With support from the John A. Hartford Foundation, the Center for Medicare Advocacy has produced a new Checklist to help Medicare beneficiaries and their families respond to unfair Medicare denials for skilled nursing facility care based on an … [Read more...] about Checklist for Medicare Nursing Home “Improvement Standard” Denials
Skilled Nursing Facility
Who Owns Nursing Facilities and Why?
In September 2007, The New York Times published a lengthy investigative article about private equity’s purchase of nursing facilities – “At Many Nursing Homes, More Profits, Less Nursing.”[1] The Times reported that … [Read more...] about Who Owns Nursing Facilities and Why?
Transfer and Discharge Deficiencies Cited Since 2017: Surveyors Focus On paperwork, Not Residents’ Rights
The involuntary transfer and discharge of nursing home residents is the top complaint received by nursing home ombudsman programs nationwide. In December 2017, the Centers for Medicare & Medicaid Services (CMS) announced an initiative … [Read more...] about Transfer and Discharge Deficiencies Cited Since 2017: Surveyors Focus On paperwork, Not Residents’ Rights
House Committee Holds Hearing on Nursing Home Quality Issues
For the first time in many years, Congress held a hearing on nursing home quality of care on September 6, 2018. The hearing of the Subcommittee on Oversight and Investigations of the House Energy and Commerce Committee, entitled … [Read more...] about House Committee Holds Hearing on Nursing Home Quality Issues
Center Submits Statement to Congressional Subcommittee on SNF Safety and Quality of Care
Examining Federal Efforts to Ensure Quality of Care and Resident Safety in Nursing HomesHouse Committee on Energy and Commerce Subcommittee on Oversight and Investigations HearingSeptember 6, 2018Statement of the Center for Medicare … [Read more...] about Center Submits Statement to Congressional Subcommittee on SNF Safety and Quality of Care
Final Rules for New Medicare Reimbursement System for Skilled Nursing Facilities: Goodbye Therapy
Effective October 1, 2019, CMS will replace the prospective payment system for skilled nursing facilities, Resource Utilization Group (RUG-IV), with a new prospective payment system called the Patient-Driven Payment Model (PDPM).[1] In all … [Read more...] about Final Rules for New Medicare Reimbursement System for Skilled Nursing Facilities: Goodbye Therapy
Special Focus Nursing Facilities that “Have Not Improved:” Poor Care for Residents, Overall Ratings Artificially Boosted by 5-Star Ratings in Self-Reported Quality Measures
The Centers for Medicare & Medicaid Services (CMS) identifies some of the most poorly performing nursing facilities in the country as Special Focus Facilities (SFFs). In this Second Report on SFFs, the Center for Medicare Advocacy looks at … [Read more...] about Special Focus Nursing Facilities that “Have Not Improved:” Poor Care for Residents, Overall Ratings Artificially Boosted by 5-Star Ratings in Self-Reported Quality Measures
Special Focus Nursing Facilities that “Have Not Improved:” Poor Care for Residents, Overall Ratings Artificially Boosted by 5-Star Ratings in Self-Reported Quality Measures
The Centers for Medicare & Medicaid Services (CMS) identifies some of the worst performing nursing facilities in the country as Special Focus Facilities (SFFs). This Report looks at one of the four categories of SFFs – those that … [Read more...] about Special Focus Nursing Facilities that “Have Not Improved:” Poor Care for Residents, Overall Ratings Artificially Boosted by 5-Star Ratings in Self-Reported Quality Measures
Medical Loss Ratios for Nursing Homes: Protecting Residents and Public Funds
A joint Statement from the Center for Medicare Advocacy and the Long Term Care Community CoalitionBackground. Substandard care and insufficient staffing are longstanding problems in too many nursing homes across … [Read more...] about Medical Loss Ratios for Nursing Homes: Protecting Residents and Public Funds
Nursing Facilities’ “Quality Measures” Do Not Reflect Actual Quality of Care Provided to Residents
The Center for Medicare Advocacy wanted to determine whether nursing facilities that had one-star in their health survey ratings on Nursing Home Compare were able to boost their overall ratings from one star to two stars through the designation of … [Read more...] about Nursing Facilities’ “Quality Measures” Do Not Reflect Actual Quality of Care Provided to Residents