OIG: Nursing Homes Reported Wide-Ranging Challenges Preparing for Public Health Emergencies and Natural Disasters

Sep 1, 2023 | Nursing HPRD & Turnover, Research Studies of PBJ Data

News Digest: OIG finds challenges with nursing homes pandemic preparation

Pbjsubmissionstarts

Nursing Homes Reported Wide-Ranging Challenges Preparing for Public Health Emergencies and Natural Disasters

Although most nursing homes met Federal emergency preparedness requirements, an estimated 77 percent reported challenges with preparedness activities intended to ensure that resident care needs are met during an emergency. The most frequently cited concerns among nursing homes were ensuring proper staffing during emergencies and transporting residents during evacuations.

WHY WE DID THIS STUDY
OIG has identified emergency preparedness and nursing home safety as priorities. Nursing home failures to adequately plan for and respond to public health emergencies and natural disasters have led to tragic results. Although such outcomes were not typical, they point to the need to identify the source of breakdowns and to strengthen nursing home preparedness efforts.

HOW WE DID THIS STUDY
We surveyed a random sample of 199 nursing homes located in geographic areas rated by the Federal Emergency Management Agency (FEMA) as having a very high or relatively high risk for natural hazards. We received responses from 168 nursing homes and projected the results to all nursing homes in the FEMA risk areas. Respondents rated how challenging each of

READ FULL STUDY

Office of the Inspector General. “Nursing Home Capabilities and Collaboration to Ensure Resident Care During Emergencies”.” Department of Health and Human Services, 1 Sep. 2023, oig.hhs.gov/oei/reports/OEI-06-22-00100.asp, September 2023.

Pbjsubmissionstarts

OIG: Pandemic Data Shows Major Changes Needed in Nursing Home Staffing, Surveys, Infection Control

A staggering number of nursing homes reported challenges in meeting the care needs of their residents during public health emergencies and natural disasters due mostly to inadequate staffing, with transportation, communication and infection control and prevention also being among key areas hampering these efforts.

This is according to the latest report issued Wednesday by the Office of Inspector General (OIG).

READ FULL ARTICLE

Siddiqi, Zahida.  “OIG: Nursing Homes Hard-Pressed to Meet Resident Needs in Emergencies Due to Staffing.” Skilled Nursing News, 8 Sept. 2023, skillednursingnews.com/2023/09/oig-nursing-homes-hard-pressed-to-meet-resident-needs-in-emergencies-due-to-staffing.

Pbjsubmissionstarts

Nursing homes reveal widespread emergency planning barriers in new OIG report

More than three-quarters of US nursing homes in areas at high risk for natural disasters face significant challenges in preparing for them, estimates a new federal report issued early Wednesday.

The report used surveys with nursing home leaders to identify ongoing concerns, many of them often in play even when a facility has met the technical requirements for emergency preparedness outlined by the Centers for Medicare & Medicaid Services.

READ FULL ARTICLE

Marselas, Kimberly. “Nursing Homes Reveal Widespread Emergency Planning Barriers in New OIG Report.” McKnight’s Long-Term Care News, 5 Sept. 2023, www.mcknights.com/news/nursing-homes-reveal-widespread-emergency-planning-barriers-in-new-oig-report.

More News in this PBJ Topic

Research shows COVID-19 vaccination mandates don’t negatively affect nursing home staffing

State COVID-19 vaccination mandates increased vaccinations among direct caregivers without negatively affecting staffing levels, according to the results of a study published Friday in JAMA Health Forum.

The researchers studied vaccination rates and staffing shortages that were reported via the Center for Disease Control and Prevention’s National Healthcare Safety Network from June 6, 2021, through Nov. 14, 2021.

read more

Nursing home staff turnover up 25 percent from last year

The national nursing home staff turnover rate for all employees is up 25% from last year. That’s according to findings included in the 45th annual Nursing Home Salary & Benefits Report released Thursday by Hospital & Healthcare Compensation Service.

The average national turnover rate across executive-level positions and those in dining services, environmental services, marketing and therapy was 29.17%, according to the report. The national average turnover among registered nurses, licensed practical nurses and certified nursing assistants was 38.68%.

read more

Study confirms lower turnover linked to higher quality of care

Nursing home providers should consider implementing innovative strategies for retaining workers after a new study found that low staff turnover was consistently associated with higher quality of care, researchers said.

“While these actions are challenging — especially given that nursing homes are navigating the COVID-19 pandemic, they are clearly warranted if we seek an improved quality of care for nursing home residents,” Qing Zheng, Ph.D., lead author and health economist at research firm Abt Associates

read more

Study Shows Weekend and Daily Variation in Nursing Home Staffing Led to Poorer Clinical Quality

Daily variation in nursing home staffing was associated with poorer clinical quality in Medicare and Medicaid-certified nursing homes, suggesting that reporting staffing variation could help provide new quality improvement information, according to a study published in JAMA Network Open.

Typically, nursing home quality regulations include minimum staffing standards to ensure that facilities provide residents with quality care. Meeting the average staffing level has been associated with better performance on process quality measures, on-site survey scores, and resident outcome measures.

read more

State of Skilled Nursing Facilities Today, Planning for the Future

What are the four key findings and what can nursing home leaders do today to put themselves on the path of recovery? Some of the answers include strategic planning, operational assessments, and self-evaluation.

Nursing facilities should work now to determine changes that can be made – clinically, operationally, and financially – for better or more strategic outcomes.

read more

Appropriate Staffing Standards in Post-Acute and Long-Term Care

A push to mandate staffing levels at both state and federal levels persists after several decades.

Skilled Nursing Facilities (SNFs) and long-term care (LTC) facilities (also referred to as nursing homes or nursing facilities) are no longer just for aging geriatric residents. Acuity level has increased and entering residents are younger, and/or with far more medically and socially complex needs (including more management of behaviors, tracheostomies, complex wound care, drains/tubes, life vests, and IV medications). In addition, experiences during the COVID-19 pandemic confirmed the importance of having sufficient staffing based on facility need and of hiring high-quality, well-trained staff.

read more