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Spring 2022 LTC Journal

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:

  • Important White House nursing home initiatives.
  • Insights and recommendations for direct care minimum spending laws.
  • NY Department of Health’s […]

LTCCC Comments to CMS on Minimum Staffing Standard

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 […]

Webinar: It Starts With Staffing: Requirements and Recommendations for Providing Safe and Quality Nursing Home Care

Register for LTCCC’s June 21 webinar on antipsychotic drugging.

Presenters: Richard Mollot (LTCCC), Sam Brooks (Consumer Voice), Lori Smetanka (Consumer Voice)

PowerPoint Slides PT 1 (PDF) PowerPoint Slides PT 2 (PDF)

Webinar: Picking Patients for Profit: Admissions Discrimination in Nursing Homes

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 […]

Memo in Support of New York State Legislature Bills A05842/S05269

Time for NY to Invest in Maximum Nursing Home care, Not Maximum Operator Profits

Download PDF of this memo.

Federal requirements mandate that nursing homes have sufficient staff, with the appropriate competencies, to meet the clinical, emotional, and psychosocial needs of […]

What You Need to Know—and Do—About the White House’s Nursing Home Reforms

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 […]

2022-04-04T13:30:59-04:00Learning Center|

LTCCC Policy Brief: Direct Care Minimum Spending Laws

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 […]

‘We Can’t Let Up Now’: Bringing the White House Reforms to the Finish Line

Last month the White House made a major announcement about nursing home reforms, perhaps the biggest news for nursing homes in 35 years. In Part 2 of this two-part episode, Lori Smetanka and Sam Brooks from the National Consumer Voice for Quality Long-Term Care chat about their latest campaign supporting the White House reforms […]

NursingHome411 Podcast
'We Can't Let Up Now': Bringing the White House Reforms to the Finish Line
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2022-04-01T16:21:49-04:00

LTCCC Applauds Governor Hochul’s Decision to Implement Vital Nursing Home Resident Protections

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 […]

The Biggest News for Nursing Home Residents in 35 Years

Last month the White house made a major announcement about nursing home reforms, perhaps the biggest news for nursing home residents in 35 years. In Part 1 of this two-part episode, Toby Edelman (Senior Policy Attorney, Center for Medicare Advocacy) and Richard Mollot (Executive Director, LTCCC) join the NursingHome411 Podcast to talk about the timeline […]

NursingHome411 Podcast
The Biggest News for Nursing Home Residents in 35 Years
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2022-04-04T07:51:31-04:00

Staffing Levels Fall 8% in Six Months

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 […]

Webinar: Broken Promises: An Assessment of Federal Data on Nursing Home Oversight

Presenter: Eric Goldwein, LTCCC

PowerPoint Slides (PDF) Broken Promises: An Assessment of Nursing Home Oversight LTCCC’s Recommendations to improve enforcement

LTCCC Alert: Build Back Better NEEDS Essential Staffing Standards

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 […]

2021-12-17T10:50:43-05:00New York, Oregon|

LTCCC Alert: An Oral History of COVID-19 in Nursing Homes

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.

2021-12-15T12:22:49-05:00Media Alerts|

No Harm, No Foul?

LTCCC’s Richard Mollot, Hayley Cronquist, and Eric Goldwein discuss the expectation and reality of nursing home oversight and how lax enforcement exposes residents to substandard care and neglect.

Interview recorded November 12, 2021 and edited for clarity.

2022-02-09T11:01:23-05:00

LTCCC Alert: 24-Hour Registered Nurses in Nursing Homes: Essential & Affordable

We cannot allow the safety of vulnerable residents to be hijacked by cynical soundbites from powerful & wealthy industry lobbyists.

By definition, every licensed U.S. nursing home is required to provide skilled nursing care, supervision, and services 24-hours a day, seven days a week. Unfortunately, too many of our nursing […]

LTCCC Alert: Nursing Home Staffing Levels Drop in Q2 2021

The following is an alert for the Q2 2021 staffing report. To access the report, click here.

November 16, 2021 – Nursing homes with higher staffing levels are better equipped to meet their residents’ care needs. Unfortunately, understaffing has been a widespread and persistent problem, especially since the start of the COVID-19 pandemic.

Today, LTCCC […]

LTCCC Alert: Oversight Overlooked in New York Nursing Homes

NY ranks last in citation rates despite widespread substandard care and neglect.

Fundamentally, a state’s oversight of nursing home care boils down to two components: (1) its ability to identify and cite a facility when a failure to meet standards (i.e., a deficiency) exists and (2) its ability to appropriately rate the deficiencies […]

Fall 2021 LTC Journal

The Fall 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:

  • A letter to NY Governor Kathy Hochul calling for action to protect long-term care residents.
  • LTCCC’s Q1 2021 staffing report showing failures to […]

LTCCC Alert: New Data Report Finds One in Six U.S. Nursing Homes is a “Problem Facility”

September 30, 2021 – The Long Term Care Community Coalition (LTCCC) regularly publishes data on key indicators relevant to nursing home care. Today, LTCCC is releasing a new report containing federal data on five-star ratings, ownership type, enforcement, and other important information for all 15,000 U.S. nursing homes. The report features a page […]

Trickle-Down Vaccinomics: Why Nursing Home Vaccination Education Starts at the Top

On this episode, research scientist and vaccine guru, Beth Nivin, MPH, chats about her experiences speaking with nursing home staff about COVID-19 vaccines as a consultant for the New York City Department of Health and Mental Hygiene. Beth also provides an update on the latest research and data on vaccine efficacy and the Delta variant.

Interview […]

NursingHome411 Podcast
Trickle-Down Vaccinomics: Why Nursing Home Vaccination Education Starts at the Top
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2021-09-14T11:35:03-04:00

LTCCC Alert: Most U.S. Nursing Homes Fell Short of Federal Staffing Threshold in Q1 2021

The following is an alert for the Q1 2021 staffing report. To access the report, click here.

LTCCC Testimony: NY Senate Hearing on Nursing Home, Assisted Living, & Homecare Workforce

LTCCC Executive Director Richard Mollot testified at a New York Senate Hearing, “Nursing Home, Assisted Living, and Homecare Workforce – Challenges and Solutions,” on July 27, 2021, highlighting key long-term care policy concerns including widespread inadequate staffing, the rise of for-profit industry, and the lack of oversight and accountability. Read the testimony below.

[…]

Framework for Nursing Home Reform Post-Covid

The Long Term Care Community Coalition, along with California Advocates for Nursing Home Reform, Center for Medicare Advocacy, Consumer Voice, Justice in Aging, and Michigan Elder Justice Initiative, developed a framework to address longstanding problems in nursing homes. The framework provides recommendations in six critical areas that need reform: (1) staffing and workforce; (2) regulation […]

LTCCC Alert: Three in Four U.S. Nursing Homes Understaffed in Second Wave

The following is an alert for the Q4 2020 staffing report. To access the report, click here.

Nursing Home Staffing 2020 Q4

LTCCC’s Q4 2020 Staffing Report provides user-friendly files for every state that include facility-level data on: 1) Care staff levels (RN, LPN, and CNA); 2) Important non-nursing staff levels, including administrators and activities staff; 3) Contract workers. The report also includes data on state and national quarterly staffing levels, state and national quarterly resident census […]

LTCCC Alert: Speak Out on NY Nursing Home Staffing Bill

Take action and contact your legislators

Below is LTCCC’s statement about New York’s new staffing bill. See also: LTCCC’s joint press release with other consumer groups on the staffing bill. Consumer Groups: NY Staffing Bill Misses the Mark

Spring 2021 LTC Journal

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:

  • A report challenging the theory that a nursing home’s location is the biggest determinant of COVID-19 transmission.
  • New York’s failure to ensure nursing homes’ compliance with minimum […]

‘People Got Scared’: Life as a CNA in a COVID-Ravaged Nursing Home

Direct care workers are a critical yet undervalued part of the long-term care system. On this episode, Desma Reaves, a certified nursing assistant and delegate for the healthcare workers union 1199SEIU upstate New York, chats about her experiences as a certified nursing assistant (CNA) in COVID-ravaged nursing home, the difficult tradeoffs faced by nursing home […]

NursingHome411 Podcast
'People Got Scared': Life as a CNA in a COVID-Ravaged Nursing Home
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2021-03-29T10:12:15-04:00

U.S. Nursing Home Ratings & Info (Feb. 2021)

This page contains facility-level data on all U.S. nursing homes including five-star ratings, ownership status, health inspection outcomes, and more. Download individual state files by clicking the state on the map or list below. Download nationwide data here.

Note: Data were obtained from the CMS website (https://data.cms.gov/provider-data/dataset/4pq5-n9py) on February 1, 2021 based on data […]

LTCCC, AARP, 1199 SEIU to NYS Leaders: Require Minimum Nursing Home Hours of Care, Prioritize Reform

Click to download the letter or read it in the PDF below.

In the wake of the New York State Attorney General’s recent revelations about sky-high deaths and dangerous conditions in New York’s nursing homes during the COVID-19 pandemic, leading resident and worker advocates are calling […]

Winter 2021 LTC Journal

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:

  • How the Federal Government’s inaction led to 11 nursing home deaths per hour.
  • The COVID-19 pandemic’s disproportionate toll on nursing homes with higher shares of Black or […]

LTCCC Statement on NYS Attorney General’s Report on the Failure to Protect Nursing Home Residents During the COVID-19 Pandemic

Click here to download LTCCC’s statement on the NY OAG report or read the statement below.

Nursing Home Staffing 2020 Q3

Click on the links in the first column of the table below to download easy-to-use files for each state.

Each file includes information on: 1. Each facility’s RN, LPN, & CNA staffing levels; 2. Staffing levels for important non-nursing staff, including administrators and activities staff; and 3. […]

Nursing Home Staffing 2020 Q1

Note: Not all facilities reported staffing data for Q1 2020 because of suspended reporting requirements due to the COVID-19 pandemic. (11,735 facilities reported staffing data in Q1 2020 vs. 14,969 in Q4 2020). State and national staffing averages for Q1 2020 exclude facilities that did not report.

Click on the links in […]

What’s the Difference Between Nursing Homes and Assisted Living?

LTCCC executive director Richard Mollot takes us back to the basics and explains the difference between:

  • Nursing homes and Assisted Living facilities (1:25)
  • Medicare and Medicaid (7:50)
  • Ownership type: Non-profit vs. For-profit vs. Government facilities (11:25)
  • Staffing positions: RN vs. CNA vs. LPN vs. LVN (16:00)

Note: Episode recorded July 2020

Background reading and references:

2020-12-07T12:36:12-05:00

Nursing Home Staffing 2020 Q2

Click on the links in the first column of the table below to download easy-to-use files for each state.

Each file includes information on:

  1. Each facility’s direct care RN, LPN, and CNA staffing levels;
  2. Staffing levels for important non-nursing staff, including administrators and activities staff; and
  3. The extent to which the facility relies on contract workers […]

It’s All About the Money: Attorney Ernie Tosh on Leveraging Nursing Home Data in the Courtroom

Texas-based attorney Ernie Tosh joins the show to discuss the relationship between nursing home finances, staffing, and resident care. Tosh also shared tips on using public nursing home data and chatted about his career path to becoming a data-driven attorney advocating for nursing home residents.

Note: Interview recorded April 22, 2020.

Background reading and references:

  • NursingHome411 Podcast
    It's All About the Money: Attorney Ernie Tosh on Leveraging Nursing Home Data in the Courtroom
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2020-09-22T19:05:54-04:00

Nursing Home Staffing 2018 Q1

Sufficient staffing is one of the most important indicators of a nursing home’s quality and safety. Unfortunately, inadequate nursing home staffing is a widespread and persistent problem. Some nursing homes provide good care, ensuring that their facilities have enough qualified staff. However, in the absence of limits on profits or administrative expenses, too many nursing […]

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