The Best Watchdog Journalism on Elderly Care
This week, we launched an interactive tool that lets you search nursing home inspection reports. Here are the types of stories that could be buried in those files.
(iStockPhoto)
This week, we launched Nursing Home Inspect, an interactive tool that lets you search more than 20,000 inspection reports from nursing homes nationwide. Below is a sampling of the types of stories that could be buried in those reports. If you know about more great watchdog journalism on nursing homes, leave a link in the comments.
A Rampant Prescription, A Hidden Peril, Boston Globe, April 2012
Nursing homes nationwide are giving antipsychotics to residents who don't need the potent pill. Side effects include stupor and, for those with dementia, potentially death. Administrators say the data exaggerate the issue, and industry executives maintain that the 20-year-old regulations are out of date. The second half of the series looked at alternatives to antipsychotics. (A search for "antipsychotic" in our nursing home app led to 2,310 results.)
Trust and Neglect, Detroit Free Press, December 2011
Between 2008 and 2011, three quarters of Michigan's nursing homes received serious violations — nearly twice the national average. The best homes, according to the last piece in the series, had managed to hire and retain good staff, involved families in decisions and developed individualized programs. (An administrator of a Michigan nursing home also told us that the state's inspectors find more problems, and issue steeper fines, than in other states.)
Violated: "Broken" System Fails Elderly Abuse Victims, Star Tribune, October 2011
As Minnesota's regulators struggled to meet federal benchmarks, elderly residents and their families became frustrated with the lack of punishment for abusive caretakers. State Department of Health officials said they were aware of their own shortcomings, and pointed out that their strategy emphasized correcting problems, rather than punishment. They had also added staff in an effort to improve investigations.
Falsified Patient Records Are Untold Story of California Nursing Home Care, Sacramento Bee, September 2011
Spanning two decades, 150 alleged falsification cases give some insight into how California caregivers altered records to cover up lapses in care that put patients at risk and sometimes led to death. Though citations declined between 2000 and 2010, officials, attorneys and advocates said it's because falsification is not a priority; regulators often discover violations during investigations into other issues.
Neglected to Death, The Miami Herald, April 2011
Though not exactly nursing homes, Florida's assisted-living facilities, created as a safe space for the state's elderly and mentally ill, were wracked with problems — like neglected residents who wander off only to be eaten by an alligator or drown in a pond. Facilities that also housed the mentally ill had an abuse rate twice that of normal facilities.
Nursing Homes Received Millions While Cutting Staff, Wages, California Watch, April 2010
A 2004 California law gave $880 million in additional funding for nursing homes to hire caregivers and boost wages. But by 2008, several homes had cut staffing and wages in an attempt to boost profits. Meanwhile, complaints filed by patients, families and advocates increased 23 percent.
Compromised Care, Chicago Tribune, September 2009
In 2009, Illinois housed psychiatric patients, some of whom were convicted felons, next to the elderly. They accounted for 15 percent of Illinois' nursing home population, and lax oversight and understaffing allowed rapes and assaults. Though this investigation prompted state reform in 2010, nursing homes have struggled to implement the changes.
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8 comments
Debt Neutrality
Aug. 17, 2012, 4:23 p.m.
Credit Card Companies and student debt loaners place the importance of their loan above and beyond any and all family related medical emergencies, including not being able to work so that a person can caretake for a family member.
I would be ok with that if the credit card companies and student loan arrangers put a HUGE WARNING on all non secured loans, “Your debt with us is more important than your own health or that of your family”.
In the meantime, please consider signing the debt neutrality petition which will help consumers pay down their credit card and student loan debts without anymore interest fees or penalties.
http://www.change.org/petitions/congress-create-debt-neutrality-rights-for-paying-down-credit-cards-student-loans
American consumers are paying up to a BILLION DOLLARS A DAY just to service the interest rate charge on up to 3 trillion dollars of consumer debt. Imagine if that interest rate money was being diverted to local commerce instead.
http://www.debtneutrality.blogspot.com
http://www.facebook.com/debtneutrality
Cigarrettes have health hazard warnings, even mortuary contracts have been forced to list the services one is buying along with the services one is still missing, something that used to go unsaid until the death of a loved one and there was no time to do anything but pay for things one already thought was included. Credit card loans and student loans should also have HUGE WARNINGS on them as well.
Debt Restructure is a DEFAULT, no ifs ands or buts.
df
Aug. 19, 2012, 2:08 a.m.
In response to nursing home reports you can look at…They are false…just saying…
Nonna
Aug. 19, 2012, 7:46 a.m.
Hat’s off to Pro Publica for watching where nobody else does.
I believe there is rampant abuse in nursing homes, based on my late mother’s experience. If I weren’t there as much as I could be (being a working person) I’m sure she would have been treated even worse.
I found her once begging to go to the bathroom and the nurse said, “sorry, going to lunch” - thing like that are something that is not seen by the family. Woe to those without a family to monitor.
John
Aug. 20, 2012, 9:57 a.m.
Alessandro, I think it might verge on spam when you advertise your cause with absolutely no relationship to the article. And just like the folks who want you to extend and enhance various body parts, your idea probably looks a lot less legitimate for trying to sneak in free advertising.
Nonna, I have to agree, and I have to wonder why existing law doesn’t handle this. I mean, I feel like, if I were to accept a consulting job that I didn’t have the resources to finish and then failed at, I’d get sued for fraud, and rightly so. Why is it that a home can offer care for an elderly patient, screw up, and then claim that it’s not their fault because they’re understaffed? They should be up on fraud charges.
(But, then, I feel the same way about most medical professionals. They keep making mistakes and worrying that they’re overworked. Hey, maybe if you didn’t take on so much, we could solve both problems. But that would require the AMA licensing more doctors, and that’s certainly not going to happen…)
Alessandro Machi
Aug. 20, 2012, 5:27 p.m.
Hey John, don’t sign a petition that actually would help people provide health care for their own family member if enacted. I consider your comment hate speak.
John
Aug. 21, 2012, 9:05 a.m.
Well, NOW your cause looks completely sensible…
Your message has nothing to do with the elderly or health care. You refer specifically to credit cards and student loans. That’s as insulting to ProPublica and we readers as if I tried to use this space to advertise my business.
But sure, accuse me of committing a crime. Totally rational.
Alessandro Machi
Aug. 28, 2012, 12:26 a.m.
Um, “John” with no last name who seems to think he has more accountability than someone who uses his first and last name. You have NO CLUE how the elderly are being victimized by all kinds of debt issues, and how their own families can’t even be there for them if they have debt. How paying back debt and all the interest penalties and fees is deemed more moral than actually care taking for a family member and how there is no room for compromising with the banksters.
You seem to have no idea how the elderly are being stiffed into reverse mortgages even when they have a lot of equity in their home, and how reverse mortgages are just another way the banks keep sinking their talons with many upfront charges always on the front end.
There will be no economic improvement of any kind because of all of the consumer debt that exists, consumer debt exists and does not shrink specifically because of interest rate charges, penalties and fees.
Increasing debt loads results in families not being there for each other because of fear they will lose everything. Nursing homes will rarely come close to what a family can provide in many situations.
The water’s coming to a boil, but you seem oblivious. Debt Neutrality for all.
http://www.change.org/petitions/congress-create-debt-neutrality-rights-for-paying-down-credit-cards-student-loans
Alessandro Machi
Aug. 28, 2012, 12:29 a.m.
Here’s the short answer. Perhaps without so much debt, families would be more likely to caretake for their own elderly, and guess, what, nursing homes would suddenly be pressured into upgrading their services.
Learn about consumer debt and how it is destroying all the goodwill that has been built up over the past half century at my blog, http://www.debtneutrality.blogspot.com
Canada is going to crash big, and very soon.
and, please sign the debt neutrality petition. http://www.change.org/petitions/congress-create-debt-neutrality-rights-for-paying-down-credit-cards-student-loans
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