Nursing homes providing poor care routinely have received HUD-insured acquisition, construction, refinancing and improvement loans all over the country. In fact, since 2001 hundreds of the nation's worst-ranked nursing homes have received one, and in many cases two, low-cost, HUD-backed mortgages worth close to $2.5 billion, according to the Center for Public Integrity’s analysis of loan and ratings data.
Even though HUD restructured the office that runs the program in 2008 to streamline the mortgage application process and requires submission of the latest quality reports in evaluating potential construction and rehabilitation loans, the number and volume of one-star facilities that got HUD insurance rose each year from 2009 to 2012. Almost two decades of stinging government reports about the program — from the Government Accountability Office and HUD’s Office of the Inspector General — don’t seem to have made much difference.
Tough standards? BULL
First we have set unreasonably low “minimum staffing standards” it is a ratio of nurses to the number of residents per shift.
The nursing homes have to report this to the state and if they meet the “minimum” for at least 80% of the shifts they are safe.
That’s their goal – the minimum. Nothing more.
The law also says that they legislature can’t make them have more staff without giving them more money.
The federal standard and state standard in the actual regulations are that you must have “sufficient staff to meet the needs of the residents.”
Nursing homes take individuals who need a lot of care directly from the hospital so they they can get reimbursed from Medicare.
Depending on the acuity level of the resident the daily rate for reimbursement can be over $500.
The rate for Medicaid is substantially less around $200.
Do they hire more staff when the have people who need more care.
So when there is a bad outcome – and you say you should have had more staff – they tote out their little chart and proudly say – we met the minimum standard!
And you know what - all the Michael Morton and the Adams brothers contributions are going to do for them?
They will press for a cap on noneconomic damages this session and with all the red and green($$) – they’ll probably get it.
So they will abuse our elderly and there will be little way to hold them accountable because I doubt the new AG who received all that nursing home money will do a thing about it. Maybe do like Dustin did and kick around a few of the poorer homes.