On Tuesday, April 23, 2024, the Centers for Medicare & Medicaid Services (CMS) published the final rule, implementing minimum staffing standards for nursing homes intended to increase staffing levels and improve patient care in nursing homes. The Biden Administration’s announcement is controversial. CMS has faced fierce opposition from the nursing home industry and Republicans in Congress who see…
For many families, placing a loved one into a nursing home facility can be a daunting and emotional decision. Fortunately, the spectrum of care has expanded, offering several alternatives to nursing homes that better suit older adults’ and their families’ needs and preferences. From adult daycare to innovative AgeTech solutions, the landscape of elder care…
Since it is tax season, many caregivers of our clients who are residents of an assisted living facility inquire about tax deductions for assisted living costs. The IRS provides rules for deducting certain qualified long-term care costs as medical expenses. Normally, the costs of nursing home care should be deductible, but the status of Assisted…
I recently met with a family regarding their ailing father and a potential involuntary nursing home discharge. Their father fell in his home and was subsequently hospitalized. He then transitioned from the hospital to a local nursing home for rehabilitation covered by Medicare. The amount Medicare pays a nursing home for a resident undergoing short-term…
A week prior to Thanksgiving, I met with a client whose husband was in a local nursing home for a rehabilitation stay following a fall that resulted in hospitalization. The wife communicated that her husband wanted to come home for the day to spend Thanksgiving Day with his family and would be devastated if he…
For nursing home residents and their families, making a decision about what facility to choose can be a daunting and frustrating process. How do you know whether the nursing home you are considering for your loved one provides quality care? One resource is the federal government website which provides quality measures for every nursing home…
In December 2022, Pennsylvania state Senators Michelle Brooks and Judy Ward proposed legislation that would expand Medicaid coverage for assisted living facilities. The proposal is designed to provide support for older adults who require assistance with daily living but do not require the high level of care provided by nursing homes. Under the proposed legislation,…
Last week, a new bill was introduced in the New Jersey legislature to address continued problems in certain New Jersey nursing homes. The bill, co-sponsored by Senator Joseph F. Vitale (D—Middlesex) and Sen. Robert W. Singer (R—Ocean), will attempt to address issues related to financial exploitation in long-term care. The bill prohibits the personnel of…
As we are now in the holiday season, one question many families are asking is, “can nursing home residents leave for the holidays?” If a resident decides to leave the nursing home for the holidays, CMS recommends certain actions when the resident returns. Consider the following scenario. A client was in a local nursing home…
Additional Medicare nursing home ownership data is being made publicly available by the U.S. Department of Health and Human Services (HHS) through the Centers for Medicare & Medicaid Services (CMS). This effort may help improve nursing home transparency, safety and quality, and accountability by providing more information about the ownership of all Medicare-certified nursing homes….
