HHS Officially Rescinds Nursing Home Minimum Staffing Rule

[Doc7505]

That’s not true AT ALL. How do you think we are able to make the payments for my mother with Alzheimer’s, who needs constant supervision? Because my parents saved for their old age, rather than have taxpayers cover their bill.

But as I said, the charge is about twice what it should be because nursing homes need to “make up” for the low amounts they get for the Medicaid people.

I myself am living in such a way that I will have enough to cover at least 10 years, if it comes to that.

<~~~~~~>​

Indeed, not all elderly need Nursing homes, but those in need raise the costs of Nursing homes. There has to be a happy medium to affordable care for the elderly, especially those who in need of care.

 

[Doc7505]

This is something the States can easily regulate themselves.

<~~~~~~>
Democrats want to Socialize everything, just as they federalized Education which has turned to crap, Democrats want to house the elderly and it only creates high costs, hovels and nightmares for the elderly....

 

[martybegan]

<~~~~~~>
Democrats want to Socialize everything, just as they federalized Education which has turned to crap, Democrats want to house the elderly and it only creates high costs, hovels and nightmares for the elderly....

I wouldn't call it socializing, I would call it placing power as far away from the voters as possible.

It's seen in their defense of the Bureaucracy over the elected Executive.

 

[TruthSeeker112125]

If you are putting your parents in a nursing home, then shame on you. Same thing for daycare. Disgusting.

Have you personally cared for a Parent with Full Blown Alzheimers kc48?

 

[braalian]

know reputations through by son, a former EMT, now emergency room nurse

Your son may be an excellent nurse and former EMT, but as a nursing home nurse myself, EMTs and ER nurses are the very last people in the world to be counted on as reliable sources on the subject

They consistently fail to realize that I have 20-30 patients on my assignment, whereas hospital nurses have like 5-7.

Nursing homes aren’t hospitals

Different levels of care exist for a reason

That’s why when a resident becomes too unstable for us to monitor and treat safely, we (the nursing home) ship them out to the ER

EMTs often are judgey, because for some reason they apply hospital standards to long term care

 

[struth]

The trump *administration has removed minimum staffing regs for nursing homes.

Nursing home organizations of course applauded the move as it will enhance their profitability.

Patient groups, on the other hand are a bit less pleased:

"We were very disappointed by CMS's announcement today," Sam Brooks, director of public policy for the National Consumer Voice for Quality Long-Term Care, a patient advocacy group, wrote in an email to MedPage Today. "Even though it claimed the rescission was in part due to congressional and judicial developments, it repeated the often-debunked lines from the nursing home industry that there are not enough staff and that rural facilities will be harmed. Both of these claims are not true."

"Most disheartening was that CMS offered no plan to address the staffing crisis in nursing homes," Brooks added. "Instead, it is returning to the status quo, which results ... in residents suffering and dying because nursing homes are not staffed adequately."

It's almost like they want the old folks to just go away.

HHS Officially Rescinds Nursing Home Minimum Staffing Rule

Nursing home providers praised the move, while one patient group called it 'very disappointing'

www.medpagetoday.com

Don't go to the nursing home or send your mom or dad to one that you aren't comfortable with.

Easy solution.

 

[Lisa558]

Have you personally cared for a Parent with Full Blown Alzheimers kc48?

It’s impossible. They cannot be left unattended at all. One cannot even take 15 minutes for a shower.

 

[braalian]

I can’t speak on the financial aspect, I’m not involved in that

But the whole “daily RN hours of care” for nursing homes is a complete joke.

First, the majority of nurses in nursing homes are LPNs. That’s just the way it is. And we’re not counted in that ratio.

Second, what RNs there are, are often the DON (director of nursing) or unit managers, none of whom perform direct care, at all. And there’s nurses who are MDS nurses whose job is literally 100% paper work and coding.

All this to say, when these ratios are made up, they’re including nurses who are not involved in care at all, they literally just count them because they are physically in the building

The only real way to measure safety is to determine how many patients each bedside nurse has on their assignment any given shift. Nothing else matters (except of course CNA ratios as well)

0.52 hours of RN care per day or whatever it said is utterly meaningless

 

[TruthSeeker112125]

It’s impossible. They cannot be left unattended at all. One cannot even take 15 minutes for a shower.

My Mother in Law, whom I DEEPLY Loved, & My Dad, both died from Alzheimers.

Being Physically involved in their care, & watching their minds disintegrate to the point of acting like mindless animals was/is Horrifying.

You are Absolutely Correct Lisa! They couldn't be left alone for 15 minutes, & eventually both had to be placed in a Nursing Home for 24/7 care.

kc48 doesn't have a clue about what it's like.

 

[braalian]

If you are putting your parents in a nursing home, then shame on you. Same thing for daycare. Disgusting.

It’s very clear you have no idea what you’re talking about

 

[Lisa558]

My Mother in Law, whom I DEEPLY Loved, & My Dad, both died from Alzheimers.

Being Physically involved in their care, & watching their minds disintegrate to the point of acting like mindless animals was/is Horrifying.

You are Absolutely Correct Lisa! They couldn't be left alone for 15 minutes, & eventually both had to be placed in a Nursing Home for 24/7 care.

kc48 doesn't have a clue about what it's like.

Thank you for your understanding, and my sympathies for what you went through with your own dad and MIL.

It is indeed a horrifying thing to witness.

 

[TruthSeeker112125]

Thank you for your understanding, and my sympathies for what you went through with your own dad and MIL.

It is indeed a horrifying thing to witness.

My Mother in Law, who had a "Heart of Gold" so to speak, went from being a Hard Worker in her 80s, who could vividly discuss Politics, Religion, Economics, History, etc.,.... Over a nearly two year period,lost her mind, & humanity.

 

[braalian]

The trump *administration has removed minimum staffing regs for nursing homes.

Nursing home organizations of course applauded the move as it will enhance their profitability.

Patient groups, on the other hand are a bit less pleased:

"We were very disappointed by CMS's announcement today," Sam Brooks, director of public policy for the National Consumer Voice for Quality Long-Term Care, a patient advocacy group, wrote in an email to MedPage Today. "Even though it claimed the rescission was in part due to congressional and judicial developments, it repeated the often-debunked lines from the nursing home industry that there are not enough staff and that rural facilities will be harmed. Both of these claims are not true."

"Most disheartening was that CMS offered no plan to address the staffing crisis in nursing homes," Brooks added. "Instead, it is returning to the status quo, which results ... in residents suffering and dying because nursing homes are not staffed adequately."

It's almost like they want the old folks to just go away.

HHS Officially Rescinds Nursing Home Minimum Staffing Rule

Nursing home providers praised the move, while one patient group called it 'very disappointing'

www.medpagetoday.com

After reading the article, I actually approve of this being rescinded

I’ve worked in the industry for 15 years, and can tell you almost no one on the floor has any idea this ever even existed

It was never enforced, is probably unenforceable, and- as I said earlier- the whole “RN hours” per day without taking LPN staff into account makes it all a bunch of hot nonsense anyway.

The “each resident to receive 3.whatever hours of nursing care per day” can be interpreted so many different ways, it’s basically meaningless

It was a stupid, stupid bill made by people who clearly don’t understand the industry at all

 

[White 6]

Your son may be an excellent nurse and former EMT, but as a nursing home nurse myself, EMTs and ER nurses are the very last people in the world to be counted on as reliable sources on the subject

They consistently fail to realize that I have 20-30 patients on my assignment, whereas hospital nurses have like 5-7.

Nursing homes aren’t hospitals

Different levels of care exist for a reason

That’s why when a resident becomes too unstable for us to monitor and treat safely, we (the nursing home) ship them out to the ER

EMTs often are judgey, because for some reason they apply hospital standards to long term care

If you don't want to be there, preferring to only have 5-7 patients (even if they are in more critical situation), quit and go to a hospital. EMTs go to every nursing home in our area, picking up, the critically ill, dying and dead. The see the patients, the care, the people on duty and the facilities. The are excellent reporters of situations and treatment inside nursing homes. So, I disagree with you, in general, but am glad you think well of the facility in which you work, though, standard very widely from nursing home to nursing home, and some truly suck. One thing, for certain. If you lower standards, the standards for those receiving care under Medicare/Medicaid will go down, while profits due to lower cost will go up.

 

[braalian]

If you don't want to be there, preferring to only have 5-7 patients (even if they are in more critical situation), quit and go to a hospital. EMTs go to every nursing home in our area, picking up, the critically ill, dying and dead. The see the patients, the care, the people on duty and the facilities. The are excellent reporters of situations and treatment inside nursing homes. So, I disagree with you, in general, but am glad you think well of the facility in which you work, though, standard very widely from nursing home to nursing home, and some truly suck. One thing, for certain. If you lower standards, the standards for those receiving care under Medicare/Medicaid will go down, while profits due to lower cost will go up.

Respectfully, they aren’t really good reporters of situations in nursing homes because they’re only there long enough to pick people up and drop them back off again.

 

[Lisa558]

My Mother in Law, who had a "Heart of Gold" so to speak, went from being a Hard Worker in her 80s, who could vividly discuss Politics, Religion, Economics, History, etc.,.... Over a nearly two year period,lost her mind, & humanity.

It’s the worst. At least my mother still recognizes me.

 

[Independent thinker]

The trump *administration has removed minimum staffing regs for nursing homes.

Nursing home organizations of course applauded the move as it will enhance their profitability.

Patient groups, on the other hand are a bit less pleased:

"We were very disappointed by CMS's announcement today," Sam Brooks, director of public policy for the National Consumer Voice for Quality Long-Term Care, a patient advocacy group, wrote in an email to MedPage Today. "Even though it claimed the rescission was in part due to congressional and judicial developments, it repeated the often-debunked lines from the nursing home industry that there are not enough staff and that rural facilities will be harmed. Both of these claims are not true."

"Most disheartening was that CMS offered no plan to address the staffing crisis in nursing homes," Brooks added. "Instead, it is returning to the status quo, which results ... in residents suffering and dying because nursing homes are not staffed adequately."

It's almost like they want the old folks to just go away.

HHS Officially Rescinds Nursing Home Minimum Staffing Rule

Nursing home providers praised the move, while one patient group called it 'very disappointing'

www.medpagetoday.com

I’m in this field and can tell you that it is not as simple as you make it sound. Having min staffing requirements during a time of labor shortages makes it almost impossible to staff and the labor shortages are not fixed by simply paying workers more money because there are still labor shortages. On top of that, fines and increased labor costs hurt families finances and overall healthcare inflation.