in the parking lot Sunday, in what authorities are describing as a hate crime.

Bill would create 'advanced aide' positions in nursing homes to improve transitions, dementia care

Bill would create 'advanced aide' positions in nursing homes to improve transitions, dementia care

Advanced certified nursing assistants — with specialized skills in care transitions, dementia and other areas — could become important staff leaders in long-term care facilities through newly proposed federal legislation. The "Improving Care for Vulnerable Older Citizens through Workforce Advancement Act of 2014" was introduced Thursday by Rep. Matt Cartwright (D-PA) and Sen. Bob Casey (D-PA).

Skilled nursing edges toward 90% occupancy, absorption rate makes first gain in nearly a decade, NIC data shows

Skilled nursing facilities' occupancy rate continued to tick up in the first three months of 2014, while absorption flipped into positive territory for the first time in almost a decade, according to the latest quarterly figures from the National Investment Center for the Seniors Housing & Care Industry.

CMS: Hospice quality reporting to begin July 1, will require admission and discharge records

Providers will have to report certain hospice quality measures to the federal government starting July 1, the Centers for Medicare & Medicaid Services formally announced in a recent Federal Register notice.

Hospitals worried about readmissions should focus on nearby nursing homes' pressure ulcer stats, study suggests

Hospitals worried about readmissions should focus on nearby nursing homes' pressure ulcer stats, study suggests

Out of various quality measures, pressure ulcer prevalence in particular predicts whether a nursing home will readmit residents to the hospital, according to newly published findings in HSR: Health Services Research.

House members request $200 million to increase long-term care, geriatric medicine workforce

To meet an increasingly urgent need, Congress should earmark $200 million to expand the number of geriatric care workers. This was the case that 26 House members made in a recent letter Appropriations Committee leaders.

Nursing homes send too many dementia residents to the hospital in their last year of life, study finds

Nursing homes could do a better job of keeping residents with dementia out of the hospital during their last year of life, suggests recently published findings in Health Affairs.

Sebelius resigns as administration touts ACA enrollment numbers

Kathleen Sebelius is resigning as head of the Department of Health and Human Services, White House officials confirmed to news outlets Thursday.

Higher acuity residents drove skilled nursing home bed prices to record levels in 2013, report finds

Higher acuity residents drove skilled nursing home bed prices to record levels in 2013, report finds

The average price paid for a skilled nursing facility bed reached a record $73,300 in 2013, according to a recently released annual report published by Irving Levin Associates.

CMS releases Medicare physician payment information, includes some nursing home affiliations

Long-term care providers and residents now can glean insights into where their local doctors stack up nationally by referring to newly released data on Medicare physician payments. For the first time ever, the government made this information publicly available Wednesday.

US dementia strategy overlooks transitions into and out of nursing homes, analysts find

The U.S. national strategy for tackling dementia fails to address late-stage transitions into long-term care facilities from a person's home or the hospital, according to a recently published analysis in Health Affairs.

OIG changes its mind on referral services discounts

OIG changes its mind on referral services discounts

Providers cannot use an online service that involves money for referrals within its network, federal regulars now say, reversing course on an advisory opinion issued three years ago. The edict came from the Department of Health and Human Services Office of Inspector General.

Strippers hired at NY nursing home, violated resident's rights, lawsuit alleges

The son of a nursing home resident says he found a photo of a male stripper gyrating above his 86-year-old mother, and was told it reflected part of an "entertainment event" for residents. That has led to a lawsuit against East Neck Nursing & Rehabilitation Center in West Bablyon, NY.

Close to 1,000 nursing home investigation complaints in LA open for more than 2 years, audit finds

A lack of oversight into nursing home investigations in Los Angeles County has caused a backlog of thousands of complaints, including 945 complaints that have been open for more than two years, according to an audit from the Los Angeles County Auditor-Controller.

Skilled nursing facilities could lose big money if they don't hire a managed care coordinator, expert says

Skilled nursing facilities could lose big money if they don't hire a managed care coordinator, expert says

Skilled nursing facilities stand to lose substantial sums of money as they increasingly do business with managed care plans, unless a coordinator is on top of exclusions and other contract elements, a prominent healthcare consultant told an audience Monday at the American College of Health Care Administrators annual meeting.

OIG spends $75M on Medicaid oversight, recommends cost-saving measures

The Department of Health and Human Services Office of Inspector General spent $75 million on Medicaid oversight during the last fiscal year, a 4% increase over fiscal 2012, according to a new report.

Connecticut, New York top sites with most expensive private nursing home room

Operators in two regional areas in Connecticut as well as two areas in New York are among those with the highest charges in the country for a private nursing home room, according to a new study from New York Life.

Nurses who don't pay taxes or student loans could trigger penalties for SNFs, expert says

Nurses who don't pay taxes or student loans could trigger penalties for SNFs, expert says

Registered nurses who default on a student loan or fail to pay taxes could put a skilled nursing facility in the crosshairs of federal fraud investigators, a compliance expert told an audience Sunday at the American College of Health Care Administrators annual meeting in Las Vegas.

Senators press for SNF survey changes in light of adverse events report

The skilled nursing facility survey process is failing to ensure resident safety and needs to be improved, two prominent senators said in a recent letter to the head of the Centers for Medicare & Medicaid Services.

Theft from Michigan long-term care ombudsman jeopardizes HIPAA-protected information of 2,500 people

Thousands of people receiving long-term care in Michigan have had their personal information compromised due to a laptop and flash drive theft, the state's Department of Community Health (MDCH) has announced.

Tornado shelters should be installed in nursing homes, government agency recommends in report on Joplin disaster

Tornado shelters should be installed in nursing homes, government agency recommends in report on Joplin disaster

The deadly tornado that destroyed a Missouri nursing home three years ago showed that long-term care facilities need to have specially designed shelter areas, says a recently released government report. The one-story, wood-frame Greenbriar Nursing Home structure — built in the mid-1960s — was totally leveled, the report states. Workers and residents followed protocol by sheltering in inner hallways to avoid flying glass, the NIST found. However, the attempt to remain safe was futile.

HCR ManorCare worker negligence led to hepatitis C outbreak, residents charge in federal lawsuit

Negligent care resulted in a dramatic outbreak of hepatitis C at an HCR ManorCare nursing home in North Dakota last year, residents allege in a federal lawsuit filed Wednesday.

Same-sex married couples now have expanded Medicare enrollment options, HHS announces

Seniors now are eligible to receive premium-free Medicare Part A coverage if they are married to someone of the same sex, the Department of Health and Human Services announced Thursday.

Median cost of a private nursing home room now exceeds $87,000 a year, Genworth survey finds

Median cost of a private nursing home room now exceeds $87,000 a year, Genworth survey finds

The median annual cost of a private nursing home room in the United States has increased to $87,600, according to the latest annual survey from insurance company Genworth. This represents a 4.4% increase from a year ago.

CA nursing home withheld overtime pay, forced workers to alter time cards, federal lawsuit charges

A California nursing home is facing a federal lawsuit over charges that it did not pay workers overtime and fired an employee for cooperating with investigators, according to local news reports.

Advance directives reach record levels, but this does not lead to more hospice use, researchers find

Seniors are completing advance directives in record numbers, but this is not having the expected effect of shifting people from hospitals to hospices in their last days, say researchers from the University of Michigan and the Veterans Affairs Ann Arbor Healthcare System.

Ryan budget proposal would hurt nursing home residents on Medicaid, critics charge

Ryan budget proposal would hurt nursing home residents on Medicaid, critics charge

A Republican budget plan unveiled in the House of Representatives Tuesday would slash healthcare spending by $732 billion over the next decade, in part by reengineering Medicaid. The proposed changes could jeopardize benefits for a huge number of nursing home residents, critics said.

Emergency prep rule for long-term care should specify amount of supplies to have on hand, advocacy group says

Long-term care facilities should have specified amounts of fuel and supplies on hand as part of a forthcoming regulation on disaster preparedness, a prominent consumer advocacy group argues.

Vibration could heal chronic diabetic wounds, researchers find

Diabetic foot ulcers and other chronic wounds might heal more quickly if they are exposed to gentle vibrations, suggests new research from the University of Illinois-Chicago and Stony Brook University in New York.

Medicare manual revision addresses civil monetary penalty policies, survey timeframes

A long-term care facility slapped with a civil monetary penalty has a chance for an independent informal dispute resolution, according to new manual guidance from the Centers for Medicare & Medicaid Services.

Nursing home workers could better communicate with family over 'gray area' decisions during late-stage dementia, study suggests

Even with advance directives in place, family members making decisions for end-stage dementia patients struggle with the trajectory of the condition, suggests a small study out of Virginia Commonwealth University.

Profile: Mastering by example

Profile: Mastering by example

Everything Mary Leary needed to know about tenacity and resilience, she learned at home. Her father lived a full life despite injuries from World War II that left him fully disabled and forced him to relearn how to walk and talk.

Day in the Life: Sniffing out wandering residents

Day in the Life: Sniffing out wandering residents

Long-term care providers might want to get themselves an Acki to help locate residents who wander from the premises. No, Acki is not the name of a brand new electronic monitoring system. Acki is a German shepherd.

Inspiring motivation

Inspiring motivation

Cultivating motivation in the rehab therapy setting comes down to pushing the right buttons at the right time — and knowing when to stop pushing.

A miracle of reflection

A miracle of reflection

Sometimes in business — and particularly in the long-term care business — it can be useful to see things from a fresh, unexpected perspective.

Some good news (from MedPAC !): Quality rising

Some good news (from MedPAC !): Quality rising

A funny thing happened on the way to a semi-annual eye rolling about a MedPAC report. It contained some information that could make long-term care providers happy.

Trouble with success

Trouble with success

As my dear mother used to say, it's a rare cloud that doesn't offer some kind of silver lining.

How to do it ... Resident security

Monitoring in caregiving is getting more "personal" than ever. We live in the age of watchers, pitting privacy issues against vested interests in security. Technological advances have greatly enhanced resident monitoring, but they have also added new challenges. Solutions call for a delicate balance between automation and personal freedom.

Ask the legal expert ... about screening for sex offenders

Ask the legal expert ... about screening for sex offenders

How can we make sure we don't have registered sex offenders working or volunteering for us? What if they lie to us about it?

Extrapolation for overpays OK, court says

A federal appeals court has ruled that a government contractor may justifiably calculate the amount a provider owes for Medicare overpayments by conducting a limited audit and then extrapolating from those findings.

Supreme Court to hear case sparked by Omnicare deals

Supreme Court to hear case sparked by Omnicare deals

A recent $4 million legal settlement over kickbacks for anemia drug Aranesp is small change compared to other recent deals Omnicare has made with federal authorities. News of these payouts hasn't escaped long-term care pharmacy investors, some of whom filed their own charges against the pharmacy provider, launching a case that is now set to be heard by the U.S. Supreme Court.

State News

State News

PENNSYLVANIA - The state's nursing home operators say they are approaching fiscal disaster as facilities look at razor-thin margins half the national average.

ITUpdate

» HIMSS Analytics alleged that too many providers rely on outdated and inefficient practices to back up and archive resident-related information. The organization surveyed 150 senior IT professionals nationwide. They found that processes tend to be inconsistent when it comes to safeguarding data and meeting long-term compliance requirements.

I couldn't live without ... PointClickCare Secure Conversations

I couldn't live without ... PointClickCare Secure Conversations

Leaders at Wellington Healthcare noticed that when residents needed a doctor, nurses were text messaging physicians to request a call. Security concerns prevented the long-term care staff from texting more detailed resident information.

ICD-10: LTC must get ready

ICD-10: LTC must get ready

The procrastination is over for the conversion to ICD-10 coding. After the third postponement of the start date last year, officials are adamant about starting the new format Oct. 1.

BusinessBriefs

» Country Villa Health Services, which operates 19 skilled nursing and assisted living facilities in California, has filed for Chapter 11 bankruptcy. Pending class-action lawsuits and cash flow problems led to the filing, chief executive Stephen Reissman told The Wall Street Journal. The company faces seven class action suits, some labor related and some alleging improper care. The company intends to keep its facilities open while it reorganizes.

Ensign split hurts earnings

The Ensign Group's annual results for 2013 came in just under management's guidance for the first time in the company's history, the provider announced.

Ask the payment expert ... about Medicare technical requirements

Ask the payment expert ... about Medicare technical requirements

We were told we didn't meet technical requirements for Medicare. What does that mean?

MDS insight found lacking

Long-term care staffers' understanding of the Minimum Data Set and its Quality Indicators is "mediocre at best," according to recent survey results. Lack of exposure and involvement are key reasons why nurse aides especially feel they are out of the loop.

Feds recover $10 million in incorrect Medicaid payouts

Feds recover $10 million in incorrect Medicaid payouts

Federal investigators recovered more than $10 million in incorrect Medicaid payments made to nursing homes in 2013, an annual review shows.

Ask the nursing expert ... about ICD-10's impact on nurses

Ask the nursing expert ... about ICD-10's impact on nurses

What is ICD-10? What does this mean for nurses?

Physical demands on CNAs differ by shift

Certified nursing assistants who work in long-term care are put in severe postures for their shoulders and elbows at night, and for their neck during the day, according to a new study.

Ask the treatment expert ... about timing negative pressure wound therapy

Ask the treatment expert ... about timing negative pressure wound therapy

Can you give me some guidelines regarding when I should start negative pressure wound therapy and when it should be discontinued?

Study: Diabetes often precedes wounds

Diabetes is the co-morbid condition most strongly associated with the development of pressure ulcers in nursing home residents, according to an analysis of existing research.

Foot ulcer healing rate jumps 50% in first-of-its-kind trial

Foot ulcer healing rate jumps 50% in first-of-its-kind trial

A new drug nearly doubled the diabetic foot-ulcer healing rate in a recent clinical trial, which researchers are touting as a potential breakthrough in wound care.

Ask the care expert ... about INRs

Ask the care expert ... about INRs

We have quite a few residents on INRs (with a diagnosis of Atrial Fibrillation) that we cannot regulate as hard as we try. Do you have any suggestions we should look at?

Website debuts for HIV-positive seniors

Clinicians treating people older than 50 with HIV now have a new resource.

Self-reporting may forewarn memory problems in future

Self-reporting may forewarn memory problems in future

Men over 60 who self-report memory problems may be predicting later cognitive impairment, new research finds.

22% of beneficiaries return to hospital

A large number of rehabilitation patients seek hospital care shortly after being discharged from a nursing facility, according to recent research.

New test for Alzheimer's

A new blood test reveals with 90% accuracy which people will develop Alzheimer's disease or mild dementia within three years, according to study results in Nature Medicine.

Staffing, quality link found shaky

Nursing home staffing levels have not been definitively linked to better care, according to an analysis published in JAMDA.

Audits paused, providers glad

Audits paused, providers glad

Long-term care providers are applauding a pause in the Medicare recovery audit contractor program.

CMS requests survey buildup

The Centers for Medicare & Medicaid Services is asking for $49 million more in its next budget, largely to expand long-term care inspection programs.

Senate passes 'doc fix' bill that links skilled nursing facility payments to hospital readmissions, delays ICD-10

Senate passes 'doc fix' bill that links skilled nursing facility payments to hospital readmissions, delays ICD-10

Both houses of Congress now have passed legislation to tie skilled nursing facility Medicare reimbursements to hospital readmissions, starting in 2018. The Senate approved the "Protecting Access to Medicare Act of 2014" in a 64 to 35 vote Monday evening. Prominent long-term care provider associations LeadingAge and the American Health Care Association/National Center for Assisted Living supported the bill.

Expert panel recommends functional status quality measures for skilled nursing facilities

Expert panel recommends functional status quality measures for skilled nursing facilities

An expert panel convened by federal regulators has offered recommendations for functional status quality measures in skilled nursing facilities. Released Friday was a summary of the experts' advice to create a functional status quality measure in SNFs, as well as inpatient rehabilitation facilities and long-term care hospitals.

Stroke patients should have access to robust palliative care, American Heart Association urges in first-of-its-kind statement

Stroke survivors have "enormous" palliative care needs, and healthcare providers should ensure they can provide these services, according to a scientific statement released Friday by the American Heart Association/American Stroke Association.

Bill affecting skilled nursing facility payments, ICD-10 deadline passes House in controversial vote

Bill affecting skilled nursing facility payments, ICD-10 deadline passes House in controversial vote

A bill linking skilled nursing facilities' Medicare payments to hospital readmissions passed the House of Representatives Thursday, through a voting method that provoked outrage from some legislators. The measure also would extend the ICD-10 transition period and prevent a looming physician pay cut.

Assigning nurses' desired shifts improves their work ability and health, large study finds

Nurses' job performance and health are better when they can work the shifts that they want, suggests recently published findings from a large European study.

CMS is failing to ensure that terminated skilled nursing facilities and other providers are not billing Medicaid, watchdog agency says

The Centers for Medicare & Medicaid Services needs to do a better job of ensuring that terminated Medicaid providers in a particular state, including skilled nursing facilities, don't reappear in another state, according to a new government report.

ONLINE EXPO DAY 2: Learn how to prepare for a facility re-survey, where to find capital

ONLINE EXPO DAY 2: Learn how to prepare for a facility re-survey, where to find capital

Long-term care professionals are in for a second day of great insights at the McKnight's Online Expo. Attention will turn to finding capital and preparing for surveys, after the event kicked off Wednesday with informative sessions on MDS 3.0 changes, technology and wound care.

House to vote on skilled nursing facility readmissions penalties, ICD-10 extension

Skilled nursing facilities could see reimbursements tied to their number of hospital readmissions starting in 2018, under Medicare legislation announced by House and Senate leaders Wednesday. The bill also would delay the transition to the ICD-10 coding system for a year and prevent scheduled payment cuts to physicians.

RACs recovered $8,000 from skilled nursing facilities, $2.3 billion overall in 2012, report shows

Medicare recovery audit contractors collected about $8,000 in fiscal year 2012 through a skilled nursing facility claims review pilot, according to a recently released annual report to Congress.

THE WAIT IS OVER: McKnight's Online Expo kicks off today

THE WAIT IS OVER: McKnight's Online Expo kicks off today

Today's the day: Long-term care professionals, top vendors and subject matter experts are convening for the eighth annual McKnight's Online Expo. Minimum Data Set changes, technology adoption and wound care practices are the topics on tap in the virtual conference rooms, while the online exhibition hall will feature 15 vendor booths.

Current antipsychotics quality measure is too hard on long-term care providers, researchers argue

An updated quality measure would paint a fairer picture of nursing homes' antipsychotic prescribing practices, say researchers at Miami University in Ohio and Rutgers, the State University of New Jersey.

Neglect charges filed against 10 workers at nursing home where residents from a troubled sister facility were transferred

Hidden camera footage has led to felony and misdemeanor charges against 10 caregivers at a skilled nursing facility in New York, the state's attorney general announced Monday. The accused caregivers work at a facility that recently took in a number of displaced residents from a nursing home under the same ownership, which is closing due to quality of care issues.

CMS releases new Minimum Data Set training videos; session on coding to kick off McKnight's Online Expo tomorrow

CMS releases new Minimum Data Set training videos; session on coding to kick off McKnight's Online Expo tomorrow

Post-acute providers now can refer to four new Minimum Data Set training videos from the Centers for Medicare & Medicaid Services, which answer frequently asked questions and clarify tricky items related to a variety of codes.

Large number of hospitalizations could be prevented for cognitively impaired residents on feeding tubes, researchers find

Residents of long-term care facilities who are cognitively impaired and on feeding tubes have high numbers of potentially preventable emergency room visits and hospitalizations, according to newly published research findings.

Acute, post-acute partnerships reduce C. diff about 50% in Washington state

Hospitals and post-acute facilities in Washington state have cut their rate of Clostridium difficile infections in half since 2012 by partnering with each other in a robust infection control program, according to local news reports.

Analysis shows strong prospects for long-term care M&A activity; experts to address business topics at McKnight's Online Expo this week

Analysis shows strong prospects for long-term care M&A activity; experts to address business topics at McKnight's Online Expo this week

The long-term care sector is poised to see better merger and acquisition activities than in past years thanks to a confluence of factors, according to a new report from professional services firm PricewaterhouseCoopers.

Most continuing care retirement communities are not 'isolating' settings, CMS clarifies in guidance on recent regulation

Continuing care retirement communities don't create the same problem of isolation as skilled nursing facilities, according to new guidance on a recently finalized Medicaid regulation.

DOJ approval of $1.2 million deal ends case of owner who used nursing homes as 'piggy banks'

Federal authorities have agreed to a $1.2 million settlement that would bring a long and complex case of nursing home embezzlement to a close, according to news reports from Rhode Island.

Public reporting of physical restraint use led to 36% increase in antipsychotic prescribing for dementia, researchers find

Public reporting of physical restraint use led to 36% increase in antipsychotic prescribing for dementia, researchers find

Public reporting of physical restraint use in nursing homes caused a spike in the use of antipsychotic medications to control residents' dementia symptoms, according to a recently published analysis. These results suggest that policymakers should consider unintended negative consequences of publicly reporting quality measures, the researchers emphasized.

McDermott urges RAC penalties for successfully appealed decisions

Medicare recovery audit contractors should face financial penalties when providers successfully challenge their decisions, Rep. Jim McDermott (D-WA) stated in a recent letter to the head of the Health and Human Services Department.

Medicare to cover hospice and curative care simultaneously in new demonstration program

Medicare will reimburse both hospices furnishing palliative care and providers offering curative services under a new demonstration program, the Centers for Medicare & Medicaid Services recently announced.

Standardized tool for assessing post-acute care is floated in House and Senate

Standardized tool for assessing post-acute care is floated in House and Senate

Lawmakers in both houses of Congress have unveiled a draft bill calling for post-acute care providers to furnish standard assessment data, with the goals of enabling better quality oversight and driving Medicare payment reform. The Senate Finance and House Ways and Means committees on Tuesday introduced companion versions of the "Improving Medicare Post-Acute Care Transformation Act of 2014" (IMPACT Act).

OIG focuses on nursing homes' quality of care in 'priorities' report

To best protect federal health programs, more action should be taken to improve nursing home quality, a new government report asserts.

Man charged with nursing home murder withdrew his confession prior to arrest, records show

A Kentucky nursing home worker who admitted to murdering residents in 2007 retracted his confession before his arrest, according to recently released court records that shed new light on what may have motivated both the crime and the worker's decision to come clean.

Dual eligibles in nursing homes have fewer hospitalizations than those in home- and community-based care, researchers find

Dual eligibles in nursing homes have fewer hospitalizations than those in home- and community-based care, researchers find

Elderly, frail people are more likely to be hospitalized if they are receiving home- or community-based services than if they live in a nursing home, according to newly published research. Recent Medicaid reforms have aimed to increase use of HCBS because it is believed to be less costly than institutional long-term care, investigators noted. They said their findings suggest that more frequent hospitalizations are a "hidden cost" of home- and community-based care.

Observation stay bills in focus for LTC providers

Nonprofit long-term care providers continued to focus on bills related to observation stays during visits on Capitol Hill Tuesday.

Skilled nursing operator to pay $1 million over claims it failed to pay overtime, allow breaks

Compass Health has agreed to a $1.1 million settlement in a class action lawsuit alleging that the skilled nursing provider did not pay overtime or allow workers to take needed breaks.

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