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Elder Justice Newsletter: What “No Harm” Really Means for Residents

November 30, 2017

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The majority of nursing home violations are identified as causing “no harm” to residents, despite any harm the resident may have actually experienced. Sadly, the failure to recognize resident harm when it occurs too often means that nursing homes are not properly held accountable for resident abuse, neglect, and other forms of harm. In order to bring attention to the poor enforcement of the nursing home standards of care, and how it effects resident care, the Center for Medicare Advocacy and the Long Term Care Community Coalition publish Elder Justice: What “No Harm” Really Means for Residents. Each issue of our Elder Justice newsletter provides readers with real stories of resident pain, suffering, and humiliation from across the country. All of our examples were taken directly from Statement of Deficiencies on CMS’s Nursing Home Compare Website and all were cited as no-harm.


  • Vol 7, Issue 5 | Violations of Requirements for Safe Discharge
  • Vol 7, Issue 4 | Silenced in the Shower
  • Vol 7, Issue 3 | Below the Bare Minimum
  • Vol 7, Issue 2 | The Troubling Truth Behind ‘Average’ Nursing Home Care
  • Vol 7, Issue 1 | When Five Stars Aren’t Enough
  • Vol 6, Issue 2 | Shining a Light on One-Star Nursing Home Care
  • Vol 6, Issue 1 | Left waiting and suffering
  • Vol 5, Issue 3 | “Nobody came for over 11 hours”
  • Vol 5, Issue 2 | Pulling teeth
  • Vol 5, Issue 1 | “Black Box Warning”
  • Vol 4, Issue 5 | “Ouch, you’re hurting me”
  • Vol 4, Issue 4 | “I am afraid”
  • Vol 4, Issue 3 | Nursing Homes Fail US Veterans
  • Vol 4, Issue 2 | “There’s just no time for those things”
  • Vol 4, Issue 1 | “The food was always cold”
  • Vol 3, Issue 10
  • Vol 3, Issue 9
  • Vol 3, issue 8
  • Vol 3, Issue 7
  • Vol 3, Issue 6
  • Vol 3, Issue 5
  • Vol. 3, Issue 4
  • Vol. 3, Issue 3
  • Vol. 3, Issue 2
  • Vol. 3, Issue 1
  • Vol. 2, Issue 12
  • Vol. 2, Issue 11
  • Vol 2, Issue 10
  • Vol. 2, Issue 9
  • Vol. 2, Issue 8
  • Vol. 2, issue 7
  • Vol. 2, Issue 6
  • Vol. 2, Issue 5
  • Vol. 2, Issue 4
  • Vol. 2, Issue 3
  • Vol. 2, Issue 2
  • Vol. 2, Issue 1
  • Vol. 1, Issue 12
  • Vol. 1, Issue 11
  • Vol. 1, Issue 10
  • Vol. I, Issue 9
  • Vol. I, Issue 8
  • Vol. I, Issue 7
  • Vol. I, Issue 6
  • Vol. I, Issue 5
  • Vol. I, Issue 4
  • Vol. I, Issue 3
  • Vol. I, Issue 2
  • Vol. I, Issue 1

Filed Under: Article Tagged With: enforcement, Skilled Nursing Facility

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Who should be part of the conversation about Medicare’s future?
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We are proud to honor Dr. Natalia Chalmers as the 2026 recipient of the Alfred J. Chiplin, Jr. Social Justice & Advocacy Award at the National Voices of Medicare Summit.
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To me, the coding isn't the point. These are tools that provide better quality patient information. Right/left mistakes are less likely to happen. Inaccurate chronology is reduced.

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Medicare is at a crossroads.

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