Webinar: Building the Backbone: How Stronger State CNA Requirements Can Lead to Better Nursing Home Care
Register for LTCCC’s April 18 webinar.
Presenters:
Richard Mollot (Executive Director, LTCCC)
Adrianna Duggan […]
LTCCC Alert: A Guide to State CNA Certification & Training Requirements
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.
Senior Care Policy Briefing: ‘Another record quarter…’
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 Ensign Group reports another record quarter.
- NY lawsuits revealing allegations of millions of siphoned profits.
- An OIG report […]
LTCCC Alert: Nursing Home Administrator Hours Down 20% Since Pandemic
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, […]
Webinar: Understanding Competency and Training Requirements for Nursing Home Staff
Presenter:
Richard Mollot (LTCCC)
PowerPoint Slides (PDF) Fact Sheet: Nurse Aide Training Requirements
22 of 2022: LTCCC’s Favorite Nursing Home Reports of the Year
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 […]
Fall 2022 LTC Journal
The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
- New federal guidance for nursing home surveyors to strengthen safety and accountability.
- LTCCC’s Q1 2022 staffing report showing nursing home staff turnover at 53.3%.
- A report detailing how real estate […]
NYS LTCOP Conference 2022: Elder Justice Past, Present, and Future
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
LTCCC Alert: Nursing Home Staff Turnover Above 50%
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 […]
Summer 2022 LTC Journal
The LTC Journal covers important long-term care issues by highlighting policy updates, news reports, and academic research. Topics in this edition include:
- Unsafe antipsychotic alternatives on the rise.
- Louisiana nursing home owner arrested for felony fraud and cruelty.
- RN staffing levels down 12% in 2021.
- Infection control compromised during pandemic.
Webinar: Show Me the Numbers: How Transparency Can Improve the Quality of Nursing Home Care
Presenter: Ilene Henshaw PowerPoint Slides (PDF) LTCCC Policy Brief: Nursing Home Transparency LTCCC Policy Brief: NY’s Minimum Spending Ratio
LTCCC Alert: New Federal Guidance to Strengthen Nursing Home Safety, Quality, and Accountability
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 […]
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
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
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 […]
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 […]
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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 […]
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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 […]
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.
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.
- LTCCC’s new project, “Nursing Home Oversight & Enforcement: Expectation vs. Reality.”
- A Guide to Nursing Home Oversight & Enforcement.
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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 […]
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LTCCC Comments on Proposed Update to Pennsylvania’s Nursing Home Licensing Regulations
Please find below LTCCC’s comments on Rulemaking 10-221 (Long-Term Care Facilities, Proposed Rulemaking 1).
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.
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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 […]
Recommendations for Improving Nursing Home Safety, Dignity, & Financial Integrity
Download LTCCC’s recommendations for improving nursing home safety, dignity, and financial integrity or read the pdf below.
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 […]
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LTCCC Alert: New Data on Nursing Home Ratings and Problem Facilities
The following is an alert for LTCCC’s new nursing home data reports for 2021: Nursing Home Ratings & Info, and Problem Facilities. To access the report, click here.
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 […]
Alert: As Resident Population Shrinks, Nursing Homes Remain Understaffed
The following is an alert for the Q3 2020 staffing report. To access the report, click here.
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:
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:
- Each facility’s direct care RN, LPN, and CNA staffing levels;
- Staffing levels for important non-nursing staff, including administrators and activities staff; and
- 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:
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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 […]