Nursing Homes Being Hit Hard Again By COVID-19

A close up of many viruses on a red background


The Omicron variant of COVID-19 is hitting the elderly and nursing homes particularly hard, with the highest number of cases ever documented among staff and a near-record number of residents falling ill with the virus.  This, on top of a worker shortage which has hit virtually every industry, has made this particularly difficult to deal with.  For the week ending January 9, there were 32,061 new confirmed COVID-19 cases among nursing home residents, nearly triple the number of cases the week before (6,406), according to the Centers for Disease Control (CDC).

https://www.wsj.com/articles/covid-19-cases-surge-at-nursing-homes-11641924320

 

AARP Gets Centers For Medicare & Medicaid Services To Regulate Nursing Homes More Stringently : By Derek Baine

A building with the capitol in the background.


The AARP Foundation and other advocates agreed to amend a lawsuit against CMS after the agency which regulates nursing facilities, agreed to reinstate the ability to levy steep finds to hold nursing homes accountable for the health and safety of residents.  Previously, nursing homes could be fined only once per violation.  Under the new rules, the CMS can levy fines on a facility for every day they are or were in violation of the rules (Source AARP Bulletin, November 2021 Issue, page 4).

In An Attempt To Calm Down Agitated Nursing Home Residents, Patients Are Often Unnecessarily Sedated : By Derek Baine

An old woman with a bruised eye and hand on her face.


I have witnessed first hand nursing home and assisted living facilities giving seniors heavy medication in order to just keep them quiet, sometimes even restraining them.  The New York Times recently wrote a story about this practice saying that 1 in 5 nursing homes prescribe Antipsychotics, which are extremely dangerous to give to the elderly, particularly those with Alzheimer’s disease and Parkinson’s.  The story highlighted David Blakeney, who entered a nursing home with severe dementia.  He was restless and agitated and the facility’s physician wanted to prescribe Haldol, a powerful sedative.   “Add Dx schizophrenia for use of Haldol,†read the doctor’s order, which essentially added another diagnosis of schizophrenia despite the fact that there were no signs the patient had that condition.  These types of drugs are commonly referred to as chemical straightjackets and, unfortunately, they can nearly double the chance of death from heart problems, infections, falls and other ailments for seniors with dementia. But with nursing homes understaffed, it’s an easy solution to just sedate more patients so they can be handled with less staff.  The patient in the Times article died at the early age of 64 just eight months after being put on Haldol, but not before suffering devastating weight loss, pneumonia and the amputation of one of his feet due to severe bedsores.  This should not happen in this country.  If you have a loved one in a facility, regularly ask for a list of prescriptions that they are on.  This is all too common.

 

https://www.nytimes.com/2021/09/11/health/nursing-homes-schizophrenia-antipsychotics.html

Nursing Homes And Assisted Living Facilities Tepid On Mandating COVID-19 Vaccinations, Biden Takes Action

Three vaccine bottles are shown with the words " covid-1 9 coronavirus vaccine ".


There is no question that there is a major labor shortage, we are suffering from this ourselves.  A recent report said that senior housing facilities are also being hard hit, with employees hard to find and commercial property values sinking as few investors want to be in this type of industry.  However, it’s unclear that many are doing everything in their power to please the customers.  About 39% of senior housing associations surveyed between July 22 and August 8 said that they definitely or probably would impose vaccine mandates.  That’s a surprisingly low number.  We have seen an influx of new clients due to adult children moving their parents out of facilities due to their fear of COVID-19.  That’s only likely to increase as new variants spread.  Thankfully, President Biden has stepped in and said that if nursing homes don’t require workers to be vaccinated against COVID-19 they will no longer receive Medicare or Medicaid funding.  The current nursing home vaccination rate sits at only 61.5%, according to the Centers for Medicare and Medicaid Services.  This is only a hair above the total population.  Some nursing home executives have bristled at the new Biden mandate, stating that staff departures may exceed 20%.  Good riddance I say to the anti-vaxers.  Keep them away from our seniors.

https://www.wsj.com/articles/senior-housing-industry-faces-higher-costs-as-it-plays-lead-role-in-vaccine-mandates-11630411200?mod=djem10point

AARP Fighting Elder Abuse In Assisted Living And Nursing Home Facilities

A woman and two men sitting on the couch


AARP’s Legal Team is fighting in the courts for the health and safety of residents of nursing homes.  We have all heard of the horrific stories of seniors being abused in assisted living facilities and rehab centers, and the COVID-19 pandemic has brought this once again to the surface.  AARP first started its suit in January, and in April the team won a judgement in California on behalf of Gloria Single, a nursing home resident who was barred from returning after a stay in the hospital.  There are now four other lawsuits pending, and I hope they are successful.

Salinas, CA Las Palmas Senior Assisted Living Facility And Alzheimer’s & Dementia Memory Care Center Still Faces Opposition

A woman looking out of the window at her home.


A senior care facility which has been in the planning stages for several years continues to face opposition from the community, who say that the plan deviates from what is called the Las Palmas Specific Plan.  The issue revolves around increased traffic as well as the possibility that ambulances will frequently be zipping in and out of Las Palmas.  That document outlines land-use for the area and any amendment to this requires approval by the Monterey County Board of Supervisors.  The River View at Las Palmas Residential Care Facility is a massive complex which has 90,000 square feet and three levels of care with 142 beds; 13 casitas for independent living, a two-story assisted living facility and a three-story “memory care†facility.  It was already approved by the county Planning Commission on a 6:4 split vote, but could still be held up by the Monterey County Board of Supervisors, which will hold a hearing on the issue on Tuesday.

https://www.montereyherald.com/2021/07/16/salinas-proposed-las-palmas-senior-care-facility-stirs-worries-among-neighbors/?utm_email=7404B4F5358244C5647B14D271&g2i_eui=B5dv00xjia5jtX%2fZFTuOn45qYHnjNzVq&g2i_source=newsletter&utm_source=listrak&utm_medium=email&utm_term=https%3a%2f%2fwww.montereyherald.com%2f2021%2f07%2f16%2fsalinas-proposed-las-palmas-senior-care-facility-stirs-worries-among-neighbors%2f&utm_campaign=norcal-monterey-morning-report&utm_content=automated

More Nursing Home Residents Moving Back Home Due To COVID-19

A woman with glasses and a tie dye shirt smoking.


We have seen a noticeable uptick in people asking for 24-7 service due to the fact that children are increasingly moving their parents out of nursing homes and assisted living facilities and back home.  Although the COVID-19 numbers have continued to taper off and nursing home resident have been vaccinated, a shockingly high number of workers refuse to be vaccinated.  This increases the risk to seniors that they are working for, particularly as new strains of the virus work their way across the globe.  The New York Times recently noted the problem, citing statistics from the National Investment Center for Seniors Housing & Care which showed that the occupancy rate in nursing homes had fallen from 86% in the first quarter of 2020 to 75% in the fourth quarter of 2020.By 2034, 34% of households will be headed by someone over 65, up from 26% in 2018, according to the Harvard center.  The share of households age 80 and over will grow even more rapidly.  It’s clear that we must address the issue of allowing people to age at home because there’s no doubt that coronavirus will be around for a long time and no one knows what other deadly virus is lurking around the corner.

 

https://www.nytimes.com/2021/04/01/business/nursing-homes-covid-retirement.html

Carmel, CA Alzheimer’s Caregivers Need To Come Up With A Safety Plan : By Derek Baine

A close up of some blue and yellow cells


The Alzheimer’s Association, always a good organization to get tips from when dealing with a loved one who has dementia, recently released a report about how important having a comprehensives safety plan becomes as the disease progresses.  Please click on the link below to get advice on the following topics:

Wandering;

Home Safety;

Dementia & Driving;

The Alzheimer’s Association, always a good organization to get tips from when dealing with a loved one who has dementia, recently released a report about how important having a comprehensives safety plan becomes as the disease progresses.  Please click on the link below to get advice on the following topics:

Wandering;

Home Safety;

Dementia & Driving;

Medication Safety;

24/7 Wandering Support for a Safe Return;

Technology 101;

Travelling;

Preparing For Emergencies; and

Abuse

 

Regular readers of my blog know that both my father and grandmother had this terrible disease when they passed away.  There are great people at our local chapter of Alzheimer’s Association in Ryan’s Ranch.  They also have a 24-hour hotline if you need support at 800-272-3900.

 

https://www.alz.org/help-support/caregiving/safety?WT.mc_id=enews2021_04_26&utm_source=enews-aff-20&utm_medium=email&utm_campaign=enews-2021-04-26&utm_content=homeoffice&utm_term=Story3

Medication Safety;

24/7 Wandering Support for a Safe Return;

Technology 101;

Travelling;

Preparing For Emergencies; and

Abuse

 

Regular readers of my blog know that both my father and grandmother had this terrible disease when they passed away.  There are great people at our local chapter of Alzheimer’s Association in Ryan’s Ranch.  They also have a 24-hour hotline if you need support at 800-272-3900.

 

https://www.alz.org/help-support/caregiving/safety?WT.mc_id=enews2021_04_26&utm_source=enews-aff-20&utm_medium=email&utm_campaign=enews-2021-04-26&utm_content=homeoffice&utm_term=Story3

Nursing Homes No Longer Able To Dump Residents : By Derek Baine

A woman looking out of the window at her home.


A California court has ruled that a woman who was barred from readmission to a Sacramento nursing facility after being sent to a hospital had her rights violated.  The process, called dumping, is used when assisted living facilities have a resident who is either unruly, isn’t paying enough, or for whatever reason is not welcome by the staff and owners.  AARP Foundation took up her case.  Although the 82 year old woman won the case, it came after both she and her husband died.  Sadly, they were never reunited after she was barred from the facility.

Salinas, CA Aging At Home Is Now In Vogue : Assisted Living On The Outs : By Derek Baine

A woman with grey hair sitting in a chair.


coronavirus is changing the way Americans face retirement by “accelerating developments already under way,†physician Bill Thomas said to the reporter.  “It’s going to make people rethink retirement altogether,†Laura Carstensen, director of Stanford University’s Center on Longevity said.  Most people will age at home, and remain independent, she said.  I believe that her view is true.  With roughly 40% of COVID-19 being staff and residents of nursing homes, nobody wants to go into a facility these days.  We have been getting a number of calls from fearful children who want to get their parents out of assisted living and back home, where they can reduce the risk of coronavirus exposure.  Although COVID-19 will eventually be wiped out, there will clearly be more devastating diseases in the future which makes these facilities dangerous.

https://www.wsj.com/articles/how-covid-19-will-change-aging-and-retirement-11605452401