A Kaiser Health News analysis of federal inspection records shows that nursing home inspectors labeled mistakes in infection control as serious for only 161 of the 12,056 homes they have cited since 2014.reference:
A Kaiser Health News analysis of four years of federal inspection records shows 74 percent of nursing homes have been cited for lapses in infection control — more than for any other type of health violation. In California, health inspectors have cited all but 133 of the state’s 1,251 homes.
Although repeat citations are common, disciplinary action such as fines is rare: Nationwide, only one of 75 homes found deficient in those four years has received a high-level citation that can result in a financial penalty, the analysis found.
“The facilities are getting the message that they don’t have to do anything,” said Michael Connors of California Advocates for Nursing Home Reform, a nonprofit in San Francisco. “They’re giving them low-level warnings year after year after year and the facilities have learned to ignore them.”
Most Widespread Nursing Home Health ViolationsThis chart shows the number of nursing homes that have been cited for violating 10 Medicare safety rules. The rules listed are the ones for which the largest numbers of homes have been cited from 2014 to October 2017.
Medicare RuleNumber Of Nursing Homes Cited For Violating RequirementPercent Of Homes PenalizedTotal Number Of CitationsInvestigate and control infections and keep them from spreading12,05674.10%23,481
Store, cook and serve food safely and cleanly11,43870.3%20,505
Protect residents from accidental hazards11,14868.5%23,991
Provide necessary care9,86160.6%20,196
Label and track drugs8,40051.6%12,641
Manage residents' medication and avoid unnecessary drugs8,08649.7%12,548
Develop a complete plan of care7,93948.80%13,011
Provide care with dignity and respect6,88942.30%10,065
Keep complete and accurate clinical records6,73241.40%11,272
Investigate reports of mistreatment of residents and don't hire people with records of abuse6,35639.1%9,719
KHN analysis of Medicare's Nursing Home Compare data 2014-October 2017. Includes violations that inspectors said caused harm, had the potential to cause more than minimum harm or put residents in "imminent jeopardy" of injury. Excludes lesser violations that had the potential for "minimal harm." The analysis covers 16,268 nursing homes, including some of which are no longer operating.
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