Trump admin rolling back use of fines against nursing homes - The Hill today

Trump admin rolling back use of fines against nursing homes - The Hill today

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seems like a bad idea, but so much of what's happening now does. i hope that we can correct course before permanent harm is done.

apdst said:

If government regulations make it harder and more expensive to operate a nursing home, no one will build new nursing homes. If they do, they'll be too expensive for most folks to afford.

I agree that nursing homes need to be watched with a close eye, it's counter productive to regulate them out of business.

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Sorry, but the White House boiler plate doesn't belong here....seniors facilities are part of our universal health care.

A government about 15 years ago spent a few million on reviewing regulations, legislation as an impediment to business. After howling the conservative rant about "regulations" for years they spent all that money on NOTHING.

Please don't give me boiler plate....if you can't think of anything original than don't post. The constant echoing of the world's largest propaganda machine is revolting.

Fearandloathing said:

Sorry, but the White House boiler plate doesn't belong here....seniors facilities are part of our universal health care.

A government about 15 years ago spent a few million on reviewing regulations, legislation as an impediment to business. After howling the conservative rant about "regulations" for years they spent all that money on NOTHING.

Please don't give me boiler plate....if you can't think of anything original than[sic] don't post. The constant echoing of the world's largest propaganda machine is revolting.

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Well, the last thing I want to see is the Feds take over the nursing homes in The United States. Look how they ****ed up things at the VA.

Oh and before you start waving your Canadian superiority in everyone's face, a quick google search shows that Canadian nursing homes are no better off.

apdst said:

If government regulations make it harder and more expensive to operate a nursing home, no one will build new nursing homes. If they do, they'll be too expensive for most folks to afford.

I agree that nursing homes need to be watched with a close eye, it's counter productive to regulate them out of business.

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This isn't how it works. The vast majority of people who used to be in "nursing homes," which do exist, are now in assisted living or memory care units. The state gives them a case worker and they receive state and federal funding if they can't afford the cost of the facility. That money gets eaten up by administrative and mystery costs that leave the individual with basically no money and they wind up in what is more or less a really nice prison. Instead of violent guards they have incompetent staff. These are massive, for profit facilities that have hoards of lobbyists that the GOP is increasingly welcoming with open arms. Seriously, write a letter to your representative about their views on for-profit memory care and assisted living facilities. They'll tell you how concerned they are with the well being of the elderly and disabled when the reality is that they are helping a massive industry treat our most vulnerable citizens as products.

The idea that "no one will build nursing homes" is hilarious. Drive around town and see what's being built. Giant facilities to house the baby boomers on every other block. There is no regulation. They have people who don't speak english take tests about medication and are given the answers to ensure they pass, then are given responsibilities that only well trained nurses should be doing.

apdst said:

Well, the last thing I want to see is the Feds take over the nursing homes in The United States. Look how they ****ed up things at the VA.

Oh and before you start waving your Canadian superiority in everyone's face, a quick google search shows that Canadian nursing homes are no better off.

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We lie about the quality of our nursing homes (they're mostly assisted living and memory care, but I mentioned that above). Incidents and maltreatment are swept under the rug and employees who complain are fired or given severance packages or settlements. I've seen it, heard it, been there, done that. The best facilities usually have the most incident reports because they aren't liars. This is a very serious problem and I'm disturbed that, much like for-profit colleges, we're going to ruin people's lives for campaign donations. And by we, I mean your GOP representatives.

Rogue Valley said:

Nursing homes are notorious for the abuse of the sick and elderly, who are often too ill, or too mentally infirm, or too poor, or too intimidated to hold their abusers accountable.

Trump should spend about 6 months in one of those bare-bones pustular hellholes.

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I agree. Nursing Home abuse is rampant everywhere. Two were closed down in the podunk town next to mine last year. They take every dime the patient has, then commandeers their SS and Disability checks for good measure, then turns around and bills Medicare.

JacksinPA said:

I live in a community with a lot of retired & elderly people & quite a few facilities of this type. One charges $3,300/month with one meal a day. It is one of the better facilities locally where you can walk to shops, restaurants, etc. But in their feedback there was a report of workers striking inmates & the staff just backing them up. I can see the big corporation that owns & operates this facility just jumping with joy over this Trumpian gift.

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Based on what you say they charge, I bet you confusing an assisted living (AL) community with a skilled nursing facility (SNF). The SNF typically would cost about 2-3x the $3200/month you are citing, as SNFs feature round-the-clock nurses. An AL does not. ALs are far more common than SNFs.

AL communities are generally private pay (or medicaid). Medicare is not a pay source for an AL, so they would have no ability of fine an AL. They typically are licensed, regulated and supervised by the state.

The SNF, which is what the OP is about, can be paid for by private pay, medicaid or medicare. As such, Medicare has the right to inspect and fine SNFs. SNFs are typically also subject to state licensing, regulation and supervision. If you are in a nursing home you are either rehabbing after a hospital stay or are bed-ridden/wheelchair bound in need of constant nursing care. You are not walking to shops and restaurants.

Its pretty common for people to not understand the difference between an AL and a SNF. What you typically see being built all around you are AL's.

Removable Mind said:

Where in the hell do you get that hypothesis?

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When people make choices they make contracts. When alerted to a risk, they make better contracts. That is the nature of contracts. They evolve.

joG said:

When people make choices they make contracts. When alerted to a risk, they make better contracts. That is the nature of contracts. They evolve.

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Why do yo bring this analogy as an attempt to describe the accountability and responsibility problems that exist, at large scale, across the US?

What choices are people making that impacts how regulations within the nursing home industry?