Hot Topics of Skilled Nursing Facilities

- Low Staffing Levels

Nursing homes and long-term care centers have struggled as of late to maintain their staffing levels to qualify for federal and state funding. Because of the low wages for certified nurse assistants (CNA) and registered nurses (RN), it is difficult to slow down the high turn over rates of the industry. Record low unemployment rates have driven other workers to higher wage industries. Nursing home companies are working hard to find the balance between raising wages while maintaining a profit in an extremely low-profit industry. (See Source).

-Elderly Abuse

Low staffing has lead to lowering standards in the highering process which lead to an increase in abuse cases. One of the biggest struggles for administration in these facilities is creating detailed training programs and incentives to continually increase the quality of care. One way nursing home administrators prevent abuse is through detailed documentation of cases to enhance clear communication between the facility's staff and state surveyors. (See Source).

-Changes in Arbitration Clauses

Before November of 2016 patients who entered Skilled Nursing facilities were forced to sign an arbitration agreement upon arrival. Which means any dispute had to be settled with a mediator before going to court. This restricted the patient's ability to voice their concerns about the treatment they received in the facility. Now, arbitration is optional and can be signed after admission if an issue comes up. This gives the patient more legal freedom when communicating their concern and receiving justice. (See Source).

All of these issues are heavily influenced by federal and state funding, as facilities receive the majority of their reimbursement from Medicare and Medicaid. Based on my exposure to the industry over the years I have seen serious inefficiencies in the processes that provide funding. Skilled Nursing care has improved dramatically since its beginnings, but there is still a lot of potential solutions to provide better care that will save both the federal government and taxpayers billions of dollars.