As The Policy Debate Over Nursing Homes Heats Up, Operators Are On The Defensive

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In the wake of the devastating effects of covid-19 on nursing home residents and their staffs, pressure is building on long-term care facilities from congressional Democrats who are exploring ways to accelerate the shift of Medicaid long-term services and supports from nursing facilities to home ...

calling for a dramatic increase in government oversight of nursing facilities. They identified potential financial conflicts of interest in many for-profit facilities and urged both increased financial transparency and tougher rules governing acquisitions of facilities.

Among them: Much tougher quality oversight and more detailed disclosure of related party business relationships of the owners of long-term care facilities. Currently, some operators pay large fees to vendors that they own, at least in part, for services such as nursing and facility management. They also often lease the facilities at high rents from real estate investment trusts in which they may have an interest.

The document largely asserted that illness and death in long-term care facilities were due to factors beyond the facilities’ control. It blamed lack of resources, and government’s failure to provide sufficient personal protective equipment and rapid and accurate testing. It said, “even the best nursing homes with the most rigorous infection control practices could not stop their highly contagious, invisible enemy.

 

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Since early 2020, Texas regulators fined about 268 of the state’s 1,200 nursing homes for infectious disease control deficiencies. via FCN2go NursingHomes Cuomo NewYork Texas

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