Articles Posted in Understaffing

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Warren Center for Rehabilitation and Nursing has received over 70 citations for being in violation of public health code since 2017 and has been fined a total of $14,000 since 2011.

Warren Center for Rehabilitation and Nursing has received 73 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on January 7, 2022. The facility has additionally received three fines totaling $14,000 since 2011, the most recent being a $10,000 fine issued in December 2017. The Queensbury nursing home’s citations resulted from a total of eight surveys by state inspectors. The deficiencies they describe include the following:

1. The nursing home did not adequately prevent the use of unnecessary medications. Section 483.45 of the Federal Code stipulates that nursing home residents’ drug regimens “must be free from unnecessary drugs.” A September 2021 citation found that Warren Center for Rehabilitation and Nursing failed to ensure such. The citation states specifically that one resident received an opioid pain medication even though their medical record did not include a clinical indication supporting its use, nor documentation to support an increase in dosage. In an interview, one of the facility’s Certified Nursing Assistants said that “they did not provide non-pharmacological interventions for pain management for this resident and the resident was not care planned for specific interventions for the nurse assistants to provide.” A plan of correction undertaken by the  facility included the re-education of licensed nurses on policy regarding medication administration.

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Nursing home administrators have recently filed a lawsuit in order to block a New York law that they believe to be unconstitutional and would enforce staffing requirements, which would lead to the spending of $500 million more on care for residents.

Nursing home operators have filed a federal lawsuit attempting to block a New York law mandating certain staffing requirements. The law, passed last year and set to go into effect this year, would require nursing homes in the state to “to spend at least 70% of their revenue on direct resident care, and at least 40% on staff who deal with residents,” according to a report by the Times Union. 

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Nurses in New York City have recently started protesting staffing shortages in NYC hospitals because the nurses who are currently employed are being overworked and expected to take on more patients than physically possible.

New York City’s nurses have taken to the streets to bring attention to staffing shortages in the city’s hospitals. According to a November 17 report by NBC New York, at least 100 nurses gathered at New York-Presbyterian Hospital earlier this month to highlight hospital staffing shortages that have led to “long hours and the inability to take care of their patient load.”

The shortages have reportedly led to taxing working conditions for the city’s nurses, with patient-to-nurse ratios of 30 to 1 in some hospitals, according to a report by the New York Daily News. “We took an oath in nursing school that we were going to do what’s right for patients,” one emergency nurse told NBC. “[…] We can’t do what’s right because there is not enough of us to do what’s right.”

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According to a recent report, nursing home staffing levels continue to decline as the number of residents increases and these low staffing numbers can lead to negligence or improper care of patients.

Nursing home staffing levels declined during the second quarter of 2021, according to an analysis by the Long Term Community Care Coalition. A report published by the LTCCC on November 16th found that nursing home staffing levels fell almost 5% from the first quarter of 2021, averaging 3.75 total nurse staff hours per resident day (HPRD) nationwide. This figure also comes sort of the minimum staffing threshold identified by a federal study published in 2001: 4.10 total care staff HPRD and .75 RN HPRD.  Continue reading

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A recent report has found that nursing homes across the country are vastly understaffed and they are not receiving citations for going against regulations.

A new report by the Long-Term Community Care Coalition has found that while insufficient staffing is a widespread problem in nursing homes, state nursing home surveyors rarely issue citations for it. The report, titled “Broken Promises,” analyzes nursing home citations from 2018 until 2020.  Continue reading

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The number of nursing home staff members has rapidly declined since the start of the Covid-19 pandemic and it is only getting worse, leading to neglected patients, budgeting cuts, and possible nursing home closures if this is not quickly rectified.

Plummeting staffing levels have devastated the nursing home industry, according to an Associated Press analysis which found that one-third of US facilities have “fewer nurses and aides than before the Covid-19 pandemic.” One expert described the stark decline in staffing levels as “appalling.” Continue reading

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Recent reports show that nursing homes are prescribing antipsychotic drugs at an alarmingly high rate to patients that do not even require these medications.

Nursing homes are over-diagnosing patients with schizophrenia in order to conceal the high rates at which they’re prescribing antipsychotic medications, according to a recent report by the New York Times. Schizophrenia diagnoses among nursing home residents have “soared” as much as 70% since the federal government started making public disclosures of antipsychotic drug prescriptions in 2012. These prescriptions factor into nursing homes’ funding and ratings: nursing homes that prescribe them at high rates can receive lower ratings from the government, which in turn can affect their funding.

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A new report finds that the majority of US nursing homes fell short of minimum staffing levels in the first three months of 2021.

The majority of nursing homes in the United States failed to meet minimum care staff thresholds in the first quarter of 2021, according to an analysis by the Long Term Community Care Coalition. A federal study published in 2001 established that minimum threshold as 4.10 total care staff hours per resident day (HRPD) and 0.75 registered nurse HRPD. The LTCCC found that 63% of nursing homes did not meet this threshold. Continue reading

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A new law in New York will create staffing standards for nursing homes.

Legislation signed this month by New York Governor Andrew Cuomo will establish new staffing mandates for nursing homes and hospitals in the state. Under the new law, which will take effect in January 2022, nursing homes will be required to “meet a minimum daily average of 3 1/2 hours of nursing care per resident,” according to a report by Healthcare Dive. Continue reading

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The nursing home in Campbell Hall, New York was cited for medication errors, among other things.

Campbell Hall Rehabilitation Center received 60 citations for violations of public health code between 2017 and 2021, according to New York State Department of Health records accessed on June 11, 2021. The facility has also been the subject of fines totaling $18,000 since 2011. The Campbell Hall nursing home’s citations resulted from a total of 15 inspections by state surveyors. The deficiencies they describe include the following:

1. The nursing home did not adequately protect residents from abuse or neglect. Section 483.12 of the Federal Code ensure nursing home residents “the right to be free from abuse, neglect, misappropriation of resident property, and exploitation.” A March 2021 citation found that Campbell Hall Rehabilitation Center failed to ensure such. The citation states specifically that it failed to prevent neglect in an instance where a resident’s “bilateral heel wound dressings were not changed in the time frame specified in the Medical Doctor’s (MD’s) orders.” The citation goes on to describe documentation that the resident “required extensive two-person assistance with bed mobility and transfer” and “extensive one-person assistance with dressing and toilet use.” The resident’s physician’s orders required that bilateral heel booties be “applied at all times” and that the resident’s wound dressings be changed in a certain manner. According to the citation, it was not changed between 7am and 3pm on a certain day, with a Licensed Practical Nurse stating in an interview that she had failed to change the resident’s wound dressing during the specified time frame. That LPN later refused to change the resident’s dressing when directed by a superior, according to the citation, and her termination at the facility was subsequently terminated.

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