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USWatchdog: Abuse and neglect in nursing facilities unreported

17:41  12 june  2019
17:41  12 june  2019 Source:   msn.com

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Senate report names nearly 400 facilities with 'persistent record of poor care' Senators released a list of nursing homes with a record of poor care, questioning why they are not publicly identified for health and safety problems.

Start here to understand how nursing home neglect and abuse are defined, and who might be liable for harm to a resident. Of course, elder abuse can occur in nursing homes and in other treatment settings, and in this article we'll focus on identifying elder abuse in the care facility setting, and on an

Nursing home personnel must immediately report incidents that involve a suspected crime, within a two-hour window if there's serious bodily injury. Medicare "has inadequate procedures to ensure that incidents of potential abuse or neglect of Medicare beneficiaries residing in ( nursing homes) are

Watchdog: Abuse and neglect in nursing facilities unreported© AP Photo Health and Human Services Office of Inspector General Deputy Inspector General for Audit Services Gloria Jarmon poses for a photograph in her office in Washington, Monday, June 10, 2019. Nursing facilities have failed to report thousands of serious cases of potential neglect and abuse of Medicare beneficiaries even though the federal government requires it, says a watchdog report due out Wednesday, June 12, that calls for a new focus on protecting frail patients. (AP Photo/Andrew Harnik) WASHINGTON (AP) — Nursing facilities have failed to report thousands of serious cases of potential neglect and abuse of seniors on Medicare even though it's a federal requirement for them to do so, according to a watchdog report released Wednesday that calls for a new focus on protecting frail patients.

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Abuse of the elderly in nursing homes and residential care facilities is a growing issue facing tens of thousands of senior citizens every year. As the population of older Americans grows, so does the hidden problem of elder abuse , exploitation and neglect . Wikipedia, the free encyclopedia, Elderly

Broken Hips in Nursing Homes. Broken Neck Nursing Home Injury. It is a problem that stems from biological, psychological, societal and financial issues related to the abused and the abuser . If your loved one is in a nursing facility , stay involved in the process. Observe for any signs of elder abuse or evidence that they are receiving What is nursing home neglect ? How do I report nursing abuse ?

Auditors with the Health and Human Services inspector general's office drilled down on episodes serious enough that the patient was taken straight from a nursing facility to a hospital emergency room. Scouring Medicare billing records, they estimated that in 2016 about 6,600 cases reflected potential neglect or abuse that was not reported as required. Nearly 6,200 patients were affected.

"Mandatory reporting is not always happening, and beneficiaries deserve to be better protected," said Gloria Jarmon, head of the inspector general's audit division.

Overall, unreported cases worked out to 18% of about 37,600 episodes in which a Medicare beneficiary was taken to the emergency room from a nursing facility in circumstances that raised red flags.

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Nursing home abuse is what can unfortunately happen to any residents under the care of a licensed care facility . In spite of the accessibility of Adult Protective Services in every state and mandatory reporting laws, there are many unreported cases of neglect , abuse and exploitation every year.In

Nursing home abuse takes many forms, but all of it can be damaging, whether emotionally Of course, neglect of the elderly can occur anywhere and can take many shapes, but is most often seen in nursing home facilities where family is less directly involved and immediately aware that it is occurring.

Responding to the report, Administrator Seema Verma said the Centers for Medicare and Medicaid Services does not tolerate abuse and mistreatment and slaps significant fines on nursing homes that fail to report cases.

Verma said the agency, known as CMS, is already moving to improve supervision of nursing homes in critical areas such as abuse and neglect and care for patients with dementia.

CMS officially agreed with the inspector general's recommendations to ramp up oversight by providing clearer guidance to nursing facilities about what kinds of episodes must be reported, improving training for facility staff, requiring state nursing home inspectors to record and track all potential cases and monitoring cases referred to law enforcement agencies.

Neglect and abuse of elderly patients can be difficult to uncover. Investigators say many cases are not reported because vulnerable older people may be afraid to tell even friends and relatives much less the authorities. In some cases, neglect and abuse can be masked by medical conditions.

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Nursing home abuse and nursing home neglect are different, but they both pose dangerous health risks to residents. Find out how to tell the difference. Nursing home neglect is the most common type of elder abuse in nursing facilities , with 95 percent of nursing home residents reporting

Negligence Occurrences in Nursing Homes. Some of the most prevalent cases of abuse and neglect in nursing home facilities include, but are not limited to: Improper medication management: Staff members may administer a medication incorrectly or miss a dosage. This can be potentially fatal for

The report cited the example of a 65-year-old woman who arrived at the emergency room in critical condition. She was struggling to breathe, suffering from kidney failure and in a state of delirium. The patient turned out to have opioid poisoning, due to an error at the nursing facility. The report said a nurse made a mistake copying doctor's orders, and the patient was getting much bigger doses of pain medication as a result. The woman was treated and sent back to the same nursing facility. The nurse got remedial training, but the facility did not report what happened. The report called it an example of neglect that should have been reported.

The nursing facilities covered by the report provide skilled nursing and therapy services to Medicare patients recovering from surgeries or hospitalization. Many facilities also play a dual role, combining a rehabilitation wing with long-term care nursing home beds.

Investigators said they faced a challenge scoping out the extent of unreported cases. They couldn't query a database and get a number, since they were looking for cases that weren't being reported to state nursing home inspectors.

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Nursing home personnel must immediately report incidents that involve a suspected crime, within a two-hour window if there’s serious bodily injury. The agency said it has long required nursing homes to immediately report abuse and neglect to state officials, and it will have a formal response to the

More than one in four cases of possible sexual and physical abuse against nursing home patients apparently went unreported to police, says a government audit that faults The agency said it has long required nursing homes to immediately report abuse and neglect to state officials, and it will

To get their estimate, auditors put together a list of Medicare billing codes that previous investigations had linked to potential neglect and abuse. Common problems were not on the list. Instead it included red flags such as fractures, head injuries, foreign objects swallowed by patients, gangrene and shock.

The investigators found a total of 37,600 records representing 34,800 patients. Auditors then pulled a sample of cases and asked state inspectors to tell them which ones should have been reported. Based on the expert judgment of state inspectors, federal auditors came up with their estimate of 6,600 unreported cases of potential neglect and abuse.

Investigators found that nursing facility staff and even state inspectors had an unclear and inconsistent understanding of reporting requirements.

Medicare did not challenge the estimates but instead said that billing data comes with a built-in time lag and may not be useful for spotting problems in real time.

Separately, the report also flagged potential problems with state nursing home inspectors reporting documented cases of abuse or neglect to local law enforcement. Federal auditors pulled a sample of 69 cases across five states in which inspectors verified that nursing facility patients suffered neglect or abuse. Only two were reported to local law enforcement, although reporting is required.

In one case, a male resident was sitting in the facility's dining room when an employee walked by and pushed the back of his head, then kept walking. The employee denied it, but his actions were captured on surveillance video. The report said state inspectors verified what happened but did not report it to local law enforcement.

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