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Mar 06, 2014 Pitfalls Seen in a Turn to Privately Run Long-Term Care

QUOTE: a closer look at Tennessee, widely cited as a model, reveals hidden pitfalls as the system of caring for the frail comes under the twin pressures of cost containment and profit motive. In many cases, care was denied after needs grew costlier — including care that people would have received under the old system. “The notion of prevention saving money in the long run only works if you actually provide care in the long run,” 

New York Times
Dec 22, 2011 In Treating Disabled, Potent Drugs and Few Rules

QUOTE: psychotropic medications, which alter the brain’s chemistry, are often dispensed sloppily, without rigorous or regular review, by general practitioners with little expertise in the area. And low-level workers at state group homes are frequently given discretion to increase the medication “as needed,” despite their lack of significant training.

New York Times
Aug 02, 2011 Reaping Millions in Nonprofit Care for Disabled

QUOTE: [Young Adult Institute Network] and the Levys have earned many admirers in the field for the quality and range of their programs...But their spending is seldom scrutinized, and, even when state officials turn up questionable expenses, there are few consequences.

New York Times
Mar 12, 2011 At State-Run Homes, Abuse and Impunity

QUOTE: In hundreds of cases reviewed by The Times, employees who sexually abused, beat or taunted residents were rarely fired, even after repeated offenses, and in many cases, were simply transferred to other group homes run by the state... Only a quarter of sexual abuse cases were reported... Former regulators, employees within the system and advocates have grown increasingly dismayed at what they say is the state’s tolerance of abuse of the residents, whom the state refers to as “consumers” in its records.

New York Times
Mar 03, 2011 Government Report Finds Elder Abuse on the Rise

QUOTE: Kay Brown, director of education, work force and income security at the accountability office, testified that state agencies also were seeing increasingly complex cases involving multiple types of abuse. Yet funding for state-level adult protective services agencies... is not keeping pace.

New York Times
Apr 04, 2010 Charities boosted profits of Erickson retirement communities

QUOTE: His story shows how organizations certified as charities by the Internal Revenue Service -- in effect subsidized by the public -- can be used for private advantage. Today, Baltimore-based Erickson Retirement Communities (ERC) is in bankruptcy court.

Washington Post
Mar 12, 2010 Deciding on Care for Elderly Parents in Declining Health

QUOTE: ...I offer guidelines and considerations that can help you make an informed — if not always easy — decision about what type of housing will support your parent’s needs, without bankrupting the family in the process.

New York Times
Oct 28, 2009 Critics: DEA crackdown denies some patients pain medication

QUOTE: Heightened efforts by the Drug Enforcement Administration to crack down on narcotics abuse are producing a troubling side effect by denying some hospice and elderly patients needed pain medication...

Washington Post
Jun 26, 2009 Getting Insurance for One’s Frailest Years

QUOTE: Long-term care insurance, something that wasn’t so common back when my dad could have bought it, seems like one solution. These policies are offered as a way to pay for a nursing home, assisted living, home health care and other costs associated with growing older. But where to begin?

New York Times
Sep 10, 2008 Naughty Nursing Homes: Is it time to let the elderly have more sex?

QUOTE: Sexual desire may wane with age, but it doesn't disappear. For Slate's 2007 "Sex issue," Daniel Engber reported on sexual expression in nursing homes—a thorny issue for doctors worried about whether their senile patients are capable of informed consent.

May 15, 2008 Serious Deficiencies in Nursing Homes Are Often Missed, Report Says

QUOTE: The accountability office found that state employees had missed at least one serious deficiency in 15 percent of the inspections checked by federal officials. In nine states, inspectors missed serious problems in more than 25 percent of the surveys analyzed from 2002 to 2007.

New York Times
May 14, 2008 For the Disabled, Age 18 Brings Difficult Choices

QUOTE: Many of these young people will transition to adulthood smoothly, but for the most seriously disabled, the options for care often prove limited. As a result, about 8,000 people under age 30 are among roughly 1.4 million nursing home residents, according to the Centers for Medicare and Medicaid Services.

New York Times
Mar 03, 2008 Despite City Law, Few Assisted Living Centers Licensed

QUOTE: Most assisted living centers in the District have not been licensed or inspected eight years after the D.C. Council mandated government oversight of the facilities ...As a result, consumer advocates say, some of the District's most vulnerable residents have been left at greater potential risk for abuse and neglect...

Washington Post
Nov 19, 2007 Study Finds Higher Costs for Caregivers of Elderly

QUOTE: The survey was conducted by the National Alliance for Caregiving, a research and policy organization, and Evercare, a division of the UnitedHealth Group, which coordinates long-term care for 150,000 clients. The report urges government assistance for family caregivers, whether through tax deductions, tax credits or other stipends.

New York Times
Nov 14, 2007 Mentally Ill in Serbia Are Abused, Report Says

QUOTE: In the report, which is expected to be read closely by European Union officials who are assessing Serbia’s readiness to join the 27-member bloc, researchers concluded that “filthy conditions, contagious diseases, lack of medical care and rehabilitation and a failure to provide oversight renders placement in a Serbian institution life-threatening.”

New York Times
Oct 24, 2007 Inquiries at Investor-Owned Nursing Homes

QUOTE: A report last month in The New York Times said that private investment firms had bought thousands of nursing homes and often cut expenses and staff, sometimes below minimum legal requirements, to increase their profit.

New York Times
Oct 22, 2007 Under Pressure, Carlyle Issues Patient Promise: Buyout of Nursing-Home Chain Sparks Worries on Staffing Levels

QUOTE: The pledge comes in the wake of concerns over whether the private-equity firm might cut staffing and reduce patient care in pursuit of financial goals.

Washington Post
Sep 11, 2007 Nursing home industry still segregated, new report says

QUOTE: The study, out in the September/October issue of Health Affairs, says that 60% of blacks in nursing homes were concentrated in less than 10% of facilities — typically ones that had been cited for providing substandard care.

Sep 02, 2007 As Home Care Booms, Little Oversight to Counter Fraud

QUOTE: Many in and outside the industry say the incidence of fraud in the home health care system is no greater than that of the medical system at large, and that the complaints are limited to a small portion of agencies and caregivers.

New York Times
Apr 22, 2007 Oversight of Nursing Homes Is Criticized

QUOTE: Congress established stringent standards for nursing homes in 1987. In 1998, the G.A.O. reported that “homes can repeatedly harm residents without facing sanctions.” Since then, President Bill Clinton, President Bush and the nursing home industry have announced many initiatives to improve care. But in its new report, the accountability office says that little seems to have changed...

New York Times
Mar 26, 2007 Aged, Frail and Denied Care by Their Insurers

QUOTE: Tens of thousands of elderly Americans have received life-prolonging care as a result of their long-term-care policies. With more than eight million customers, such insurance is one of the many products that companies are pitching to older Americans reaching retirement. Yet thousands of policyholders say they have received only excuses about why insurers will not pay... some long-term-care insurers have developed procedures that make it difficult — if not impossible — for policyholders to get paid.

New York Times
Jan 01, 2007 Choosing a Nursing Home: A former industry insider offers 10 essential tips for selecting a home for a loved one

QUOTE: As a volunteer long-term care ombudsman for three years—assisting consumers with questions and concerns about California long-term care facilities—I saw every kind of nursing home: good ones, bad ones, and in-between ones. I learned the most during my actual on-site experiences. Here's what you need to know to pick the best facility—and ensure the best care—for your loved one:

AARP Bulletin
Dec 01, 2006 Pursuing Peace of Mind: Long-term care insurance provides security for a rainy day. But can you afford it?

QUOTE: Many people simply cannot afford the kind of coverage they need to make a policy worthwhile. The best long-term care policy has a reasonable deductible, covers a wide range of care options, guarantees a sufficient financial benefit and is buttressed by inflation protection. This kind of security doesn't come cheap...

AARP Bulletin
Jun 30, 2006 Medicaid Rule Called A Threat To Millions: Proof of Citizenship Needed for Benefits

QUOTE: A Medicaid rule takes effect tomorrow that will require more than 50 million poor Americans to prove their citizenship or lose their medical benefits or long-term care. Under the rule, intended to curb fraud by illegal immigrants...unintended consequence of harming several million U.S. citizens who, for a variety of reasons, will not be able to produce the necessary paperwork.

Washington Post
May 11, 2006 Probe Chronicles Abuse in Romania: Disabled Children Found Bound, Emaciated in Psychiatric Institutions

QUOTE: In six [Romanian--Ed.] institutions visited by the disabled rights organization, investigators found malnourished children warehoused in inhumane conditions.

Washington Post
May 01, 2006 Long-Term-Care Mistakes: Avoid these five blunders people commonly make when trying to cut premium costs.

QUOTE: 1. Relying on average benefit amounts....2. Skimping on the waiting period....3. Picking the wrong type of inflation protection....4. Assuming group coverage is the best deal...5. Working with the wrong company.

Kiplinger's Personal Finance
Mar 08, 2006 New York Puts Mental Patients in Homes Illegally, Groups Say

QUOTE: ...the nursing homes do little more than medicate the mentally ill residents...the state has also sent large numbers of people from mental hospitals to nursing homes, and it has been accused of doing so as a way to save money.

New York Times
Feb 21, 2006 Getting Stuck With the Tab:Tighter Asset Spend-Down Rules Will Force More Families to Cover Nursing Home Costs Alone

QUOTE: Seniors who had been expecting Medicaid to help pay their nursing home bills may soon be facing those expenses alone....experts say that the changes aimed at the affluent will also ensnare needy seniors by creating lengthy waiting periods before they qualify...After qualifying, an individual must spend virtually his or her income on nursing home care.

Washington Post
Sep 14, 2005 Owners of Nursing Home Charged: Negligent Homicide Alleged in Deaths of 34 Patients Who Were Not Evacuated

QUOTE: ...[LA] state Attorney General Charles C. Foti Jr. said the owners of St. Rita's nursing home in St. Bernard Parish had...declined to evacuate the patients when asked if they wanted to do so. "In effect, their inaction resulted in the deaths of these patients," he said.

Washington Post
Feb 16, 2003 Abuse of Elderly Women on the Rise

QUOTE: Women--who outlive men and are more vulnerable to sexual assault and domestic violence--are increasingly victims of elder abuse and neglect.

Women's eNews
Jul 07, 2002 Bringing Discipline (and Scorecards) to Nursing Homes

QUOTE: ...headquarters here of Beverly Enterprises, the nation's largest nursing home chain, William R. Floyd, its chairman and chief executive, is arguing that providing nursing care to the elderly is not all that different from selling tacos at a fast-food chain.

New York Times
Apr 28, 2002 For Mentally Ill, Death and Misery

QUOTE: ...privately run and state-regulated adult homes in New York City....many of them have devolved into places of misery and neglect, just like the psychiatric institutions before them.

New York Times
Apr 07, 2002 U.S. to Unveil First Ratings of Nursing Homes

QUOTE: But even the most sophisticated, diligent shopper would have trouble finding comparable information about America's 17,000 nursing homes.

Washington Post
Feb 03, 2002 Maternal Woe

QUOTE: My 82-year-old mother vows to commit suicide rather than ever go into a nursing home. She is happy, enthusiastic and pain-free. She is also rapidly losing her memory. While she is aware this is happening, she is not aware to what extent. Do I tell her the truth now, while she could still act on it, or let her slip into dementia and nursing-home care?

New York Times