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That is, in part, because many if not most nursing homes are understaffed. In Indiana, they always knew when they were getting inspected and forced overtime on

That is, in part, because many if not most nursing homes are understaffed. In Indiana, they always knew when they were getting inspected and forced overtime on folks those couple of weeks. Why the past month's payroll records aren't checked more often for staffing levels I never know.

toomuchtodo 7y ago
The system is built to be this way. Nursing care is expensive. Very expensive. No one wants to pay for it, either because people didn't or couldn't save enough for it prior to needing it, or government can't get the will together to properly fund it (Medicaid/Medicare aside) with taxes. People still end up in homes, caregivers continue to be chronically underpaid, and there's some occasional public concern or outrage over it so society can feel better about the situation. "Thoughts and prayers" over meaningful elder care reform.
- Ididntdothis 7y ago
  “Nursing care is expensive. Very expensive. No one wants to pay for it, ” My estimate would be that you probably need around 1 person for 5 people or less to do the job some justice. Plus doctors and other personnel. This would be freakishly expensive.
  - toomuchtodo 7y ago
    Your estimate matches closely to HHS findings and recommendations: https://aspe.hhs.gov/basic-report/state-initiated-nursing-home-nurse-staffing-ratios-annotated-review-literature https://aspe.hhs.gov/basic-report/state-initiated-nursing-ho... Also, it is as expensive as you assume: "This report, authorized by the Chairman of the Virginia Senate Committee on Education and Health, studies the provisions of Senate Bill 1125 of the 2001 Session of the General Assembly. Senate Bill 1125 requires Virginia nursing homes to implement minimum nursing staff standards of 5.2 hours per resident day (hprd). For Certified Nursing Assistants (CNAs), the Bill requires minimum ratios of 1:5 residents (day), 1:5 (evening), and 1:10 (night) or a total of 4.0 hprd, and minimum licensed nurse-to-resident ratios of 1:15 (day), 1:20 (evening), and 1:30 (night) or a total of 1.2 hprd. These minimum standards exceed those of all other states as well as those recommended by advocacy and research organizations. The fiscal impact on the Medicaid program is estimated to be an additional $91.2 million from the general fund annually."
- crispyambulance 7y ago
  Yes, very expensive. However, less than 5% of people end up in a nursing home for a significant length of time (>1 year). It would be nice if we could all live to a ripe age, enjoy many years of retirement maintaining mobility and a lucid mind and then suddenly die in sleep. Unfortunately, it doesn't always turn out that way. Hopefully by the time many of us get to be that age, euthanasia will be a mainstream option.

toomuchtodo 7y ago

The system is built to be this way. Nursing care is expensive. Very expensive. No one wants to pay for it, either because people didn't or couldn't save enough for it prior to needing it, or government can't get the will together to properly fund it (Medicaid/Medicare aside) with taxes. People still end up in homes, caregivers continue to be chronically underpaid, and there's some occasional public concern or outrage over it so society can feel better about the situation. "Thoughts and prayers" over meaningful elder care reform.

Ididntdothis 7y ago
“Nursing care is expensive. Very expensive. No one wants to pay for it, ” My estimate would be that you probably need around 1 person for 5 people or less to do the job some justice. Plus doctors and other personnel. This would be freakishly expensive.
- toomuchtodo 7y ago
  Your estimate matches closely to HHS findings and recommendations: https://aspe.hhs.gov/basic-report/state-initiated-nursing-home-nurse-staffing-ratios-annotated-review-literature https://aspe.hhs.gov/basic-report/state-initiated-nursing-ho... Also, it is as expensive as you assume: "This report, authorized by the Chairman of the Virginia Senate Committee on Education and Health, studies the provisions of Senate Bill 1125 of the 2001 Session of the General Assembly. Senate Bill 1125 requires Virginia nursing homes to implement minimum nursing staff standards of 5.2 hours per resident day (hprd). For Certified Nursing Assistants (CNAs), the Bill requires minimum ratios of 1:5 residents (day), 1:5 (evening), and 1:10 (night) or a total of 4.0 hprd, and minimum licensed nurse-to-resident ratios of 1:15 (day), 1:20 (evening), and 1:30 (night) or a total of 1.2 hprd. These minimum standards exceed those of all other states as well as those recommended by advocacy and research organizations. The fiscal impact on the Medicaid program is estimated to be an additional $91.2 million from the general fund annually."
crispyambulance 7y ago
Yes, very expensive. However, less than 5% of people end up in a nursing home for a significant length of time (>1 year). It would be nice if we could all live to a ripe age, enjoy many years of retirement maintaining mobility and a lucid mind and then suddenly die in sleep. Unfortunately, it doesn't always turn out that way. Hopefully by the time many of us get to be that age, euthanasia will be a mainstream option.