Nursing Home

In 2016, the Obama Administration promulgated regulations prohibiting pre-dispute arbitration agreements between nursing homes residents (or their representative) and facilities. On July 18, 2019, the Trump Administration published a Final Rule rolling back certain features of the 2016 resident protection. Most notably, the Final Rule removes the requirement prohibiting facilities from entering into pre-dispute arbitration […]

Your loved one is about to be discharged from the hospital and the hospital social worker advises your loved one is in need of rehabilitation services prior to going home.  The social worker gives you a list of three area rehabilitation centers which have an open bed.  How do you decide which rehabilitation center is […]

Effective in April 2019, the federal government has revised its ratings system for all nursing homes.  The changes include revisions to the nursing home inspection process, adding new quality measures to its ratings system, and further enhancing details about facilities’ staffing numbers. On the latter, officials say they are dropping the number of days SNFs […]

Nursing Home in Illinois Failed To Adequately Address Sexual Activity Between Cognitively Impaired Residents – Lessons to be Learned An Illinois nursing home was ordered to pay an $83,800 civil monetary penalty after the Centers for Medicare and Medicaid Services found the facility had failed to adequately address sexual activity between three residents with dementia […]

The nursing home admission process can be a daunting process for elders and their families. Unfortunately, some nursing homes are compounding the difficult process by referring residents and their families to non-attorney unlicensed Medicaid advisors. Non-lawyer Medicaid advisors can include financial advisors, geriatric care managers, disbarred attorneys, former nursing home employees, and a variety of […]

Recent data from a review of nursing home payroll records by Kaiser Health News reveals frequent and significant fluctuations in day-to-day staffing of nursing homes nationwide, with particularly large shortfalls on weekends. On the worst staffed days at an average facility, the new data show, on-duty personnel cared for nearly twice as many residents as they did […]

On November 1, 2017, the U.S. Centers for Medicare and Medicaid Services (CMS) released new data on staffing levels in U.S. nursing homes.  Staffing is key to the quality of care and safety provided by a nursing home.  CMS has released, for the first time, information on nursing home staffing that is based on payroll or other auditable data […]

Eight months after publishing a final rule on the Revised Requirements of Participation for Nursing Facilities banning pre-dispute arbitration agreements for nursing home residents and family members, CMS is issuing new proposed regulations that rescind resident protections against these arguably unfair provisions. According to CMS, it “now believe[s] that an outright ban on pre-dispute arbitration agreements […]

  I come from a family of nurses. My mom, mother-in-law, brother-in-law, and all of my aunts and cousins, and extended family are nurses. Growing up in a family of nurses, here is what I’ve learned about them: 1. Nurses have an unbelievable work ethic. One eight-hour shift is never enough. They are always readily […]

We are updating you on CMS’ revised regulations banning binding arbitration in nursing home admission agreements. The American Health Care Association last onday filed a lawsuit challenging part of a Centers for Medicare and Medicaid Services (CMS) regulation that would ban nursing homes from entering into arbitration agreements. The organization, along with four long-term care providers, filed […]

According to a recent PA audit, the Pennsylvania Health Department does too little to ensure that Pennsylvania’s  700 nursing homes are meeting minimum staffing standards in caring for vulnerable residents. The report by Auditor General Eugene DePasquale also said the state is overdue for legislative review of whether staffing requirements and maximum fines against nursing […]

Many caregiver children of aging parents contact us after a medical crisis occurs.  The children are typically scrambling to understand their parents’ finances in order to pay bills, determine which accounts still exist, pay taxes, and determine how to afford potential long-term care expenses.  We help the caregiver children with accessing quality care and how to plan with the […]

A recent study compared the long-term care industry in California, Ontario, Canada, England, and Norway as to the extent to which ownership of nursing facilities has shifted from the public sector to private for-profit and not-for-profit companies, and how this shift affects the transparency of information and accountability for public reimbursement. The international study found that increases […]