Addressing the Nation’s Chronic Nursing Home Understaffing Crisis
Essential Insights on Nursing Home Staffing and the Proposed Federal Standard, presented by: Center for Medicare Advocacy, Long Term Care Community Coalition, and National Consumer Voice for Quality Long-Term Care (September 2023).
Presenters: Richard Mollot (LTCCC), Sam Brooks (Consumer Voice), Toby Edelman (Center for Medicare Advocacy), Charlene Harrington (University of […]
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The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research.
Read the full Senior Care Policy Briefing below or download here.
September 15, 2023.
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
Each month, LTCCC’s Family Empowerment Team hosts a Zoom conversation (streamed on Facebook Live) with family members and advocates discussing issues affecting residents and their families. On the July 27 program, we were joined by family council members who talked about their experiences in family councils, including how their councils were […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. In this edition…
Presenters: Peter Gartrell (U.S. Senate Special Committee on Aging) and Suzanne Messenger (West Virginia State Long-term Care Ombudsman) Powerpoint slides – LTCCC (PDF) PowerPoint Slides – WV Ombuds (PDF) Senate Report: Uninspected & Neglected LTCCC […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. In this edition…
The following is an alert for the Q4 2022 staffing report. Download data at NursingHome411 and check out our interactive staffing dashboard.
July 13, 2023 – Sufficient staffing is attainable. In fact, one in four U.S. nursing homes (25.3%) provide at least 4.1 hours per resident day (HPRD), the minimum […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. In this edition…
Presenter: Attorney Deborah Truhowsky
PowerPoint Slides (PDF)
Contact: Richard Mollot, richard@ltccc.org, 212-385-0356
June 14, 2023 – When […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
Presenter: Richard Mollot (LTCCC Executive Director)
PowerPoint Slides (PDF) Fact Sheet: Quality & Performance Improvement
LTCCC submitted an amicus brief (also referred to as a “friend of the court” brief) in the case against the administrator and medical director of the Soldiers’ Home in Holyoke, Massachusetts related to COVID-19 deaths. An amicus brief […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
April 14, 2023
Re: CMS-6084-P; Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities
Submitted electronically: www.regulations.gov
Dear Administrator Brooks-LaSure:
The Long Term Care Community Coalition (LTCCC) is a national non-profit organization dedicated to improving care, quality of life, and dignity for residents in nursing […]
Presenter: Eilon Caspi, PhD
PowerPoint Slides (PDF) Report: “They Make You Pay”
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine […]
Presenters:
Richard Mollot (Executive Director, LTCCC)
Adrianna Duggan (JD Candidate, Yale Law)
[…]
Check out LTCCC’s Guide to State CNA Certification & Training Requirements.
March 17, 2023 – Certified Nurse Aides (CNAs) are considered the backbone of nursing home care.
At New York’s Assembly Public Hearing on the Long-Term Care Ombudsman Program on March 2, 2023, LTCCC Policy Researcher Stefan Foster discusses why New York’s Long Term Care Ombudsman Program (LTCOP) needs more funding to carry out its federally mandated purpose to help protect the lives of New York’s long-term care residents.
Watch testimonies from […]
Subscribe to LTCCC’s Senior Care Policy Briefing
The Senior Care Policy Briefing covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
The following is an alert for the Q3 2022 staffing report. Download data at NursingHome411 and check out our interactive staffing dashboard.
March 9, 2023 – A nursing home administrator is responsible for overseeing their facility, including clinical and administrative affairs, to ensure that resident care needs are met. According to federal law, […]
Roughly 117,000 people reside in nursing homes in New York State. Unfortunately, these vulnerable individuals are far too often subjected to substandard care, abuse, and neglect. At the New York Joint Legislative Public Hearing on 2023 Executive Budget Proposal (February 28, 2023), LTCCC Policy Researcher Stefan Foster talks about the need for greater enforcement, […]
Presenters: Amy Held (Director of NYS AG’s MFCU) & Thom O’Hanlon (Chief of Criminal Investigations in NYS AG’s MFCU) PowerPoint Slides (PDF) Abuse, Neglect, & Crime Reporting Center […]
Happy new year, reader! Thank you for your new or continued support of our mission. This year, we are changing up the quarterly LTC Journal to deliver you more timely information on a monthly basis and to better keep you up to date about what’s happening at NursingHome411! If you haven’t already, be sure […]
Family councils play an essential role in advocating for nursing home residents. In a program hosted by the Illinois Long-Term Care Ombudsman Program, LTCCC’s family council empowerment team talks about how to build and strengthen your family council […]
Presenter:
Richard Mollot (LTCCC)
PowerPoint Slides (PDF) Fact Sheet: Nurse Aide Training Requirements
January 6, 2023 – On January 3, 2023, MACPAC, a non-partisan legislative branch agency that provides policy and data analysis and makes recommendations to Congress on Medicaid programs, issued a report finding that without increased transparency in how nursing homes […]
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine […]
2022 has been a pivotal year in long-term care and we at LTCCC are grateful for all those who have been writing and reporting about the important issues along the way.
That’s why we’re sharing 22 of our favorite articles of 2022 (plus, a few extras!). Below is a list of investigative stories, government reports, and […]
Presenters: Rebecca Priest (Project Coach, The Green House Project) & Linda McCoy (Dining Practice Partner, St. John’s Home)
PowerPoint Slides (PDF) Fact Sheet: Food, Nutrition, and Dietary Services Resource: Food Safety for Your Loved One Food Questionnaire
Contact: Richard Mollot, richard@ltccc.org, 212-385-0356
December 20, 2022 – More than one million people live in US nursing homes and each week, one in five of them are given dangerous antipsychotic (AP) drugs. In most cases these drugs are administered without clinical justification. In 2012, the federal Centers for Medicare and Medicaid Services […]
Presenter: Richard Mollot, LTCCC
PowerPoint Slides (PDF) NursingHome411 Fact Sheets
The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
Thank you to our sponsors and attendees! Program Brochure Videos Photos A letter from Richard Gottfried Remarks from Toby Edelman
Event Honoree: Honorable Richard Gottfried (Chair, NYS Assembly Committee on Health)
This forum, hosted by the Physicians for a National Health Program (PNHP) – NY Metro Chapter, addresses the increasing role and implications of Wall Street investors – Private Equity – in the healthcare industry. The presenters (Rosemary Batt, Robert McNamara, and Richard Mollot) discuss decades of research that has demonstrated how Wall Street […]
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine […]
Presenter: Dr. Jonathan Evans
PowerPoint Slides (PDF) Dementia Care Advocacy Toolkit NursingHome411 Podcast
In June 2022, the Centers for Medicare & Medicaid Services (CMS) published revised guidance for nursing home surveyors available in the links below. Appendix PP provides interpretive guidelines for long-term care facilities. Critical Element Pathways* are used for investigating potential care areas of concern. Surveyors will begin using this guidance to identify noncompliance on October […]
Click program titles to access PDFs of presentations from the 2022 New York State Long Term Care Ombudsman Program (LTCOP) conference, “Elder Justice Past, Present, and Future.” For more information about NYS LTCOP, visit https://aging.ny.gov/long-term-care-ombudsman-program.
Results of the NYS LTC Ombudsman – Center for Elder Law & Justice project. Lindsay Heckler, CELJ
Presenters:
Sharon Banks Tarr, MN, RN, LNCC (Clarity Legal Nurse Consulting)
Tabassum Mohibi, PA, MPH Candidate (Columbia University Mailman School of Public Health)
PowerPoint Slides (PDF) Fact Sheet: Falls & Accident Prevention […]
The NursingHome411 Podcast
U.S. health care is plagued by racism, and nowhere is that more evident than in the nation’s 15,000 nursing homes. Whether it’s COVID, care quality, or inappropriate drugging, research consistently shows significant disparities that impact Black nursing home residents.
On this episode of the NursingHome411 Podcast, Dr. Shekinah Fashaw-Walters – Assistant Professor at […]
The following is an alert for the Q1 2022 staffing report. To access the report, click here.
August 24, 2022 – Staff retention is essential for nursing homes to provide quality care for their residents. Unfortunately, turnover continues to be a major problem for many of the nation’s 15,000-plus facilities. The average nursing home […]
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine […]
The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
F-tags (“F” for “federal”) constitute the system through which federal nursing home regulations are identified in the survey process. Generally, each regulatory provision is assigned a corresponding F-tag number and surveyors use these numbers to indicate on the Statement of Deficiencies when a facility has failed to meet (or exceed) a given standard. Below is […]
Presenter: Ilene Henshaw PowerPoint Slides (PDF) LTCCC Policy Brief: Nursing Home Transparency LTCCC Policy Brief: NY’s Minimum Spending Ratio
The NursingHome411 Podcast
On July 7, the Empire Center published a new report on the rise of related-party transactions in New York’s nursing homes. On The NursingHome411 Podcast, Bill Hammond – author of the report and an expert in New York health policy and politics – discusses how nursing homes use related-party transactions to […]
June 30, 2022 – Surveys (inspections) are the principal mechanism by which the government assesses nursing home quality and determines compliance with standards of care. Unfortunately, as previous LTCCC studies have shown, State Survey Agencies (SAs) – which are charged with monitoring care, responding to complaints, and ensuring compliance with minimum standards – too […]
Presenters: Richard Mollot (LTCCC) and Tony Chicotel (CANHR)
PowerPoint Slides (PDF) Dementia Care Advocacy Toolkit AP Drugging Data
The Spring LTC Journal is here! The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
The following is an alert for the Q4 2021 staffing report. To access the report, click here.
June 9, 2022 – Registered nurses (RNs) serve a critical role in every nursing home staff. They provide expertise – infection control planning and management, resident assessment and care planning, and the identification and treatment of chronic […]
Concrete, clear, and appropriate minimum staffing standards are needed now to finally realize the promise of the Nursing Home Reform Law in the lives of residents and the vast majority of American families who will depend on nursing home services at some time or another. In April 2022, the Centers for Medicare & Medicaid Services […]
Why is it so difficult to hold nursing homes accountable for providing the level of care for which they are being paid? How can it be […]
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine or penalty to the […]
Presenters: Richard Mollot (LTCCC), Sam Brooks (Consumer Voice), Lori Smetanka (Consumer Voice)
PowerPoint Slides PT 1 (PDF) PowerPoint Slides PT 2 (PDF)
As of May 2022, LTCCC is no longer updating this page. Visit NY Health website for updated COVID-19 data.
LTCCC is providing a user-friendly spreadsheet tracking COVID-19-related deaths from New York’s nursing homes (NHs), assisted living facilities (ALFs), and other adult care facilities (OACFs) based on New York Department of Health […]
What is a Double G Citation? This refers to a CMS policy intended to identify and address facilities with a pattern of high-level noncompliance. Double G citations occur when a facility with a previous citation at a G level or higher is cited again at a G level or higher. It is an important indicator because facilities […]
50,000 seniors and people with disabilities live in New York’s adult care facilities (ACFs). One in four of them receive SSI and/or the state supplement (SSP). These numbers are expected to grow as New York expands Medicaid-funded assisted living programs in new and existing ACFs. As more New Yorkers move into these facilities, it is […]
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which typically result in no fine […]
Presenter: Ashvin Gandhi, Health Economist, UCLA
Health economist Ashvin Gandhi (UCLA Anderson School of Management) on how nursing homes selectively admit patients for optimal profits and what high nursing home staff turnover means for resident care.
PowerPoint Slides (PDF) NursingHome411 Podcast […]
Time for NY to Invest in Maximum Nursing Home care, Not Maximum Operator Profits
Federal requirements mandate that nursing homes have sufficient staff, with the appropriate competencies, to meet the clinical, emotional, and psychosocial needs of […]
The NursingHome411 Podcast
On February 28, the White House announced important initiatives that can improve the care, quality of life, and dignity for millions of vulnerable nursing home residents, now and in the future. In a special two-part episode of The NursingHome411 Podcast, we talk about what these reforms will mean for nursing home […]
Until recently, nursing homes have not been required to spend a set minimum percentage of the funds they receive on the care of their residents, nor have the public or policymakers had an effective tool to require accountability for these […]
The safety and dignity of vulnerable residents and care staff will greatly improve when nursing homes comply with New York’s long anticipated reforms.
April 1, 2022 – For decades, both federal and state minimum standards have mandated that nursing homes have […]
Presenter: Nina Loewenstein, LTCCC Legal Analyst
Many nursing home residents must adhere to strict schedules and regimens for rising, dressing, eating, bathing, and sleeping. The culture change movement seeks to transform nursing homes to focus on resident choice and create a homelike […]
In April 2021, a law was passed in New York establishing new requirements for how much the state’s nursing homes must spend on care for their residents and setting forth limits on what nursing homes may spend on […]
Presenter: Shekinah Fashaw-Walters, Ph.D.
PowerPoint Slides (PDF)
The following is an alert for the Q3 2021 staffing report. To access the report, click here.
March 3, 2022 – Federal requirements mandate that nursing homes have sufficient staff, with the appropriate competencies to meet the clinical, emotional, and psychosocial needs of every resident. Unfortunately, understaffing is a widespread and persistent problem that […]
The Winter LTC Journal is here! The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
Background
The Long Term Care Community Coalition (LTCCC) is a nonprofit, nonpartisan organization dedicated to improving care and quality of life for residents in long-term care. LTCCC strongly supports Assembly Bill A00159/Senate Bill S00995
Click to download user-friendly data on AP drugging rates for NY nursing homes in Q2 2021.
February 23, 2022 – Inappropriate antipsychotic (AP) drugging is a pervasive problem in nursing homes across New York State, with nearly one in five residents receiving AP drugs, most without clinical justification. Too often, these […]
In the Elder Justice Newsletter, we highlight citations, including deficiencies related to abuse, neglect, and substandard care, that have been identified as not causing any resident harm. The goal of this brief newsletter is to shed light on the issue of so-called “no harm” deficiencies, which rarely result in fines or […]
Presenter: Paula Carder, Ph.D.
Dr. Carder is a professor with the OHSU-PSU School of Public Health and director of the Institute of Aging at Portland State University. Dr. Carder’s research explores the relationship between state regulatory requirements and daily practices associated with medication administration and staffing in assisted living […]
State survey agencies (usually the state department of health) have primary responsibility to ensure the safety and dignity of nursing home residents 24 hours a day, every day of the year. However, too often, the state agencies fail to effectively monitor facilities or respond to complaints about care. If your state is not sufficiently responsive […]
Industry Lawsuit Details Over $500 Million Per Year Diverted from Resident Care
January 21, 2022 – At the end of December, more than 200 nursing homes filed a federal lawsuit against New York State, seeking to stop implementation of a new state law on nursing home spending. That law, which passed with strong, state-wide support […]
Presenters: Richard Mollot (LTCCC Executive Director) and Eric Goldwein (LTCCC Policy & Communications Director).
PowerPoint Slides (PDF)
The following is an alert for the Q2 2021 Antipsychotic Drugging Rates. To access the data, click here.
January 11, 2022
December 23, 2021 – LTCCC publishes a bimonthly newsletter highlighting nursing home “no harm” deficiencies from across the United States. Today, we’re releasing a new report featuring all of the Elder Justice Newsletters published in 2021 and a user-friendly guide detailing the 32 “no harm” deficiencies covered this past year. Users can sort the […]
The Elder Justice Newsletter provides examples of health violations in which surveyors (nursing home inspectors) identified neither harm nor immediate jeopardy to resident health, safety, or well-being. Below is a searchable issue guide that includes the “no harm” deficiencies featured in our Elder Justice Newsletter in 2021. You may also access individual issues using the […]
Presenter: Eric Goldwein, LTCCC
PowerPoint Slides (PDF) Broken Promises: An Assessment of Nursing Home Oversight LTCCC’s Recommendations to improve enforcement
Let’s win! Support LTCCC’s mission to advocate for nursing home residents.
Dear Advocate,
Nursing home residents and their families have suffered immeasurable loss in the past two years. Loss of dignity. Loss of autonomy. Loss of time. And […]
As of December 2021, LTCCC is no longer updating this page. Visit CMS website for updated COVID-19 data.
LTCCC is providing a user-friendly spreadsheet (updated monthly) tracking COVID-19 vaccinations for residents and staff in U.S. nursing homes. Data are reported by nursing homes to the CDC and published by CMS.
Nursing Home Vaccination Data […]
Tell your senators that residents NEED essential staffing standards in Build Back Better.
December 17, 2021 – A sufficiently staffed nursing home fosters an environment where residents can attain and maintain their highest practicable physical, emotional, and psychosocial well-being. All too often, however, nursing homes fail to provide the necessary levels of skilled nursing […]
December 15, 2021 – The COVID-19 pandemic has been a devastating time for nursing home residents and their loved ones. To better understand their experiences, the Long Term Care Community Coalition (LTCCC) produced an oral history of COVID-19 in long-term care settings.