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Their children may have moved away. Spouses and friends may themselves be too frail to visit. So a California hospital is providing volunteer companions in the geriatric unit.\u003c/p>\n\u003cp>One of the volunteers at the UCLA Medical Center in Santa Monica is 24-year-old Julia Torrano. She hopes to go to medical school. Meanwhile, her twice-weekly volunteer shifts give her a lot of practice working with patients.\u003c/p>\n\u003cp>One of them is Estelle Day. She's 79 years old, a slender woman with a wild mane of hair that is still mostly red. Torrano peppers her with questions.\u003c/p>\n\u003cp>\"Where were you originally from?\" asks Torrano. Day replies that she grew up on Long Island in New York. Torrano also wants to know how Day met her husband, where she learned to play the harp, where her travels have taken her.\u003c/p>\n\u003cp>Day is happy to answer everything. She says she likes people and describes herself as \"windbaggy.\" That's especially true if she's talking about playing music. She is a lifelong musician and retired music teacher. She plays harp and guitar, but her favorite instrument is the pipe organ. \"To be able to rock a building under your hands and your feet is exciting,\" she says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This was Day's fifth day as a patient in the geriatric unit. She says multiple chronic conditions brought her here, but she didn't want to name them. Visible were a bulky back brace she wears for her osteoporosis, an IV drip and a heart monitor.\u003c/p>\n\u003cp>When that heart monitor suddenly began beeping, Torrano was out of the room like a shot. She returned seconds later with a nurse who solved the problem with the push of a button.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/500222611/502841593\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Torrano and the other volunteer companions aren't just candy stripers, bringing snacks and magazines. She knew what to do when the heart monitor started beeping because, like all of the volunteers in this program, she's been trained. As \u003ca href=\"http://www.geronet.ucla.edu/research/researchers/476\">Dr. David Reuben\u003c/a>, chief of geriatrics at the Geffen School of Medicine at UCLA explains: \"Just because you're willing to do something doesn't mean you know how to do it.\"\u003c/p>\n\u003cp>Volunteers learn about medical confidentiality, what to do in an emergency, and how to interact with patients, including patients with dementia. Reuben says they go through a \"vigorous training process and vetting process before we allow them to be with patients.\" There are nearly three dozen volunteers so far. The program started just a few months ago, and the hospital plans to expand it.\u003c/p>\n\u003cp>Loneliness is a legitimate medical issue. There are a number of studies linking loneliness and social isolation in old people to poorer health and earlier death, including one published earlier this month in \u003ca href=\"http://jamanetwork.com/journals/jamapsychiatry/fullarticle/2575729\">JAMA Psychiatry\u003c/a> associating loneliness, social isolation and brain changes typical in Alzheimer's. Reuben cautions that those studies weren't done in a hospital setting. Nevertheless, he says, \"you might suspect that being more engaged, more energized ... might promote a speedier recovery.\"\u003c/p>\n\u003cp>So now the hospital is designing studies to find out if the volunteer companionship improves medical outcomes, or at least improves the patient's experience in the hospital.\u003c/p>\n\u003cp>Torrano says she'll sometimes spend her entire four-hour shift with a single patient. Like Estelle Day, many are happy to share their life stories. She remembers one man in particular who had been a political prisoner in Iran. He'd run an underground newspaper. \"He was in jail so much,\" she recalls, yet he told her he also misses Iran. \"Even though it was very traumatic, he still wishes he was there,\" Torrano says.\u003c/p>\n\u003cp>Estelle Day says she's not especially lonely, but she has been alone much of the time since she was admitted to the geriatric unit. So it helps to have a companion who will not only listen to her life story, but can also troubleshoot the little problems that can make life in a hospital such a challenge. \"Somebody who is sensitive and tuned-in and is very helpful,\" explains Day, the way Torrano was when Day's heart monitor started acting up.\u003c/p>\n\u003cp>And companionship can take many forms. On the day of Torrano's visit, one of Day's most pressing issues was fixing her hair. It had been shoved up in a rubber band since she was admitted.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>So with Day's encouragement, Torrano picks up a comb and gently begins detangling. Whatever it takes to make the patient look good and feel better.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Hospital+Companions+Can+Ease+Isolation+For+Older+People&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Loneliness and social isolation can affect health for the worse. A California hospital is training volunteers to provide companionship and friendly assistance.","status":"publish","parent":0,"modified":1479759035,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://www.npr.org/player/embed/500222611/502841593"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":773},"headData":{"title":"Hospital Companions Can Ease Isolation For Older People | KQED","description":"Loneliness and social isolation can affect health for the worse. A California hospital is training volunteers to provide companionship and friendly assistance.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"262090 http://ww2.kqed.org/stateofhealth/?p=262090","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/11/21/hospital-companions-can-ease-isolation-for-older-people/","disqusTitle":"Hospital Companions Can Ease Isolation For Older People","source":"NPR","sourceUrl":"http://www.npr.org/sections/health-shots/2016/11/21/500222611/hospital-companions-ease-isolation-for-older-patients","nprByline":"\u003cstrong>Ina Jaffe, \u003ca href=\"www.npr.org\">NPR\u003c/a>\u003c/strong>","nprImageAgency":"Ina Jaffe/NPR","nprStoryId":"500222611","nprApiLink":"http://api.npr.org/query?id=500222611&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2016/11/21/500222611/hospital-companions-ease-isolation-for-older-patients?ft=nprml&f=500222611","nprRetrievedStory":"1","nprPubDate":"Mon, 21 Nov 2016 13:43:00 -0500","nprStoryDate":"Mon, 21 Nov 2016 04:53:00 -0500","nprLastModifiedDate":"Mon, 21 Nov 2016 13:43:01 -0500","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2016/11/20161121_me_hospital_companions_ease_isolation_for_older_patients.mp3?orgId=1&topicId=1128&d=231&p=3&story=500222611&t=progseg&e=502832921&seg=12&ft=nprml&f=500222611","nprAudioM3u":"http://api.npr.org/m3u/1502841593-14c0c4.m3u?orgId=1&topicId=1128&d=231&p=3&story=500222611&t=progseg&e=502832921&seg=12&ft=nprml&f=500222611","path":"/stateofhealth/262090/hospital-companions-can-ease-isolation-for-older-people","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2016/11/20161121_me_hospital_companions_ease_isolation_for_older_patients.mp3?orgId=1&topicId=1128&d=231&p=3&story=500222611&t=progseg&e=502832921&seg=12&ft=nprml&f=500222611","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Loneliness can be a problem for older people, especially when they're in the hospital. Their children may have moved away. Spouses and friends may themselves be too frail to visit. So a California hospital is providing volunteer companions in the geriatric unit.\u003c/p>\n\u003cp>One of the volunteers at the UCLA Medical Center in Santa Monica is 24-year-old Julia Torrano. She hopes to go to medical school. Meanwhile, her twice-weekly volunteer shifts give her a lot of practice working with patients.\u003c/p>\n\u003cp>One of them is Estelle Day. She's 79 years old, a slender woman with a wild mane of hair that is still mostly red. Torrano peppers her with questions.\u003c/p>\n\u003cp>\"Where were you originally from?\" asks Torrano. Day replies that she grew up on Long Island in New York. Torrano also wants to know how Day met her husband, where she learned to play the harp, where her travels have taken her.\u003c/p>\n\u003cp>Day is happy to answer everything. She says she likes people and describes herself as \"windbaggy.\" That's especially true if she's talking about playing music. She is a lifelong musician and retired music teacher. She plays harp and guitar, but her favorite instrument is the pipe organ. \"To be able to rock a building under your hands and your feet is exciting,\" she says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This was Day's fifth day as a patient in the geriatric unit. She says multiple chronic conditions brought her here, but she didn't want to name them. Visible were a bulky back brace she wears for her osteoporosis, an IV drip and a heart monitor.\u003c/p>\n\u003cp>When that heart monitor suddenly began beeping, Torrano was out of the room like a shot. She returned seconds later with a nurse who solved the problem with the push of a button.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/500222611/502841593\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>Torrano and the other volunteer companions aren't just candy stripers, bringing snacks and magazines. She knew what to do when the heart monitor started beeping because, like all of the volunteers in this program, she's been trained. As \u003ca href=\"http://www.geronet.ucla.edu/research/researchers/476\">Dr. David Reuben\u003c/a>, chief of geriatrics at the Geffen School of Medicine at UCLA explains: \"Just because you're willing to do something doesn't mean you know how to do it.\"\u003c/p>\n\u003cp>Volunteers learn about medical confidentiality, what to do in an emergency, and how to interact with patients, including patients with dementia. Reuben says they go through a \"vigorous training process and vetting process before we allow them to be with patients.\" There are nearly three dozen volunteers so far. The program started just a few months ago, and the hospital plans to expand it.\u003c/p>\n\u003cp>Loneliness is a legitimate medical issue. There are a number of studies linking loneliness and social isolation in old people to poorer health and earlier death, including one published earlier this month in \u003ca href=\"http://jamanetwork.com/journals/jamapsychiatry/fullarticle/2575729\">JAMA Psychiatry\u003c/a> associating loneliness, social isolation and brain changes typical in Alzheimer's. Reuben cautions that those studies weren't done in a hospital setting. Nevertheless, he says, \"you might suspect that being more engaged, more energized ... might promote a speedier recovery.\"\u003c/p>\n\u003cp>So now the hospital is designing studies to find out if the volunteer companionship improves medical outcomes, or at least improves the patient's experience in the hospital.\u003c/p>\n\u003cp>Torrano says she'll sometimes spend her entire four-hour shift with a single patient. Like Estelle Day, many are happy to share their life stories. She remembers one man in particular who had been a political prisoner in Iran. He'd run an underground newspaper. \"He was in jail so much,\" she recalls, yet he told her he also misses Iran. \"Even though it was very traumatic, he still wishes he was there,\" Torrano says.\u003c/p>\n\u003cp>Estelle Day says she's not especially lonely, but she has been alone much of the time since she was admitted to the geriatric unit. So it helps to have a companion who will not only listen to her life story, but can also troubleshoot the little problems that can make life in a hospital such a challenge. \"Somebody who is sensitive and tuned-in and is very helpful,\" explains Day, the way Torrano was when Day's heart monitor started acting up.\u003c/p>\n\u003cp>And companionship can take many forms. On the day of Torrano's visit, one of Day's most pressing issues was fixing her hair. It had been shoved up in a rubber band since she was admitted.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>So with Day's encouragement, Torrano picks up a comb and gently begins detangling. Whatever it takes to make the patient look good and feel better.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Hospital+Companions+Can+Ease+Isolation+For+Older+People&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/262090/hospital-companions-can-ease-isolation-for-older-people","authors":["byline_stateofhealth_262090"],"categories":["stateofhealth_11"],"tags":["stateofhealth_606","stateofhealth_121","stateofhealth_2519","stateofhealth_2998"],"featImg":"stateofhealth_262091","label":"source_stateofhealth_262090"},"stateofhealth_21299":{"type":"posts","id":"stateofhealth_21299","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"21299","score":null,"sort":[1410035407000]},"guestAuthors":[],"slug":"watsonville-nursing-home-lawsuit-may-drive-effort-to-reduce-overmedication","title":"Watsonville Nursing Home Lawsuit May Drive Effort to Reduce Overmedication","publishDate":1410035407,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_21306\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/137165920-e1410035335722.jpg\">\u003cimg class=\"size-large wp-image-21306\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/137165920-640x429.jpg\" alt=\" (Philippe Hugue/AFP/Getty Images)\" width=\"640\" height=\"429\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Philippe Hugue/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Ina Jaffe,\u003c/strong>\u003ca href=\"http://www.npr.org/blogs/health/2014/09/05/346137537/feds-hope-hitting-nursing-homes-in-the-wallet-will-cut-overmedication\" target=\"_blank\"> NPR\u003c/a>\u003c/p>\n\u003cp>A federal lawsuit against two Watsonville nursing homes may offer a new approach to dealing with the persistent problem of such facilities overmedicating their residents.\u003c/p>\n\u003cp>\u003ca title=\"U.S. v. the Arba group, et al.\" href=\"https://s3.amazonaws.com/s3.documentcloud.org/documents/1284195/united-states-v-the-arba-group-et-al-complaint.pdf\" target=\"_blank\">The lawsuit\u003c/a> details multiple cases when the government says these drugs were inappropriately administered to patients. Watsonville is northeast of Monterey, in Santa Cruz County.\u003c/p>\n\u003cp>For instance when an 86-year-old man identified in the lawsuit as Patient 1 was admitted to Country Villa Watsonville West, he could speak clearly and walked in under his own power. Within days the facility began giving him Haldol and Risperdal, drugs used to treat schizophrenia and bipolar disorder, and he became bedridden, stopped eating and developed bedsores and infections.\u003c!--more-->\u003c/p>\n\u003cp>\"Within days he declined precipitously, to the point where he was read his last rites in the hospital,\" says Tony Chicotel, a staff attorney with California Advocates for Nursing Home Reform who represented the man and his family in a private suit that was settled out of court.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"He subsequently recovered,\" says Chicotel, \"but all this had been done without his family's knowledge, without his informed consent, without real good clinical indications for the use of the drug.\"\u003c/p>\n\u003cp>Antipsychotics like Risperdal and Haldol come with so-called black box warnings that say they could hasten death in elderly patients or people with dementia. Nevertheless, about a fifth of nursing home patients nationwide are prescribed antipsychotic drugs.\u003c/p>\n\u003cp>The U.S. attorney for Northern California declined to comment on the lawsuit, but it claims that the two nursing homes provided \"grossly inadequate, materially substandard and/or worthless services.\" Meanwhile, the nursing homes received about $20 million from Medicare and Medicaid for those services. So now the government wants its money back, and then some.\u003c/p>\n\u003cp>\"Under the False Claims Act, the government can ask for triple damages,\" explains Kelly Bagby, a senior attorney with the AARP Foundation. The nursing homes also could be fined, she says, for each incidence of filing a false report.\u003c/p>\n\u003cp>\"So every time they submitted a form that said, 'Here is Mrs. Jones' needs' and Mrs. Jones' needs were different than that, each one of those forms is a violation,\" says Bagby.\u003c/p>\n\u003cp>In a statement, the companies that own the two nursing homes called the charges \"untrue and without merit.\" They also filed their own lawsuit blaming the company they hired to manage the two facilities.\u003c/p>\n\u003cp>Deborah Pacyna, public affairs director for the California Association of Health Facilities, says that in the past couple years the federal government, in partnership with organizations like hers, has succeeded in \u003ca title=\"CMS nursing home report 2013\" href=\"http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/downloads/nursinghomedatacompendium_508.pdf#page=171\" target=\"_blank\">reducing the use of antipsychotic drugs\u003c/a> in nursing homes.\u003c/p>\n\u003cp>\"But a lot of the regulators, a lot of our critics seem to be ignoring the fact that antipsychotics are being widely prescribed to patients who have dementia \u003ca title=\"Medicare Nursing Home Compendium\" href=\"http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/downloads/nursinghomedatacompendium_508.pdf#page=190\" target=\"_blank\">who are living at home\u003c/a>, who are in the hospital or who are in assisted living settings,\" Pacyna says. \"Skilled nursing (homes) represents a fraction of those that have been impacted by this practice, yet we remain the focus.\"\u003c/p>\n\u003cp>Bagby, the AARP attorney, would like to maintain that focus, and thinks this lawsuit can help do that. \"If you're going to hit their bottom line, that's really where you change behavior.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Bagby adds that with antipsychotic drugs still so widely prescribed for nursing home residents, there's the potential for more cases like this one across the country.\u003c/p>\n\n","blocks":[],"excerpt":"Federal attorneys say the two home provided \"grossly inadequate\" services.","status":"publish","parent":0,"modified":1410105965,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":569},"headData":{"title":"Watsonville Nursing Home Lawsuit May Drive Effort to Reduce Overmedication | KQED","description":"Federal attorneys say the two home provided "grossly inadequate" services.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"21299 http://blogs.kqed.org/stateofhealth/?p=21299","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/09/06/watsonville-nursing-home-lawsuit-may-drive-effort-to-reduce-overmedication/","disqusTitle":"Watsonville Nursing Home Lawsuit May Drive Effort to Reduce Overmedication","path":"/stateofhealth/21299/watsonville-nursing-home-lawsuit-may-drive-effort-to-reduce-overmedication","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_21306\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/137165920-e1410035335722.jpg\">\u003cimg class=\"size-large wp-image-21306\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/137165920-640x429.jpg\" alt=\" (Philippe Hugue/AFP/Getty Images)\" width=\"640\" height=\"429\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Philippe Hugue/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Ina Jaffe,\u003c/strong>\u003ca href=\"http://www.npr.org/blogs/health/2014/09/05/346137537/feds-hope-hitting-nursing-homes-in-the-wallet-will-cut-overmedication\" target=\"_blank\"> NPR\u003c/a>\u003c/p>\n\u003cp>A federal lawsuit against two Watsonville nursing homes may offer a new approach to dealing with the persistent problem of such facilities overmedicating their residents.\u003c/p>\n\u003cp>\u003ca title=\"U.S. v. the Arba group, et al.\" href=\"https://s3.amazonaws.com/s3.documentcloud.org/documents/1284195/united-states-v-the-arba-group-et-al-complaint.pdf\" target=\"_blank\">The lawsuit\u003c/a> details multiple cases when the government says these drugs were inappropriately administered to patients. Watsonville is northeast of Monterey, in Santa Cruz County.\u003c/p>\n\u003cp>For instance when an 86-year-old man identified in the lawsuit as Patient 1 was admitted to Country Villa Watsonville West, he could speak clearly and walked in under his own power. Within days the facility began giving him Haldol and Risperdal, drugs used to treat schizophrenia and bipolar disorder, and he became bedridden, stopped eating and developed bedsores and infections.\u003c!--more-->\u003c/p>\n\u003cp>\"Within days he declined precipitously, to the point where he was read his last rites in the hospital,\" says Tony Chicotel, a staff attorney with California Advocates for Nursing Home Reform who represented the man and his family in a private suit that was settled out of court.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"He subsequently recovered,\" says Chicotel, \"but all this had been done without his family's knowledge, without his informed consent, without real good clinical indications for the use of the drug.\"\u003c/p>\n\u003cp>Antipsychotics like Risperdal and Haldol come with so-called black box warnings that say they could hasten death in elderly patients or people with dementia. Nevertheless, about a fifth of nursing home patients nationwide are prescribed antipsychotic drugs.\u003c/p>\n\u003cp>The U.S. attorney for Northern California declined to comment on the lawsuit, but it claims that the two nursing homes provided \"grossly inadequate, materially substandard and/or worthless services.\" Meanwhile, the nursing homes received about $20 million from Medicare and Medicaid for those services. So now the government wants its money back, and then some.\u003c/p>\n\u003cp>\"Under the False Claims Act, the government can ask for triple damages,\" explains Kelly Bagby, a senior attorney with the AARP Foundation. The nursing homes also could be fined, she says, for each incidence of filing a false report.\u003c/p>\n\u003cp>\"So every time they submitted a form that said, 'Here is Mrs. Jones' needs' and Mrs. Jones' needs were different than that, each one of those forms is a violation,\" says Bagby.\u003c/p>\n\u003cp>In a statement, the companies that own the two nursing homes called the charges \"untrue and without merit.\" They also filed their own lawsuit blaming the company they hired to manage the two facilities.\u003c/p>\n\u003cp>Deborah Pacyna, public affairs director for the California Association of Health Facilities, says that in the past couple years the federal government, in partnership with organizations like hers, has succeeded in \u003ca title=\"CMS nursing home report 2013\" href=\"http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/downloads/nursinghomedatacompendium_508.pdf#page=171\" target=\"_blank\">reducing the use of antipsychotic drugs\u003c/a> in nursing homes.\u003c/p>\n\u003cp>\"But a lot of the regulators, a lot of our critics seem to be ignoring the fact that antipsychotics are being widely prescribed to patients who have dementia \u003ca title=\"Medicare Nursing Home Compendium\" href=\"http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/downloads/nursinghomedatacompendium_508.pdf#page=190\" target=\"_blank\">who are living at home\u003c/a>, who are in the hospital or who are in assisted living settings,\" Pacyna says. \"Skilled nursing (homes) represents a fraction of those that have been impacted by this practice, yet we remain the focus.\"\u003c/p>\n\u003cp>Bagby, the AARP attorney, would like to maintain that focus, and thinks this lawsuit can help do that. \"If you're going to hit their bottom line, that's really where you change behavior.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Bagby adds that with antipsychotic drugs still so widely prescribed for nursing home residents, there's the potential for more cases like this one across the country.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/21299/watsonville-nursing-home-lawsuit-may-drive-effort-to-reduce-overmedication","authors":["8344"],"categories":["stateofhealth_11","stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_606","stateofhealth_591"],"featImg":"stateofhealth_21306","label":"stateofhealth"},"stateofhealth_18597":{"type":"posts","id":"stateofhealth_18597","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"18597","score":null,"sort":[1396977409000]},"guestAuthors":[],"slug":"san-franciscos-elderly-chinese-suffer-from-nursing-home-closure","title":"San Francisco's Elderly Chinese Suffer from Nursing Home Closure","publishDate":1396977409,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_18602\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/MissionBay-e1396976031755.jpg\">\u003cimg class=\"size-large wp-image-18602\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/MissionBay-640x480.jpg\" alt=\"Mission Bay Convalescent Hospital closed in February. (Vinnie Tong/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Mission Bay Convalescent Hospital was home to 35 elderly Chinese immigrants. Only two found a new place in San Francisco. Some have passed away since the move. (Vinnie Tong/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Vinnee Tong\u003c/strong>\u003c/p>\n\u003cp>Too often people don’t spend a lot of time thinking about who’s going to take care of them at the end of their life.\u003c/p>\n\u003cp>It’s not hard to imagine why: It’s scary and stirs up all kinds of emotion.\u003c/p>\n\u003caside class=\"pullquote alignleft\">People appreciated Mission Bay because it was familiar, geared to its Chinese-speaking residents.\u003c/aside>\n\u003cp>At the same time, financial pressures can make the whole topic even harder to deal with. For starters, if you need a bed in a home with full-time care, the decent ones are hard to find and cost a lot.\u003c/p>\n\u003cp>That’s why the closure of one small place in San Francisco’s Potrero Hill neighborhood is being felt so acutely. The Mission Bay Convalescent Hospital served a community of elderly Chinese, most of whom didn't speak English. Now the building’s been sold, its occupants scattered, and the city’s supply of affordable nursing home beds is even smaller.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Meanwhile, the families of these elders are helping their loved ones adjust to new and unfamiliar surroundings.\u003c/p>\n\u003cp>Jennifer Huey’s mom, Chu Huey, is 80 years old and now lives in Oakland at the McClure Convalescent Hospital. She has dementia and a slew of other medical problems. She lives her life bed-bound, so everything about her existence is determined by the care she gets at McClure.\u003c/p>\n\u003cp>Chu Huey moved from Mission Bay late last year. She’s one of 35 patients who left before the home closed its doors in February.\u003c/p>\n\u003cp>\u003cstrong>Shrinking Supply of Beds for Low-Income San Franciscans \u003c/strong>\u003c/p>\n\u003cp>Residents like Chu Huey appreciated Mission Bay partly because it was familiar: There were bulletin boards with handwritten notices in Chinese, wall calendars in the good-luck colors of red and gold, and when families brought Chinese food with them, patients were surrounded with the smells of home.\u003c/p>\n\u003cp>But Mission Bay was housed in an aging building -- first built in 1917 -- and it needed major upgrades, like fire sprinklers and disabled access.\u003c/p>\n\u003cp>Mission Bay housed only Medi-Cal patients, so its revenue was limited to the reimbursement it could get, which in 2013 was $185.39 per patient per day according to the state Department of Health Care Services.\u003c/p>\n\u003cp>In short, costs were growing faster than the reimbursements.\u003c/p>\n\u003cp>A lawyer for the owner, Bill Price, declined an interview request from KQED.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/143767118&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>Benson Nadell is director of the San Francisco Long-Term Care Ombudsman Program, a federally-funded patient advocate.\u003c/p>\n\u003cp>Nadell says San Francisco is steadily losing low-income nursing home beds. He estimates 900 Medi-Cal beds have disappeared over the last 20 years -- about a third of the supply. None are being added.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>I was hoping when I first got contacted by the facility about closing, that somehow the city could have rallied around to save these beds,” Nadell said. “Because everyone in there is frail elderly from San Francisco, with families living in San Francisco.\"\u003c/p>\n\u003cp>But, Nadell said families had already received written notice early last fall that they’d have to leave. Given the demand for affordable beds, it became a real race to secure a spot elsewhere. The residents ended up quickly dispersing. Most of the patients at Mission Bay wanted to stay in the city. But out of 35 patients, only two were able to secure a spot in San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Elderly Often Suffer \"Transfer Trauma\"\u003c/strong>\u003c/p>\n\u003cp>After moving, family members now have to travel farther to see loved ones, which means fewer visits. And some Mission Bay patients moved into nursing homes where few other patients or caregivers spoke their language.\u003c/p>\n\u003cp>Then there’s what’s called \"transfer trauma\" -- when a patient’s health suffers just from being moved. Jennifer Huey’s mother made half a dozen trips to the emergency room in the early weeks after her move out of Mission Bay.\u003c/p>\n\u003cp>Two other patients died shortly after they moved.\u003c/p>\n\u003cp>One is a 94-year-old woman who spoke only Cantonese and moved to a Kindred nursing home in Oakland at the end of October.\u003c/p>\n\u003cp>Her oldest son is still reeling with guilt. Tam, who only wanted to use his last name, is 74. He described getting a call from the new nursing home two weeks after his mom moved in.\u003c/p>\n\u003cp>“In the morning, they called and said she had a urinary tract infection,\" he said. \"The doctor had given her medicine and she had taken it. But then that night, they called and said they had to send her to the hospital.\"\u003c/p>\n\u003cp>That was November 11th.\u003c/p>\n\u003cp>Two days later, Tam went to Oakland to visit his mom in the hospital.\u003c/p>\n\u003cp>Early November 14th, she died.\u003c/p>\n\u003cp>Tam says Mission Bay’s closure affected his mother's health.\u003c/p>\n\u003cp>“Once she moved to Oakland, it was not as convenient for me to visit, so I couldn’t go as often,” he said. “My mom was close to me, more attached to me than my other siblings. Being that far away from me affected her mood.”\u003c/p>\n\u003cp>Jennifer Huey says the move has taken a real toll on patients like her mom, too. And she says Mission Bay’s closure is a loss for the city as a whole.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>The heart of it is, there has been nothing to replace what Mission Bay was to the Chinese community,” Huey said.\u003c/p>\n\u003cp>Nadell, the patient advocate, hopes the city has a way to prevent more nursing homes from closing or leaving the city, based on financial pressure alone.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>I feel that individuals should not be squeezed out of the system based solely on the financial profile,” he said. “San Francisco has an obligation to its old people.”\u003c/p>\n\u003cp>As for the building itself, a local real estate dealer bought it for $2.7 million dollars.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"FvoQj4Yjo4Qq9zcRdDb4AitBrLkGU822\"]\u003c/p>\n\n","blocks":[],"excerpt":"35 Chinese immigrants, most of whom don't speak English, were displaced. Some died shorty after moving.","status":"publish","parent":0,"modified":1397070365,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":39,"wordCount":1029},"headData":{"title":"San Francisco's Elderly Chinese Suffer from Nursing Home Closure | KQED","description":"35 Chinese immigrants, most of whom don't speak English, were displaced. Some died shorty after moving.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"18597 http://blogs.kqed.org/stateofhealth/?p=18597","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/04/08/san-franciscos-elderly-chinese-suffer-from-nursing-home-closure/","disqusTitle":"San Francisco's Elderly Chinese Suffer from Nursing Home Closure","path":"/stateofhealth/18597/san-franciscos-elderly-chinese-suffer-from-nursing-home-closure","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18602\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/MissionBay-e1396976031755.jpg\">\u003cimg class=\"size-large wp-image-18602\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/MissionBay-640x480.jpg\" alt=\"Mission Bay Convalescent Hospital closed in February. (Vinnie Tong/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Mission Bay Convalescent Hospital was home to 35 elderly Chinese immigrants. Only two found a new place in San Francisco. Some have passed away since the move. (Vinnie Tong/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Vinnee Tong\u003c/strong>\u003c/p>\n\u003cp>Too often people don’t spend a lot of time thinking about who’s going to take care of them at the end of their life.\u003c/p>\n\u003cp>It’s not hard to imagine why: It’s scary and stirs up all kinds of emotion.\u003c/p>\n\u003caside class=\"pullquote alignleft\">People appreciated Mission Bay because it was familiar, geared to its Chinese-speaking residents.\u003c/aside>\n\u003cp>At the same time, financial pressures can make the whole topic even harder to deal with. For starters, if you need a bed in a home with full-time care, the decent ones are hard to find and cost a lot.\u003c/p>\n\u003cp>That’s why the closure of one small place in San Francisco’s Potrero Hill neighborhood is being felt so acutely. The Mission Bay Convalescent Hospital served a community of elderly Chinese, most of whom didn't speak English. Now the building’s been sold, its occupants scattered, and the city’s supply of affordable nursing home beds is even smaller.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Meanwhile, the families of these elders are helping their loved ones adjust to new and unfamiliar surroundings.\u003c/p>\n\u003cp>Jennifer Huey’s mom, Chu Huey, is 80 years old and now lives in Oakland at the McClure Convalescent Hospital. She has dementia and a slew of other medical problems. She lives her life bed-bound, so everything about her existence is determined by the care she gets at McClure.\u003c/p>\n\u003cp>Chu Huey moved from Mission Bay late last year. She’s one of 35 patients who left before the home closed its doors in February.\u003c/p>\n\u003cp>\u003cstrong>Shrinking Supply of Beds for Low-Income San Franciscans \u003c/strong>\u003c/p>\n\u003cp>Residents like Chu Huey appreciated Mission Bay partly because it was familiar: There were bulletin boards with handwritten notices in Chinese, wall calendars in the good-luck colors of red and gold, and when families brought Chinese food with them, patients were surrounded with the smells of home.\u003c/p>\n\u003cp>But Mission Bay was housed in an aging building -- first built in 1917 -- and it needed major upgrades, like fire sprinklers and disabled access.\u003c/p>\n\u003cp>Mission Bay housed only Medi-Cal patients, so its revenue was limited to the reimbursement it could get, which in 2013 was $185.39 per patient per day according to the state Department of Health Care Services.\u003c/p>\n\u003cp>In short, costs were growing faster than the reimbursements.\u003c/p>\n\u003cp>A lawyer for the owner, Bill Price, declined an interview request from KQED.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/143767118&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>Benson Nadell is director of the San Francisco Long-Term Care Ombudsman Program, a federally-funded patient advocate.\u003c/p>\n\u003cp>Nadell says San Francisco is steadily losing low-income nursing home beds. He estimates 900 Medi-Cal beds have disappeared over the last 20 years -- about a third of the supply. None are being added.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>I was hoping when I first got contacted by the facility about closing, that somehow the city could have rallied around to save these beds,” Nadell said. “Because everyone in there is frail elderly from San Francisco, with families living in San Francisco.\"\u003c/p>\n\u003cp>But, Nadell said families had already received written notice early last fall that they’d have to leave. Given the demand for affordable beds, it became a real race to secure a spot elsewhere. The residents ended up quickly dispersing. Most of the patients at Mission Bay wanted to stay in the city. But out of 35 patients, only two were able to secure a spot in San Francisco.\u003c/p>\n\u003cp>\u003cstrong>Elderly Often Suffer \"Transfer Trauma\"\u003c/strong>\u003c/p>\n\u003cp>After moving, family members now have to travel farther to see loved ones, which means fewer visits. And some Mission Bay patients moved into nursing homes where few other patients or caregivers spoke their language.\u003c/p>\n\u003cp>Then there’s what’s called \"transfer trauma\" -- when a patient’s health suffers just from being moved. Jennifer Huey’s mother made half a dozen trips to the emergency room in the early weeks after her move out of Mission Bay.\u003c/p>\n\u003cp>Two other patients died shortly after they moved.\u003c/p>\n\u003cp>One is a 94-year-old woman who spoke only Cantonese and moved to a Kindred nursing home in Oakland at the end of October.\u003c/p>\n\u003cp>Her oldest son is still reeling with guilt. Tam, who only wanted to use his last name, is 74. He described getting a call from the new nursing home two weeks after his mom moved in.\u003c/p>\n\u003cp>“In the morning, they called and said she had a urinary tract infection,\" he said. \"The doctor had given her medicine and she had taken it. But then that night, they called and said they had to send her to the hospital.\"\u003c/p>\n\u003cp>That was November 11th.\u003c/p>\n\u003cp>Two days later, Tam went to Oakland to visit his mom in the hospital.\u003c/p>\n\u003cp>Early November 14th, she died.\u003c/p>\n\u003cp>Tam says Mission Bay’s closure affected his mother's health.\u003c/p>\n\u003cp>“Once she moved to Oakland, it was not as convenient for me to visit, so I couldn’t go as often,” he said. “My mom was close to me, more attached to me than my other siblings. Being that far away from me affected her mood.”\u003c/p>\n\u003cp>Jennifer Huey says the move has taken a real toll on patients like her mom, too. And she says Mission Bay’s closure is a loss for the city as a whole.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>The heart of it is, there has been nothing to replace what Mission Bay was to the Chinese community,” Huey said.\u003c/p>\n\u003cp>Nadell, the patient advocate, hopes the city has a way to prevent more nursing homes from closing or leaving the city, based on financial pressure alone.\u003c/p>\n\u003cp>\u003cstrong>“\u003c/strong>I feel that individuals should not be squeezed out of the system based solely on the financial profile,” he said. “San Francisco has an obligation to its old people.”\u003c/p>\n\u003cp>As for the building itself, a local real estate dealer bought it for $2.7 million dollars.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"FvoQj4Yjo4Qq9zcRdDb4AitBrLkGU822\"]\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/18597/san-franciscos-elderly-chinese-suffer-from-nursing-home-closure","authors":["240"],"categories":["stateofhealth_11"],"tags":["stateofhealth_606"],"featImg":"stateofhealth_18602","label":"stateofhealth"},"stateofhealth_14921":{"type":"posts","id":"stateofhealth_14921","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"14921","score":null,"sort":[1378890754000]},"guestAuthors":[],"slug":"5-things-to-remember-when-choosing-a-nursing-home","title":"5 Things to Remember When Choosing a Nursing Home","publishDate":1378890754,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_14929\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/Screen-Shot-2013-09-10-at-4.34.21-PM-e1378856102443.png\">\u003cimg class=\"size-large wp-image-14929\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/Screen-Shot-2013-09-10-at-4.34.21-PM-640x492.png\" alt=\"(Keith Brofsky/Thinkstock)\" width=\"640\" height=\"492\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Keith Brofsky/Thinkstock)\u003c/figcaption>\u003c/figure>\n\u003cp>KQED and the\u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\"> Center for Investigative Reporting\u003c/a> have teamed up to tell a decidedly sobering story of abuse by caregivers in California nursing homes. If you're wondering \u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\">who's protecting the elderly\u003c/a>, perhaps the most haunting quote is this one from Brian Woods, former director of the state Department of Public Health's office in West Covina (Los Angeles County):\u003c/p>\n\u003cp>“I would tell anybody: Do not count on the government taking care of you,\" Woods said.\u003c/p>\n\u003cp>I'm not sure whether to feel disheartened or furious. But what the KQED and CIR reports speak to are the need for patients (if possible) and certainly their families and loved ones to be very engaged when selecting a nursing home in the first place.\u003c/p>\n\u003cp>When you are looking for a nursing home, there are \"time-tested methods for identifying and evaluating nursing homes,\" according to California Advocates for Nursing Home Reform, a leading statewide advocate for long-term care for the last 30 years. I talked to Pat McGinnis, CANHR co-founder and executive director.\u003c/p>\n\u003cp>\u003cstrong>1) Visit in person:\u003c/strong> It sounds pretty basic, but this was one of the first things McGinnis said. \"People will look to the (Medicare) five-star approval,\" she said, in reference to Medicare's \u003ca href=\"http://www.medicare.gov/nursinghomecompare/search.html?AspxAutoDetectCookieSupport=1\" target=\"_blank\">Nursing Home Compare\u003c/a> website, \"but we've got five-star facilities that are terrible and two-star facilities that are good.\" Websites are a starting point, but you must go take a look -- and be sure to visit more than one facility. Then, trust your gut. If you get a bad feeling right off the bat, pay attention to that feeling.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>2)\u003c/strong> \u003cstrong>Schedule your visit at lunchtime\u003c/strong>: McGinnis said lunchtime is the busiest time of day. While facilities may publish their staffing ratios, that's a meaningless number to the average consumer. But you can look for other signs, during this busy time of day. \"If you see people waiting to get their call light answered,\" that can mean the facility is understaffed. \"If they don't have enough people during lunchtime, they won't have enough at night.\" This is also a good time to pay attention to how the staff treats patients. Are they condescending or nasty? Do they talk about the patients as if the patients were not right there? And while you're there during lunch, take a look at the food. McGinniss acknowledged that people at larger institutions -- from colleges to nursing homes -- will complain about the food, but still there's a range. Try it. Will any special dietary needs be met? As you narrow your choices to one or two places, visit on the weekends, too.\u003c/p>\n\u003cp>\u003cstrong>3) Visit your loved one often\u003c/strong>: \"The more visitors the patient has, the better the care is going to be,\" McGinniss said. In addition, an elderly or otherwise frail patient is unlikely to be her own best advocate. It is the regular visitor who will notice that any one of a number of things are not quite right: The walker is too far away from the bed (which could mean a fall if the patient has to struggle to get to it); there's no water on the nightstand; the patient isn't being turned enough, which can lead to bedsores and from there, the possibility of sepsis, a potentially life-threatening infection. It is the regular visitor who will notice these things and can effect change.\u003c/p>\n\u003cp>\u003cstrong>4) Is there a family council? \u003c/strong>This is just what it sounds like: a group of family members who care about the residents, although McGinniss cautioned about making sure this is not simply an \"activity-based\" group. It should be about addressing problems or issues at the facility. \"They can be powerful tools,\" McGinniss said. She recommends asking about the council, who the president is, and when they meet. In addition, family councils are \"a way to share burdens with each other.\"\u003c/p>\n\u003cp>\u003cstrong>5) Look for a \"dual-eligible\" facility\u003c/strong>: Many people think Medicare covers nursing home care for as long as someone needs it. It does not. Medicare only covers 100 days in a nursing home. Unless your loved one is very wealthy, you need to consider finances right up-front. Nursing home cost is \"just extraordinary\" McGinniss said, \"$7,000 to $8,000 a month.\" Consider how quickly your loved one might go through any savings and become eligible for Medi-Cal, which is the major payer of nursing home care. If the nursing home does not accept Medi-Cal it can evict your loved one, should your family become unable to pay. So look for a nursing home that accepts both Medicare (for those first 100 days) and Medi-Cal (in case your loved one runs out of money).\u003c/p>\n\u003cp>Finally, even though KQED's and CIR's investigation has revealed that the state is not doing its job in investigating abuses, if you feel something wrong is happening, document it. \"Document as much as possible,\" McGinniss said. \"The nursing home and staff are supposed to report suspected abuse.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>CANHR has multilingual resources on its website, including a \u003ca href=\"http://canhr.org/factsheets/nh_fs/html/fs_evalchecklist.htm\" target=\"_blank\">nursing home evaluation checklist \u003c/a>and a\u003ca href=\"http://www.nursinghomeguide.org/NHG/nhg_txt_home.lasso\" target=\"_blank\"> nursing home guide\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"KQED and the Center for Investigative Reporting have teamed up to tell a decidedly sobering story of abuse by caregivers in California nursing homes. If you're wondering who's protecting the elderly, perhaps the most haunting quote is this one from Brian Woods, former director of the state's Department of Public Health West Covina office:\r\n\r\n“I would tell anybody, do not count on the government taking care of you,\" Woods said.","status":"publish","parent":0,"modified":1379101561,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":864},"headData":{"title":"5 Things to Remember When Choosing a Nursing Home | KQED","description":"KQED and the Center for Investigative Reporting have teamed up to tell a decidedly sobering story of abuse by caregivers in California nursing homes. If you're wondering who's protecting the elderly, perhaps the most haunting quote is this one from Brian Woods, former director of the state's Department of Public Health West Covina office:\r\n\r\n“I would tell anybody, do not count on the government taking care of you," Woods said.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"14921 http://blogs.kqed.org/stateofhealth/?p=14921","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/09/11/5-things-to-remember-when-choosing-a-nursing-home/","disqusTitle":"5 Things to Remember When Choosing a Nursing Home","path":"/stateofhealth/14921/5-things-to-remember-when-choosing-a-nursing-home","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14929\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/Screen-Shot-2013-09-10-at-4.34.21-PM-e1378856102443.png\">\u003cimg class=\"size-large wp-image-14929\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/09/Screen-Shot-2013-09-10-at-4.34.21-PM-640x492.png\" alt=\"(Keith Brofsky/Thinkstock)\" width=\"640\" height=\"492\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Keith Brofsky/Thinkstock)\u003c/figcaption>\u003c/figure>\n\u003cp>KQED and the\u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\"> Center for Investigative Reporting\u003c/a> have teamed up to tell a decidedly sobering story of abuse by caregivers in California nursing homes. If you're wondering \u003ca href=\"http://cironline.org/reports/quick-dismissal-caregiver-abuse-cases-puts-calif-patients-risk-5158\" target=\"_blank\">who's protecting the elderly\u003c/a>, perhaps the most haunting quote is this one from Brian Woods, former director of the state Department of Public Health's office in West Covina (Los Angeles County):\u003c/p>\n\u003cp>“I would tell anybody: Do not count on the government taking care of you,\" Woods said.\u003c/p>\n\u003cp>I'm not sure whether to feel disheartened or furious. But what the KQED and CIR reports speak to are the need for patients (if possible) and certainly their families and loved ones to be very engaged when selecting a nursing home in the first place.\u003c/p>\n\u003cp>When you are looking for a nursing home, there are \"time-tested methods for identifying and evaluating nursing homes,\" according to California Advocates for Nursing Home Reform, a leading statewide advocate for long-term care for the last 30 years. I talked to Pat McGinnis, CANHR co-founder and executive director.\u003c/p>\n\u003cp>\u003cstrong>1) Visit in person:\u003c/strong> It sounds pretty basic, but this was one of the first things McGinnis said. \"People will look to the (Medicare) five-star approval,\" she said, in reference to Medicare's \u003ca href=\"http://www.medicare.gov/nursinghomecompare/search.html?AspxAutoDetectCookieSupport=1\" target=\"_blank\">Nursing Home Compare\u003c/a> website, \"but we've got five-star facilities that are terrible and two-star facilities that are good.\" Websites are a starting point, but you must go take a look -- and be sure to visit more than one facility. Then, trust your gut. If you get a bad feeling right off the bat, pay attention to that feeling.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>2)\u003c/strong> \u003cstrong>Schedule your visit at lunchtime\u003c/strong>: McGinnis said lunchtime is the busiest time of day. While facilities may publish their staffing ratios, that's a meaningless number to the average consumer. But you can look for other signs, during this busy time of day. \"If you see people waiting to get their call light answered,\" that can mean the facility is understaffed. \"If they don't have enough people during lunchtime, they won't have enough at night.\" This is also a good time to pay attention to how the staff treats patients. Are they condescending or nasty? Do they talk about the patients as if the patients were not right there? And while you're there during lunch, take a look at the food. McGinniss acknowledged that people at larger institutions -- from colleges to nursing homes -- will complain about the food, but still there's a range. Try it. Will any special dietary needs be met? As you narrow your choices to one or two places, visit on the weekends, too.\u003c/p>\n\u003cp>\u003cstrong>3) Visit your loved one often\u003c/strong>: \"The more visitors the patient has, the better the care is going to be,\" McGinniss said. In addition, an elderly or otherwise frail patient is unlikely to be her own best advocate. It is the regular visitor who will notice that any one of a number of things are not quite right: The walker is too far away from the bed (which could mean a fall if the patient has to struggle to get to it); there's no water on the nightstand; the patient isn't being turned enough, which can lead to bedsores and from there, the possibility of sepsis, a potentially life-threatening infection. It is the regular visitor who will notice these things and can effect change.\u003c/p>\n\u003cp>\u003cstrong>4) Is there a family council? \u003c/strong>This is just what it sounds like: a group of family members who care about the residents, although McGinniss cautioned about making sure this is not simply an \"activity-based\" group. It should be about addressing problems or issues at the facility. \"They can be powerful tools,\" McGinniss said. She recommends asking about the council, who the president is, and when they meet. In addition, family councils are \"a way to share burdens with each other.\"\u003c/p>\n\u003cp>\u003cstrong>5) Look for a \"dual-eligible\" facility\u003c/strong>: Many people think Medicare covers nursing home care for as long as someone needs it. It does not. Medicare only covers 100 days in a nursing home. Unless your loved one is very wealthy, you need to consider finances right up-front. Nursing home cost is \"just extraordinary\" McGinniss said, \"$7,000 to $8,000 a month.\" Consider how quickly your loved one might go through any savings and become eligible for Medi-Cal, which is the major payer of nursing home care. If the nursing home does not accept Medi-Cal it can evict your loved one, should your family become unable to pay. So look for a nursing home that accepts both Medicare (for those first 100 days) and Medi-Cal (in case your loved one runs out of money).\u003c/p>\n\u003cp>Finally, even though KQED's and CIR's investigation has revealed that the state is not doing its job in investigating abuses, if you feel something wrong is happening, document it. \"Document as much as possible,\" McGinniss said. \"The nursing home and staff are supposed to report suspected abuse.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>CANHR has multilingual resources on its website, including a \u003ca href=\"http://canhr.org/factsheets/nh_fs/html/fs_evalchecklist.htm\" target=\"_blank\">nursing home evaluation checklist \u003c/a>and a\u003ca href=\"http://www.nursinghomeguide.org/NHG/nhg_txt_home.lasso\" target=\"_blank\"> nursing home guide\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/14921/5-things-to-remember-when-choosing-a-nursing-home","authors":["240"],"categories":["stateofhealth_11"],"tags":["stateofhealth_606","stateofhealth_461"],"featImg":"stateofhealth_14929","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us","airtime":"SUN 2pm-3pm, MON 12am-1am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png","officialWebsiteLink":"https://www.wnycstudios.org/shows/otm","meta":{"site":"news","source":"wnyc"},"link":"/radio/program/on-the-media","subscribe":{"apple":"https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2","tuneIn":"https://tunein.com/radio/On-the-Media-p69/","rss":"http://feeds.wnyc.org/onthemedia"}},"our-body-politic":{"id":"our-body-politic","title":"Our Body Politic","info":"Presented by KQED, KCRW and KPCC, and created and hosted by award-winning journalist Farai Chideya, Our Body Politic is unapologetically centered on reporting on not just how women of color experience the major political events of today, but how they’re impacting those very issues.","airtime":"SAT 6pm-7pm, SUN 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Our-Body-Politic-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://our-body-politic.simplecast.com/","meta":{"site":"news","source":"kcrw"},"link":"/radio/program/our-body-politic","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/our-body-politic/id1533069868","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS9feGFQaHMxcw","spotify":"https://open.spotify.com/show/4ApAiLT1kV153TttWAmqmc","rss":"https://feeds.simplecast.com/_xaPhs1s","tuneIn":"https://tunein.com/podcasts/News--Politics-Podcasts/Our-Body-Politic-p1369211/"}},"pbs-newshour":{"id":"pbs-newshour","title":"PBS NewsHour","info":"Analysis, background reports and updates from the PBS NewsHour putting today's news in context.","airtime":"MON-FRI 3pm-4pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.pbs.org/newshour/","meta":{"site":"news","source":"pbs"},"link":"/radio/program/pbs-newshour","subscribe":{"apple":"https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2","tuneIn":"https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/","rss":"https://www.pbs.org/newshour/feeds/rss/podcasts/show"}},"perspectives":{"id":"perspectives","title":"Perspectives","tagline":"KQED's series of of daily listener commentaries since 1991","info":"KQED's series of of daily listener commentaries since 1991.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Perspectives-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/perspectives/","meta":{"site":"radio","source":"kqed","order":"15"},"link":"/perspectives","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/id73801135","npr":"https://www.npr.org/podcasts/432309616/perspectives","rss":"https://ww2.kqed.org/perspectives/category/perspectives/feed/","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"}},"planet-money":{"id":"planet-money","title":"Planet Money","info":"The economy explained. 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The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.","airtime":"SAT 4pm-5pm","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png","officialWebsiteLink":"https://www.revealnews.org/episodes/","meta":{"site":"news","source":"npr"},"link":"/radio/program/reveal","subscribe":{"apple":"https://itunes.apple.com/us/podcast/reveal/id886009669","tuneIn":"https://tunein.com/radio/Reveal-p679597/","rss":"http://feeds.revealradio.org/revealpodcast"}},"says-you":{"id":"says-you","title":"Says You!","info":"Public radio's game show of bluff and bluster, words and whimsy. 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