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National Consumer Voice for Quality Long-Term Care

National Consumer Voice for Quality Long-Term Care The National Consumer Voice for Quality Long-Term Care (Consumer Voice)'s mission is to represent co

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The Office of Inspector General for the U.S. Department of Health and Human Services (OIG) released a data brief last we...
01/26/2023
National Consumer Voice

The Office of Inspector General for the U.S. Department of Health and Human Services (OIG) released a data brief last week that examined how COVID-19 affected nursing homes during the first year of the pandemic.

The report made several findings:
- High COVID-19 transmission in a county did not always lead to nursing homes in that county reaching extremely high infection rates.
- For-profit nursing homes made up a disproportionate percentage of nursing homes with extremely high infection rates.
- Surveyors failed to identify infection control deficiencies in the majority of nursing homes with extremely high infection rates.
- Current staffing requirements may not be sufficient to protect nursing home residents from deadly infections.

Read more:

National Consumer Voice

The Centers for Medicare & Medicaid Services (CMS) announced new steps to protect nursing home residents from inappropri...
01/25/2023
National Consumer Voice

The Centers for Medicare & Medicaid Services (CMS) announced new steps to protect nursing home residents from inappropriate diagnosing of schizophrenia which often results in the improper use of antipsychotic medications to sedate and chemically restrain residents. In the new guidance, CMS acknowledges that there has been a steady rise in schizophrenia diagnoses. CMS announced that it will begin to conduct audits of nursing homes with high rates of schizophrenia diagnoses and “examine the facility’s evidence for appropriately documenting, assessing, and coding a diagnosis of schizophrenia.”

Read more:

National Consumer Voice

 Consumer Voice has released a new issue brief examining why staffing is important in nursing homes and what a federal s...
01/19/2023

Consumer Voice has released a new issue brief examining why staffing is important in nursing homes and what a federal staffing standard should include.

https://theconsumervoice.org/uploads/files/issues/The_Importance_of_a_Minimum_Staffing_Standard.pdf

Consumer Voice has released a new issue brief examining why staffing is important in nursing homes and what a federal st...
01/17/2023

Consumer Voice has released a new issue brief examining why staffing is important in nursing homes and what a federal staffing standard should include.

https://theconsumervoice.org/uploads/files/issues/The_Importance_of_a_Minimum_Staffing_Standard.pdf

"A California Superior Court judge ruled that a state nursing home illegally evicted a resident by refusing to re-admit ...
01/14/2023
Court: Refusal to readmit patient after hospital psych evaluation is an ‘involuntary transfer’

"A California Superior Court judge ruled that a state nursing home illegally evicted a resident by refusing to re-admit a woman who had been transferred to a hospital for a psychological evaluation following an altercation with staff."

A California Superior Court judge ruled that a state nursing home illegally evicted a resident by refusing to re-admit a woman who had been transferred to a hospital for a psychological evaluation following an altercation with staff.

"The federal COVID-19 vaccine mandate did not significantly reduce staffing levels in nursing homes despite predicted “g...
01/13/2023
Federal COVID vaccine mandate didn’t cause staffing shortages: research

"The federal COVID-19 vaccine mandate did not significantly reduce staffing levels in nursing homes despite predicted “gloom and doom” scenarios by opponents of the vaccine and mandates at any level, according to new research."

The federal COVID-19 vaccine mandate did not significantly reduce staffing levels in nursing homes despite predicted “gloom and doom” scenarios by opponents of the vaccine and mandates at any level, according to new research.

Only 46% of nursing home residents are up to date with their COVID-19 vaccinations - that number is 23% for staff.  Join...
01/12/2023

Only 46% of nursing home residents are up to date with their COVID-19 vaccinations - that number is 23% for staff. Join Consumer Voice and Dr. Celine Gounder on the Pursuing Quality Care podcast discussing the importance of COVID-19 boosters. https://theconsumervoice.org/pursuingquality

Join the Moving Forward Nursing Home Quality Coalition tomorrow, January 11th at 1:00pm ET for its first 2023 Coalition ...
01/11/2023
Welcome! You are invited to join a meeting: A Conversation with Our Chair: Envisioning Action, Together. After registering, you will receive a confirmation email about joining the meeting.

Join the Moving Forward Nursing Home Quality Coalition tomorrow, January 11th at 1:00pm ET for its first 2023 Coalition Conversation. Coalition Chair, Alice Bonner, along with Coalition committee members and partner organizations will provide insights into the feedback they've received and give a brief overview of the Coalition's Vision, Mission, as well as a look at the work committees are focused on in months ahead. There will be time for questions, idea-sharing, and feedback. Register: https://zoom.us/meeting/register/tJcrde-opz0pGt0MPj1Y4zqLpVjziRtLjGvZ

Learn more about the Moving Forward Coalition: https://movingforwardcoalition.org/

By early January, we will have collected feedback on committee-selected priorities. Using this information, each committee will be developing specific Action Plans – how best to test and promote their priorities. What feedback did we get and what did we learn? What does the work of the Coalition l...

On January 3, 2023, MACPAC, a non-partisan legislative branch agency that provides policy and data analysis and makes re...
01/07/2023
National Consumer Voice

On January 3, 2023, MACPAC, a non-partisan legislative branch agency that provides policy and data analysis and makes recommendations to Congress on Medicaid programs, issued a report finding that without increased transparency in how nursing homes spend Medicaid dollars, it could not properly calculate the actual costs of providing care to Medicaid residents in nursing homes. As a result, MACPAC was not able to determine the adequacy of Medicaid payments to nursing homes.

Consumer Voice Executive Director, Lori Smetanka said, “The MACPAC report confirms that until there is more transparency and accountability for current payments to nursing homes, facilities should not be given more public funds to fulfill their contractual obligations to residents, families, and taxpayers.”

See our full statement on the report with Center for Medicare Advocacy and Long Term Care Community Coalition

National Consumer Voice

Checkout products in our store: https://theconsumervoice.org/ncv_store• Ombudsman Resource bags - filled with fact sheet...
01/07/2023

Checkout products in our store: https://theconsumervoice.org/ncv_store

• Ombudsman Resource bags - filled with fact sheets, guides, postcards and more to equip and inform Ombudsman program representatives
• "What does the resident want?" lanyards
• Pocket guide: What is a Routine Access Visit?

Materials are available from the webinar, "Illegal Nursing Home Debt Collection Practices: Protecting Residents and Fami...
01/06/2023

Materials are available from the webinar, "Illegal Nursing Home Debt Collection Practices: Protecting Residents and Families." Nursing homes are prohibited from requesting or requiring a third party to guarantee payment for a resident's admission or continued stay. Despite this prohibition, some facilities seek to collect residents' debts from relatives, caregivers, and others if the resident or their estate cannot pay. Nursing homes hire debt collectors to demand payment, report the debt as belonging to caregivers and other third-parties, and even sue them in court. These practices can violate the Fair Debt Collection Practices Act and the Fair Credit Reporting Act.

This webinar, co-hosted by Consumer Voice and Consumer Financial Protection Bureau (CFPB) , addressed these unscrupulous practices, discussed resident and family rights during the admissions process, and offered strategies for assisting residents and families.

Get the webinar materials: https://theconsumervoice.org/issues/webinars

A recent study has confirmed the need for COVID-19 boosters for nursing home staff and residents.  A study by researcher...
01/05/2023
Vaccination Rates of Staff in Nursing Homes and COVID-19 Outcomes Among Residents

A recent study has confirmed the need for COVID-19 boosters for nursing home staff and residents. A study by researchers at the University of Chicago found that COVID-19 vaccination of nursing home staff significantly improved resident outcomes over time.

Researchers wrote, "This cohort study of 15,042 nursing homes found that, holding everything else constant prior to the Omicron variant wave, an increase in staff vaccination rates of 10 percentage points was associated with fewer weekly COVID-19 cases among residents, fewer weekly COVID-19 deaths among residents, and fewer weekly COVID-19 cases among staff."

This cohort study estimates the magnitude to which increasing staff vaccination rates over time was associated with mitigating adverse COVID-19 outcomes among staff and residents in US nursing homes.

01/04/2023

The December issue of the Ombudsman Outlook is now available. This issue features an article on federal updates including information from CMS, the CDC, and the DOH. The technical assistance hot topic answers the question, "What does the Older Americans Act say about sharing resident information?" The quick tips article is on virtual learning for older adults, and the volunteer management article is on ways to leverage the senior services network to find volunteers. This issue also features new and updated NORC resources and news from the long-term care Ombudsman network.

>> Read the Ombudsman Outlook: https://bit.ly/3X1cCI9

12/30/2022

Take the time this holiday season while with family and friends to talk about Ageism.

Check out our Research Brief on Ageism to get started:https://ncea.acl.gov/NCEA/media/Publication/NCEA_RB_Ageism.pdf

New issue brief from KFF summarizes federal and state standards related to nursing home staffing prior to COVID-19 and b...
12/30/2022
State Actions to Address Nursing Home Staffing During COVID-19

New issue brief from KFF summarizes federal and state standards related to nursing home staffing prior to COVID-19 and builds on existing information by identifying changes to state minimum staffing requirements adopted since the onset of the COVID-19 pandemic.

This issue brief summarizes federal and state standards related to nursing home staffing prior to COVID-19 and builds on existing information by identifying changes to state minimum staffing requir…

Voices of residents need to be heard. With your support, Consumer Voice will bring voices, like Maurice's, to the table ...
12/29/2022

Voices of residents need to be heard. With your support, Consumer Voice will bring voices, like Maurice's, to the table as decisions are being made. Let's come together to ensure the well-being of residents is at the center of any policy development. In the words of Maurice: "Not you, not me, but us."

Make a contribution now to help us carry the voices of residents to policymakers: https://theconsumervoice.org/news/detail/news_list/winter-appeal-2022

12/23/2022
The White House has announced a new limited round of free at-home COVID-19 tests for the winter.
12/22/2022
COVID.gov/tests - Free at-home COVID-19 tests

The White House has announced a new limited round of free at-home COVID-19 tests for the winter.

Every U.S. household is eligible to order 4 free at-home COVID-⁠19 tests.

In a new podcast episode, Jerry Rothkoff of Rothkoff Law Group joins us to talk about the state of visitation now, almos...
12/21/2022

In a new podcast episode, Jerry Rothkoff of Rothkoff Law Group joins us to talk about the state of visitation now, almost three years into the pandemic, and how to spend time safely together this holiday season.
Listen now: https://theconsumervoice.org/pursuingquality

A Decade of Drugging - NursingHome411
12/21/2022
A Decade of Drugging - NursingHome411

A Decade of Drugging - NursingHome411

In 2012, the federal Centers for Medicare and Medicaid Services (CMS) launched the National Partnership to Improve Dementia Care to reduce the use of dangerous antipsychotic (AP) drugs in nursing homes. This report, “A Decade of Drugging,” examines how dementia care has – and hasn’t – chan...

12/19/2022
What Nursing Home Residents and Their Families Need to Know About COVID-19 Vaccinations and Boosters

Recent CMS data shows that only 46% of nursing home residents are up to date on their COVID-19 vaccinations. That percentage is even lower for nursing home staff, 23.1%. COVID-19 cases and deaths are rising across the country, while at the same time seasonal influenza and RSV cases are also causing hospital beds to be full.

In this episode of the Pursuing Quality Long-Term Care podcast Sam Brooks, Director of Public Policy, talks with Dr. Celine Gounder who discusses the importance of nursing home residents and staff being up to date with their COVID-19 vaccinations. Dr. Gounder addresses questions about the efficacy of boosters and also how frequently nursing home residents and staff should be receiving them.

Dr. Gounder is a Senior Fellow and Editor-at-Large for Public Health at the Kaiser Family Foundation and for Kaiser Health News. She is also a Clinical Associate Professor of Medicine and Infectious Diseases at New York University’s Grossman School of Medicine. She cares for patients on the wards at Bellevue Hospital Center. She served on the Biden-Harris Transition COVID-19 Advisory Board.

> Apple Podcasts: https://apple.co/3hDHrUc
> SoundCloud: https://bit.ly/3jdvfdd

Join us for a webinar on Thursday, "Illegal Nursing Home Debt Collection Practices: Protecting Residents and Families," ...
12/14/2022
Welcome! You are invited to join a webinar: Illegal Nursing Home Debt Collection Practices: Protecting Residents and Families. After registering, you will receive a confirmation email about joining the webinar.

Join us for a webinar on Thursday, "Illegal Nursing Home Debt Collection Practices: Protecting Residents and Families," with Consumer Financial Protection Bureau (CFPB) and a special guest from National Consumer Law Center. We will address the unscrupulous practices of nursing home debt collection, discuss resident and family rights during the admissions process, and offer strategies for assisting residents and families. Register: https://us02web.zoom.us/webinar/register/WN_Sp6zX_gqQnOImWw-Rx0AtQ?

Nursing homes are prohibited from requesting or requiring a third party to guarantee payment for a resident's admission or continued stay. Despite this prohibition, some facilities seek to collect residents' debts from relatives, caregivers, and others if the resident or their estate cannot pay. Nur...

12/10/2022
Regulations.gov

The Consumer Product Safety Commission (CPSC) has issued a notice of proposed rulemaking about the use of adult portable bed rails. Comments are requested to be submitted at www.regulations.gov, by January 9th 2023.

The CPSC has determined preliminarily that there is an unreasonable risk of injury and death associated with entrapment hazards from adult portable bed rails (APBRs). It is proposing a rule to require that adult portable bed rails meet the requirements of applicable voluntary standards created in 2017. Among CPSC's findings leading to this action is that manufacturers of these devices failed to comply fully (or even at all) with the voluntary standards established in 2017, and the number of injuries skyrocketed to over 5,000 for the years 2020 and 2021 - the last years for which statistics have been completed.

Read more and learn how to submit comments: https://theconsumervoice.org/news/detail/latest/cpsc-issues-notice-of-proposed-rulemaking-adult-portable-bed

It's been fantastic to get to connect with so many advocates from across the country throughout this year's conference! ...
12/09/2022

It's been fantastic to get to connect with so many advocates from across the country throughout this year's conference!

Looking forward to all of the excellent sessions at  today!
12/09/2022

Looking forward to all of the excellent sessions at today!

Don't miss out on togetherness this holiday season.  With family and holiday gatherings in full swing, more Americans ge...
12/09/2022
Updated COVID Vaccines: A Holiday Toolkit

Don't miss out on togetherness this holiday season. With family and holiday gatherings in full swing, more Americans getting their updated COVID vaccine will help avoid thousands of hospitalizations and deaths. The Department of Health and Human Services (HHS) has put together a holiday toolkit to help spread the word about the importance of everyone staying up to date with their COVID vaccines and how to get them.: https://wecandothis.hhs.gov/resource/updated-covid-vaccines-a-holiday-toolkit

Plus, join the White House TODAY at 11:45am ET for a special virtual townhall that will address:
1. What Americans might expect from COVID-19 this winter
2. How you can stay protected this winter from COVID-19
3. Why getting the COVID-19 vaccine ahead of the holiday season is critical
Watch it here: https://www.whitehouse.gov/live/

Outreach resources to help Americans get their updated COVID vaccines this holiday season.

Join this webinar with the National Consumer Voice for Quality Long-Term Care and Consumer Financial Protection Bureau (...
12/09/2022

Join this webinar with the National Consumer Voice for Quality Long-Term Care and Consumer Financial Protection Bureau (CFPB), with a special guest from National Consumer Law Center, where we will address the unscrupulous practices of nursing home debt collection, discuss resident and family rights during the admissions process, and offer strategies for assisting residents and families.

Register Now: https://us02web.zoom.us/webinar/register/WN_Sp6zX_gqQnOImWw-Rx0AtQ

Nursing home residents need your help! Currently, Congress is discussing important end of the year legislation.  On Dece...
12/07/2022

Nursing home residents need your help! Currently, Congress is discussing important end of the year legislation. On December 6th, Consumer Voice and other advocates sent a letter to Congress asking them to include critical nursing home provisions in an end of year appropriations bill. Contact your members of Congress today and tell them to stand with nursing home residents and include these important provisions that would protect and support residents: https://secure2.convio.net/tncv/site/Advocacy?pagename=homepage&page=UserAction&id=193

Read our letter:https://theconsumervoice.org/uploads/files/issues/Include_Nursing_Home_Provisions_in_Appropriations_Bill.pdf

A recent report by the U.S. Department of Health and Human Services used Medicare data to identify certain characteristi...
12/03/2022

A recent report by the U.S. Department of Health and Human Services used Medicare data to identify certain characteristics or risk factors that placed nursing home residents at an increased risk of discharge.

These characteristics included:
- Residents with severe behavioral symptoms.
- Residents with psychiatric and mood disorders.
- Residents with impairments that required more staff time.
- Residents transitioning to Medicaid.

Residents with these risk factors were more likely to be discharged from for-profit nursing homes.

Learn more in our summary:https://theconsumervoice.org/uploads/files/issues/Resident_and_Facility_Factors_Associated_with_High_Risks_of_Discharge.pdf

There's still time to join us next week for the virtual component of our Annual Conference! Listen to key experts, hear ...
12/03/2022

There's still time to join us next week for the virtual component of our Annual Conference! Listen to key experts, hear the voice of long-term care consumers and connect with advocates nationwide during this virtual event. Don't miss these sessions and more.
See the agenda and register: https://theconsumervoice.org/2022-conference

“I’m diplomatic; I try to be. But there are times when you just have to say, ‘All right, enough is enough.’” - Cindy Nap...
12/02/2022
Many nursing homes are poorly staffed. How do they get away with it?

“I’m diplomatic; I try to be. But there are times when you just have to say, ‘All right, enough is enough.’” - Cindy Napolitan, member of Consumer Voice's Consumer Advisory Council, in an interview with USA TODAY

President Biden has promised tougher standards, but USA TODAY found the government rarely enforces existing guidelines.

On November 29th, the Centers for Disease Control and Prevention (CDC) released new guidance to help reduce the spread o...
12/01/2022
Community, Work, and School

On November 29th, the Centers for Disease Control and Prevention (CDC) released new guidance to help reduce the spread of COVID-19 within congregate settings, including assisted living facilities. The CDC is encouraging facilities to balance COVID-19 prevention with the impact of reducing access to daily services and programing.

https://www.cdc.gov/coronavirus/2019-ncov/community/community-congregate-living-settings.html

See Consumer Voice's summary: https://theconsumervoice.org/news/detail/news_list/cdc-covid-guidance-for-assisted-living

Actions that communities can take to slow the spread of COVID-19.

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Understaffing in nursing homes is a huge problem. Read this report by the National Consumer Voice for Quality Long-Term Care to learn more. Link in the post below.
Staffing, and the lack thereof, in Long-Term Care Facilities has had an impact on residents all over the U.S. This issue was recently addressed by the Biden Administration and highlighted by National Consumer Voice for Quality Long-Term Care.

Learn more about staffing here:
https://theconsumervoice.org/issues/issue_details/staffing
Join National Consumer Voice for Quality Long-Term Care Friday, March 4, 2022 2:00pm ET where Will Harris, Senior Advisor, Office of the Administrator, Centers for Medicare & Medicaid Services will join present an overview of these newest Biden Administration proposals for nursing home residents.

They will also discuss a new report by Consumer Voice, Inadequate Staffing During the COVID-19 Pandemic and Its Catastrophic Effects on Nursing Home Residents.
National Consumer Voice for Quality Long-Term Care released a new report looks at federal data regarding nursing home residents and document the true price of inadequate staffing. The report found that during the pandemic:

The number of residents experiencing pressure ulcers rose 31%
The number of residents experiencing significant weight loss rose 49%
The number of residents reporting feeling down, depressed, or hopeless rose 40%
The increase in the rate of residents receiving antipsychotic medications jumped 77.5%, while the increase in the rate of residents being diagnosed with schizophrenia rose 54%

We are all about finding resources and helpful education that focuses on a person-centered care model! National Consumer Voice for Quality Long-Term Care has a great podcast where you can hear from industry experts on pursuing quality long-term care. Check it out below!
http://txccc.net/a-consumer-education-podcast-pursuing-quality-long-term-care/
Newly released data shows rates of antipyschotic drug usage in are rising, particularly during the pandemic. Additional reports and studies show that schizophrenia diagnoses among nursing home residents - one of three diagnoses where antipsychotic use is not included in reported rates - has also been steadily increasing, particularly among Black residents.

This past November, at the National Consumer Voice for Quality Long-Term Care Conference, experts Shekinah Fashaw-Walters, from the University of Minnesota School of Public Health and Kelly Bagby from AARP Foundation discussed what could be contributing to the reported increased rates of antipsychotic use in nursing homes and identified strategies for recognizing and addressing these troubling trends.
Starting now! Join ACL and the National Consumer Voice for Quality Long-Term Care for a discussion on COVID-19 boosters to support safe visitation and promote family connections for long-term care residents: https://bit.ly/3HmY9yT
Join Administration for Community Living and the National Consumer Voice for Quality Long-Term Care tomorrow (2/4) for a discussion of COVID-19 boosters as a way to support safe visitation and promote family connections for residents of long-term care facilities. https://bit.ly/3AWWHRl
Please join Administration for Community Living and the National Consumer Voice for Quality Long-Term Care for a webinar on booster shots for residents of long-term care facilities on February 4 at 3:30PM ET.

A reminder to join ACL and the National Consumer Voice for Quality Long-Term Care tomorrow (2/4) at 3:30PM ET for a discussion of COVID-19 boosters as a way to support safe visitation and promote family connections for residents of long-term care facilities. Register:
This Friday, February 4 at 3:30pm ET, join ACL and the National Consumer Voice for Quality Long-Term Care for a discussion of COVID-19 boosters as a way to support safe visitation and promote family connections for residents of long-term care facilities. Learn more & register:
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